Literature Review

Gilchrist’s commitment: Bridging the gap in hospice care for minority communities Afro News - The Black Media Authority; 11/11/24 Equitable access to hospice care remains a critical issue, particularly in minority communities where disparities persist. Black Americans, for instance, continue to be underrepresented in hospice and palliative care services despite ongoing efforts to bridge the gap. Gilchrist, a trusted provider of end-of-life care for more than 30 years, is committed to addressing this inequity head-on. ... Veterans also face disparities in hospice care, especially African American veterans, who make up 12.4% of the veteran population, ... At the heart of Gilchrist’s commitment to serving Black communities in Baltimore lies the William L. and Victorine Q. Adams Gilchrist Center Baltimore. Named after two African American pillars of the local community, this state-of-the-art facility at Stadium Place on East 33rd Street serves as a beacon of hope for residents of Baltimore City and their families.

Educating patients and clinicians on end-of-life care and discussions CancerNetwork - home of the journal Oncology; by Kelley A. Rone, DNP, RN, AGNP-c CancerNetwork® sat down with Kelley A. Rone, DNP, RN, AGNP-c, to discuss the importance of speaking compassionately and ensuring patient awareness when leading end-of-life discussions among those with gastrointestinal (GI) cancers. The discussion also focused on combating burnout in the clinic, using opioids to help manage pain and other symptoms, and educating all members of a multidisciplinary team on initiating end-of-life conversations with their patients. ... As part of leading these end-of-life conversations, Rone emphasized the necessity of addressing the discomfort patients tend to feel when talking about the fact that they may die from their cancer. ... When working with other members of a multidisciplinary care team, Rone illustrated the challenge of having physicians understand that their treatments may fail in younger patients and helping other oncologists become more experienced in speaking about death with patients. ...

With the rise of AI, is a Chief Automation Officer necessary? HR Daily Advisor Newsletter - Technology; by Lou Bachenheimer; 11/11/24 In the age of digital transformation and advanced technology like AI, automation is a critical element for organizations to stay competitive. That’s why many C-suites are considering incorporating a Chief Automation Officer (CAO) into the fabric of their organization to provide senior executive oversight of automation initiatives. But is a whole new role in the c-suite needed and necessary to successfully implement AI and automation into your organization? ... Instead of pouring new resources and energy into new roles that are created off the back of hype, what is needed is executive sponsorship and leadership of advanced automation programs at the highest and most influential levels, underpinned by the appropriate business knowledge and network to be able to drive real change.

Homecare owner allegedly withholds $86k in wages HomeCare, Indianapolis, IN; 11/11/24 The U.S. Department of Labor (DOL) has alleged that home health care company owner Hahn March violated federal wage laws and withheld $86,000 in wages by using improper pay practices at her two Indianapolis, Indiana, companies: Signal Health Group Inc. and SHG Employee Leasing Company. In 2018, federal investigators cited March for not paying overtime wages to employees at her then-owned company, Aging and Disabled Home Healthcare. ... The complaint was filed following an investigation by the DOL Wage and Hour Division, which discovered March and Nancy Stanley, the chief financial officer of both companies, used an artificial regular rate pay scheme to lower hourly pay rates and, in turn, shortchanged employees $86,427 in overtime wages. ... The DOL is seeking $172,854—including $86,427 in back wages and an equal amount in liquated damages—for 43 current and former employees. ... “Employees who work in home health care—one of our nation’s lowest-paying professions—provide necessary daily and hospice care that allow individuals to remain in their homes and aid them in navigating their basic needs, providing dignity and comfort to clients and their families,” said Aaron Loomis, Wage and Hour Division district director.

Veterans guest house to open a hospice home: Serving veterans through their final journey ABC 8 KOLO, Reno, Nevada; by Rebecca Kitchen; 11/11/24 For the last 30 years, the Veterans Guest House has made a commitment to serve veterans and their families as they seek medical care in our area. And over those 30 years, the need has grown tremendously. In fact, the Guest House has regularly been at capacity this year. To accommodate the increased need, the Veterans Guest House has also expanded on the services it offers. ... Every day, veterans and their families are confronted with end-of-life decisions. Some, have the resources to live out those days in comfort. But others face those last moments with uncertainty. “So, our solution is providing a home so they can get the hospice care and the 24-hour care that they need when they can’t get that where they live,” said Froslie. The current home and mission remain the same. This is a second home that will offer a cost-free, private residence for veterans in their final days. It is not a medical facility. Veterans will enroll with a hospice provider of their choice, who will oversee their medical needs. 

New Day Healthcare acquires Intrepid USA’s Missouri, Texas hospice assets Hospice News; by Holly Vossel; 11/11/24 Texas-based New Day Healthcare LLC on Monday announced its acquisition of Intrepid USA’s hospice operations in Missouri and in its home state. The transaction expands the home-based service provider’s existing presence in those markets. The deal includes Intrepid’s hospice assets in Joplin and Springfield, Missouri, as well as its locations in Beaumont, Texas. New Day Healthcare has additional strategic growth plans in store once the acquisition completes, with more deals on the near horizon in coming months according to CEO and Founder G. Scott Herman.

