Hospice Demographic and Outcome Measures
|
|
- Wilfrid Logan
- 5 years ago
- Views:
Transcription
1 RICK SCOTT GOVERNOR CHARLES T. CORLEY SECRETARY 2012 REPORT Hospice Demographic and Outcome Measures elderaffairs.state.fl.us R Bureau of Planning & Evaluation, September 2012 Revised March 2013
2 Table of Contents 1.0 Legislative Directive and Purpose of the Report Data Collected Outcome Measures Outcome Measure Outcome Measure Outcome Measure 2A Accreditation Individual Hospice Information Hospice Geographical Coverage Inpatient Facilities and Residential Units Admitting Primary Diagnosis Patient Race/Ethnicity Patient Age Discharges by Disposition Type Patient Days by Location Reimbursement Additional Hospice Data Available New Outcome Measures for the Centers for Medicare and Medicaid Services APPENDIX i 2012 Report Hospice Demographic and Outcome Measures
3 1.0 Legislative Directive and Purpose of the Report Section , Florida Statutes, requires the Department of Elder Affairs, in conjunction with the Agency for Health Care Administration, to develop outcome measures to determine the quality and effectiveness of hospice care for hospices licensed in Florida. This statute, along with Rule 58A-2.005, defines the outcome measures, as well as demographic and diagnostic information hospices are required to submit to the Department of Elder Affairs annually. Hospices are also required to conduct patient surveys using the National Hospice and Palliative Care Organization (NHPCO) Patient/Family Satisfaction Survey or a similar survey. Two of the three hospice outcome measures were promulgated on August 11, Calendar year 2011 is the third year for which a full year s results for all three outcome measures are available. This report contains an analysis of the data submitted by Florida s 43 licensed hospices for calendar year Two prior reports describe the analysis of hospice data and outcomes for calendar years 2009 and Data Collected Hospices licensed in Florida are required to submit outcome measure, demographic, and diagnostic information to the Department each year. A newly developed secure online form was made available January 1, 2010, to all hospices for the purpose of data collection. A copy of the form that lists the information required (DOEA Form H-002) is included in the Appendix. The information provided by each hospice organization includes the following: Basic hospice and contact information; Counties served; Facility and residential unit information including the number of beds, facility admissions, and facility patient days; Proportion of patients reporting a reduction of pain (Outcome Measure 1); Proportion of patients receiving the right amount of pain medicine (Outcome Measure 2); Proportion of patients who would recommend hospice services to others (Outcome Measure 2A); Diagnosis, age, race, and reimbursement information for patients admitted; of patient days by location; and of discharges by death/non-death Report Hospice Demographic and Outcome Measures
4 Most of the required information is reported at the hospice organization level (not for each facility or residential unit). 3.0 Outcome Measures Hospices are required to report on three outcome measures (see Table 1 below). These measures were designed to be used as a tool for evaluating hospice quality. Results from calendar year 2011 indicate that all but two hospices that reported outcome measure data met the standards set for these three measures. Table 1 below lists the standard set for each outcome measure and the percentage of reporting hospices that met the standard. The acceptable standard for all three outcome measures was set at 50 percent of the survey responses received by the hospice. Table 1: Percentage of Florida Hospices That Met Outcome Measures for 2011 Outcome Measure Description of Outcome Measure and Standard Percentage of Reporting Hospices That Met Standard 1 50 percent or more of patients who reported severe pain on a 0- to-10 scale reported a reduction to five or less by the end of the fourth day of care in the hospice program percent or more of patients reported they received the right amount of medicine for his or her pain. 98%* 100% 2A 50 percent or more of patients and/or family members recommended hospice services to others based on the care the patient received. 100% *Based on 41 of 42 reporting hospices: Heartland Hospice Services II did not submit data on patients level of pain. Florida Hospital Hospice Care did not meet this standard. 3.1 Outcome Measure 1 As required in Chapter , Laws of Florida, Outcome Measure 1 measures the percentage of patients who had severe pain (seven or higher on the 0-10 scale) at admission and whose pain was reduced to a level of five or less by the end of the fourth day of care. Forty-two hospices reported data on this measure. Forty-one hospices met or exceeded the 50 percent standard for decreasing pain to a level of five or less by the end of the fourth day, while one hospice did not Report Hospice Demographic and Outcome Measures
5 meet this standard. 2 Compared to 2009 and 2010, there were fewer hospices in 2011 that reported that 87 to 100 percent of their patients pain was reduced to level five or less, i.e., 17 in 2011 and 21 in both 2009 and The majority (20) of the hospices in 2011 reported they reduced the pain level to five or less by the end of the fourth day for 75 to 86 percent of their patients in 2011 (see Chart 1 below). This represents an increase of hospices in this category from the prior two reporting years, i.e., from 15 in 2009 and 16 in In 2011, one hospice did not meet the standard for minimum pain reduction in four days, compared to two hospices reported in the prior two years. See Table 4 for a list of the names of the hospices and the percentages of their patients that met this outcome measure. Chart 1: Percentage of Patients Whose Pain Was Reduced to Level 5 or Less by Hospice of hospices reporting on this measure: 42; 2011 Statewide, hospices reported pain level data for 55,730 patients at the time of admission. Sixteen percent of these patients (8,652) reported having severe pain at admission (see Chart 2 below) Report Hospice Demographic and Outcome Measures
6 Chart 2: Florida Hospices Pain Level at Time of Admission n=55,730; 2011 Of those patients reporting severe pain at the time of admission, 60 percent reported a reduction in pain to a level five or less by the end of the fourth day of care. Twelve percent reported their pain level was six or higher by the end of the fourth day of care. Twenty-eight percent were unable to report their pain level by the fourth day (see Chart 3 below). These totals may include patients who chose not to receive pain medicine. Chart 3: Status of Florida Hospice Patients at End of Fourth Day of Care for Those Who Had Severe Pain at Admission severe pain at admission= 8,652; Report Hospice Demographic and Outcome Measures
7 Inconsistencies in data collection for this outcome measure were identified. Namely, not all hospices reported the level of pain on the fourth day after admission. Furthermore, the first day on which pain measures are collected may vary by hospice, as some hospices start reporting pain on the day of admission while others start on the first day of care received. In addition, when multiple pain scores were reported on the fourth day, the score selected varied; some hospices use the first pain score reported, some use the lowest pain score reported, and others use the highest pain score reported. 3.2 Outcome Measure 2 Outcome Measure 2 measures the percentage of patients/families who said the patient received the right amount of pain medicine. All reporting hospices exceeded the standard that at least 50 percent of their patients receive the right amount of medicine for their pain. Hospice organizations reported that 78,872 surveys were initiated during the reporting period that included a question about whether or not the patient received the right amount of medicine for his or her pain. Thirty-three percent (25,830) of the surveys were returned with this question answered. Ninety-five percent of all patients/families said the patient received the right amount of medicine for his/her pain (see Table 2 below). 3 This proportion has not changed over the past two years of reporting. Table 2: Florida Hospice Patients Outcome Measure 2 Results Did the patient receive the right amount of medicine for his or her pain? of Patients Percentage of Patients of survey responses received during reporting period indicating the patient received the right amount of medicine for his or her pain. 18,695 95% of survey responses received during the reporting period indicating the patient did not receive the right amount of medicine for his or her pain % Total survey responses received indicating whether or not the right amount of medicine was received. 19, % Report Hospice Demographic and Outcome Measures
