Literature Review
Making your Customer Experience [CX] investment strategy work
08/13/24 at 02:00 AMMaking your Customer Experience [CX] investment strategy work CMSWire [not to be confused with CMS=Centers for Medicare & Medicaid Services]; by Jeb Dasteel, Amir Hartman, Brian P. O'Neill and Marc Madigan; 8/12/24 Uncover the key elements of a successful customer experience strategy, from capability planning to aligning with core business objectives. ... Investing in a customer experience strategy is fraught with complications and feelings. Most of us in the world of CX are here because we believe that thoughtful CX spending will make an impact on the performance of our company.Editor's Note: This article is written for a much larger scope than our hospice and palliative readership. However, it highlights the importance of tying "customers' experiences" to the company/organization's core goals and business objectives. The Centers for Medicare & Medicaid Services' CAHPS Hospice Compare Scores [not to be confused with this CMSWire source] reflect the hospice "customer experience," from the perspective of the bereaved caregiver. While the CMS Hospice Compare site sorts these public information scores alphabetically (per location and organization), our newsletter's sponsor Hospice Analytics' National Hospice Locator sorts this same data by the highest scores, for the purpose of helping the public "consumer" find the hospice that will provide them with the best "customer experience."
WellSky CEO Bill Miller: Exercise caution, responsibility with AI in hospice
08/13/24 at 02:00 AMWellSky CEO Bill Miller: Exercise caution, responsibility with AI in hospice Hospice News; by Jim Parker; 8/12/24 Many expect AI to revolutionize health care, speeding access to care, improving diagnosis and prognosis, enhancing efficiency and achieving other benefits. However, providers need to see through the hype and ask the hard questions. This is according to Bill Miller, CEO of the health care tech company WellSky. ... Hospice News sat down with Miller to discuss current perspectives on AI, its potential benefits and possible risks. [Miller:] "... we’re exercising responsibility and caution when we start thinking about AI jumping into the diagnosis game, or somehow replacing the caregiver. We think of it more of how you could enhance the caregiver, keep the human in the loop. If we can help caregivers arrive at better outcomes for their patients by using AI tools and assisting them, then we’ll do that."
Fearless hospice patient takes joyride
08/12/24 at 03:00 AMFearless hospice patient takes joyrideWest Valley View (AZ); by Lin Sue Flood; 8/7/24Don Tamuty, a beloved former Madison Unified School District teacher, had one thing left on his bucket list. The 95-year-old shared with his hospice nurse, Monisha Roe, that he would love to ride in a driverless car. Monisha and the rest of Don’s Hospice of the Valley care team knew exactly how to fulfill that wish! They booked a driverless cruise on Waymo One to take Don out to a nice restaurant.
Beyond a project management office: Why transformation offices are the future
08/12/24 at 03:00 AMBeyond a project management office: Why transformation offices are the futureHuman Resource Executive; by Riley Smith, Maura Koehler-Hanlon; 8/6/24Very few transformations deliver on their goals. Over the past decade, project management offices (PMOs) and change management offices (CMOs) have been able to reduce the percentage of transformations that fail from 38% in 2013 to 13% in 2023, according to research by Bain. What a transformation office does:
New England hospital CEOs warn lawmakers of crisis in rural health care system
08/12/24 at 03:00 AMNew England hospital CEOs warn lawmakers of crisis in rural health care systemMainebiz; by Laurie Schreiber; 8/8/24MaineHealth’s CEO was one of three in the Northeast who recently told federal lawmakers that rural health care systems are in crisis. “As a family physician by training, it has been difficult to watch our rural communities struggle to maintain access to high-quality care for their residents,” said Dr. Andrew Mueller. “Our proposals align with, and support, our MaineHealth vision of ‘working together so our communities are the healthiest in America.’”
