Attachment 1
End-of-Life Care Quality Indicators
June 26, 2001

Health System Indicators

	Transfers from one care setting to another in the last two weeks of life Transfers from a nursing home to the hospital Transfers from a hospital to home or a nursing home
	Hospitals with Palliative Care Services
	Nursing Homes with Palliative Care Services
	Number of persons who die in nursing homes, hospitals and at home.
	Number of persons who receive hospice service and die in nursing homes
	Number of persons receiving hospice care at the time of death

Individual Population Indicators (process indicators)

Respect for individual preferences o Number of persons who state they have an advance directive upon admission to a hospital Number of individuals in West Virginia who state they have an advance directive Physician Orders Scope of Treatment (POST)

Individual Population Indicators (outcome indicators)

	Resident satisfaction with pain management in Nursing Homes
	Client satisfaction with pain management while in Home Care
	Client satisfaction with pain management while in Hospice Care
	Client satisfaction with pain management while in Palliative Care.