8 3.3 Outcome Measure 2A Outcome Measure 2A measures the percentage of patients who would recommend hospice services to others. All of the 43 hospices reported data on this measure. All of the reporting hospices exceeded the standard that at least 50 percent of their patients and/or family members would recommend hospice services to others based on the care the patient received. The hospice organizations reported that 78,872 surveys were initiated during the reporting period that included a question about whether or not the patient or responsible party would recommend hospice services to others. Thirty-three percent (25,830) of the surveys were returned with this question answered. Ninety-seven percent of all patients/families who responded to this question said the patient or responsible party would recommend hospice services to others (see Table 3 below). 4 This proportion has not changed from year 2010, even though it decreased slightly from reporting year 2009, when 98 percent of patients and/or family said they would recommend hospice services to others. Table 3: Florida Hospice Patients Outcome Measure 2A Results Based on the care the patient received, would the patient and/or responsible party recommend hospice services to others? of Patients Percent of Patients of survey responses received during the reporting period answering yes to this survey question. of survey responses received during the reporting period answering no to this survey question. Total survey responses received indicating whether or not hospice services would be recommended to others. 23,280 97% 781 3% 24, % Report Hospice Demographic and Outcome Measures
9 4.0 Accreditation Accreditation is a voluntary process that requires a hospice organization to submit to an extensive on-site evaluation. The evaluation covers many areas of patient care and patient safety. Many see accreditation as a tool for measuring the quality of an organization. The number and proportion of accredited hospices increased from the two prior years: 22 of the 43 hospices (51%) identified themselves as being accredited, compared to 18 of all hospices (41%) in 2009 and 17 of all hospices (41%) in The hospices that have been accredited are identified in Table 4 along with the name of the accrediting entity. The proportion of not-for-profit accredited hospices increased from the two prior years, from 50 percent in 2009 and 48 percent in 2010, to 55 percent in 2011.The proportion of accredited forprofit hospices also increased from 14 percent in 2009 and 25 percent in 2010 to 42 percent in Individual Hospice Information The names of the 43 hospices licensed in Florida are listed in Table 4 along with the city in which the organization is located. In addition, outcome measure results are listed for each hospice. Table 4 also contains the name of the accrediting entity for hospices that are accredited. In 2011, 49 percent (21 of 43) of hospices were accredited, compared to 41% (17 of 41 hospices) in both 2010 and The accreditation status of individual hospices continued over the years evaluated. The Profit Status column contains FP if the hospice is a for-profit hospice (the field is blank for not-for-profit hospices). In 2011, 12 of the 43 (28%) hospices were for-profit which compares to 9 of the 41 hospices (22%) in 2010, and 7 of 41 hospices (17%) in The number of patients admitted to each hospice for 2011 is also listed Report Hospice Demographic and Outcome Measures
10 Table 4: Outcome Measure (OM) Results, Accrediting Entity, Profit Status and of Patients, by Hospice Hospice Name City OM 1 OM 2 OM 2A Accrediting Entity Profit Status Patients Avow Hospice, Inc. Naples 97% 96% 99% The Joint Commission 1,800 Big Bend Hospice, Inc. Tallahassee 76% 91% 96% CHAP 1,382 Catholic Hospice, Inc. Miami Lakes 82% 93% 91% 2,229 Community Hospice of Northeast Florida, Inc. Compassionate Care Hospice of Miami Dade, Inc. Covenant Hospice, Inc. Emerald Coast Hospice Jacksonville 88% 96% 98% 6,024 Bartow 80% 100% 98% CHAP FP 119 Pensacola 83% 96% 98% The Joint Commission 4,011 Panama City 86% 97% 87% 1,330 Florida Hospital Hospice Care Ormond Beach 49% 96% 89% The Joint Commission 772 Good Shepherd Hospice Temple Terrace 89% 97% 97% The Joint Commission 3,233 Gulfside Regional Hospice Inc. New Port Richey 73% 93% 97% 1,281 Halifax Hospice, Inc. Port Orange 93% 97% 99% 3,440 Haven Hospice Gainesville 82% 93% 94% ACHC 3, Report Hospice Demographic and Outcome Measures
11 Table 4: Outcome Measure (OM) Results, Accrediting Entity, Profit Status and of Patients, by Hospice (continued) Hospice Name City OM 1 OM 2 OM 2A Accrediting Entity Profit Status Patients Heartland Home Health Care and Hospice Jacksonville 100% 100% 82% CHAP FP 212 Heartland Hospice 5 Plantation 100% 100% 98% The Joint FP 930 Commission Heartland Hospice Services II Homestead missi ng 100% 100% CHAP FP 58 Hope Hospice and Community Services, Inc. Hospice by the Sea, Inc. Hospice Care of South Florida Hospice of Citrus County, Inc. Hospice of Gold Coast Hospice of Health First Hospice of Lake & Sumter, Inc., dba Cornerstone Hospice & Palliative Care Fort Myers 88% 95% 98% CHAP 5,136 Boca Raton 76% 95% 97% The Joint Commission 3,584 Miami 100% 100% 100% 135 Lecanto 71% 97% 99% The Joint Commission Fort Lauderdale 2,201 87% 99% 98% CHAP 537 Melbourne 75% 95% 98% The Joint Commission 1,054 Tavares 79% 94% 92% 4,200 Hospice of Marion County, Inc. Ocala 96% 95% 98% The Joint Commission 2,880 Hospice of Okeechobee, Inc. Okeechobee 94% 90% 95% Formerly known as Hospicecare of Southeast Florida Report Hospice Demographic and Outcome Measures
12 Table 4: Outcome Measure (OM) Results, Accrediting Entity, Profit Status and of Patients, by Hospice (continued) Hospice Name City OM 1 OM 2 OM 2A Accrediting Entity Profit Status Patients Hospice of Palm Beach County, Inc. West Palm Beach 87% 96% 97% The Joint Commission 6,623 Hospice of St Francis, Inc. Titusville 78% 98% 99% ACHC 891 Hospice of the Comforter, Inc. Altamonte Springs 85% 95% 97% 2,737 Hospice of the Florida Keys Hospice of the Treasure Coast, Inc. Key West 60% 95% 100% 219 Stuart 78% 95% 97% 1,945 HPH Hospice Hudson 81% 96% 94% 4,222 LifePath Hospice Temple Terrace 85% 94% 97% The Joint Commission 5,862 Odyssey Healthcare of Marion County, Inc. Regency Hospice of Northwest Florida, Inc. Samaritan Care Hospice of Florida Seasons Hospice and Palliative Care of Southern Florida Miami 100% 64% 92% FP 896 Pensacola 100% 100% 100% FP 276 Orlando 57% 95% 100% FP 266 Miami 75% 89% 89% FP 700 Suncoast Hospice Clearwater 81% 94% 98% 7, Report Hospice Demographic and Outcome Measures
13 Table 4: Outcome Measure (OM) Results, Accrediting Entity, Profit Status and of Patients, by Hospice (continued) Hospice Name City OM 1 OM 2 OM 2A Accrediting Entity Profit Status Patients The Hospice of Martin and St. Lucie, Inc. Stuart 85% 97% 99% 1,449 Tidewell Hospice, Inc. Sarasota 91% 95% 97% CHAP 6,908 Vitas Healthcare Corporation of Florida Vitas Healthcare Corporation of Florida VITAS Healthcare Corporation of Florida VNA Hospice of Indian River County Wuesthoff Brevard Hospice and Palliative Care Average outcomes; Total number of patients North Miami Beach 82% 94% 97% FP 6,647 Melbourne 82% 93% 97% FP 5,827 Boynton Beach 86% 94% 96% FP 7,333 Vero Beach 83% 96% 99% The Joint Commission 1,115 Viera 100% 97% 97% FP % 95% 96% 112,441 CHAP = Community Health Accreditation Program ACHC = American Commission for Healthcare, Medicare Deeming Authority for Home Health, Hospice, and DMEPOS accrediting FP=For Profit Report Hospice Demographic and Outcome Measures
14 6.0 Hospice Geographical Coverage As in the prior two years of reporting, each of Florida s 67 counties was served by at least one hospice organization in The number of hospice organizations serving each county is listed in Table 5 below. Table 5: 2011 Geographic Coverage of Florida s Hospices County Hospice Organizations Serving County County Hospice Organizations Serving County County Hospice Organizations Serving County Alachua 2 Franklin 2 Lee 1 Baker 4 Gadsden 2 Leon 2 Bay 2 Gilchrist 2 Levy 2 Bradford 2 Glades 1 Liberty 2 Brevard 4 Gulf 2 Madison 2 Broward 6 Hamilton 2 Manatee 1 Calhoun 2 Hardee 4 Marion 2 Charlotte 1 Hendry 1 Martin 3 Citrus 2 Hernando 1 Miami Dade 7 Clay 4 Highlands 4 Monroe 5 Collier 2 Hillsborough 1 Nassau 4 Columbia 2 Holmes 2 Okaloosa 3 Desoto 1 Indian River 1 Okeechobee 3 Dixie 2 Jackson 2 Orange 5 Duval 4 Jefferson 2 Osceola 5 Escambia 3 Lafayette 2 Palm Beach 3 Flagler 5 Lake 1 Pasco Report Hospice Demographic and Outcome Measures
