Total Responses Variable n % n % n % n % n %

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1 National Palliative Care Registry TM Data Summary (non-pediatric Palliative Care Programs) Bed Sizes < Total Responses Variable n % n % n % n % n % HOSPITAL METRICS Hospital Ownership Public (government: federal, state, county city) Not-for-profit For-profit Location Urban Suburban Rural Teaching Hospital Yes No Hospital Metrics Hospital Admissions Mean # of hospital admissions Hospital ADC Mean average daily census Hospital Deaths Participation rate 72% Mean hospital deaths Hospital Discharges Participation rate 63% Mean # of discharges PALLIATIVE CARE PATIENT POPULATION Patient Population Adults Only Adults and Children Patient Age Distribution Participation rate 80% 0 to to to to to or older Patient Gender Distribution Participation rate 83% Female Male Patient Ethnicity Distribution Participation rate 65% Black/African America non-hispanic White/Caucasian non-hispanic Asian non-hispanic American Indian/Alaska Native non-hispanic Hawaiian Native/Pacific Islander non-hispanic Hispanic / Latino PATIENT VISITS Initial Consults Mean # of initial consults Median # of initial consults Minimum Maximum Unqiue Patients Participation rate 68% Mean # of unique patients Median # of unique patients Minimum Maximum Penetration Participation rate 99% Mean Penetration Median Penetration Minimum Maximum Billable Follow-up Visits Participation rate 59% Mean # of billable follow up visits Median # of billable follow up visits Mean # of billable follow up visits per initial consult Median # of billable follow up visits per initial consult Track Non-Billable Follow-up Visits Participation rate 95% No Yes Palliative Care Team Role Consult % Consult Primary % Primary Co-manage % Co-manage Depends on Circumstances % Depends Sees Patients in Observation Beds No Yes Not Applicable Sees Patients in Emergency Department No Yes Not Applicable SCREENING AND REFERRALS Standardized Trigger Tool No standardized trigger tool Yes, has standardized trigger tool Trigger Integrated into EHR No integration Yes, integrated automatic trigger

2 Referral Source Location Participation rate 73% Medical/Surgical Mean Percentage Intensive Care Unit (ICU) Mean Percentage Oncology Mean Percentage Emergency Department Mean Percentage Telemetry / Step-down Mean Percentage Gastroenterology/Hepatology Mean Percentage General Pediatrics Mean Percentage Geriatrics ACE Unit Mean Percentage MD Office / Home (direct admit) Mean Percentage Hospice Mean Percentage Referring Specialist Participation rate 72% Hospitalist Mean Percentage At least 25% of all referrals At least 50% of all referrals At least 75% of all referrals Oncologist Mean Percentage Cardiologist Mean Percentage Nephrologist Mean Percentage Pulmonary/Critical Care Mean Percentage Surgery Mean Percentage Neurologist Mean Percentage Gastroenterologist/Hepatologist Mean Percentage Internal Medicine Mean Percentage Family Medicine Mean Percentage Other referring clinical specialist Mean Percentage TJC CERTIFICATION, SERVICES INTEGRATION Joint Commission Advanced Certification for Palliative Care Yes Yes, and have been re-certified Preparing to apply Not eligible Program does not have requirements Not Planning on applying Relationship: Hospice No relationship exists One administrative entity Administratively separate Contracts in place Informally collaborate Other Relationship: ICU Rarely see ICU patients No formal coordination Work collaboratively to develop system ICU has plans for palliative care Relationship: Emergency Medicine Rarely see EM patients No formal coordination Work collaboratively to develop system EM has plans for PC care Electronic Health Record Hospital EHR Has a Hospital EHR Cerner Epic Meditech Palliative Care Program EHR Has a Palliative Care Program EHR Cerner Epic Meditech Custom Palliative Care Reports Participation rate 93% Yes, gets custom palliative care reports from EHR No DIAGNOSIS AND CODE STATUS Diagnosis Participation rate 71% Cancer Mean Percentage At least 25% of all referrals Cardiac Mean Percentage Pulmonary Mean Percentage Complex chronic/failure to thrive Mean Percentage

