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- NHPCO is committed to building provider capacity to ensure access to high quality hospice and palliative care for patients, families, and interdisciplinary professionals. The Quality Innovation Network represents a community of providers who share a commitment to establishing a culture of quality within their organizations. By facilitating collaboration across organizations nationwide, the Quality Innovation Network supports sharing best practices and innovative solutions to the common challenges that many hospice and palliative providers face.
- Members of the QIN will gather for monthly virtual working sessions to discuss their current performance improvement initiatives with members of the NHPCO Quality team and colleagues nationwide. In addition, NHPCO will facilitate connections between organizations focusing on similar challenges to allow them to engage offline. Archived performance improvement project resources will be available to member organizations for use in planning future initiatives.
- NHPCO is committed to providing timely and relevant resources that ensure continuous learning for member organizations. Toward that end, NHPCO reserves the right to use content from performance improvement projects, poster abstracts, and other submitted content to contribute to the establishment of this learning community.
For more information on the QIN, please reach out to quality@nhpco.org.
Performance Improvement Project library
The projects listed below have been completed by members of the Quality and Innovation Network and additional members of the NHPCO Quality community. The purpose of publishing this list of initiatives is to allow members of the quality community to connect over shared projects and challenges. To protect sensitive data, NHPCO is unable to publish project details publicly, but if you are interested in learning more about any of these initiatives please contact quality@nhpco.org and we will be happy to connect you with the relevant organization.
Administrative Operations | Clinical Operations | Documentation and Plan of Care Compliance | Family/Caregiver Satisfaction | Finance and Growth | Hospice Visits in Last Days of Life | Infection Control | Medication Safety | Patient and Caregiver Safety | Reducing Hospitalizations | Poster Presentations | Other
Administrative Operations
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
AR
|
Southeast
|
2024
|
251-500
|
Improving Patient Transfers between Outpatient and Inpatient
|
CO
|
West
|
2023
|
51-100
|
Employee Satisfaction
|
IA
|
Midwest
|
2022
|
|
Improving hospice staff morale
|
HI
|
West
|
2023
|
101-250
|
Redesign the Complaint and Incident Reporting Process
|
NC
|
Southeast
|
2024
|
101-250
|
Improving Volunteer Services Program
|
OH
|
Midwest
|
2022
|
|
Revitalizing hospice quality assurance and performance improvement program
|
OR
|
West
|
2022
|
|
Achieving and maintaining
state licensure
|
WA
|
West
|
2023
|
101-250
|
Improving Communication
with Facilities
|
Clinical Operations
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
CA
|
West
|
2022
|
|
Increase Rate of Referrals
to Hospice
|
CO
|
West
|
2024
|
51-100
|
Improving Competency Evaluations
|
DE
|
Southeast
|
2022
|
|
Increasing patient-facing
volunteer service with targeted volunteer recruitment model
|
FL
|
Southeast
|
2022
|
|
Increasing compliance with
in-home hospice visit
requirements
|
IA
|
Midwest
|
2022
|
|
Improving hospice patient
symptom management in home and facility settings
|
KY
|
Southeast
|
2024
|
501+
|
Improve documentation of CTI eligibility at admission
|
IL
|
Midwest
|
2022
|
|
Improving and expanding bereavement services
|
IL
|
Midwest
|
2022
|
|
Reducing preventable live
discharges from hospice
|
MA
|
Northeast
|
2022
|
|
Increasing response rate for
Veteran Specific Questions
(VSQ) Evaluation of Hospice
Care
|
MI
|
Midwest
|
2023
|
101-250
|
Transitions of Patient Care
|
MT
|
West
|
2022
|
|
Increasing hospice patient
length of stay
|
OR
|
West
|
2022
|
|
Improving rate of timely
Face-to-Face visits by
enhancing scheduling
efficiency
|
OR
|
West
|
2022
|
|