Veterans and Alzheimer's: 6 lifestyle tips for staving off the disease NOLA.com, New Orleans, Louisiana; by Dana Territo; 11/11/24 Are veterans more prone to Alzheimer’s disease? According to the U.S. Department of Veterans Affairs, veterans are more likely to develop Alzheimer's disease and other dementias than the general public, and the number of veterans with Alzheimer's is expected to grow. For instance, in 2021, an estimated 457,391 veterans had Alzheimer’s disease, and that number is projected to increase by 8.4% to more than 488,000 by 2033. Age is the biggest risk factor for Alzheimer’s disease as a whole, and veterans are more likely to have health conditions that further increase that risk, including high cholesterol, traumatic brain injury, post-traumatic stress disorder and depression. Additionally, homelessness contributes to that risk as homeless veterans are more likely to have an Alzheimer’s diagnosis than those who are stably housed.

Eden Health acquires A Plus Hospice Care Hospice News; by Jim Parker; 11/11/24 Eden Health of Northern Nevada, dba Eden Hospice, has acquired A Plus Hospice Care in its home state. Financial terms were undisclosed. Through the transaction, A Plus Hospice Care patients will have access to Eden Health’s additional services, including home health, home care and palliative care. The M&A advisory firm Agenda Health consulted on the deal. Cultural alignment, proximity to its existing footprint and the seller’s strong track record on compliance were factors in Eden’s decision to acquire, Jamie Brown, the company’s COO, told Hospice News in an email. ... Eden Health is a 100% employee-owned company operating in Washington state, Nevada, California, Idaho, Montana, Wyoming and Arizona.

Local veteran continues to serve by visiting hospice veterans Lundington Daily News, Lundington, MI; by Shanna Avery; 11/9/24 With love of service to their country, some veterans continue to find ways to serve and make a difference, and Ludington veteran Dick Gregaitis does just that when he visits other veterans as they approach the end of their lives. Gregaitis has been volunteering with Hospice of Michigan in the local area for eight years, where he visits veteran patients. Gregaitis served in the U.S. Navy from Aug. 1962 to 1965, then the U.S. Air Force until he retired in 1986 as senior master sergeant. Gregaitis said he has been around this area, and met his wife of 55 years at Round Lake. He traveled all over while in the military. It is through his own experiences, he shares a bond with other veterans. “To me, it is a way to give back to the community,” he said. “A lot of veterans don’t get people stopping by or talking. They like someone there that knows about the military. I even designed a badge that says, ‘military outreach.’ It is a win/win. I like to do it and I have the time to do it, and they like someone to say hi to.”

The person you pass as you walk down the street might not be wearing our nation’s uniform today. But consider for a moment that a year or a decade or a generation ago, he or she might have been one of our fellow citizens who was willing to lay down their life for strangers like us. ~ a former President of the United States 

Veterans Day speaker will bring unique perspective to Emma Kelly Theater: Ogeechee Hospice chaplain Nick Spletstoser to offer keynote address at annual observance Monday Statesboro Herald, Statesboro, GA; by Jim Healy; 11/7/24 Chaplain (Lieutenant Colonel) Nick Spletstoser, the senior hospice chaplain at Ogeechee Area Hospice, will give the keynote remarks during the annual Veterans Day program Monday, Nov. 11 in the Emma Kelly Theater in downtown Statesboro. Hosted by American Legion Dexter Allen Post 90, the event is free, with the public encouraged to attend. In keeping with the origins of Veterans Day in the World War I armistice of 1918, when the guns were silenced at the “11th hour of the 11th day of the 11th month,” the speaking program begins at 11 a.m. ... As an Army National Guardsman in Georgia and South Carolina over the past 32 years, Spletstoser said his keynote address will cover a variety of topics and observations from his long career. ... He said he will discuss the impact of caring for fellow veterans in the community, as well as helping veterans and their families when they come to Ogeechee Area Hospice. Editor's note: For those reading this the morning of 11/11, how might you honor the 11 a.m. marker? (I'm glad to learn this.) Thank you, Ogeechee Hospice and Chaplain Nick Spletstoser for your hospice leadership and support to your community on this Veterans Day.

Quality hospice researchers seek to untangle possible relationships between tax status and outcomes Hospice News; by Holly Vossel; 11/8/24 ... More private equity (PE) investors have stepped into the hospice and home health space in recent years. This trend extends across the broader health care continuum, as certain types of owners — notably private equity entities — have come under scrutiny from lawmakers. Providers’ tax status may be among the potential risk factors of fraudulent hospice spending. For-profit business and operational infrastructures can differ from nonprofit hospices, which have historically represented much of the providers in the industry. But research has found that the tide is shifting. Private equity transactions represented half of all home health and hospice deals in 2018 and 2019, resulting in a 300% increase in patients enrolled under PE-backed providers, according to research published in the Journal of Palliative Medicine. ... Live discharges occur in less than 10% of patients at nonprofit hospices, study author Lauren Hunt indicated. This compared to an overall 20% of live discharge rates among patients of for-profit hospices. 

$1M state grant awarded to fund Erie’s first residential hospice center WJET Erie, Erie, PA; by Nicole Lee; 11/7/24 A state grant injects new life into a plan to build Erie County’s first residential hospice center. The palliative care clinic, which will be built in McKean Township, just received a $1 million state grant. Now, its planners are looking for community support to bring the plan to the finish line. “On Friday we got a call from Representative Banta saying that we got a $1 million RACP grant,” said Julia Strzalka, executive director of the Julia Hospice & Palliative Care. [Click here for Julia Hospice & Palliative Care.]