15 Table 5: 2011 Geographic Coverage of Florida s Hospices (continued) County Hospice Organizations Serving County County Hospice Organizations Serving County County Hospice Organizations Serving County Pinellas 1 Sarasota 1 Volusia 5 Polk 4 Seminole 2 Wakulla 2 Putnam 2 Sumter 1 Walton 3 Saint Johns 4 Suwannee 2 Washington 2 Saint Lucie 3 Taylor 2 Santa Rosa 3 Union County Inpatient Facilities and Residential Units During 2011, Florida s hospice organizations operated 94 inpatient facilities and residential units. These include inpatient wings or rooms within a hospital or skilled nursing facility that were operated by the hospice as well as freestanding hospice inpatient facilities and residential units that appear on the hospice license. Each facility/unit must meet the following criteria: (1) Consist of one or more beds that are owned or leased by the hospice, (2) Be staffed by the hospice organization, and (3) Have policies and procedures set by the hospice. The hospice organizations in the state operated between zero and 16 facilities/residential units (see Table 6 below). The number of hospices without facilities/residential units increased to 15 in 2012, compared to 10 hospices in 2009 and 12 hospices in The number of hospices with one to two facilities/residential units in 2012 decreased slightly from 2009 and 2010, i.e., 18 and 19, respectively Report Hospice Demographic and Outcome Measures
16 Table 6: of Facilities/Residential Units Operated by Florida s Hospices in 2011 of Facilities/Residential Units of Hospices During 2011, there were 39,799 admissions for 1,545 hospice beds in facilities/residential units for a total of 365,010 facility patient days (see Table 7). While these numbers increased by nine to 11 percent from 2009 to 2010, there was a three percent increase in admissions, a two percent increase of hospice beds, and a two percent decrease of patient days from 2010 to Table 7: Admissions, Hospice Beds, and Facility Patient Days, 2009 through 2011 Admissions Difference 2009 to 2010 Difference 2010 to ,719 38,469 39,799 11% 3% Hospice Beds 1,329 1,445 1,545 9% 2% Facility Patient Days 340, , ,010 10% -2% On average, there were 30 admissions per bed and 268 patient days per bed (see Table 8). This compares to 26 and 27 admissions per bed in 2009 and 2010, and 256 and 258 patient days per bed in those prior two years. While the average occupancy rate in 2011 ranged from 24 to 97 percent, the overall average occupancy rate across counties was 74 percent. The average occupancy rates in 2009 and 2010 were 70 and 71 percent, respectively. The number of beds, admissions, and patient days by county is listed in Table 8 below Report Hospice Demographic and Outcome Measures
17 The Older Americans 2012 Key Indicators of Well-Being 6 reports that 34 percent of hospice patients nationwide stayed seven days or fewer and 18 percent more than 90 days. Approximately 40 percent of patients admitted to Florida hospices in 2011 stayed for an average of seven days or less and 59 percent stayed on average between more than seven days up to 90 days. One percent stayed more than 90 days. The overall average days per hospice admissions for Florida patients in 2011 was 13 days; the median was nine days. 6 Federal Interagency Forum on Aging-Related Statistics. (2012). Older Americans 2012: Key Indicators of Well-Being. Washington, DC: U.S. Government Printing Office. June 2012, p Report Hospice Demographic and Outcome Measures
18 Table 8: 2011 Inpatient Facility/Residential Units Operated by Florida Hospices, by County County Total Beds Total Facility Admissions Total Facility Days Average Admissions Per Bed Average Days Per Bed Average Occupancy Rate Average Facility Days per Admission Alachua Brevard Broward Charlotte Citrus Collier Columbia Desoto Duval Escambia Flagler Hernando Highlands Hillsborough Indian River Lake Lee Leon , % ,268 9, % ,243 29, % , % , % ,173 7, % , % , % ,629 30, % ,029 8, % , % ,104 9, % , % ,323 14, % , % , % ,225 33, % , % Report Hospice Demographic and Outcome Measures
19 Table 8: 2011 Inpatient Facility/Residential Units Operated by Florida Hospices, by County (continued) County Total Beds Total Facility Admissions Total Facility Days Average Admissions Per Bed Average Days Per Bed Average Occupancy Rate Average Facility Days per Admission Levy , % 10 Manatee , % 7 Marion 64 1,178 1, % 13 Martin , % 7 Miami-Dade 91 1,486 23, % 17 Okeechobee , % 4 Orange , % 10 Palm Beach , % 6 Pasco 247 3,776 1, % 12 Pinellas 121 2,154 1, % 10 Polk 102 2,761 2, % 6 Putnam % 11 Sarasota % 8 Seminole % 18 St. Lucie 22 1, % 13 Sumter , % 6 Volusia 58 2,107 1, % 8 Total; Average 1,545; 58 39,799; 2, ,010; 15, % 13 Note: The number of admissions may not equal the number of patients since a patient can be admitted more than once during the calendar year and a person may be a patient during the calendar year but admitted prior to the start of the calendar year Report Hospice Demographic and Outcome Measures
20 8.0 Admitting Primary Diagnosis Hospices reported on the primary diagnosis for 112,441 patients at the time of admission. These totals were not limited to admissions to facilities or residential units. The following diagnosis categories were used: cancer, AIDS, end-stage pulmonary disease, end-stage renal disease, endstage heart disease and other. Forty-one percent of patients had a primary diagnosis included in the other category. Thirty-four percent responded that cancer was the primary diagnosis, followed by 13 percent for heart disease, and nine percent for pulmonary disease. AIDS and renal failure comprised the remaining three percent (see Chart 4 below). While the proportion of patients primary diagnoses at time of admission to hospices in 2011 are similar to those of the two prior years, the proportion of patients diagnosed with AIDS was half of that reported in 2011, i.e., 0.5 percent compared to one percent in 2009 and Chart 4: Primary Diagnosis at Time of Admission to a Florida Hospice n= 112,441; 2011 A study in the February 2011 Journal of the American Medical Association looked at the differences in the diagnoses of patients cared for by for-profit and not-for-profit hospices. 7 The study included a nationally representative sample of 4,705 patients discharged from hospices. Results showed lower proportions of cancer patients and higher proportions of patients with dementia in forprofit hospices compared to non-profit hospices. A similar and significant (.01 level) pattern of a lower percentage of cancer diagnoses in for-profit hospices compared to not-for-profit hospices (29% and 36%, respectively; see Table 9) occurred in Florida. In addition, more than double the proportion of patients in for-profit hospices had AIDS, compared to the proportion in not-forprofit hospices (1% and 4%, respectively). 7 Wachterman, M.W., Marcantonio, E.R., Davis, R.B., and McCarthy, E.P. Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay, Journal of the American Medical Association, February Report Hospice Demographic and Outcome Measures
21 Table 9: 2011 Patient Diagnoses at Time of Admission to Florida Hospices, by For-Profit Status Cancer Renal Heart Pulmonary AIDS "Other" Total Not-For- Profit 36% 2% 13% 10% 0.4% 39% 100% n=112,441; 2011 For-Profit 29% 2% 13% 8% 1% 48% 100% The finding for the proportion of patients with dementia could not be replicated, as hospices are not required to report this diagnosis. However, the higher occurrence of patients diagnosed with other diagnoses in for-profit hospices compared to not-for-profit hospices (level of significance at.09) included in this data set may include a substantial number of patients with dementia. The National Hospice and Palliative Care Organization reported dementia as one of the four non-cancer primary diagnoses for patients admitted to hospice in 2010, representing 13 percent of diagnosed patients. 8 An additional 13 percent of hospice patients in this study were diagnosed with debility unspecified. The proportions of the primary diagnoses except for those quoted in the other category were very similar to those found in this study of Florida hospices. 9.0 Patient Race/Ethnicity Hospices reported on the race and ethnicity of over 112,441 patients at the time of admission. These totals are not limited to admissions to facilities or residential units. The following race/ethnicity categories were used: Asian, Black, Caucasian, Hispanic, and other. Hospices reported that a majority (78%) of their patients were Caucasian; 10 percent identified themselves as Hispanic, regardless of race; seven percent were black; and 0.5 percent were Asian (see Chart 5 below). 8 The National Hospice and Palliative Care Organization (2012). NHPCO Facts and Figures: Hospice Care in America Edition Report Hospice Demographic and Outcome Measures
22 Chart 5: 2011 Reported Race/Ethnicity at Time of Admission to a Florida Hospice n=112,441; 2011 The majority of patients were admitted to non-profit hospices (73%). Eighty-three percent of the patients admitted to not-for-profit hospices during the 2011 reporting period were Caucasian compared to 66 percent admitted to for-profit hospices. The proportion of Caucasian patients admitted to for-profit hospices in 2011 increased by 11 percent from 2010, while the distribution of Caucasians in not-for-profit hospices between 2009 and 2011 remained the same Patient Age Hospices reported on the age of 112,441 patients at the time of admission. These totals are not limited to admissions to facilities or residential units. Each person admitted was grouped into one of three age categories: age 0-18, 19-64, or 65 or older. Eighty-four percent of all hospice patients admitted were age 65 or older. Sixteen percent of patients admitted were between the ages of 19 and 64. Less than one-half percent of those admitted were under the age of 19 (see Chart 6 below). These proportions have not changed from previous years of admissions evaluated Report Hospice Demographic and Outcome Measures
