Hospices complete this standardized patient assessment at admission, at HOPE Update Visits and at discharge for the Hospice Quality Reporting Program. It replaced the Hospice Item Set for data collected from October 1, 2025. CMS uses the data for public reporting of two HOPE-based quality measures, and hospices use it to inform care planning and practice improvement.
Hospice clinicians, mainly the registered nurse with some items from other disciplines, collect the items during visits. There is no patient or family section to complete.
Download the current version from the source each time; forms change without notice.
Hospice Outcomes and Patient Evaluation (HOPE) All Items
Centers for Medicare & Medicaid Services (CMS) takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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HOPE data collection began October 1, 2025, replacing the Hospice Item Set (HIS) in the Hospice Quality Reporting Program. CMS finalized it in the FY 2025 Hospice Wage Index Final Rule and retained key HIS items within HOPE.
HOPE Update Visits (HUVs) are assessments done at specified timeframes during the first 30 days after a patient elects hospice. Depending on the length of the stay, a hospice submits up to two HUVs, in addition to the admission and discharge records.
CMS posts the HOPE Guidance Manual v1.03 on its HOPE page with the v1.03 item sets for admission, update visit, discharge and all items. Questions go to the Hospice Quality Help Desk listed on that page.