Literature Review

Study: Hospice care provides major Medicare savings Medical Xpress; by Peter Dizikes, Massachusetts Institute of Technology; 10/24/24 Hospice care aims to provide a health care alternative for people nearing the end of life, by sparing them unwanted medical procedures and focusing on the patient's comfort. A new study co-authored by MIT scholars shows hospice also has a clear fiscal benefit: It generates substantial savings for the U.S. Medicare system. ... In recent decades, hospice care has grown substantially. That growth has been accompanied by concerns that for-profit hospice organizations, in particular, might be overly aggressive in pursuing patients. There have also been instances of fraud by organizations in the field. Yet, the study shows that the overall dynamics of hospice are the intended ones: People are indeed receiving palliative-type care, based around comfort rather than elaborate medical procedures, at less cost.Editor's note: This study limited its data to for profit hospice agencies. That said, its results cannot be miscontrued to provide any type of comparison between for profits and non profits, in that data from non profits was (apparently) not examined.

Change Healthcare cyberattack impacts 100 million people Becker's Health IT; by Naomi Diaz; 10/25/24 The Feb. 21 ransomware attack on UnitedHealth Group subsidiary Change Healthcare has impacted 100 million individuals. The number of impacted individuals was posted on the Office for Civil Rights Breach Portal, which is used for reporting breaches of unsecured protected health information under HIPAA. Previously, UnitedHealth said that the data stolen by hackers likely covered a "substantial proportion of people in America." The cyberattack crippled financial operations for hospitals, insurers, pharmacies and medical groups nationwide. In July, the organization began sending out breach notification letters to individuals affected by the attack.  

Large systems outsource home care to focus on 'core business' Becker's Hospital CFO Report; by Alan Condon; 10/25/24 A growing number of health systems are outsourcing home health and hospice operations to third-party specialists with broader geographic reach to reduce cost and administrative burdens and focus on core services. The regulatory environment for home health and hospice is complex, with stringent requirements for reimbursement, reporting and patient care standards. Partnering with an outsourced provider also helps systems mitigate the risks associated with non-compliance and operational issues. Here are four health systems that have outsourced or plan to outsource home health and hospicare care:

Lightways Hospice in Joliet dedicates street to former CEO Duane Krieger The Herald News, Joliet, IL; by Denise Unland; 10/24/24 On Tuesday [10/22], Lightways Hospice and Serious Illness Care in Joliet dedicated its drive to former CEO Duane Krieger of Shorewood on what would have been his 88th birthday. He did earlier this year, May 28, 2024. [He proudly spent his final days benefitting from his life’s work, Lightways Hospice (formerly Joliet Area Community Hospice) surrounded by his family and so many friends. ... In 1992 he joined Joliet Area Community Hospice as CEO and soon created the first in- patient hospice in Illinois. He proudly led the capital campaign that allowed JACH to move into a brand new, state of the art facility in 2004, ultimately becoming Lightways Hospice. He retired, twice, from his employment in hospice but never stopped working for its benefit.]**From Duane Krieger's obituary, as the 10/24 article is behind a paywall for most readers.

The ever-rising importance of hospital chaplains RNS; by Robert L. Klitzman; 10/24/24 Frequently, chaplains are the only hospital staff member who has time to sit and speak with patients and families. ... “My religion is watching CNN,” a feisty elderly woman with cancer recently told a hospital chaplain who had knocked on the patient’s door to introduce himself. ...  [After initial resistance, they] developed a rapport, and she described her deep loneliness and terror of dying. At the end of their conversation, she felt better, grasped the chaplain’s hand firmly and said, “Thank you!” ... In recent decades, the proportion of Americans who are “religiously unaffiliated” has risen sixfold, and the percentage of “Christian” individuals has dropped about a third. Partly as a result, chaplains have, at the same time, increasingly gained training in interfaith and nondenominational approaches, and frequently see their profession as “post-religious” — extending beyond the boundaries of any one particular faith; taking nondenominational, multifaith and humanistic approaches; and commonly receiving training in counseling. With these skills they aid patients, from evangelical to agnostic, atheist and “nothing in particular,” in resetting priorities and finding sources of connection, meaning, purpose and hope. Strongly committed to aiding vulnerable and underserved populations, chaplains remind doctors to uphold the dignity of every patient.

[In case you missed it] The HOPE Assessment Tool: What you need to know [free webinar by CHAP]Community Health Accreditation Partner (CHAP); 10/21/24 On October 16, 2024, we hosted a webinar on the upcoming implementation of the HOPE Assessment Tool, which will catalyze hospice care starting in 2025. The webinar provided valuable insights into the tool’s implementation, content highlights, and its anticipated impact on hospice program operations. During the session, participants asked numerous important questions, many of which we’ve compiled into this FAQ for further clarification. Access the recorded session and handouts if you missed it or would like to review the presentation.

