Literature Review

2024 NHPCO Facts and Figures Report now available National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/10/242022 Data Show First Increase in Hospice Utilization Rates Since COVID The National Alliance for Care at Home (the Alliance) published the 2024 edition of National Hospice and Palliative Care Organization (NHPCO) Facts and Figures, an annual report on key data points related to the delivery of hospice care, including information on patient characteristics, location and level of care, Medicare hospice spending, and hospice providers. Facts and Figures – the leading resource for hospice providers and others interested in understanding the work of the community – has been published annually for over two decades by NHPCO. ... The findings in this report reflect patients who received care in Calendar Year (CY) 2022, or Fiscal Year (FY) 2022, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. This year COVID-19 continued to impact patient care as COVID-19 waivers were still in place through May 2023. These waivers included increased telehealth services. With 49.1% of all Medicare decedents in 2022 choosing hospice care, utilization of hospice increased in 2022 for the first time since 2019. The increase hints at a normalization of the utilization rates back to pre-COVID data. Hospice utilization rates increased across all race and ethnicity groups, with the largest increase among Hispanic Medicare beneficiaries seeing. The total number of beneficiaries enrolled in hospice care in 2022 was 1.72 million. Due to the unique impact of COVID-19 on 2020 data, those data are not included in many of the charts this year.

Heart to Heart Hospice expanding services into Oklahoma PR Newswire; by Kim Dellinger; 9/10/24 Heart to Heart Hospice, one of the country's largest private providers of hospice care, is adding a new location in Durant, Okla., expanding its service offerings into the state for the first time. The new Durant site will serve Southeast Oklahoma, which includes the counties of Atoka, Bryan, Choctaw, Coal, Hughes, Johnston, Marshall, McCurtain, Pittsburg, Pontotoc, and Pushmataha. "It's exciting to be able to offer our care services in Oklahoma, which happens to be my home state," said Kelly Mitchell, Chief Executive Officer and Founder of Heart to Heart Hospice, who is from Sallisaw. Heart to Heart Hospice, based in Plano, Texas, has been serving patients with life-limiting illnesses, as well as their loved ones, since 2003. The company currently provides a broad range of hospice services across 63 locations in Indiana, Michigan, Oklahoma, and Texas.

Leadership in the age of AI: At the crossroads of humanity and technology Forbes; by Dr. Adil Dalal, DBA; 9/9/24 It has only been 200 years since the First Industrial Revolution and the mass adoption of what we now call technology... The Second Industrial Revolution in the late 19th and early 20th centuries, marked by great progress in mass production, ... emphasizing the importance of machines over humans and managers over employees. ... Today, the world stands on the precipice of the Fourth Industrial Revolution with artificial intelligence, which is not just reshaping industries but also redefining the very essence of leadership and decision-making. ...  A technology-driven leader [TDL] who prioritizes novelty over humanity can pose significant risks, potentially leading to societal downfall. ... A human-centric leader [HCL] prioritizes the well-being, growth and empowerment of people, steering humanity toward greatness. ... So is there an ideal Technology Age leader who can lead humanity through this historical moment? Yes! ... They must embody and demonstrate the following three qualities:

The 'great disruption' coming for Medicare Advantage Becker's Payer Issues; by Jakob Emerson; 9/9/24 Come mid-October, the Medicare Advantage program will enter its annual enrollment period, marked by significant changes for older adults. Among these changes are increased government scrutiny, tighter CMS regulations, reduced base payments, and rising healthcare costs. ... "Taken together, some are calling these cuts 'the great disruption,'" wrote Sachin Jain, MD, CEO of SCAN Group, a nonprofit MA carrier with more than 285,000 members, in a LinkedIn post on Sept. 4. Dr. Jain outlined five key observations about the evolving landscape:

Mercy acquires Ascension hospital Becker's Hospital Review; by Alan Condon; 9/10/24 St. Louis-based Mercy has acquired Ascension's Via Christi Hospital in Pittsburg, Kan. The acquisition includes the hospital, its locations and related physician practices, but excludes Ascension Living Via Christi Village facilities and operations. The deal officially closed Sept. 1. Mercy, a 45-hospital system, now has three hospitals in Kansas: Mercy Hospital Pittsburg, Mercy Hospital Columbus and Mercy Specialty Hospital-Southeast Kansas in Galena. It also operates two primary care clinics in Pittsburg. "Whenever Mercy joins a new community, we want to hear from that community about what we can do to improve care and access for patients," Jeremy Drinkwitz, president of Mercy Joplin communities, said in a news release. "We want to ensure we are providing the right care where it's needed so patients can stay close to home. We'll be looking for the best ways to grow the already great services in place." 

One healthcare job poised for the greatest shortage Becker's Hospital Review; by Molly Gamble; 9/6/24 Nursing assistants face the greatest projected deficit over any other analyzed healthcare occupation, with a projected shortage of more than 73,000 assistants nationwide by 2028. The forecast comes from Mercer, which projects a nationwide shortage of more than 100,000 healthcare workers by 2028. The need for nursing assistants is expected to be greatest, with only 13 states expected to meet or exceed future demand. "The projected supply of nursing assistants — an occupation that constitutes 8% of the total US healthcare workforce and 40% of healthcare support occupations in 2023 — is discouraging," Mercer consultants wrote in their Aug. 29 report, "Future of the U.S. Healthcare Industry: Labor Market Projections by 2028."

The changing role of chief privacy officers Becker's Health IT; by Giles Bruce; 9/6/24 Chief privacy officers are expanding their roles to take on artificial intelligence and cybersecurity, according to the International Association of Privacy Professionals. Whereas chief privacy officers traditionally focused on being compliant with privacy laws, 69% now have responsibility for AI or data governance, 37% cover cybersecurity regulatory compliance, and 20% have platform liability duties, according to the IAPP survey of 671 professionals released Sept. 6. Some health systems have standalone chief privacy officers, but the hospital industry is more likely to have chief information security officers with privacy duties or a combined role. 

Seven pillars to put healthcare consumers at the heart of the digital transformation Forbes; by Hélène Musikas, Géraldine Maouchi, Lorenzo Mandelli, Daniel Brown; 9/6/24 The digital age has seen many industries undergo a profound transformation, evolving into agile "Hybrid Organizations" that blend traditional and digital business models. ... The healthcare sector, however, faces a unique set of challenges on its journey toward this transformation. ... One of the most significant shifts in healthcare is the rising concept of "Self-Care". Seven Ways To Harmonize The Digital Landscape In Healthcare ...

Fundraiser raise $30k for hospice services The Meadville Tribune, Meadville, PA; by Chloe Forbes; 9/7/24 There’s no place like home, and at the end of life, familiarity can make all the difference. Not everyone can just click their heels, but a donation to Hospice of Crawford County might help get them close. Following the kayaking fundraiser “Tammy’s Yellow Brick Row,” over $30,000 is going toward the hospice organization to create an endowment fund for individuals who need support the most — those at the end of life and who cannot afford it. The fundraiser and endowment fund are in the name of the late Tammy Young-Eckenrode, who was diagnosed with brain cancer in 2014 and survived just short of two years.

Compassion for terminally ill boy blooms into 17th year of Trick or Treat in the Heat Alaska's News Source, Anchorage, AL; by Olivia Nordyke; 9/9/24 Parents of a terminally ill child said they never thought their son’s last Halloween celebration would transform into an annual event that spans multiple cities. In 2005, doctors told Joyce Durcanin-Robbins and Sean Robbins that their son Ian’s leukemia meant he wouldn’t likely live to see Oct. 31. The couple created an earlier Halloween celebration in their neighborhood to give their son one last trick or treating experience. This weekend marked the 17th time Trick or Treat in the Heat brought neighborhood kids from all over Anchorage out to celebrate and get candy in full costume. “We kind of realized after the fact is this is a lot more fun than late October.” said Sean, Joyce adding; “We missed a couple of years because of COVID, and for the first few years, it was just sort of a year-to-year kitchen table operation.” ... Kelsey Torres, an event organizer, said they’ve raised about $700,000 in the lifetime of Trick or Treat in the Heat. ... Torres said 100% of the money raised goes to Make-A-Wish Alaska and Washington, Hospice of Anchorage, and Ronald McDonald House Charities. Editor's note: The location--Anchorage, Alaska--is core to this story. What location-specific or culturally-sensitive events do you already provide? What creative ideas might you implement? 

20 leadership skills that are still relevant in the AI age Forbes; by Forbes Expert Panel / Business Development Council; 9/6/24 Artificial intelligence has the power to automate and streamline countless business processes and improve efficiency across just about every sector. However, AI tools (and the humans using them) need guidance and training to perform to their full potential, which makes strong leadership more important than ever. Members of Forbes Business Development Council discuss the leadership skills that are still relevant in the age of AI. From strong critical thinking skills to communication and empathy, these traits are crucial to leading any organization through the transitions that come with new technology. [ These leadership skills include the following:] 1. Emotional Intelligence ... 2. Empathy ... 3. Transparency ... 4. The Ability to Identify Areas for Improvement ... 5. A Commitment to Continuous Learning ... 6. Adaptability ... 7. High-Level Communication Skills ... 8. Humility ... 9. Mental Agility ... 10. Knowledge of When to Apply AI ... 11. Prioritization Skills ... 12. Authenticity ... 13. Compassion and Understanding ... 14. An Understanding of How AI Can Complement Human Skills ... 15. Timely, Action-Oriented Decision-Making ... 16. Relationship Building ... 17. Resiliency ... Editor's note: Especially when recruiting and hiring AI leadership and setting up AI strategies for hospice and palliative care, use these qualities (1) within yourself in how you approach AI and (2) leadership skills you seek out from AI high-tech candidates. 

Photos: Grief and fond memories shared at Reflections on the River Salem Reporter, Salem, OR; by Laura Tesler; 9/6/24 As the sun fell Thursday evening, hundreds of Salemites gathered at Riverfront Park to reflect, grieve and share stories. The annual Reflections on the River event, organized by hospice provider Willamette Vital Health, included 4,600 luminarias to memorialize family and friends who have died.