23 Chart 6: 2011 Reported Age at Time of Admission to a Florida Hospice n= 112,441; 2011 For-profit hospices served slightly more clients age 65 and older than not-for-profit hospices (87% compared to 84%). Table 10 below shows the percentage of patients admitted by age category and hospice profit status. The age distribution of patients admitted to hospices over the past two years remained very similar. While the proportion of patients for the two older age categories by profit status of hospice did not vary from previous years analyzed, the proportion of patients age 0 to 18 in for-profit facilities fluctuated from 0.1 percent in 2009 to 0.04 in 2010 to 0.2 percent in In 2011, the proportion of patients age 0 to 18 in both not-for-profit and forprofit facilities was 0.2 percent Report Hospice Demographic and Outcome Measures
24 Table 10: 2011 Florida Hospice Patients Age and Organization s Profit Status Percent Patients Age 0-18 Percent Patients Age Percent Patients Age 65+ Total Not-For-Profit 0.2% 16% 84% 100% For-Profit 0.2% 13% 87% 100% n=112,441; Discharges by Disposition Type Hospices reported on the disposition of discharges, whereby each discharge was grouped into one of two categories: death and non-death. Individuals who died during the 2011 calendar year are included in the death category. The vast majority of discharges were due to patient death (82%; see Chart 7 below). Chart 7: 2011 Florida Hospice Patient Discharges by Disposition n=109,628; 2011 Discharge dispositions due to death were slightly higher in not-for-profit (83%) than in forprofit hospices (79%). The distribution of dispositions of discharges was similar across the past three years; however, the proportion of discharges due to patient death in for-profit hospices declined from 83 percent in 2010 to 79 percent to in Report Hospice Demographic and Outcome Measures
25 12.0 Patient Days by Location Hospices reported on the days patients spent by type of location. A majority (52%) of hospice patient days were spent in private residences (see Chart 8). About a quarter of all hospice days were spent in a nursing home contracted non-inpatient bed. Twenty percent of patient days were spent in an assisted living facility. Only three percent of all hospice patient days were in a freestanding hospice inpatient facility. One percent or less of all hospice days was spent in each of the following: Hospital - Other Than Dedicated Hospice Unit Hospital - Dedicated Hospice Unit Hospice Residential Facility Adult Family Care Home Nursing Home - Contracted Inpatient Bed The distribution of patient days spent by type of location varied very little from the past two years. Chart 8: 2011 Florida Hospice Patient Days by Location n= 8,650,748; Reimbursement Hospices reported on their reimbursement sources by providing the percentage of their income that came from each of six categories: Medicare, Medicaid, third-party, self-pay, uncompensated Report Hospice Demographic and Outcome Measures
26 and other. Eighty-seven percent of all hospice reimbursement came from Medicare. Medicaid paid seven percent, and four percent came from third parties (see Chart 9 below). Chart 9: 2011 Average Florida Hospice Reimbursements by Source n=43; 2011 For-profit hospices received a slightly higher percentage of reimbursement from Medicare (89% compared to 86%), a similar percentage from Medicaid (6% compared to 7%), and a lower percentage from third parties (2% compared to 4%). The sources of reimbursement to hospices in 2011 were very similar when compared to the two previous reporting years Additional Hospice Data Available Additional information about Florida s licensed hospices is available on Florida s Agency for Health Care Administration (AHCA) website. Included are results of the Family Evaluation of Hospice Care Satisfaction Survey, a survey given to families whose friend or family member received hospice care. It asks family members about their view on the care provided to the patient, as well as their own hospice experience. In general, ratings were very positive and only one hospice received a rating on a survey question that was below the highest score. This lower rating was related to the question about whether the hospice team responded to needs during the evening and weekends. All respondents agreed that patients were always treated with respect. In addition, AHCA s website provides information about inspection results and legal sanctions levied for each hospice. AHCA inspections through May 2012 cited 10 hospices with one or more Report Hospice Demographic and Outcome Measures
27 deficiencies. Deficiencies identified during inspections included the failure to provide quality of care, to ensure a patient s rights, to update information for care plans, and to conduct annual reviews of rules and by-laws ensuring that new employees get basic information about interacting with patients who have Alzheimer s disease or dementia-related disorders. You may access AHCA s website at the following web address: New Outcome Measures for the Centers for Medicare & Medicaid Services In March 2012, the Centers for Medicare & Medicaid Services (CMS) introduced two new outcome measures for hospices. The first measure is a structural measure designed to ascertain whether hospices participate in a Quality Assessment and Performance Improvement (QAPI) program that includes three or more quality indicators related to patient care. Patient care-related indicators address patient care domains such as symptom management (e.g., pain), care coordination, patient safety, and care provision in accordance with documented patient/family preferences. The second measure, National Quality Forum #0209, assesses the number of patients who report being uncomfortable because of pain at the initial assessment that report pain was brought to a comfortable level within 48 hours. Hospices will begin collecting data for these two new measures in the fourth quarter of 2012 (October 1 through December 31, 2012) and submit data on the structural measure to CMS by January 31, 2013, and for the measure on pain by April 1, Report Hospice Demographic and Outcome Measures
28 APPENDIX STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS HOSPICE DEMOGRAPHIC and OUTCOME MEASURES REPORT Reporting Period: January 1 through December 31 Report for Calendar Year Report Due no later than March 31 of the following year. SECTION A: BASIC HOSPICE AND CONTACT INFORMATION Hospice Name (as it appears on license) Telephone Physical Address Mailing Address, if different City State Zip Code Report Hospice Demographic and Outcome Measures
29 SECTION B: HOSPICE INFORMATION Facility License Medicaid Medicare Accreditation Status If Yes, enter Organization Name: Yes No SECTION C: CONTACT PERSON Name Telephone Fax Address Report Hospice Demographic and Outcome Measures
30 SECTION D: COUNTIES SERVED of Florida counties served under this license: Check all counties served by this hospice license: Alachua Duval Holmes Miami-Dade Santa Rosa Baker Escambia Indian River Monroe Sarasota Bay Flagler Jackson Nassau Seminole Bradford Franklin Jefferson Okaloosa Sumter Brevard Gadsden Lafayette Okeechobee Suwannee Broward Gilchrist Lake Orange Taylor Calhoun Glades Lee Osceola Union Charlotte Gulf Leon Palm Beach Volusia Citrus Hamilton Levy Pasco Wakulla Clay Hardee Liberty Pinellas Walton Collier Hendry Madison Polk Washington Columbia Hernando Manatee Putnam DeSoto Highlands Marion Saint Johns Dixie Hillsborough Martin Saint Lucie Report Hospice Demographic and Outcome Measures
31 SECTION E: INPATIENT CARE AND RESIDENTIAL UNITS List the number of inpatient facilities and residential units that were operated by this hospice within the past year: This number should include inpatient wings or rooms within a hospital or skilled nursing facility that are operated by the hospice as well as the freestanding hospice inpatient facilities and residential units that appear on the hospice license. Each facility/unit should meet the following criteria: (1) Consist of one or more beds that are owned or leased by the hospice, (2) Be staffed by the hospice organization; and (3) Have policies and procedures set by the hospice. Please provide the following information for each facility/unit included in the count above. Include every admission into the facility (a patient may have more than one admission) in the of Facility Admissions column and count all patient days for every admission for the Total Facility Patient Days number column. Please duplicate this page as necessary. Facility Name and Address County Beds of Facility Admissions Total Facility Patient Days Report Hospice Demographic and Outcome Measures
