Institute Quality Initiatives

Timely Referrals to Hospice Services

Although the use of hospice and other palliative care services at the end of life has increased, many patients are enrolled in hospice for 3 days or less before their death, which limits the benefit they may gain from these services. Patients enrolled in hospice experienced increased survival times along with a reduction in resource use such as aggressive end-of-life care and hospital admissions; benefits that increased the longer patients are enrolled in hospice.

Patients in Hospice for Duration Greater Than 3 Days Before Death



¹Langton, J. M., B. Blanch, et al. (2014). "Retrospective studies of end-of-life resource utilization and costs in cancer care using health administrative data: a systematic review." Palliat Med 28(10): 1167-1196.

²Lee, Y. J., J. H. Yang, et al. (2015). "Association between the duration of palliative care service and survival in terminal cancer patients." Support Care Cancer 23(4): 1057-1062.