The top priorities for healthcare CEOs
08/12/24 at 03:00 AMThe top priorities for healthcare CEOsModern Healthcare; 8/9/24What's the top priority in the second half? What's the biggest challenge? ... Modern Healthcare reporters posed those two questions to CEOs in all corners of the industry to see where healthcare is headed in the coming months. [Selected responses from 13 CEOs include:]
Rescue from above: How drones may narrow emergency response times
08/12/24 at 03:00 AMRescue from above: How drones may narrow emergency response timesKFF Health News; by Michelle Andrews; 7/22/24Starting in September, if someone in Clemmons, North Carolina, calls 911 to report a cardiac arrest, the first responder on the scene may be a drone carrying an automated external defibrillator, or AED. “The idea is for the drone to get there several minutes before first responders,” such as an emergency medical technician or an ambulance, said Daniel Crews, a spokesperson for the sheriff’s office in Forsyth County, where Clemmons is located. The sheriff’s office is partnering on the project with local emergency services, the Clinical Research Institute at Duke University, and the drone consulting firm Hovecon. “The ultimate goal is to save lives and improve life expectancy for someone experiencing a cardiac episode,” Crews said.Publisher's note: As with all things tech, when and how might drones be used in hospice?
Today's Encouragement
08/12/24 at 03:00 AMTime zones were created for people much smarter than me…
Home Instead Totton launches expedited home care service to meet growing needs
08/12/24 at 03:00 AMHome Instead Totton launches expedited home care service to meet growing needsKMLK (AR) press release; 8/7/24Home Instead Totton has announced the launch of its new expedited home care service... This new service aims to cut down waiting times, helping clients get the care and support they need quickly and efficiently. The service is designed to meet various needs of the local community, offering a wide range of home care options. These include home visits, specialised care, health care, and live-in care. Each service is designed to address specific client needs, from daily activities to complex health conditions.Publisher's note: Is there need / opportunity for "expedited" hospice care?
Why more than 30% of rural hospitals are at risk of closure
08/12/24 at 03:00 AMWhy more than 30% of rural hospitals are at risk of closureMedCityNews; by Katie Adams; 8/8/24More than 700 hospitals across the rural U.S. are at risk of closing due to their financial woes — and for more than half of these hospitals, the risk of closure is immediate, according to a new report. The report argued this is due largely to inadequate reimbursement from health plans. More than 700 hospitals across the rural U.S. are at risk of closing due to their financial instability — that’s over 30% of the country’s rural hospitals. And for more than half of these 700 hospitals, the risk of closure is immediate, according to a new report from the Center for Healthcare Quality and Payment Reform (CHQPR).Publisher's note: The CHQPR report linked above is very interesting, including a table listing states with the most hospitals at immediate risk of closing - the top 5 states are Kansas, Texas, Oklahoma, Mississippi, and Alabama.
Butte hospice workers help patients focus on living
08/12/24 at 03:00 AMButte hospice workers help patients focus on livingKBZK7 (MT); by Meagan Thompson; 8/7/24Hospice care is generally seen as a last resort for the end of life but for Bonnie Dwyer and her husband John, the hospice care she has been receiving has provided reassurance and even joy... Leighann McCauley, the director of nursing at Honeybee Hospice was on call the weekend Bonnie’s condition became severe. Thanks to some quick thinking and creativity, McCauley and her team addressed the wound and her continuing care with the Honeybee staff has made a difference in her life.
Value-Based Insurance Design Model: Hospice Benefit Component
08/12/24 at 03:00 AMValue-Based Insurance Design Model: Hospice Benefit ComponentCMS email; 8/9/24Calendar Year (CY) 2024 Technical and Operational Guidance on the Conclusion of the Hospice Benefit Component. The guidance covers CMS’s requirements and expectations for the remainder of the Hospice Benefit Component’s operations through Calendar Year (CY) 2024 along with requirements and expectations for operations on and after January 1, 2025. This document covers the following topics:
COVID-19 falls to No. 10 cause of death in US
08/12/24 at 03:00 AMCOVID-19 falls to No. 10 cause of death in USAP; 8/9/24U.S. death rates fell last year for all age groups compared with 2022, federal health officials said Thursday. Here’s what the Centers for Disease Control and Prevention data showed:
Hospice chaplain accused of sexually assaulting woman at Sacramento County care facility
08/12/24 at 03:00 AMHospice chaplain accused of sexually assaulting woman at Sacramento County care facilityKCRA (Sacramento, CA); by Lindsay Weber; 8/8/24A Placer County man was arrested on Thursday, accused of sexually assaulting a woman in a care facility he worked for as a hospice chaplain, the Sacramento County Sheriff's Office said. The sheriff's office said Arthur Apgar was arrested for four counts of sexual battery against a person who is seriously disabled or medically incapacitated. Apgar worked for a private company that contracts with hospice facilities, officials said. The assault happened within the past week and was captured on surveillance video.