Increasing compliance with
required clinician supervisory
visits
|
TX
|
Southeast
|
2023
|
101-250
|
Improving CAHPS Pain Scores
|
Documentation and Plan of Care Compliance
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
AK
|
West
|
2023
|
51-100
|
Medication Modifiers
|
CA
|
West
|
2022
|
|
Improving compliance with timely
documentation
requirements
|
CA
|
West
|
2022
|
|
Improving compliance with live discharge documentation requirements
|
CO
|
West
|
2024
|
501+
|
HIS Correction Requests
|
CO
|
West
|
2024
|
251-500
|
Improving Patient Infection Documentation
|
KS
|
Midwest
|
2022
|
|
Improving compliance with admission documentation requirements
|
FL
|
Southeast
|
2022
|
|
Improving compliance with timely
documentation
requirements for social workers and
chaplains
|
GA
|
Southeast
|
2022
|
|
Improving individualized interventions and measurable
goals in hospice Plan of Care
|
HI
|
West
|
2024
|
101-250
|
Improving Visit Frequency Compliance
|
MA
|
Northeast
|
2022
|
|
Improving Point of Care Documentation
|
MD
|
Southeast
|
2024
|
251-500
|
Improving Documentation of Eligibility
|
MI
|
Midwest
|
2023
|
251-500
|
Individualizing Care Plans
|
MN
|
Midwest
|
2022
|
|
Improving IDT meeting documentation to
enhance patient-centered care
|
MN
|
Midwest
|
2023
|
501+
|
Hospice Assessment, Care Planning, and Coordination
|
NY
|
Northeast
|
2023
|
51-100
|
Improving IDT Coordination
|
OR
|
West
|
2024
|
101-250
|
Improving Plan of Care Documentation
|
OR
|
West
|
2022
|
|
Increasing hospice aide missed visit documentation compliance
|
TX
|
Southwest
|
2024
|
251-500
|
Improving Documentation and Plan of Care Compliance
|
Family/Caregiver Satisfaction
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
AK
|
West
|
2022
|
|
Improving CAHPS survey family
satisfaction Scores Related to Anxiety and Sadness
|
AR
|
Southeast
|
2022
|
|
Improving CAHPS survey family
satisfaction scores
|
CA
|
West
|
2023
|
101-250
|
Improve CAHPS “Overall Rating of Care”
to top quartile by 2025
|
CA
|
West
|
2023
|
251-500
|
Improve CAHPS “Overall Rating of Care”
score
|
CA
|
West
|
2022
|
|
Improving CAHPS survey family
satisfaction scores related to hospice team communication
|
CA
|
West
|
2022
|
|
Improving CAHPS Survey Family Satisfaction Scores Related to Anxiety and Sadness
|
CA
|
West
|
2022
|
|
Increasing pediatric patient family
satisfaction scores
|
CO
|
West
|
2024
|
251-500
|
Improving CAHPS: Help for Pain & Symptoms Scores
|
FL
|
Southeast
|
2022
|
|
Improving CAHPS survey family satisfaction scores
|
FL
|
Southeast
|
2022
|
|
Improving CAHPS Survey Return Rate
|
FL
|
Southeast
|
2022
|
|
Improving CAHPS survey family
satisfaction scores related
to hospice team communication
|
KY
|
Southeast
|
2023
|
501+
|
STAR Success
|
MO
|
Midwest
|
2022
|
|
Improving Caregiver Experience with
End-of-Life Anxiety or Sadness
|
NC
|
Southeast
|
2024
|
501+
|
Improving CAHPS Scores for the Caregiver Training Composite Measure
|
NC
|
Southeast
|
2023
|
501+
|
Improving CAHPS Scores for the Caregiver Training Composite
|
NY
|
Northeast
|
2024
|
501+
|
Improving CAHPS Scores
|
OR
|
West
|
2023
|
251-500
|
Improving CAHPS Overall Rating of Care
Scores
|
OR
|
West
|
2024
|
51-100
|
Improving Overall Rating of Care
|
OR
|
West
|
2022
|
|
Improving CAHPS Survey Return Rate
|
OR
|
West
|
2022
|
|
Improving CAHPS Survey Family
Satisfaction Scores Related to timeliness
of care
|
SC
|
Southeast
|
2023
|
51-100
|
Improvement of CAHPS Scores
|
TX
|
Southwest
|
2024
|
51-100
|
Improving CAHPS Scores
|
TX
|
Southwest
|
2024
|
51-100
|
Improving CAHPS Scores
|
WA
|
West
|
2023
|
101-250
|
Hospice CAHPS #39 Rating of the Agency
|
WI
|
Midwest
|
2024
|
101-250
|
Patient & Family Feedback
|
WI
|
Midwest
|
2023
|
101-250
|
Caregiver Training
|
Finance and growth
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
CA
|
West
|
2023
|
51-100
|
Reducing Non-admits on the Palliative Care
Service Line
|
Hospice Visits in Last Days of Life
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
AR
|
Southeast
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
AZ
|
Southwest
|
2024
|
101-250
|
Improving Hospice Visits in Last Days of Life Scores
