About Islands Hospice
Hospice overview and quality summary
Islands Hospice is a nonprofit hospice care provider in Honolulu, HI, serving patients and families in Honolulu County and the surrounding area. Medicare certified since 2009, Islands Hospice has provided 17 years of end-of-life and palliative care to the community.
Islands Hospice serves an average of 304 patients per day, covering 52 ZIP codes across its service area. 71% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Islands Hospice a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Honolulu, HI, 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
Average
CMS CAHPS Hospice Star Rating
Islands Hospice has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Honolulu, HI compare hospice providers.
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
85% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
69% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
77% 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
75% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
71% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
76% 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
78% of caregivers gave a top rating for would recommend, below 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
99.3%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.2%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.8%
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
99.2%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
97.4%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
96.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Islands 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.
43.8% of Islands Hospice's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
87.8%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
53.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
49.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
6.7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
4.6%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$19,388
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Islands Hospice's patient population is primarily composed of individuals with dementia (28%), followed by cancer (27%), stroke (16%), cardiovascular disease (12%), other conditions (11%), respiratory disease (7%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Islands Hospice delivers 71% of its care in patients' homes, with 15% in nursing facility settings, 5% in skilled nursing settings, 3% in assisted living settings, 1% in inpatient hospice settings. The hospice serves an average of 304 patients per day.
Patient's Home
Nursing Facility
Skilled Nursing
Assisted Living
Inpatient Hospice
Doctors at Islands Hospice
20 affiliated physicians
Dr. Lauren Okamoto, MD
Geriatric Medicine
Dr. Steven Ito, NP
Nurse Practitioner
Dr. Baron Wong, MD
Internal Medicine
Dr. Toby Smith, DO
Internal Medicine
Dr. Noel Termulo, MD
Internal Medicine
Dr. Matthew Uechi, MD
Internal Medicine
Dr. Jonathan Griffin, MD
Family Practice
Dr. Marina Hitosugi-levesque, MD
Geriatric Medicine
Dr. Jinichi Tokeshi, MD
Family Practice
Dr. Monica Cheung Katz, MD
Geriatric Medicine
Dr. Oleksandr Pishchalenko, MD
Internal Medicine
Dr. Kristen Akina, MD
Family Practice
+ 8 more physicians
Dr. Cody Takenaka, MD
Internal Medicine
Dr. Ashley Rivera, NP
Nurse Practitioner
Dr. Bennett Loui, MD
Internal Medicine
Dr. Serena Lo, MD
Geriatric Medicine
Dr. Michael Tom, MD
Internal Medicine
Dr. Joey Kohatsu, MD
Internal Medicine
Dr. Arnold Kop, MD
Internal Medicine
Dr. Robert Gries, MD
Geriatric Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Islands Hospice
What is the CMS rating for Islands Hospice?
Islands Hospice has a 3-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 Islands Hospice primarily treat?
Islands Hospice's patient population includes dementia (28%), cancer (27%), stroke (16%), cardiovascular disease (12%), other conditions (11%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Islands Hospice provide care?
Islands Hospice provides care in patient's home (71%), nursing facility (15%), skilled nursing (5%), assisted living (3%), inpatient hospice (1%).
How large is Islands Hospice?
Islands Hospice serves an average of 304 patients per day and covers 52 ZIP codes in its service area.
How many doctors are affiliated with Islands Hospice?
20 physicians are affiliated with Islands Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·