Violent dementia patients leave nursing home staffers and residents ‘scared to death’
08/12/24 at 03:00 AMViolent dementia patients leave nursing home staffers and residents ‘scared to death’KFF Health News; by Jordan Rau; 8/9/24Violent altercations between residents in long-term care facilities are alarmingly common. Across the country, residents in nursing homes or assisted living centers have been killed by other residents who weaponized a bedrail, shoved pillow stuffing into a person’s mouth, or removed an oxygen mask. A recent study in JAMA Network Open of 14 New York assisted living homes found that, within one month, 15% of residents experienced verbal, physical, or sexual resident-on-resident aggression. Another study found nearly 8% of assisted living residents engaged in physical aggression or abuse toward residents or staff members within one month. Dementia residents are especially likely to be involved in altercations because the disease damages the parts of the brain affecting memory, language, reasoning, and social behavior.
Palliative care is important in managing cardiovascular disease
08/12/24 at 03:00 AMPalliative care is important in managing cardiovascular diseaseNJToday; 8/8/24Implementing patient-centered palliative care therapies, including prescribing, adjusting or discontinuing medications as needed, may help control symptoms and improve quality of life for people with heart disease, according to “Palliative Pharmacotherapy for Cardiovascular Disease,” a new scientific statement from the American Heart Association, published in the journal, Circulation: Cardiovascular Quality and Outcomes.
Hospices face ‘hard roads’ in budgeting for sustainable growth
08/12/24 at 02:00 AMHospices face ‘hard roads’ in budgeting for sustainable growthHospice News; by Holly Vossel; 8/9/24Hospice budgeting practices hinge on several factors, according to Matt Chadwick, CFO of Well Care Health. Building a sustainable financial structure for end-of-life care delivery can be a challenging feat when navigating the impacts of patient care and staffing needs, referral streams, operational expenses, billing claim cycles and compliance factors, Chadwick said... Quality and compliance are also important pieces of a hospices’ budget and growth potential as providers experience. Case in point, hospices that fail to comply with new quality reporting requirements set forth in the 2025 payment rule face a 4% penalty... “The budget should not just be solely 100% of the financial person’s responsibility,” Rachael Feeback, revenue cycle senior product manager of home and hospice at MatrixCare by ResMed, said. “It should be a conversation with the clinical side, the operational side, so that you’re understanding your different measurements for hospice and how that translates to the budget and not solely focused on the pure dollars behind it.”
Becoming time rich with physician moms: Sarah Wittry and Nicole Perrotte
08/11/24 at 03:55 AMBecoming time rich with physician moms: Sarah Wittry and Nicole Perrotte MarketScale - Ripple of Change; by Todd Otten; 7/30/24 In today’s high-stress healthcare environment, physician mothers face the formidable challenge of balancing demanding careers with their personal lives. The conversation on work-life balance is more relevant than ever, with more women in medicine seeking ways to manage these dual responsibilities effectively. How can physician moms navigate this landscape to reclaim time for themselves without guilt? What strategies can physician moms employ to achieve a healthier work-life balance? This pressing question lies at the heart of today’s discussion on the Ripple of Change podcast. ... Key points of discussion:
Florida Blue boosts local bereavement support with donation
08/11/24 at 03:50 AMFlorida Blue boosts local bereavement support with donationAvow Hospice press release; 7/18/24In May 2024, Florida Blue Foundation announced a $20,000 grant in support of Avow’s bereavement programs, which are available at no cost to individuals of all ages. With this grant, Avow is able to pursue its mission of providing compassionate care through life’s hardest transitions. Florida Blue awarded this grant on the basis of promoting mental well-being for all individuals, one of the foundation’s strategic pillars, as grief counseling is essential for maintaining and advancing the mental well-being of individuals and families.