3 Renal Mean Percentage Vascular Mean Percentage Congenital / Chromosomal Mean Percentage Infectious/Immunological Mean Percentage At least 25% of all referrals Gastrointestinal Mean Percentage Hepatic Mean Percentage Hematology Mean Percentage Endocrine/Metabolic Mean Percentage In-utero complication / condition Mean Percentage Neurologic/stroke/neurodegenerative Mean Percentage Dementia Mean Percentage Trauma Mean Percentage Code Status Participation rate 61% Full Code Mean Percentage Limited Code Mean Percentage DNR/DNI Mean Percentage Unknown Mean Percentage DISCHARGES Total Discharges Participation rate 76% Mean Numbe of Pal Care Discharges Discharges Alive and Died Participation rate 75% Discharged Alive Died on Palliative Care Discharge Location Home (includes Assisted Living and Home Hospice Mean Percentage Skilled Nursing Facility (SNF) Mean Percentage Inpatient or Residential Hospice Mean Percentage Acute Inpatient Rehabilitation Facility Mean Percentage Long-term Acute Care Hospital (LTAC) Mean Percentage General Hospital Mean Percentage Other Mean Percentage LENGTH OF STAY Initial Consult Completed Within 1 Day of Referral Participation rate 64% Mean Percentage completed within 1 day Initial Consult Completed Within 1 Day of Hospital Admission Participation rate 51% Mean Percentage completed within 1 day Discharged Alive Participation rate 66% Admission to Consult: Mean Admission to Consult: Median Consult to Discharge: Mean Consult to Discharge: Median Overall: Mean Overall: Median Died on Palliative Care Participation rate 60% Admission to Consult: Mean Admission to Consult: Median Consult to Discharge: Mean Consult to Discharge: Median Overall: Mean Overall: Median STANDARDIZED PROCESSES Plans in Place Participation rate 81% All 4 Plans in Place Marketing Bereavement Education Quality Improvement Does program measure patient/family satisfaction? Yes No Telemedicine Yes, Audio and Video No, audio only (phone only) No, neither Team Wellness Yes, program has policies promoting team wellness No team wellness policies PAIN AND DYSPNEA Percent of patients screened for pain Participation rate 64% Mean percent Percent of patients screened for dyspnea Participation rate 56% Mean percent

4 STAFFING Staffing model Participation rate 92% Embedded, program is internal to hospital Program is partially internal with some contracted ser Program is administered by an outside contracted age Total Staff Head Count (funded, in-kind and volunteer) Participation rate 90% Mean Head Count Median Head Count Minimum Head Count Maximum Head Count Physician (DO/MD) Head Count Mean Head Count Advanced Practice Nurse (APRN) Head Count Mean Head Count Physicians Assistant Mean Head Count Registered Nurse (RN) Head Count Mean Head Count Medical Residents Head Count Mean Head Count Physician Fellows Head Count Mean Head Count Licensed Practical Nurse (LPN) Head Count Mean Head Count Psychologist Head Count Mean Head Count Psychiatrist Head Count Mean Head Count Social Worker Head Count Mean Head Count Chaplain/Spiritual Care Head Count Mean Head Count Physical/Occupational Therapist Head Count Mean Head Count Massage Therapist Head Count Mean Head Count Music/Art Therapist Count Mean Head Count Doula Head Count Mean Head Count Child Life Specialist Head Count Mean Head Count Dietician/Nutritionist Head Count Mean Head Count Pharmacist Head Count Mean Head Count Ethicist Head Count Mean Head Count Hospice Liaison Head Count Mean Head Count Medical Director (non-clinical time) Head Count Mean Head Count Administrative Support Head Count Mean Head Count Total Staff FTE (funded, in-kind and volunteer) Mean FTE Median FTE Minimum FTE Maximum FTE Physician (DO/MD) FTE Mean FTE Advanced Practice Nurse (APRN) FTE Mean FTE Physicians Assistant Mean FTE Registered Nurse (RN) FTE Mean FTE Medical Residents FTE Physician Fellows FTE Mean FTE Licensed Practical Nurse (LPN) FTE Psychologist FTE Psychiatrist FTE Social Worker FTE Mean FTE Chaplain/Spiritual Care FTE Mean FTE Physical/Occupational Therapist FTE Massage Therapist FTE Music/Art Therapist Count Doula FTE Child Life Specialist FTE Dietician/Nutritionist FTE Pharmacist FTE Mean FTE Ethicist FTE Hospice Liaison FTE Mean FTE Medical Director (non-clinical time) FTE

5 Mean FTE Administrative Support FTE Mean FTE Complete Interdisciplinary Team Participation rate 93% Physician, Nurse (APRN or RN), Social Worker, and Chaplain Program Lead Physician-led (1 FTE or more physician) Physician-led (Less than 1 FTE physician) APRN-led (No physician, at least 1 FTE APRN) APRN-led (No physician, less than 1 FTE APRN) RN-led (No physician, no APRN, at least 1 FTE RN) Workload Participation rate 79% Initial Consults per 1 FTE APRN or Physician Initial Consults per 1 FTE of Interdisciplinary Team Initial Consults per 1 FTE of all palliative care staff Palliative Care Certification Participation rate 83% Physician Advanced Practice Nurse Registered Nurse Social Worker Chaplain Palliative Care Team Meetings Participation rate 92% Weekly, everyone attends Bi-weekly, everyone attends Weekly, not everyone attends Bi-weekly, not everyone attends basis No formal meeting schedule Palliative Care Program Coverage Participation rate 94% Provides 27/7 coverage Not available 24/ STAFF RECRUITMENT Staffing Stability Participation rate 94% Stable - not recruiting or hiring Reduced staff in past two years - not currently recruiti Requesting/Recruiting additional staff FUNDING Program Funding (Mean %) Participation rate 80% Ongoing Hospital Support Mean Percentage Billing Mean Percentage Philanthropy/Foundations/Grants Mean Percentage Hospice Contracts Mean Percentage Stipends Mean Percentage Home Care Agency Mean Percentage Not Funded Mean Percentage Other Mean Percentage