32 SECTION F: OUTCOME MEASURES- Reference: Rule 58A-2.005(4), F.A.C. OUTCOME MEASURE 1 1 Total number of patients reporting pain on a 0-to-10 scale at time of admission to the hospice program. 2 Of the patients reporting pain, the number of patients who reported severe pain (7 or higher) at time of admission to the hospice program. 3 Of the number of patients reporting severe pain at admission, the number of patients who reported a reduction in pain level to five or less by the end of the fourth day of care in the hospice program. 4. Of the number of patients reporting severe pain at admission, the number of patients who continually reported pain level of 6 or higher by the end of the fourth day of care in the hospice program. 5. Of the number of patients reporting severe pain at admission, the number of patients who were unable to report pain level by the end of the fourth day due to death/discharge, transfer, or disease progression. OUTCOME MEASURE 2 Patient/Family Satisfaction Survey Question: Did the patient receive the right amount of medicine for his or her pain? Total number of surveys initiated during the reporting period. Total number of survey responses received during the reporting period. of survey responses received during reporting period indicating the patient received the right amount of medicine for his or her pain. of survey responses received during the reporting period indicating the patient did not receive the right amount of medicine for his or her pain Report Hospice Demographic and Outcome Measures
33 OUTCOME MEASURE 2A Patient/Family Satisfaction Survey Question: Based on the care the patient received, would the patient and/or responsible party recommend hospice services to others? Total number of surveys initiated during the reporting period. Total number of survey responses received during the reporting period. of survey responses received during the reporting period answering yes to this survey question. of survey responses received during the reporting period answering no to this survey question. SECTION G: AGGREGATE DATA Reference: Rule 58A-2.012, Program Reporting Requirements, F.A.C. Admitting Primary Diagnosis During Reporting Period Cancer Illness due to Acquired Immune Deficiency Syndrome (AIDS) End-Stage Pulmonary Disease End-Stage Renal Disease (ESRD) End-Stage Heart Disease Other Age of Persons Admitted During Reporting Period Age 0-18 Age Age 65 and older Report Hospice Demographic and Outcome Measures
34 Race of Persons Admitted During Reporting Period Asian Black Caucasian Hispanic Other Percent of Reimbursement by Payor Source During Reporting Period Medicare Medicaid Third Party Self-pay Uncompensated Other Total of Patient Days by Location During Reporting Period Private residence Adult Family-Care Home Assisted Living Facility Nursing Home Contracted Non-Inpatient Bed Nursing Home Contracted Inpatient Bed Hospital Dedicated Hospice Unit Hospital Other than Dedicated Hospice Unit Hospice Residential Facility Freestanding Hospice Inpatient Facility Other Total of Discharges by Disposition During Reporting Period Deaths Non-Deaths Report Hospice Demographic and Outcome Measures
35 SECTION H: AUTHORIZED SIGNATURE I HEREBY ACKNOWLEDGE THAT ALL INFORMATION PERTAINING TO THIS DOCUMENT IS TRUE, CORRECT AND COMPLETE. Print Name Title Signature Date Report Hospice Demographic and Outcome Measures
2015 REPORT. Hospice Demographic and Outcome Measures
2015 REPORT Hospice Demographic and Outcome Measures Updated February 8, 2016 Table of Contents 1.0 Executive Summary... 1 2.0 Data Collected... 2 3.0 Outcome Measures... 3 3.1 Outcome Measure 1 (OM1)...
More information2016 REPORT. Hospice Demographics and Outcome Measures
2016 REPORT Hospice Demographics and Outcome Measures Table of Contents 1.0 Executive Summary... 1 2.0 Data Collected... 2 3.0 Outcome Measure 1 (OM1)... 2 4.0 Accreditation... 5 5.0 Individual Hospice
More information2017 REPORT. Hospice Demographics and Outcome Measures
2017 REPORT Hospice Demographics and Outcome Measures i 2017 Hospice Demographic and Outcome Measures Report October 2017 Table of Contents Executive Summary... 1 Data Collected... 2 Outcome Measure 1
More informationFlorida Statewide Agricultural Irrigation Demand
2017 Florida Statewide Agricultural Irrigation Demand Appendix A Acreage Projections THE BALMORAL GROUP 165 Lincoln Ave Winter Park, FL 32789 407 629 2185 407 629 2183 Appendix A Acreage Projections List
More informationCITIZENS PROPERTY INSURANCE CORPORATION
(Sheet 1 of 5) Alachua 192 72,001 8.4% 4,390 0.0% 76,391 7.9% Baker 292 8,850 9.1% 38 172.6% 8,888 9.8% Bay 601 Coastal 81,028 10.8% 341 137.0% 81,369 11.3% Bay 721 Remainder 244,441 11.2% 918 144.1% 245,359
More informationFlorida Residential Market Sales Activity - Q Closed Sales and Median Sale Prices Statewide and by Metropolitan Statistical Area*
Statewide and by Metropolitan Statistical Area* State / Metropolitan Statistical Area All Property Types Single Family Homes Townhouses/Condos State of Florida 118,885 $235,000 80,711 $256,150 34,376 $189,900
More informationFlorida Residential Market Sales Activity - July 2018 Closed Sales and Median Sale Prices Statewide and by Metropolitan Statistical Area*
Statewide and by Metropolitan Statistical Area* State / Metropolitan Statistical Area All Property Types Single Family Homes Townhouses/Condos State of Florida 36,563 $232,500 25,488 $255,000 10,032 $180,000
More informationSpecial Report of Baker Act Initiations by County and Judicial Circuit for Children and Adults for Calendar Year 2001 March 2002
Special Report of Baker Act s by County and Judicial Circuit for Children and Adults for Calendar Year 2001 March 2002 Prepared by: Annette McGaha, Ph.D. Baker Act Reporting Center Louis de la Parte Florida
More informationFlorida Residential Market Sales Activity - August 2015 Closed Sales and Median Sale Prices Statewide and by Metropolitan Statistical Area*
Statewide and by Metropolitan Statistical Area* State / Metropolitan Statistical Area State of Florida 32,867 $184,000 23,605 $199,900 9,262 $150,000 936 $56,250 Cape Coral-Fort Myers MSA (Lee ) Crestview-Fort
More informationFlorida Residential Market Sales Activity - Q Closed Sales and Median Sale Prices Statewide and by Metropolitan Statistical Area*
Statewide and by Metropolitan Statistical Area* State / Metropolitan Statistical Area State of Florida 86,236 $170,300 59,599 $182,000 26,637 $145,000 3,090 $54,000 Cape Coral-Fort Myers MSA (Lee ) Crestview-Fort
More informationFlorida Residential Market Sales Activity - March 2015 Closed Sales and Median Sale Prices Statewide and by Metropolitan Statistical Area*
Statewide and by Metropolitan Statistical Area* State / Metropolitan Statistical Area State of Florida 35,894 $178,500 24,811 $190,000 11,083 $152,000 1,247 $56,000 Cape Coral-Fort Myers MSA (Lee ) Crestview-Fort
More informationFlorida Residential Market Sales Activity Closed Sales and Median Sale Prices
Florida Residential Market Activity and s Statewide t and by Metropolitan Statistical ti ti Area* State / Metropolitan Statistical Area State of Florida 32,413 $190,000 23,056 $206,500 9,357 $156,500 1,009
More informationFlorida Residential Market Sales Activity - Q Closed Sales and Median Sale Prices
Florida Residential Market Activity - Q2 2015 and s Statewide t and by Metropolitan Statistical ti ti Area* State / Metropolitan Statistical Area State of Florida 110,907 $185,000 77,724 $200,000 33,183
More informationNumber of For-Profit Hospices Has Grown; Current Measures and Standards Are Not Sufficient to Assess Hospice Quality
January 2010 Report No. 10-09 Number of For-Profit Hospices Has Grown; Current Measures and Standards Are Not Sufficient to Assess Hospice Quality at a glance The 2006 Florida Legislature authorized for-profit
More informationDEPARTMENT OF HEALTH Division of Disease Control
DEPARTMENT OF HEALTH Division of Disease Control Bureau of HIV/AIDS Patient Care Section March 22, 2011 BUREAU OF HIV/AIDS Chief, Bureau of HIV/AIDS Tom Liberti Medical Director Jeffrey Beal, MD Biological
More informationTable of Contents. 2 P age. Susan G. Komen
FLORIDA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast
More informationDear Applicant: Division of Vocational Rehabilitation Vendor Registration Unit. Enclosures
Dear Applicant: Thank you for your interest in becoming an Individual Interpreting Vendor or Group Interpreting Agency Vendor. Registration with MyFloridaMarketPlace(MFMP) and the Florida Department of
More informationVOCATIONAL REHABILITATION SERVICES PROVIDER CHOICE DIRECTORY DEMOGRAPHIC INFORMATION FORM
Please complete this form for each of your locations/offices where you will be serving our VR consumers: Vendor Details FEID Number: Vendor Name: VR Area: Address: City County State Zip Code Contact Person:
More informationFlorida PDMP User Survey Methodology
Florida PDMP User Survey Methodology Florida Prescription Drug Monitoring Program (PDMP) conducted a survey in March 2013 to identify the barriers to PDMP utilization and opportunities for improvement.
