About Hospice Of East Texas
Hospice overview and quality summary
Hospice Of East Texas is a nonprofit hospice care provider in Tyler, TX, serving patients and families in Smith County and the surrounding area. Medicare certified since 1989, Hospice Of East Texas has provided 37 years of end-of-life and palliative care to the community.
Hospice Of East Texas serves an average of 232 patients per day, covering 130 ZIP codes across its service area. 57% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Hospice Of East Texas has earned a 5-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 17 physicians are affiliated with this hospice.
When choosing hospice care in Tyler, TX, 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
Excellent
CMS CAHPS Hospice Star Rating
Hospice Of East Texas has earned a 5-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Hospice Of East Texas among the higher-rated hospice providers serving families in Tyler, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Hospice Of East Texas a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
93% of caregivers gave Hospice Of East Texas a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
81% of caregivers gave Hospice Of East Texas a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
85% of caregivers gave Hospice Of East Texas a top rating for team communication, above the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
84% of caregivers gave Hospice Of East Texas 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
83% of caregivers gave Hospice Of East Texas a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
88% of caregivers gave Hospice Of East Texas a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
92% of caregivers gave Hospice Of East Texas 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
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.3%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.9%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.9%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.9%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.8%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Hospice Of East Texas'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.
74.9% of Hospice Of East Texas'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
96.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
14%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
53%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
12.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
30.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
4.4%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,607
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Hospice Of East Texas's patient population is primarily composed of individuals with cancer (31%), followed by cardiovascular disease (22%), other conditions (20%), dementia (11%), respiratory disease (8%), stroke (8%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Hospice Of East Texas delivers 57% of its care in patients' homes, with 26% in nursing facility settings, 9% in assisted living settings, 5% in inpatient hospice settings. The hospice serves an average of 232 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Inpatient Hospice
Doctors at Hospice Of East Texas
17 affiliated physicians
Dr. Andrew Okelley, DO
Family Practice
Dr. David Burkland, NP
Nurse Practitioner
Dr. Craig Gunter, MD
Hospice/palliative Care
Dr. Lazel Augustus, MD
Internal Medicine
Dr. Cammie Bedell, NP
Nurse Practitioner
Dr. Amy Swan, DO
Hospice/palliative Care
Dr. Evelyn Chou, DO
Family Practice
Dr. Kent Davis, MD
Internal Medicine
Dr. Royal Becker, MD
Internal Medicine
Dr. David Larsen, DO
Family Practice
Dr. Laura Ferguson, MD
Hospice/palliative Care
Dr. Armon Jorden, MD
Emergency Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Hospice Of East Texas
What is the CMS rating for Hospice Of East Texas?
Hospice Of East Texas has a 5-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Hospice Of East Texas primarily treat?
Hospice Of East Texas's patient population includes cancer (31%), cardiovascular disease (22%), other conditions (20%), dementia (11%), respiratory disease (8%), stroke (8%). This reflects the hospice's experience managing these conditions.
Where does Hospice Of East Texas provide care?
Hospice Of East Texas provides care in patient's home (57%), nursing facility (26%), assisted living (9%), inpatient hospice (5%).
How large is Hospice Of East Texas?
Hospice Of East Texas serves an average of 232 patients per day and covers 130 ZIP codes in its service area.
How many doctors are affiliated with Hospice Of East Texas?
17 physicians are affiliated with Hospice Of East Texas.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·