Literature Review

AccentCare unveils new hospice care center in Miami-Dade County accentCare, Miami, FL; 7/10/24 AccentCare, a nationwide leader in home health, hospice and personal care services, ... announced the opening of a new inpatient hospice center in Miami. Expanding its footprint in South Florida, AccentCare’s new facility aims to address the region’s diverse population and growing need for greater access to personal and high-quality hospice care. “We are thrilled to expand our presence in the Miami area, offering compassionate and personalized hospice care for more patients and their families in Florida’s diverse communities,” said Andy Johnston, President of Hospice & Personal Care Services, AccentCare. ... AccentCare’s new 30,000-square-foot hospice center offers a range of services, including nursing care, pastoral care, medical social work, respite services, 24-hour critical home care and bereavement support for families. 

You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose. ~ Dr. Seuss, in Oh, The Places You'll Go

Targeted palliative care enhances outcomes in advanced cancer Physician's Weekly; 7/15/24 ... Excessive polypharmacy is common in patients with cancer, especially older adults. According to a 2023 study published in Cancer, up to 80% of older patients take five or more medications, and up to 40% take 10 or more. Patients who receive numerous medications as part of supportive care may be at increased risk for potentially inappropriate medications and drug-drug interactions, which could impact their QOL. The study authors emphasized the importance of meaningful screening and interventional tools to optimize the use of medications for palliative care in these patients. In a more recent study published in the Journal of Clinical Oncology, Giusti Raffaele, MD, and colleagues aimed to streamline pharmacotherapy by targeting the most impactful symptom.

Glitzy Scottsdale couple jailed in $900M fraud Gilbert Sun News; by Tom Scanlon; 7/14/24 ... According to a federal indictment, “Alexandra Gehrke and Jeffrey King were charged for targeting elderly Medicare patients, many of whom were terminally ill in hospice care, for medically unnecessary wound grafts.” Gehrke – known to friends and associates as “Lexie” – and King allegedly filed $900 million in fraudulent claims, pocketing “$330 million in illegal kickbacks as a result of their fraudulent scheme.” According to the indictment, they were responsible for “allograft” bandages being applied frivolously to hundreds of patients, many of them dying. According to Gehrke’s LinkedIn profile, “APEX Medical is a national medical device distribution company. 

Cherokee nation: Closing gap in health care disparities Native News Online; by Churck Hoskin, Jr.; 7/14/24 ... American Indians in Oklahoma die on average 17 years earlier than their non-Indigenous neighbors. While this finding is alarming, it comes as no surprise to the Cherokee Nation or to the nearly 40 other tribal nations in Oklahoma. ... Even as we continue our advocacy efforts, we cannot afford to wait for the federal government to fulfill its responsibilities. That's why the Cherokee Nation, which operates the largest Native American health care system in the country, is taking unprecedented steps to address this crisis head-on. ... [We] are confident our historic investments in health care and wellness are improving health outcomes for our Cherokee citizens. Construction continues on the Cherokee Nation’s new $400 million, 400,000-square-foot state-of-the-art hospital being built in the capital city of Tahlequah. The new hospital will include an ER, surgery, ICU, imaging, pharmacy and lab, neo-natal ICU, hospice, dietary and acute care, and many other services. 

Lewiston community honors shooting and hospice victims with butterfly release celebration CBS WGME TV13, Lewston, Maine; by Aysia Reed; 7/13/24 Hundreds of butterflies took flight in Lewiston on Saturday for the 15th annual Butterfly Release Celebration hosted by Andwell Health Partners.  Hundreds of names were read off Saturday at the Geiger Elementary School in Lewiston to honor those who have died in hospice. And this year the names of Lewiston mass shooting victims were honored too. The event is put on by Andwell Health Partners, a Maine healthcare nonprofit providing services for hospice patients and their families. Once names were read, one thousand monarch butterflies were released- a symbol of transformation and hope.Editor's Note: On October 25, 2023 in Lewiston, Maine, 18 individuals died and and 13 others were injured by a shooter at a bowling alley and restaurant.   