Why home health providers want employees working at top of license Home Health Care News; by Audrie Martin; 10/17/24 As home health organizations fight for a margin in tough labor and payment environments, they are increasingly seeking ways to help employees practice at the top of their licenses. By applying top-of-license assignments in organizations, less complex work is handed off to the level below. This allows organizations to see more patients, bill for more services, reduce burnout and provide better care. The process helps employees feel more satisfied, and also could help with recruitment. “What we’ve got to do is improve our margins,” Pinnacle Home Care CEO Shane Donaldson recently said at Home Health Care News’ FUTURE conference. “That means we’ve got to get evaluating clinicians to do as many evaluations and assessments as possible, and we’ve got to get the non-evaluating clinicians doing the majority of straight visits.” 

Eight important financial questions to ask your aging parents LifeHacker; by Emily Long; 10/23/24Money conversations can be uncomfortable, but they are also essential. ... When you start asking financial questions of your parents, remember that you don't need specifics, such as dollar amounts or who is inheriting what. The purpose of these discussions is to ensure your parents' wishes are backed by a plan and to understand whether (and how) they want or need your support as they age. Their plan may also affect you directly if you have power of attorney, help with paying bills, or are expected to be a caregiver in the future.

SSM Health at Home joins Wisconsin Hospice & Palliative Care Collaborative Hospice News; by Jim Parker; 10/22/24 The home health and hospice provider SSM Health at Home has joined the Wisconsin Hospice & Palliative Care Collaborative (WHPCC). SSM Health at Home is part of the SSM Health System. Headquartered in Missouri, the system also services patients in Illinois, Wisconsin and Oklahoma. WHPCC was incorporated as a 501c3 organization in 2021. The collaborative includes members Agrace, Rainbow Hospice Care, Unity Hospice, Adoray Home Health & Hospice, Hospice Alliance and Sharon S. Richardson Community Hospice. Their combined geographic footprint covers 80% of the state.

America’s longest-serving sheriff enters hospice at age 92 Georgia Sun; by Thom Chandler; 10/17/24 Cullen Talton, Houston County Sheriff for nearly 52 years, has entered hospice care, marking the end of an era in Georgia law enforcement. Talton, 92, is the longest-serving sheriff in the United States, and his health decline was announced at the Georgia Sheriff’s Association’s annual luncheon.

Law Offices of Robert E. Brown, P.C. files lawsuit in high-profile home care attendant neglect case involving alleged violent assault on elderly hospice patient Chicago News; 10/22/24 The Law Offices of Robert E. Brown, a leading legal advocate in home care neglect cases, has filed a lawsuit against three Visiting Nurse Service entities and individual defendant Joy Odunze-Matthew, following the violent assault of Carolyn Albanese, a terminally ill hospice patient under their care. The complaint, filed in the Supreme Court of the State of New York, Richmond County, details the disturbing events surrounding the case of Ms. Carolyn Albanese, who was brutally attacked by her home care attendant, Joy Odunze-Matthew, on multiple occasions with a weapon. The most recent attack, which occurred on September 10, 2024, was captured on video and involved the defendant striking the elderly patient with a weapon, leaving Ms. Albanese who was trapped with this home care attendant, with severe physical injuries and mental anguish. Editor's note: This terribly disturbing incident is different from the story we posted yesterday, Home health care aide charged with manslaughter in death of elderly central Florida man. For related posts in today's issue, see De-Escalating angry people: A critical safety skill in education and healthcare. 

Nonprofit endeavors to facilitate food justice Towne Post Network; by Julie Yate; 10/17/24 Bringing Justice Home [in Louisville, KY] is a nonprofit organization committed to alleviating hunger caused by food insecurity for those facing disabilities and chronic or serious illnesses. Now in its fourth year, the completely volunteer-run initiative seeks to facilitate food justice by delivering groceries and household supplies to health-compromised families and individuals who fall below the poverty line. Equally important is the relationship building that occurs as resources are shared and volunteers open their hearts to bringing justice closer to home. ... “Bringing Justice Home is a new kind of neighborhood that goes beyond zip codes, race, disabilities, health labels or status,” says Constance Merritt, who co-founded the organization along with her wife, Maria Accardi. Merritt is a published writer and a licensed social worker with a master’s degree from the University of Louisville. She has worked with older adults in low-income senior housing, patients and families in hospital palliative care, and individuals receiving HIV and AIDS services.