More informationCandy-Flavored Tobacco. Latonya N. Delaughter, MPA, CWWPM SWAT Coordinator
Candy-Flavored Tobacco Latonya N. Delaughter, MPA, CWWPM SWAT Coordinator What is flavored tobacco? Flavored tobacco products contain flavors like vanilla, orange, chocolate, cherry and coffee. They are
More informationHealth Maintenance Organization Preferred Provider Organization Medicare Advantage HMO. Blue Medicare HMO My Time Plus Simply Blue Network
The table below offers a comprehensive list of provider networks. Refer to your service type to determine if the network is open. If the network for your service type is open, complete the appropriate
More informationNorth Central Florida Cancer Report 2013
North Central Florida Cancer Report 2013 Data Covering the North Central Florida Cancer Control Collaborative Region January 2013 North Central Florida Cancer Report 2013 Data Covering the North Central
More informationFLORIDA DEPARTMENT OF LAW ENFORCEMENT June Report
FLORIDA DEPARTMENT OF LAW ENFORCEMENT June 2010 2009 Report Data Collection The Office of Vital Statistics reported more than 171,300 deaths occurred in Florida during 2009. Of these, the medical examiners
More informationIntroduction. Institute of Medicine, 2002
2010 Florida Introduction Where we live matters to our health. The health of a community depends on many different factors, including quality of health care, individual behavior, education and jobs, and
More informationFLORIDA DEPARTMENT OF LAW ENFORCEMENT OCTOBER Report
FLORIDA DEPARTMENT OF LAW ENFORCEMENT OCTOBER 2012 2011 Report Data Collection The Office of Vital Statistics reported more than 172,000 deaths occurred in Florida during 2011. Of these, the medical examiners
More informationHepatitis Prevention Program UPDATE. Hepatitis Prevention Program Staff
Hepatitis Prevention Program UPDATE Hepatitis Prevention Program Staff - 2010 PCPG Meeting - Tampa November 9, 2010 Hepatitis A Total Reported Cases 2004-2008 300 250 200 150 100 50 0 2004 2005 2006 2007
More informationHIV/AIDS Update PPG/PCPG Mee3ng Marlene LaLota, MPH HIV/AIDS Sec3on Administrator
HIV/AIDS Update PPG/PCPG Mee3ng Marlene LaLota, MPH HIV/AIDS Sec3on Administrator May 13, 2015 The Epidemic in Florida Population in 2014: 19.6 million à (3 rd in the nation) Newly diagnosed** HIV infections
More informationPHYSICIAN WORKFORCE SURVEY
Governor Charlie Crist, State Surgeon General Ana Viamonte Ros and the Florida Legislature recognize the importance of assessing Florida s current and future physician workforce. Section 381.4018, Florida
More informationFlorida s Oral Health Surveillance Projects. Presenters: Jennifer Wahby and Jasmine Bee July 28, 2016
Florida s Oral Health Surveillance Projects Presenters: Jennifer Wahby and Jasmine Bee July 28, 2016 1 Older Adult Oral Health Surveillance Jennifer Wahby, MPH Senior Health Services Analyst, Public Health
More informationEthyl Alcohol. Phencyclidine (PCP) PCP Analogs Phenethylamines/ Piperazines Tryptamines. Halogenated Helium Hydrocarbon Nitrous Oxide
FLORIDA DEPARTMENT OF LAW ENFORCEMENT PUBLISHED NOVEMBER 2018 Data Collection The State of Florida s Bureau of Vital Statistics reported 206,168 deaths in Florida during 2017. Of the 28,031 deaths investigated
More informationStatewide Medicaid Managed Care Dental Program Overview. October 2018
Statewide Medicaid Managed Care Dental Program Overview October 2018 The Dental Component of the Statewide Medicaid Managed Care Program Beginning in December 2018, Medicaid recipients will have a new
More informationFlorida Arbovirus Surveillance Week 39: September 23-29, 2012
Florida Arbovirus Surveillance Week 39: September 23-29, 22 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), St.
More informationEvaluation of the Florida Quitline Spanish Language and Prenatal Smoking Cessation Campaigns
Evaluation of the Florida Quitline Spanish Language and Prenatal Smoking Cessation Campaigns May and June 2006 Florida Department of Health Submitted by: Christopher B. Sullivan, Ph.D. Image Research 912
More information1998 FLORIDA ANNUAL CANCER REPORT: Incidence and Mortality
1998 FLORIDA ANNUAL CANCER REPORT: Incidence and Mortality 2001 1998 Epidemiological Series 01-0329 10-2001 October 2001 Jeb Bush Governor John O. Agwunobi, M.D., M.B.A. Secretary 1998 FLORIDA ANNUAL CANCER
More informationFlorida Oral Health Workforce Statewide Needs Assessment. Prepared for the Florida Department of Health Public Health Dental Program
Florida Oral Health Workforce Statewide Needs Assessment Prepared for the Florida Department of Health Public Health Dental Program August 2009 CONTRIBUTORS AND ACKNOWLEDGEMENTS Jill Boylston Herndon,
More informationMEMORANDUM. SUBJECT: Ordinance : Prohibition on Medical Marijuana Treatment Center Dispensing Facilities
DATE: October 4, 2017 MEMORANDUM TO: FROM: Town Commission Dave Bullock, Manager SUBJECT: Ordinance 2017-20: Prohibition on Medical Marijuana Treatment Center Dispensing Facilities On November 8, 2016,
More informationFlorida Arbovirus Surveillance Week 42: October 14-20, 2012
Florida Arbovirus Surveillance Week 42: October 14-2, 212 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), St.
More informationStatewide Medicaid Managed Care Update. Presented to the Medicaid Medical Care Advisory Committee. July 10, 2018
Statewide Medicaid Managed Care Update Presented to the Medicaid Medical Care Advisory Committee July 10, 2018 FL Medicaid Managed Care Today A Snapshot Current SMMC Enrollment How Services Are Delivered
More informationFlorida Arbovirus Surveillance Week 38: September 16-22, 2012
Florida Arbovirus Surveillance Week 38: September 16-22, 212 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), St.
More informationFlorida Arbovirus Surveillance Week 37: September 9-15, 2012
Florida Arbovirus Surveillance Week 37: September 9-15, 212 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), St.
More informationFinal Report of The Epidemiologic Study on Crohn s Disease and Ulcerative Colitis
Final Report of The Epidemiologic Study on Crohn s Disease and Ulcerative Colitis HB 869 ER (Section 2) Prepared by Bureau of Epidemiology Florida Department of Health February 1, 2006 Jeb Bush Governor
More informationThe South Florida Report June 2013
Escambia Santa Rosa Okaloosa Holmes Bay Jacks on Calhoun Gulf Liberty Gadsden Leon Franklin Wakulla Madison Taylor Dixie Hamilton Suwannee Union Gilchrist Alachua Pinellas Levy Citrus Baker Hernando Pasco
More informationTASK FORCE REPORT ON INVOLUNTARY EXAMINATION OF MINORS
TASK FORCE REPORT ON INVOLUNTARY EXAMINATION OF MINORS Department of Children and Families Office of Substance Abuse and Mental Health November 15, 2017 Mike Carroll Rick Scott Secretary Governor 1 TABLE
More informationFlorida Arbovirus Surveillance Week 36: September 2-8, 2012
Florida Arbovirus Surveillance Week 36: September 2-8, 212 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), St.
