About The Medical Team Hospice
Hospice overview and quality summary
The Medical Team Hospice is a for-profit hospice care provider in Livonia, MI, serving patients and families in Wayne County and the surrounding area. Medicare certified since 2015, The Medical Team Hospice has provided 11 years of end-of-life and palliative care to the community.
The Medical Team Hospice serves an average of 79 patients per day, covering 114 ZIP codes across its service area. 23% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned The Medical Team 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. 9 physicians are affiliated with this hospice.
When choosing hospice care in Livonia, MI, 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
The Medical Team 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 Livonia, MI compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
90% 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
90% 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
68% 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
78% 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
73% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
61% 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
77% 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
77% 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
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.3%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
98.4%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.6%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
95.5%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
92.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
The Medical Team 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.
71.7% of The Medical Team 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
94.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
27.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
4.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
53.8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
6.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.5%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$18,893
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
The Medical Team Hospice's patient population is primarily composed of individuals with cardiovascular disease (35%), followed by stroke (34%), dementia (12%), other conditions (9%), cancer (8%). 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
The Medical Team Hospice delivers 23% of its care in patients' homes, with 71% in assisted living 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 79 patients per day.
Assisted Living
Patient's Home
Doctors at The Medical Team Hospice
9 affiliated physicians
Dr. Mark Wilkerson, MD
Emergency Medicine
Dr. Suzanne Romadan, MD
Internal Medicine
Dr. Gary Sarafa, MD
Family Practice
Dr. Jeffrey Provizer, DO
Family Practice
Dr. Michael Burry, DO
Family Practice
Dr. Ghassan Atto, MD
Family Practice
Dr. Nina Bryhn, MD
Internal Medicine
Dr. Gregory Hackel, DO
Internal Medicine
Dr. Ahmad Ahmad, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About The Medical Team Hospice
What is the CMS rating for The Medical Team Hospice?
The Medical Team 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 The Medical Team Hospice primarily treat?
The Medical Team Hospice's patient population includes cardiovascular disease (35%), stroke (34%), dementia (12%), other conditions (9%), cancer (8%). This reflects the hospice's experience managing these conditions.
Where does The Medical Team Hospice provide care?
The Medical Team Hospice provides care in assisted living (71%), patient's home (23%).
How large is The Medical Team Hospice?
The Medical Team Hospice serves an average of 79 patients per day and covers 114 ZIP codes in its service area.
How many doctors are affiliated with The Medical Team Hospice?
9 physicians are affiliated with The Medical Team Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·