|
AZ
|
Southwest
|
2024
|
501+
|
Improving Hospice Visits in Last Days of Life Scores
|
CA
|
West
|
2024
|
251-500
|
Improving Hospice Visits in Last Days of Life Scores
|
CA
|
West
|
2023
|
|
Improve Hospice Visits in the Last Days
of Life
|
CA
|
West
|
2023
|
|
Improve Hospice Visits in the Last Days
of Life
|
CT
|
Northeast
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life
|
FL
|
Southeast
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
HI
|
West
|
2023
|
101-250
|
Improving HVLDL Scores
|
IN
|
Midwest
|
2022
|
|
Increasing number of patients placed on Enhanced Services protocol
|
MD
|
Southeast
|
2023
|
501+
|
Improving Hospice Visits in the Last Days
of Life
|
MD
|
Southeast
|
2023
|
101-250
|
Improving HVLDL Scores
|
MD
|
Southeast
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
MI
|
Midwest
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
MN
|
Midwest
|
2024
|
101-250
|
Improving Hospice Visits in Last Days of Life Scores
|
NC
|
Southeast
|
2023
|
251-500
|
Improving HVLDL Scores
|
NY
|
Northeast
|
2023
|
251-500
|
Hospice Visits in the last Days of Live
|
NY
|
Northeast
|
2023
|
501+
|
Enhancing Visits at End of Life
|
OR
|
West
|
2024
|
|
Improving Hospice Visits in Last Days of Life Scores
|
OR
|
West
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
SC
|
Southeast
|
2023
|
51-100
|
Improving Hospice Visits in the Last Days
of Life
|
TX
|
Southeast
|
2022
|
|
Improving performance on Hospice Visits
in Last Days of Life measure
|
WA
|
West
|
2023
|
251-500
|
Improving HVLDL Scores
|
Infection Control
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
FL
|
Southeast
|
2022
|
|
Increasing compliance with infection
control practices in clinical care settings
|
FL
|
Southeast
|
2022
|
|
Improving compliance with infection control
risk assessment and plan procedures
|
NC
|
Southeast
|
2024
|
251-500
|
Reducing Catheter-Associated UTIs
|
OR
|
West
|
2022
|
|
Reducing infection rates in hospice patients
|
Medication Safety
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
FL
|
Southeast
|
2022
|
|
Improving medication reconciliation in
facilities
|
MD
|
Southeast
|
2022
|
|
Ensuring Medication Review during IDG Meetings
|
WV
|
Southeast
|
2022
|
|
Increasing safe comfort kit use by hospice caregivers
|
WY
|
West
|
2022
|
|
Reducing controlled medication
count errors in an IPU
|
Patient and Caregiver Safety
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
CO
|
West
|
2022
|
|
Improving Hand-off processes to increase
patient
safety and CAHPS scores
|
FL
|
Southeast
|
2023
|
501+
|
Fall Prevention
|
FL
|
Southeast
|
2022
|
|
Improving compliance with incident
reporting
procedures
|
GA
|
Southeast
|
2022
|
|
Improving clinician reassessment after
hospice patient
falls
|
MD
|
Southeast
|
2022
|
|
Reducing falls in hospice patients
|
SC
|
Southeast
|
2024
|
51-100
|
Reducing Patient Falls
|
SC
|
Southeast
|
2022
|
|
Reducing falls in the hospice home care
setting
|
OR
|
West
|
2022
|
|
Reducing caregiver injuries in the home
setting
|
OR
|
West
|
2022
|
|
Creating a culture of safety
|
OR
|
West
|
2022
|
|
Reducing serious safety events
|
OR
|
West
|
2022
|
|
Improving safe patient transport and
handling
|
Reducing Hospitalizations
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
IL
|
Midwest
|
2022
|
|
Reducing hospitalization of patients
enrolled in hospice
|
MT
|
West
|
2022
|
|
Reducing 60 Day Rehospitalization Rate in
Home Health Patients
|
Other
State
|
Region
|
Project Year
|
Organization
ADC
|
Project Title
|
HI
|
West
|
2024
|
101-250
|
Bereavement Risk
|
KS
|
Midwest
|
2024
|
251-500
|
Emergency Preparedness Response Rate
|
NM
|
West
|
2024
|
251-500
|
Improving Volunteer 5% Cost Savings Compliance Improving Volunteer 5% Cost Savings Compliance
|
PA
|
Northeast
|
2024
|
1-50
|
Improving QAPI Program
|
Poster Presentations
NHPCO facilitates virtual poster sessions with a focus on quality and performance improvement (PI) in tandem with our educational conferences.
Poster PowerPoint slides and project summaries for all submissions and poster winners in each category can be accessed via the following categories:
