Training & Resources for Hospices

Hospices receive their PEPPER via PEPPER Resources Portal at View a map of Hospice PEPPER retrievals by state.

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Current PEPPER User's Guide:

PEPPER Training Sessions

  • May 2021 Hospice PEPPER Review: This webinar reviews the PEPPER for Hospice, version Q4FY20, released in early April, 2021. It will include the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER to include the new format, and guidance for accessing the PEPPER.. Download the PowerPoint slides (PDF) or transcript (PDF) for this PEPPER review.
  • Access a complete series of PEPPER training chapters, available as “chapters” for ease of access. A review of a sample Hospice PEPPER is also available.
  • New PEPPER Format: This session reviews changes to the PEPPER for greater accessibility, cleaner presentation and improved readability. Download the PowerPoint slides (PDF) or the transcript (PDF) for this PEPPER recording.

Data Resources

  • National Target Area Analysis
  • National Top Terminal Diagnoses
  • National Live Discharges by Type
  • State Target Area Analysis
  • State Top Terminal Diagnoses
  • State Live Discharges by Type
  • Peer Group Bar Chart

Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY21 (XLSX)


  • View a list of the 4 MAC jurisdictions and the number of hospices in each jurisdiction in total and by state for PEPPER version Q4FY21 (XLSX).


  • Learn how PEPPER helps a Washington hospice (PDF) focus on patients
  • Learn how (PDF) a Kentucky Hospice uses PEPPER to monitor compliance risk areas.

Other Resources: