Literature Review

Patients fare better when they get palliative care sooner, not laterScientific American; by Lydia Denworth; 5/14/24Supportive care is often started late in an illness, but that may not be the best way. I was happy to have the help but wished it had been available earlier. I’m not alone in that. Evidence of the benefits of palliative care continues to grow. For people with advanced illnesses, it helps to control physical symptoms such as pain and shortness of breath. It ­addresses mental health issues, including depression and anxiety. And it can reduce unnecessary trips to the hospital. But barriers to access persist—especially a lack of providers. As a result, palliative care is too often offered late, when “the opportunity to benefit is limited,” says physician Kate Courtright of the Perelman School of Medicine at the University of Pennsylvania.

The Pennant Group acquires hospice provider Nurses on WheelsHospice News; by Jim Parker; 5/16/24The Pennant Group, Inc. (NASDAQ: PNTG) has acquired the Corpus Christi, Texas-based hospice provider Nurses on Wheels Inc. for an undisclosed amount. This is the latest in a string of acquisitions for Pennant. Earlier this month Pennant acquired Utah-based South Davis Home Health and South Davis Hospice. The company in December 2023 picked up Arizona-based Southwestern Palliative Care & Hospice after acquiring five Medicare hospice providers in multiple states the prior month. Financial terms were not disclosed in these deals.

Modern Healthcare's Best Places to WorkPublisher's Note: On 5/20/24 we ran Modern Healthcare story recognizing Teleios as one of the best places to work in healthcare in 2024. We would like to recognize all hospice and palliative care providers on this list, including:

Senate kills bill allowing medical aid in dyingConcord Monitor; by Sruthi Gopalakrishnan; 5/16/24After months of intense public debate, with Granite Staters on both sides of the legislation that would allow medical aid in dying, packing the room at every public hearing, the Senate voted on Thursday to kill the bill.

Home care providers need to step up worker safety initiatives, experts sayMcKnight's Home Care; by Adam Healy; 5/14/24In the aftermath of the Occupational Safety and Health Administration’s citing of Elara Caring for failing to protect a worker killed on the job, safety and legal experts are urging providers to be proactive about implementing worker safety practices. “We have been seeing a rather significant uptick in workplace violence issues in the home-based care industry,” Angelo Spinola, an attorney at Polsinelli, told McKnight’s Home Care Daily Pulse, in a statement. “We highly recommend that providers take proactive steps to implement home-based care specific policies and procedures and conduct workplace trainings that address common issues such as what to do if a client is acting erratically, how to report unsafe conditions in the home [such as an unsecured firearm], de-escalation techniques, etc.”

Compliance Strategies for Forthcoming Hospice HOPE ToolHospice News; by Holly Vossel; 5/16/24Hospices will have a learning curve when it comes to implementing the Hospice Outcomes and Patient Evaluation Tool (HOPE) tool. The U.S. Centers for Medicare & Medicaid Services (CMS) is currently developing quality measures that will be included in the HOPE tool, which will replace the current Hospice Item Set (HIS). After years of development, the agency in its recent hospice proposed rule indicated that the HOPE tool’s implementation would begin in 2025.Notable Mentions: Jennifer Kennedy, CHAP; Kimberly Skehan, CHAP.

What healthcare REITs mean for providers, patientsModern Healthcare; by Hayley DeSilva; 5/14/24Steward Health Care's Chapter 11 bankruptcy filing is the latest example of the significant role real estate investment trusts play in healthcare. REITs have served as a financial solution for providers and health systems, allowing them to broaden their networks without as hefty a capital investment. Steward, for example, is the largest tenant of Medical Properties Trust, which bought Steward's real estate assets in 2016. The REIT, which also owns 10% of Steward, has approved $75 million in debtor-in-possession financing to help Steward maintain patient care while looking for operators for its hospitals.

New palliative care nonprofit encourages open, candid conversations about death, dying[NC] ABC 13 News; by Kimberly King; 5/16/24Swannanoa, NC (WLOS) - There’s a national movement among a segment of palliative and hospice care workers to help people facing a terminal illness find the strength to have more candid conversations around death. The goal is to ease the final days not only for the individual dying but for their loved ones at a most painful time. Dr. Aditi Sethi, a physician specializing in hospice and palliative care, founded the nonprofit Center for Conscious Living and Dying (CCLD) based in Swannanoa. Sethi’s work focuses on helping people come to terms with mortality and break the stigma of avoiding the hard conversations about it.

Hospice Owner Sentenced to 240 Months Imprisonment and Ordered to Repay $42,000,000 for Defrauding MedicareDepartment of Justice; 5/16/24New Orleans - U.S. Attorney Duane A. Evans announced that on May 15, 2024, U.S. District Judge Lance Africk sentenced SHIVA AKULA (“AKULA”), age 68, of New Orleans, to 240 months of imprisonment, three years of supervised release and $2,300 in mandatory special assessment fees, in relation to an extensive health care fraud scheme orchestrated by AKULA. In November 2023, a federal jury convicted AKULA of all 23 counts of his underlying indictment. AKULA owned and oversaw the day-to-day operations of Canon Healthcare, LLC, a hospice facility with offices in the New Orleans area, Baton Rouge, Covington, and Gulfport, Mississippi. At sentencing, the Court found that between January 2013 and December 2019, Canon billed Medicare approximately $84 million in fraudulent claims and was paid approximately $42 million relating to these fraudulent claims. The Court ordered that AKULA repay the $42 million of fraudulent proceeds back to Medicare.

Nurse resilience, decompression off balance: Press GaneyBecker's Clinical Leadership; by Erica Carbajal; 5/14/24Nurses have a hard time disconnecting from work, and may benefit from additional workplace resources that support them in doing so, according to findings from a new Press Ganey report on nurse resiliency. ... Below are four key findings from the report:

If you get up in the morning and think the future is going to be better, it is a bright day. Otherwise it is not. ~ Elon Musk

‘Great Resignation’ becomes ‘Great Reshuffle’ of American jobsMcKnight's Senior Living; by Kathleen Steele Gaivin; 5/16/24After a record number of workers left their jobs in the early part of the decade in what was known as the “Great Resignation,” the American workforce has entered a period now dubbed the “Great Reshuffle,” according to the World Economic Forum. “While quit rates remain high, hiring rates continue to outpace them as many workers have been transitioning to other jobs in search of an improved work-life balance and flexibility, increased compensation, or a strong company culture,” the US Chamber of Commerce reported.

‘Bodacious’ mentorship, honesty needed to retain LTC leaders of tomorrow, experts sayMcKnight's Long-Term Care News; by Josh Henreckson; 5/17/24Cultivating mentorships in long-term care is vital to bringing up and retaining the next generation of sector leaders, a group of six prominent women leaders said this week at a McKnight’s Women of Distinction Forum panel. The speakers ... repeatedly emphasized the core needs of honesty, humility and an ongoing commitment to learning for successful mentors.