Literature Review

Challenges and coping strategies in transitioning from caregiving to widowhood: A systematic reviewResearch in Aging; by Abby Baumbach, M Courtney Hughes, Yujun Liu; 5/24Ninety-one percent of surviving spouses in the U.S. cared for their spouses before they died. This review explores the challenges of the transition from caregiving to widowhood and different coping strategies used by widowed spousal caregivers... Challenges for widowed caregivers included experiencing care burden, letting go of the caregiver role, grief, and triggers. Widowed caregivers' coping strategies included social support and services use, filling the time gap, finding spirituality, and engaging in unhealthy behaviors. Future research is needed to determine the efficacy of widowed caregivers' coping strategies.

The ISNP opportunity for hospice providers  Hospice News; by Jim Parker; 12/5/24 Hospice providers can collaborate with institutional special needs Medicare Advantage plans (ISNP) to reach patients who reside in long-term care facilities. ISNPs restrict enrollment to MA eligible individuals who, for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC), skilled nursing facility, a LTC nursing facility, intermediate care facility for individuals with intellectual disabilities (ICF/IDD), or an inpatient psychiatric facility. The nonprofit senior services organization Empath Health, which operates several hospices, recently partnered with the MA organization American Health Plans to bring their services to ISNP-enrolled patients.

PIH Health hospitals targeted in ransomware attack CBS News KCAL, Los Angeles, CA; by Laurie Perez and Dean Fioresi; 12/4/24 PIH Health was targeted in a ransomware attack, forcing officials to completely shut their network offline and leaving millions in the dark when it comes to healthcare. ... Officials say that they were targeted on Sunday by a "criminal act" that "compromised their network." In turn, network services were turned off at their hospitals in Downey, Whittier and downtown LA. ... "Meeting the healthcare needs of our communities remains our highest priority," said a statement from PIH Health. "We continue to provide care during our downtime procedures at all of our facilities, including all three hospitals, medical offices, home health, hospice, outpatient imaging and laboratory."

Non-profits join forces to help homeless in Texoma TexomasHomepage.com, Wichita Falls, TX; by Mariana Vela LEon; 12/4/24 This holiday season, you can give warmth as a gift to someone in need in Texoma. If you have extra winter clothing that you need to get rid of, consider donating it to two non-profits that make a difference in the lives of the less fortunate. Homeless Lives Matter and Complete TX Hospice Care are joining forces to help those who may be struggling to keep warm during the cold winter season. ... Editor's note: This simple, meaningful community outreach can make a significant difference. How might you replicate this--with fast turnaround--at your organization? Perhaps a drive among your employees and volunteers? Read this article for more of their logistics.

5 principles of servant leadership Forbes; by Nancy Padberg; 12/3/24 Servant leadership isn’t just a philosophy; it’s a choice that redefines what leadership should feel like. It’s about prioritizing your associates first. Servant leadership shifts the focus from the traditional leadership model—where the leader’s primary goal is to accumulate power and control—to one where the leader prioritizes the needs of their team, community and organization. This approach builds a healthy workplace culture through collaboration, trust and empowerment. Here are some ways you can embody the principles of servant leadership to improve your company culture from the top down.

Aging and unhoused: What end-of-life care looks like Next Avenue; by Terry Ann Donner; 12/2/24 Karen Robyn is a 62-year-old homeless woman on disability; ... she fears dying alone on the streets or in a hospital hooked up to machines she doesn't want to use. ... For the 138,098 people aged 55 and older experiencing homelessness and 5 million older adults living below the poverty level, dying alone and unhoused is a real concern.  ... However, a viable solution has been quietly growing in communities across the country. Small nonprofit community homes provide hope for terminally ill people who do not have a reliable caregiver or a stable living environment. These small homes, usually caring for up to 4 to 10 guests at a time, provide "family" caregivers and a safe place to receive end-of-life care. They are developing outside of the health care system and receive no federal or state funding. Kelley Scott, executive director of the Omega Home Network and Clarehouse in Tulsa, Oklahoma, explains that the network's mission is to "foster the development of nonprofit community homes for people who are dying and have no caregiver support" due to a lack of family, homelessness or family dysfunction. The network has 135 members with 55 homes providing care and another 70 to 80 homes in development.

New alliance steps up as voice for providers & patients HomeCare; by Hannah Wolfson; 12/3/24 Stopping Medicare cuts, ensuring Medicare Advantage beneficiaries have good access to care, passing groundbreaking hospice legislation and bringing homecare into the forefront are all priorities for the newly-formed National Alliance for Care at Home, said CEO Steve Landers. “We’ve got to start improving access to home health care, and the way that we do that is we end this march of payment cuts that are being set forward by Medicare,” Landers said at the Alliance’s Homecare and Hospice Conference and Expo, which was held in October in Tampa, Florida. ... The alliance has automatically enrolled members of both legacy organizations, but Landers said that for renewals or new members, participants will be required to sign an attestation that says they have a program in place for quality and compliance, that they monitor the Office of Inspector General’s expulsion list and don’t take referrals or staff from organizations on that list and that they strive to participate in Medicare’s quality reporting programs.