Palliative care training initiative launches to improve quality among incarcerated populations Hospice News; by Holly Vossel; 7/12/24 The California Department of Corrections & Rehabilitation’s Medical Facility (CMF) has launched a new palliative spiritual care training program aimed at improving services for incarcerated individuals. The new two-week spiritual training program was recently provided to palliative care service workers and volunteers to assist CMF’s clinical and nursing staff caring for patients at the facility’s hospice, correctional treatment center and memory care units. A dozen trainees recently completed the program, with CMF planning to provide an annual refresher course to all of its palliative care service workers, according to California Correctional Health Care Services CEO Joseph Garland. 

The Medicare Post-Acute Care and Hospice Provider Public Use File (PAC PUF)CMS press release; 7/10/24[This file] provides information on services provided to Medicare beneficiaries by home health agencies (HHAs), hospices, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs).  It contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels.  Additionally, the PAC PUF includes payment information at the case-mix grouping level for HHAs, SNFs, and IRFs.

Hospice CARES Act would update medical reviews, seek to reduce audits Hospice News; by Jim Parker; 7/12/24 The forthcoming Hospice Care Accountability, Reform and Enforcement (Hospice CARE) Act from U.S. Rep. Earl Blumenaur (D-Oregon), if enacted, would implement a number of changes to medical review processes. ... Though the bill language is still in development, it will likely contain proposed updates to payment mechanisms for high-acuity palliative services, changes to the per-diem payment process and actions to improve quality and combat fraud. The bill would also implement a temporary, national moratorium on the enrollment of new hospices into Medicare, to help stem the tide of fraudulent activities among recently established providers concentrated primarily in California, Arizona, Texas and Nevada. ... Among the anticipated provisions of the bill would be an item requiring the U.S. Centers for Medicare & Medicaid Services (CMS) to use documentation in a patient’s medical record as supporting material. The documentation would include the reasons that an attending physician certified a patient for hospice and establish a six-month terminal prognosis.

Hospice of North Idaho receives $30K donation Coeur d'Alene / Post Falls Press, St. Coeru D'Alene, Idaho; 7/13/24 Coldwell Banker Schneidmiller Realty recently donated $30,000 to Hospice of North Idaho to support the Schneidmiller House Inpatient Hospice Unit. The donation will help ensure the continued provision of world-class end-of-life care to the community, a press release said. "The gift of our Hospice House and our exemplary care for those we serve is actually a gift from all those in our community that support our mission as Coldwell Banker has today," said Eric Ladwig, executive director of Hospice of North Idaho. Robert Brickett, vice-president of Coldwell Banker Schneidmiller Realty, said they were honored to contribute to Hospice of North Idaho and support the exceptional care they provide. "Our company believes in giving back to the community that has supported us for so many years," he said. 

[CHAP] Understanding the Certificate of Need (CON) CHAP - From the CHAP Boardroom; by Michael Rovinsky, CHAP BoD & VP of Strategic Planning; email 7/12/24Navigating regulatory frameworks is crucial for community-based healthcare organizations looking to initiate or expand their services. The Certificate of Need (CON) stands as a pivotal regulatory tool in this endeavor, playing a significant role in the planning and delivery of healthcare services. In today’s discussion from the CHAP Boardroom, we delve into the Certificate of Need, exploring its implications and its influence on the landscape of community-based care.

Employment protection for assisted dying medics BBC, Isle of Man; by Ashlea Tracey; 7/9/24 The employment rights of healthcare staff on the Isle of Man[] who choose to be part of any potential assisted dying service will be protected under new proposed laws. Members of the House of Keys previously ensured similar rights for conscientious objectors during a previous debate on the Assisted Dying Bill 2023. The Isle of Man is a self-governing British Corwn Dependency in the Iris Sea, between Great Briatin and Ireland. 

[CMS CAHPS Hospice Survey] Agency Information Collection Activities: Submission for OMB Review; Comment Request Federal Register; A Notice by the Centers for Mediare & Medicaid Services; 7/9/24 Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: CAHPS Hospice Survevy; Use: CMS launched the development of the CAHPS Hospice Survey in 2012. Public reporting of the results on Hospice Compare started in 2018. The goal of the survey is to measure the experiences of patients and their caregivers with hospice care.