How the Hospice CARE Act could change respite services
08/11/24 at 03:45 AMHow the Hospice CARE Act could change respite services Hospice News; by Jim Parker; 8/1/24 The Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act, if enacted, would make changes to the ways hospices provide respite care. Rep. Earl Blumenauer (D-Oregon) is in the process of drafting the bill that would represent the most significant reforms to date for hospice payment and oversight. The legislation is currently in a discussion draft phase, which has been circulated among the nation’s major industry trade associations and their members for feedback. ... “There’s evidence that people who take advantage of hospice care delivered properly, actually have a higher quality of life. Oftentimes, they live longer,” Blumenauer said at Elevate. “This is an opportunity to do something in this Congress that is concrete, specific, that will save money and improve the quality of care for some of our most vulnerable people.”
National plan on aging ‘essential’ to addressing key issues: AARP
08/11/24 at 03:40 AMNational plan on aging ‘essential’ to addressing key issues: AARPMcKnight's Senior Living; by Kimberly Bonvissuto; 7/18/24Aging, itself, isn’t a challenge - but being unprepared for aging is, according to AARP, which on Wednesday released a white paper that lays out a blueprint for developing a national plan on aging. The paper marks the launch of the organization’s Aging Well in America Initiative, for which the AARP took best practices from federal, state and local initiatives to create a blueprint for the development of a “robust” national plan to foster the well-being, quality of life and dignity of older Americans.
Avow Kids receives transformational gift from Naples Children & Education Foundation
08/11/24 at 03:35 AMAvow Kids receives transformational gift from Naples Children & Education FoundationAvow Hospice press release; 7/23/24Avow Foundation has received a generous grant of $115,000 from the Naples Children & Education Foundation (NCEF), the founding organization of the Naples Winter Wine Festival. The grant is specifically intended for Avow Kids, a program for children ages 5 - 17 that provides support and companionship to youth experiencing any type of grief. The grant will support Avow Kids’ various services, such as individual counseling, support groups, workshops, camps, music therapy, movie nights, and more.
Empath Health, American Health Plans launch ISNP joint venture
08/11/24 at 03:30 AMEmpath Health, American Health Plans launch ISNP joint ventureHospice News; by Jim Parker; 8/6/24The nonprofit senior care provider Empath Health is partnering with the Medicare Advantage organization American Health Plans (AHP), a division of American Health Partners to serve patients who are enrolled in Institutional Special Needs Plans (ISNP). ISNPs are Medicare Advantage plans that are designed to serve beneficiaries who live in skilled nursing facilities. Through the Empath partnership, members of AHP’s American Health Advantage of Florida ISNP will receive interdisciplinary services from TruHealth of Florida, the clinical arm of the ISNP. TruHealth is a newly established joint venture between AHP and Empath. Patients will also have access to Empath Health’s “full-life care” model.Notable mentions: Jonathan Fleece, Empath Health CEO.
Home health sees spending, utilization decline as hospice equivalents grow, MedPAC reports
08/11/24 at 03:25 AMHome health sees spending, utilization decline as hospice equivalents grow, MedPAC reportsMcKnight's Home Care; by Adam Healy; 7/19/24Though hospice spending and utilization appear to be on the rise, Medicare spending on home health has fallen amid declining utilization in recent years, according to a new report by the Medicare Payment Advisory Commission. In 2022, the year of the most recent available data, Medicare home health spending shrank to $16.4 billion. That compares to $17 billion the year prior, the report found. Meanwhile, the number of home health users declined by 6.3% from 2021, and the overall share of Medicare beneficiaries that use home health shrank by 3% from the year prior. The total number of in-person home health visits decreased by 9.6% year-over-year in 2022... Meanwhile, the hospice industry has experienced both reimbursement and utilization gains in recent years, MedPAC reported. Medicare hospice payments rose 2.7% year-over-year in 2022, while the number of beneficiaries using hospice services ticked up by 0.4%. These patients are also receiving more care; the total number of hospice days provided to beneficiaries increased by 2% in 2022.
Executive Personnel Changes - 8/2/24
08/11/24 at 03:20 AMExecutive Personnel Changes - 8/2/24