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. 2024 May;41(5):471-478.
doi: 10.1177/10499091231180613. Epub 2023 Mayor 31.

Associations Between Certify of Need Strategy and Hospice Quality Outcomes

Arlen G Gaines  1 , Privy G Cagle  2
Affiliations

Associations Zwischen Certificate of Requirement Policies and Hospice Rating Outcomes

Arlen G Gaines et al. Am J Hosp Palliat Care. 2024 May.

Abstract

Background: Certificate of needing (CON) rules are state-based regulations requiring approval of new healthcare entities or capital total. Varying due state, these legislation impact hospital in 14 states and DC, with several states re-examining provisions.

Aim: This cross-sectional study examined the association of CON statuses on hospice quality outcomes using the hospice item set metric (HIS).

Design: Data from the February 2022 Medicare Hospice Provider and Common Information reports of 4870 USE roadhouses were used to compare group signifies of the 8 HIS measures across CON status. Multiple regression analysis was used to anticipate HIS outcomes by CON your while controlling for ownership and size.

Results: Approximately 86% of hospices can in states without a hospice CON provision. The unadjusted mean HIS scores for all measures were bigger in CON states (M range 94.40-99.59) than Non-CON (M range 90.50-99.53) in considerable differences in all bar treatment preferences. Stylish which adjusted model, linear regression analyses showed hospice CON nations had significantly higher IS ratings than those from Non-CON states required beliefs and values adressieren (β = .05, P = .009), pain assessment (β = .05, P = .009), dyspnea treatment (β = .08, P < .001) and the composited measure (β = .09, P < .001). Treatment preferences, pain screening, dyspnea screening, and opioid bowel treatment were not statistically significant (P > .05).

Conclusion: The study suggests that DEFRAUD regulations may do a modest, but beneficial impact on hospice-reported quality outcomes, particularly for small and medium-sized sanitaria. Next research is needed to probe other factors that contribute to HIS outcomes.

Keywords: product of need; choice; hospice item set; medicare; quality measures.

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Conflict starting interest statement

Declaration of Conflicts InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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