Advance directives in home health and hospice agencies: United states, 2007

Helaine E. Resnick, Susan E. Hickman, Gregory L. Foster

Research output: Contribution to journalArticle

4 Scopus citations


This report provides nationally representative data on policies, storage, and implementation of advance directives (ADs) in home health and hospice (HHH) agencies in the United States using the National Home and Hospice Care Survey. Federally mandated ADs policies were followed in >93% of all agencies. Nearly all agencies stored ADs in a file at the agency, but only half stored them at the patient's residence. Nearly all agencies informed staff about the AD, but only 77% and 72% of home health agencies informed the attending physician and next-of-kin, respectively. Home health and hospice agencies are nearly universally compliant with ADs policies that are required in order to receive Medicare and Medicaid payments, but have much lower rates of adoption of ADs policies beyond federally mandated minimums.

Original languageEnglish (US)
Pages (from-to)467-474
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number7
StatePublished - Nov 1 2011
Externally publishedYes


  • advance care planning
  • advance directives
  • end of life
  • home care
  • hospice
  • survey

ASJC Scopus subject areas

  • Medicine(all)

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