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How is the proposed benchmark for the global BFS item calculated?

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How is the proposed benchmark for the global BFS item calculated?

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The global item measures the proportion of families who say the Veteran received “excellent” care in his/her last month of life. The proposed benchmark for this item is calculated as the 20th percentile of facilities. This is the level that 80% of facilities exceed and 20% of facilities fall below. The proposed benchmark for the global item as it becomes a Performance Monitor will be applied at the VISN level. Therefore, even though 20% of facilities fall below this level (by definition), it is possible for all VISNs to exceed it.

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