About Vna Home Health And Hospice Services, Inc
Hospice overview and quality summary
Vna Home Health And Hospice Services, Inc is a nonprofit hospice care provider in Manchester, NH, serving patients and families in Hillsboro County and the surrounding area. Medicare certified since 1990, Vna Home Health And Hospice Services, Inc has provided 36 years of end-of-life and palliative care to the community.
Vna Home Health And Hospice Services, Inc serves an average of 88 patients per day, covering 45 ZIP codes across its service area. 45% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Vna Home Health And Hospice Services, Inc 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 10 out of 10, a composite measure of care quality and efficiency. 9 physicians are affiliated with this hospice.
When choosing hospice care in Manchester, NH, 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
Vna Home Health And Hospice Services, Inc 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 Vna Home Health And Hospice Services, Inc among the higher-rated hospice providers serving families in Manchester, NH.
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
93% of caregivers gave Vna Home Health And Hospice Services, Inc 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 Vna Home Health And Hospice Services, Inc 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
78% 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
83% of caregivers gave Vna Home Health And Hospice Services, Inc 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
84% of caregivers gave Vna Home Health And Hospice Services, Inc 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
89% of caregivers gave Vna Home Health And Hospice Services, Inc 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
99.5%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.8%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.7%
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
99.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Vna Home Health And Hospice Services, Inc'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.
75.3% of Vna Home Health And Hospice Services, Inc'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
96.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.6
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
60.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
27.2%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.9%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.9%
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
$11,514
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Vna Home Health And Hospice Services, Inc's patient population is primarily composed of individuals with dementia (35%), followed by cancer (29%), cardiovascular disease (19%), respiratory disease (9%), other conditions (8%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Vna Home Health And Hospice Services, Inc delivers 45% of its care in patients' homes, with 50% in nursing facility settings, 5% 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 88 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Doctors at Vna Home Health And Hospice Services, Inc
9 affiliated physicians
Dr. Brian Trezak, MD
Internal Medicine
Dr. Gus Emmick, MD
Internal Medicine
Dr. Masooma Athar, MD
Geriatric Medicine
Dr. Nancy Husarik, MD
Internal Medicine
Dr. Stephen Michaud, MD
Family Practice
Dr. Vijaya Upadrasta, MD
Internal Medicine
Dr. Muhammad Pasha, MD
Family Practice
Dr. Charles Mills, MD
Hospice/palliative Care
Dr. Gunjan Panesar, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Vna Home Health And Hospice Services, Inc
What is the CMS rating for Vna Home Health And Hospice Services, Inc?
Vna Home Health And Hospice Services, Inc 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 Vna Home Health And Hospice Services, Inc primarily treat?
Vna Home Health And Hospice Services, Inc's patient population includes dementia (35%), cancer (29%), cardiovascular disease (19%), respiratory disease (9%), other conditions (8%). This reflects the hospice's experience managing these conditions.
Where does Vna Home Health And Hospice Services, Inc provide care?
Vna Home Health And Hospice Services, Inc provides care in nursing facility (50%), patient's home (45%), assisted living (5%).
How large is Vna Home Health And Hospice Services, Inc?
Vna Home Health And Hospice Services, Inc serves an average of 88 patients per day and covers 45 ZIP codes in its service area.
How many doctors are affiliated with Vna Home Health And Hospice Services, Inc?
9 physicians are affiliated with Vna Home Health And Hospice Services, Inc.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·