Hospice Quality Reporting Program - Hospice Item Set (HIS)
Guidance for updates, announcements, and resources specific to the HIS. On this page you will find direct links to the HIS, the HIS manual, fact sheets, and training materials.
About this Page
The Hospice Item Set (HIS) webpage provides information and resources specific to the HIS. On this page are the direct links to the HIS manual, and related materials.
Updates
March 2026
On October 1, 2025, the Centers for Medicare & Medicaid Services (CMS) implemented the Hospice Outcomes and Patient Evaluation (HOPE) tool, which replaced the HIS. CMS also launched the Internet Quality Improvement and Evaluation System (iQIES) functionality to submit HOPE records and access reports. The migration for submission of HOPE data into iQIES successfully occurred on October 1, 2025.
Hospices were allowed to submit corrected or late HIS records with target dates of September 30, 2025, or earlier in QIES through February 15, 2026.
The QIES Assessment Submission and Processing, or ASAP system was decommissioned and the data entry tool known as HART, has also been retired.
For all patients admitted on or after October 1, 2025, only HOPE records are accepted by CMS.
For patients discharged on or after October 1, 2025, providers will complete and submit a HOPE Discharge.
For technical questions regarding iQIES, contact the iQIES Service Center at iqies@cms.hhs.gov or by phone at: 1-877-201-4721 or 1-800-339-9313 (Monday-Friday 7:00 a.m. - 7:00 p.m. Central Time.
For more information on HOPE, please access the HOPE webpage.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 22, 2020
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.