Hi everyone! I think I am still confused on whether this is a relative number as compared with other hospices, or whether this is based on your total patient days. It seems that if it is not based on days, all large hospices would likely score higher than smaller hospices. That was a great article you sent. Thank you!
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Olivia Rogers, RN, BSN, CHPN, MBA
The Visiting Nurse Association of Texas
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Original Message:
Sent: 06-16-2026 11:36 AM
From: Anonymous Member
Subject: SSVI tool for Hospice
This message was posted by a user wishing to remain anonymous
Hi Melinda,
The sources I have seen online state that the 0-8 scoring is based on "Total Non-Hospice Spending" - which does not include any division by number of hospice days.
CMS defines this as
Total Non-Hospice Spending: The sum of non-hospice spending (e.g., apportioned
claim payments for non-hospice claims that occur during a beneficiary's hospice
election) associated with beneficiaries receiving services from a particular hospice.
Below is one resource explaining the calculation
Decoding Your SSVI Score, Part 1: Non-Hospice Spending | Hospice Engine

Original Message:
Sent: 06-08-2026 08:56 AM
From: Melinda Gaboury
Subject: SSVI tool for Hospice
Calculation: The Sum of Non-Hospice Spending (dollars billed by outside entities during a hospice election) is divided by the Total Number of Hospice Days provided by the agency during that fiscal year.
it takes size into account in dividing the total spend by the number of hospice days.
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Melinda Gaboury
Healthcare Provider Solutions, Inc.
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