About Gundersen Palmer Lutheran Hosp And Clinics-hospice
Hospice overview and quality summary
Gundersen Palmer Lutheran Hosp And Clinics-hospice is a nonprofit hospice care provider in West Union, IA, serving patients and families in Fayette County and the surrounding area. Medicare certified since 1992, Gundersen Palmer Lutheran Hosp And Clinics-hospice has provided 34 years of end-of-life and palliative care to the community.
Gundersen Palmer Lutheran Hosp And Clinics-hospice serves an average of 23 patients per day, covering 33 ZIP codes across its service area. 39% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 2 physicians are affiliated with this hospice.
When choosing hospice care in West Union, IA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
89% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
74% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
76% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
83% of caregivers gave Gundersen Palmer Lutheran Hosp And Clinics-hospice a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
73% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
78% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
87% of caregivers gave Gundersen Palmer Lutheran Hosp And Clinics-hospice a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.8%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Composite Process Score
Composite measure of all hospice care process quality measures
98.8%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Gundersen Palmer Lutheran Hosp And Clinics-hospice's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
92.6% of Gundersen Palmer Lutheran Hosp And Clinics-hospice's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
100%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
14.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
23.7%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
0%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
36.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
5.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.6%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$14,113
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Gundersen Palmer Lutheran Hosp And Clinics-hospice's patient population is primarily composed of individuals with cardiovascular disease (49%), followed by cancer (21%), respiratory disease (11%). Heart failure is one of the leading diagnoses for hospice admission nationwide, and a high proportion of cardiac patients is typical of most hospice programs.
Care Settings
Where hospice care is delivered
Gundersen Palmer Lutheran Hosp And Clinics-hospice delivers 39% of its care in patients' homes, with 35% in nursing facility settings, 24% in assisted living settings, 2% in hospital settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 23 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Hospital
Doctors at Gundersen Palmer Lutheran Hosp And Clinics-hospice
2 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Gundersen Palmer Lutheran Hosp And Clinics-hospice
What is the CMS rating for Gundersen Palmer Lutheran Hosp And Clinics-hospice?
Gundersen Palmer Lutheran Hosp And Clinics-hospice does not currently have a CMS star rating available. Approximately 69% of hospice providers lack sufficient survey data for a star rating.
What conditions does Gundersen Palmer Lutheran Hosp And Clinics-hospice primarily treat?
Gundersen Palmer Lutheran Hosp And Clinics-hospice's patient population includes cardiovascular disease (49%), cancer (21%), respiratory disease (11%). This reflects the hospice's experience managing these conditions.
Where does Gundersen Palmer Lutheran Hosp And Clinics-hospice provide care?
Gundersen Palmer Lutheran Hosp And Clinics-hospice provides care in patient's home (39%), nursing facility (35%), assisted living (24%), hospital (2%).
How large is Gundersen Palmer Lutheran Hosp And Clinics-hospice?
Gundersen Palmer Lutheran Hosp And Clinics-hospice serves an average of 23 patients per day and covers 33 ZIP codes in its service area.
How many doctors are affiliated with Gundersen Palmer Lutheran Hosp And Clinics-hospice?
2 physicians are affiliated with Gundersen Palmer Lutheran Hosp And Clinics-hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·