About Visiting Nurse Association Of Cape Cod Hospice
Hospice overview and quality summary
Visiting Nurse Association Of Cape Cod Hospice is a nonprofit hospice care provider in Hyannis, MA, serving patients and families in Barnstable County and the surrounding area. Medicare certified since 2002, Visiting Nurse Association Of Cape Cod Hospice has provided 24 years of end-of-life and palliative care to the community.
Visiting Nurse Association Of Cape Cod Hospice serves an average of 136 patients per day, covering 67 ZIP codes across its service area. 83% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Visiting Nurse Association Of Cape Cod Hospice has earned a 4-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 9 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Hyannis, MA, 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
Very Good
CMS CAHPS Hospice Star Rating
Visiting Nurse Association Of Cape Cod Hospice has earned a 4-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 Visiting Nurse Association Of Cape Cod Hospice among the higher-rated hospice providers serving families in Hyannis, MA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% 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
91% 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
77% of caregivers gave Visiting Nurse Association Of Cape Cod Hospice a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
83% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
79% 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
78% of caregivers gave Visiting Nurse Association Of Cape Cod Hospice 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
83% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
89% of caregivers gave Visiting Nurse Association Of Cape Cod 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
100.0%
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
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
100.0%
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
99.9%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Visiting Nurse Association Of Cape Cod Hospice's Hospice Care Index (HCI) score is 9 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.
72.9% of Visiting Nurse Association Of Cape Cod 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
95.8%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
21.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
14.3%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
48.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
25.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5.6%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
2.3%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$13,483
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Visiting Nurse Association Of Cape Cod Hospice's patient population is primarily composed of individuals with cancer (42%), followed by dementia (21%), cardiovascular disease (13%), other conditions (12%), respiratory disease (7%), stroke (6%). 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
Visiting Nurse Association Of Cape Cod Hospice delivers 83% of its care in patients' homes, with 7% in assisted living settings, 7% in skilled nursing settings, 3% in inpatient hospice settings. The high proportion of home-based care aligns with the hospice philosophy of enabling patients to receive comfort care in familiar surroundings with family nearby. The hospice serves an average of 136 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Inpatient Hospice
Doctors at Visiting Nurse Association Of Cape Cod Hospice
20 affiliated physicians
Dr. James Shepherd, MD
Family Practice
Dr. Gregory Robke, MD
Internal Medicine
Dr. Derek Andelloux, MD
Family Practice
Dr. Kathleen Koehler, MD
Internal Medicine
Dr. Jorge Alfonso, MD
Internal Medicine
Dr. Harvey Lederman, MD
Internal Medicine
Dr. William Shay, MD
Internal Medicine
Dr. Sarita Bajracharya, MD
Internal Medicine
Dr. Ann Gryboski, MD
Internal Medicine
Dr. Kelly King, MD
Family Practice
Dr. Donald Smith, MD
Internal Medicine
Dr. Hugh Harwood, MD
Family Practice
+ 8 more physicians
Dr. Haixia Jia, MD
Internal Medicine
Dr. Megan Emmich, DO
Internal Medicine
Dr. Holly Womack, MD
Hospitalist
Dr. Brian Daggett, MD
Internal Medicine
Dr. Vladimir Koren, MD
Internal Medicine
Dr. Fanny Giron Galeano, MD
Internal Medicine
Dr. Scott Graham, DO
Family Practice
Dr. Kenneth Jackson, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Visiting Nurse Association Of Cape Cod Hospice
What is the CMS rating for Visiting Nurse Association Of Cape Cod Hospice?
Visiting Nurse Association Of Cape Cod Hospice has a 4-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 Visiting Nurse Association Of Cape Cod Hospice primarily treat?
Visiting Nurse Association Of Cape Cod Hospice's patient population includes cancer (42%), dementia (21%), cardiovascular disease (13%), other conditions (12%), respiratory disease (7%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Visiting Nurse Association Of Cape Cod Hospice provide care?
Visiting Nurse Association Of Cape Cod Hospice provides care in patient's home (83%), assisted living (7%), skilled nursing (7%), inpatient hospice (3%).
How large is Visiting Nurse Association Of Cape Cod Hospice?
Visiting Nurse Association Of Cape Cod Hospice serves an average of 136 patients per day and covers 67 ZIP codes in its service area.
How many doctors are affiliated with Visiting Nurse Association Of Cape Cod Hospice?
20 physicians are affiliated with Visiting Nurse Association Of Cape Cod Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·