More informationFlorida Arbovirus Surveillance Week 38: September 14 September 20, 2014
Florida Arbovirus Surveillance Week 38: September 4 September 2, 24 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis
More informationEvaluation of the Florida Quitline. Smoking Cessation Radio Ad Campaigns: Spanish Language. African American. Prenatal Smoking Cessation
Evaluation of the Florida Quitline Smoking Cessation Radio Ad Campaigns: Spanish Language African American Prenatal Smoking Cessation May and June Florida Department of Health Submitted by: Christopher
More informationYear End Summary
ALZHEIMER S DISEASE INITIATIVE MEMORY DISORDER CLINICS AND FLORIDA BRAIN BANK 2016-2017 Year End Summary This document was created by the staff of the 15 Memory Disorder Clinics and the Florida Brain Bank
More informationEstimation of County-Level Diabetes Prevalence Using Bayesian Hierarchical Model
Georgia State University ScholarWorks @ Georgia State University Mathematics Dissertations Department of Mathematics and Statistics Spring 5-10-2017 Estimation of County-Level Diabetes Prevalence Using
More informationUNITED STATES COURT INTERPRETER COMPENSATION DATABASE: Chapter 7: Florida Judicial Circuit Courts
UNITED STATES COURT INTERPRETER COMPENSATION DATABASE: Chapter 7: Florida Judicial Circuit Courts Compiled by Robert Joe Lee and Francis W. Hoeber When the authors began the data collection process, we
More informationFlorida Arbovirus Surveillance Week 42: October 14-20, 2018
Florida Arbovirus Surveillance Week 42: October 4-2, 28 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationSWAT Youth Across Florida Are Educating Their Communities And Their Community Leaders About Flavored Tobacco Products
0 Students Working Against Tobacco SWAT Youth Across Florida Are Educating Their Communities And Their Community Leaders About Flavored Tobacco Products 1 SWAT s Statewide Mission Educate community leaders
More informationImpacts of Dialysis Transportation on Florida s Coordinated Public Transportation Programs
Final Report Impacts of Dialysis Transportation on Florida s Coordinated Public Transportation Programs April 2014 BDK85-977-46 PREPARED FOR Florida Department of Transportation Impacts of Dialysis Transportation
More informationFlorida Arbovirus Surveillance Week 51: December 16-22, 2018
Florida Arbovirus Surveillance Week 5: December 6-22, 28 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationFLORIDA Regional Service Conference ORIENTATION
Internet Links to Region FLORIDA Regional Service Conference ORIENTATION http://naflorida.org http://frc-na.org http://floridarso.org Part I What s going on this weekend? Part II How do I get involved?
More informationFlorida Arbovirus Surveillance Week 47: November 18-24, 2018
Florida Arbovirus Surveillance Week 47: November 18-24, 218 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationFlorida Arbovirus Surveillance Week 50: December 9-15, 2018
Florida Arbovirus Surveillance Week 5: December 9-5, 28 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationFlorida Arbovirus Surveillance Week 48: November 25-December 1, 2018
Florida Arbovirus Surveillance Week 48: November 25-December 1, 218 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis
More informationMODERATE RISK RESIDENTIAL PROGRAMS
MODERATE RISK RESIDENTIAL PROGRAMS Moderate-risk residential programs are environmentally secure or staff secure facilities. Youth in these programs are allowed limited access to the community. The majority
More informationFlorida Arbovirus Surveillance Week 2: January 6-12, 2019
Florida Arbovirus Surveillance Week 2: January 6-2, 29 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationORAL HEALTH EMERGENCY ROOM SPENDING IN FLORIDA* AN AVOIDABLE HEALTHCARE COST
ORAL HEALTH EMERGENCY ROOM SPENDING IN FLORIDA* HOSPITAL EMERGENCY ROOM DENTAL CARE VISITS DRAMATICALLY INCREASING More than 115, hospital emergency room visits in were for dental care with charges exceeding
More informationFlorida Arbovirus Surveillance Week 21: May 20-26, 2018
Florida Arbovirus Surveillance Week 2: May 2-26, 28 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV), and
More informationFlorida Arbovirus Surveillance Week 52: December 23-29, 2018
Florida Arbovirus Surveillance Week 5: December 3-9, 18 Arbovirus surveillance in Florida includes endemic mosquito-borne viruses such as West Nile virus (WNV), Eastern equine encephalitis virus (EEEV),
More informationWoman and Clinical Trials
Woman and Clinical Trials Hancy Brignol, MHSA, BSN Project Director-WIHS Department of Medicine Division of Infectious Diseases University of Miami AIDS Clinical Research Unit Southeast AIDS Education
More informationA joint project of the Sylvester Comprehensive Cancer Ctr and the Florida Department of Health
A joint project of the Sylvester Comprehensive Cancer Ctr and the Florida Department of Health Division of Cancer Prevention and Control Volume 43 April, 2009 FCDS proudly awards the 2008 Jean Byers Award
More information2011 Cancer Committee Annual Report Shands at the University of Florida
Cancer Committee Annual Report Shands at the University of Florida with statistical data from Message from the Shands at UF Cancer Committee Chair This report represents my final duty as out-going chair
More informationReport of Pinellas Data Collaborative CJIS System Change Over Time 2007 Findings DRAFT
Report of Pinellas Data Collaborative CJIS System Change Over Time 2007 Findings Submitted by Policy Services & Research Data Center Mental Health Law & Policy Florida Mental Health Institute University
More informationDIRECTORY FLORIDA COURT ADA COORDINATORS
DIRECTORY FLORIDA COURT ADA COORDINATORS Revised: August 17, 2015 SUPREME COURT Mr. Silvester Dawson Phone: 850-488-8845 Fax: 850-921-2775 4th DISTRICT COURT OF APPEAL Mr. Daniel DiGiacomo 1525 Palm Beach
More informationCONTACTS. FLORIDA NETWORK of Youth and Family Services OUR CORE VALUES
2016 ANNUAL REPORT CONTACTS www.floridanetwork.org BOARD OF DIRECTORS Don Eslinger, Chairman Wansley Walters, Vice Chairman Carl Weinrich, Secretary David Griffin, Treasurer Chris Dudley, Past Chairman
More informationOpioid State Targeted Response (STR) Project
Opioid State Targeted Response (STR) Project Requirement: Frequency: Due Date: The Office of Substance and Abuse and Mental Health (SAMH) Contract On going On going The major goal of Florida's Opioid State
More informationReport of Pinellas Data Collaborative CJIS System Change Over Time 2007 Findings. Final
Report of Pinellas Data Collaborative CJIS System Change Over Time 2007 Findings Submitted by Policy Services & Research Data Center Mental Health Law & Policy Florida Mental Health Institute University
More informationNew CDT Codes Announced for 2019
PATIENT S CHART & X-RAYS FL MEDICAID 24-HR EMERGENCY ACCESS FLU SEASON IS HERE LIBERTY DENTAL PLAN LIBERTY DENTAL PLAN VOLUME 4, Q4 WINTER 2018 LIBERTY QUARTERLY PROVIDER NEWS New CDT Codes Announced for
More informationPublic Health Dental Program
Public Health Dental Program Water Fluoridation Project SEAN ISAAC, MPH WATER FLUORIDATION PROJECT COORDINATOR FLORIDA DEPARTMENT OF HEALTH PUBLIC HEALTH DENTAL PROGRAM JULY 28, 2016 STATEWIDE DENTAL PERFORMANCE
More informationFLORIDA DEPARTMENT OF LAW ENFORCEMENT MAY 2014
FLORIDA DEPARTMENT OF LAW ENFORCEMENT MAY 2014 Data Collection The State of Florida s Office of Vital Statistics reported more than 94,000 deaths occurred in Florida during the first six months of 2013.