UnitedHealthcare CEO's slaying adds tragic twist to parent company's tumultuous year CBS News WCCO, Minneapolis, MN; by Beret Leone, Stephen Swanson; 12/5/24 Minnesota-based UnitedHealthcare Group Inc. has faced a firestorm of controversy this year. And as investigators search for a motive in the slaying of Brian Thompson, CEO of its insurance arm, they aren't counting anything out. Between a software attack, protests, lawsuits and layoffs by one of its subsidiaries, Thompson's killing adds a tragic end to a troubled year for the company. [Click on the title's link to continue reading.]

National Alliance for Care at Home welcomes Sherl Brand as new COO The National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 12/5/24 The National Alliance for Care at Home (the Alliance) is proud to announce the addition of a proven leader, Sherl Brand, RN, BSN, who will be joining the Alliance as its first Chief Operating Officer (COO), effective the middle of January 2025. Sherl Brand comes to the Alliance with a wealth of experience spanning over three decades in nursing, association management, and health care management. Prior to joining the Alliance, Sherl has been serving as Senior Vice President for Hospice Care at VNS Health. Before that, Sherl held senior positions at CareCentrix and VNA Health Group. Sherl served as chair of the Forum of State Associations for almost four years, and as President and CEO of Home Care Association of New Jersey for seven years. She served on the Board of Directors of the National Association for Home Care & Hospice and the Home Care 100 Advisory Board. “Sherl’s leadership experience and history of successful management of trade associations and home care and hospice organizations make her a perfect fit for the Alliance,” said Alliance CEO Dr. Steven Landers. “I am honored, and deeply grateful, for the opportunity to serve as the Chief Operating Officer of the National Alliance for Care at Home,” said Sherl.

Bloom Healthcare CEO: Integrating palliative care into every decision Hospice News; by Jim Parker; 12/3/24 The house call provider Bloom Healthcare has leveraged its integrated palliative-primary care model to achieve substantial reductions in hospitalizations and health care costs. The U.S. Centers for Medicare & Medicaid Services recently recognized Bloom as a top performing High-Needs Accountable Care Organization under the agency’s Realizing Equity, Access and Community Health (ACO REACH) model. Through its ACO REACH program, Bloom reduced unplanned hospital readmissions by 25% and realized a gross cost savings rate of 24.6%. The company’s patients averaged 326.7 days at home during  2023. Bloom Healthcare cares for about 10,000 high-needs patients with a comprehensive primary care and care management model that incorporates palliative care. The company currently operates in Colorado and Texas. ... Palliative Care News sat down with Bloom CEO Dr. Thomas Lally to discuss the strategies the company used to garner these results and how palliative care factored in. [Click on the title's link to continue reading.]

Key differences between palliative and hospice care in California Psychology Today; by Bob Uslander, MD; 12/3/24 ... Key Difference Between Palliative and Hospice Care in California: Whether you’re looking for support early in an illness or need end-of-life care, Californians have resources available to help. California also has some unique programs and resources, such as palliative care programs for people covered by Medi-Cal, California’s Medicaid program. Additionally, California has strict laws to protect patients’ rights, ensuring that people are fully informed about your care options and can make choices that align with your personal values and cultural beliefs. Below are some of the key differences highlighted to help you make the best choice possible for you and your family when the time comes. [Click on the title's link for more information.]Editor's note: Through recent years, too many hospice agencies have eliminated references to end-of-life care, a life-expectancy of six months or less, and references to dying, death, or grief. Various fraud and abuse cases have described that persons/caregivers did not even realize they had signed up for "hospice" care. Ethically, this is untenable. Key differences between palliative and hospice care--with applications to the person--are significant.

TCMH Hospice of Care auction breaks all-time record, raising over $38,000 Houston Herald, Houston, TX; by Helenia Wulff, TCMH; 12/3/24, updated 12/4/24 The TCMH Healthcare Foundation announced that the 2024 Hospice of Care online auction broke an all-time record, raising $38,053.21 in money and donated items. The funds will directly benefit the TCMH Hospice of Care program, which provides compassionate end-of-life care to patients and their families in the Texas County area. “We are beyond thrilled with the outcome of this year’s auction,” said Jeff Gettys, president of the TCMH Healthcare Foundation. “The incredible generosity of our donors and bidders demonstrates how much this community cares about supporting local hospice services. Every dollar raised will make a meaningful difference in providing comfort and dignity to patients and their loved ones.” Editor's note: TCMH stands for Texas County Memorial Hospice. Access to the full article might require registration.

Creach Family Holdings announces acquisition of HealthRev Partners EIN Presswire, Stuart, FL; by Careficient, Inc.; 12/3/24 Creach Family Holdings announces acquisition of HealthRev Partners Expanding Healthcare Technology Solutions for Home Health and Hospice Providers. Creach Family Holdings, a privately held investment firm focused on healthcare technology and tech-enabled services, announces the acquisition of HealthRev Partners, a provider of technology-driven revenue cycle management (RCM) solutions serving the home health and hospice market. This acquisition complements Creach Family Holdings’ portfolio, including Careficient, a leading electronic medical record (EMR) provider for home health and hospice agencies. By combining HealthRev Partners’ RCM expertise with Careficient’s EMR platform, Creach Family Holdings aims to provide an integrated suite of solutions that streamline operations, optimize revenue cycles, and improve patient care.