More informationLaboratory services for the diagnosis and management of TB, MDR-TB, XDR-TB in HIV co-infected patients
Laboratory services for the diagnosis and management of TB, MDR-TB, XDR-TB in HIV co-infected patients Max Salfinger Fogarty Workshop on TB/HIV Cali, Colombia - March 28, 2007 John E. Fogarty Bricklayer;
More informationFLORIDA NETWORK of Youth and Family Services CONTACTS OUR CORE VALUES TEAM
2014 ANNUAL REPORT CONTACTS 2850 Pablo Avenue Tallahassee, FL 32308 850.922.4324 850.921.1778 (fax) FLORIDA NETWORK of Youth and Family Services BOARD OF DIRECTORS Chris Dudley, Chairman Sheriff Don Eslinger,
More informationPARTNERSHIP OPPORTUNITIES
PARTNERSHIP OPPORTUNITIES LETTER FROM THE CEO Dear Friend of the Epilepsy Foundation of Florida, Throughout the year, the Epilepsy Foundation of Florida (EFOF) offers unique events that work to provide
More informationFlorida Alcohol and Drug Abuse Association
Florida Alcohol and Drug Abuse Association and Department of Children and Families in conjunction with Florida Council for Community Mental Health and Florida Association of Managing Entities present Effectively
More informationImpact of Florida s Medicaid Reform on Recipients of Mental Health Services
Impact of Florida s Medicaid Reform on Recipients of Mental Health Services Jeffrey Harman, PhD John Robst, PhD Lilliana Bell, MHA The Quality of Behavioral Healthcare : A Drive for Change Through Research
More informationPARTNERSHIP FOR COMPREHENSIVE HIV/AIDS PLANNING VOLUSIA AND FLAGLER COUNTIES COMPREHENSIVE HIV PREVENTION PLAN FOR
PARTNERSHIP FOR COMPREHENSIVE HIV/AIDS PLANNING OF VOLUSIA AND FLAGLER COUNTIES COMPREHENSIVE HIV PREVENTION PLAN FOR 2006-2009 TABLE OF CONTENTS A HISTORICAL PERSPECTIVE 1 BACKGROUND ON COMMUNITY PLANNING
More informationHIV/AIDS and Communicable Diseases Education HIV/AIDS Questions and Answers (4 Credit Hours) What is HIV? Learning objectives:
HIV/AIDS and Communicable Diseases Education (4 Credit Hours) Learning objectives:!! Know the difference between HIV Infection and AIDS.!! Detail how HIV is transmitted.!! Describe ways to prevent the
More informationStudy of Hospice-Hospital Collaborations
Study of Hospice-Hospital Collaborations Table of Contents Executive Summary 2 Introduction 3 Methodology 4 Results 6 Conclusion..17 2 Executive Summary A growing number of Americans in the hospital setting
More informationRICK SCOTT GOVERNOR. June 28, 2017
RICK SCOTT GOVERNOR June 28, 2017 Ms. Virginia Simmons Office of Financial Resources, Division of Grants Management Substance Abuse and Mental Health Services Administration 1 Choke Cherry Road, Room 7-1091
More informationCommunity-Based Coalitions: Influencing policy & practice
University of South Florida From the SelectedWorks of May, 2011 Community-Based Coalitions: Influencing policy & practice Available at: https://works.bepress.com/florida_coveringkidsandfamilies/4/ May
More informationScholars surveyed 42 counties. Each scholar surveyed one county, conducting a minimum of two
1 GRAHAM CIVIC SCHOLARS SPRING 2016 CUMULATIVE REPORT TOPIC: PROVISION OF CHILDREN S MENTAL HEALTH SERVICES WITHIN THE STATE OF FLORIDA AUTHOR: CAROLINE NICKERSON Premise and Scope of this Report There
More informationyears of leadership Proudly serving Florida s vulnerable youth and families for 40 years.
years of leadership Proudly serving Florida s vulnerable youth and families for 40 years. dedication This year s annual report is dedicated to the men and women who founded the Florida Network of Youth
More informationMISSOURI MEDICAID. LIBERTY Dental Plan Serving the Show-Me State LIBERTY QUARTERLY PROVIDER NEWS THE PRACTICE OF UPCODING
TIPS & RESOURCES FOR BUILDING YOUR THE PRACTICE OF UPCODING NY MEDICAID CDT CODES SPRING 2019 LIBERTY QUARTERLY PROVIDER NEWS LIBERTY Dental Plan Serving the Show-Me State MISSOURI MEDICAID 3 LIBERTY Welcomes
More information~1\~R~~o. Clay Electric Cooperative, Inc. March 17, Florida Public Service Commission 2540 Shumard Oak Boulevard Tallahassee, Florida
E Clay Electric Cooperative, Inc. March 17, 2017 Florida Public Service Commission 2540 Shumard Oak Boulevard Tallahassee, Florida 32399-0850 To Whom It May Concern: Enclosed is Clay Electric Cooperative,
More informationWASHINGTON. explanation that basic training for residential long term care services can include dementia as a topic
WASHINGTON Residential Long Term Care Services Washington has a 2013 regulatory scheme governing training requirements, specialty training requirements for residents with dementia, and competency standards
More information2004 Jean Byers Award for Excellence in Cancer Registration
A joint project of the Sylvester Comprehensive Cancer and Center and the Florida Department of Health Division of Cancer Prevention and Control Volume 26, 2005 2004 Jean Byers Award for Excellence in Cancer
More informationAnnual Report to the Florida Legislature
one Miss on one Message end domestic violence 2012-2013 Annual Report to the Florida Legislature TogeTher we can end domestic violence Florida s crime rate is now at an historic low, but there is still
More informationFlorida Annual Cancer Report:
Florida Annual Cancer Report: 23 Incidence and Mortality Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General i Florida Department of Health, Bureau of Epidemiology Youjie Huang,
More informationHelp Me Grow Florida Centralized Access Point (CAP)
Help Me Grow Florida Centralized Access Point (CAP) Tamara Price Help Me Grow 2018 National Forum Seattle, WA 1 Help Me Grow Florida Statewide Affiliates HMGF program is currently implemented in 27 out
More informationExecutive Summary To access the report in its entirety, visit
Executive Summary To access the report in its entirety, visit http://www.hpcswf.com/health-planning/health-planningprojects/. Demographic and Socioeconomic Characteristics Population Demographics has a
More information2013 Purple Ribbon Task Force Surveys on Alzheimer s Disease and Related Dementias
RICK SCOTT GOVERNOR CHARLES T. CORLEY SECRETARY 2013 Purple Ribbon Task Force Surveys on Alzheimer s Disease and Related Dementias elderaffairs.state.fl.us Bureau of Planning & Evaluation, May 2013 Table
More information2017 ANNUAL REPORT SUICIDE PREVENTION COORDINATING COUNCIL. Department of Children and Families Office of Substance Abuse and Mental Health
2017 ANNUAL REPORT SUICIDE PREVENTION COORDINATING COUNCIL Department of Children and Families Office of Substance Abuse and Mental Health January 1, 2018 Mike Carroll Secretary Rick Scott Governor Table
More informationClay Electric Cooperative, Inc.
E Clay Electric Cooperative, Inc. March 7, 2016 Florida Public Service Commission 2540 Shumard Oak Boulevard Tallahassee, Florida 32399-0850 Dear To Whom It May Concern: Enclosed is Clay Electric Cooperative,
More informationAna Garcia, PhD, LCSW Assistant Professor of Clinical Pediatrics Ryan White Part D Pediatric Coordinator Miami Family Care Program University of
Ana Garcia, PhD, LCSW Assistant Professor of Clinical Pediatrics Ryan White Part D Pediatric Coordinator Miami Family Care Program University of Miami Miller School of Medicine Division of Pediatric Infectious
More informationMinnesota s Dental Therapist Workforce, 2016 HIGHLIGHTS FROM THE 2016 DENTAL THERAPIST SURVEY
Minnesota s Dental Therapist Workforce, 2016 HIGHLIGHTS FROM THE 2016 DENTAL THERAPIST SURVEY Table of Contents Minnesota s Dental Therapist Workforce, 2016... 1 Overall... 3 Demographics... 3 Education...
More informationFlorida Emergency Preparedness Guide FLORIDA Prepare Plan Stay Informed
Florida Emergency Preparedness Guide FLORIDA Manatee Hardee Prepare Plan Stay Informed The Florida Emergency Preparedness Guide was made possible by an emergency preparedness grant from the Centers for
More information