Literature Review

Medicare home health patients more likely to eventually receive hospice care, study finds McKnights Home Care, by Adam Healy; 2/20/24Patients who use home health later in life tend to be more likely to enter hospice for end-of-life care — particularly those without dementia. This underscores the need for better home health staff training and enhanced care continuity for Medicare patients, according to a recent study. ... Those beneficiaries who received home healthcare were more likely to enter hospice during their last year of life compared to those who did not have any home health, the study published Feb. 15 in the Journal of Palliative Medicine found.

Reduced federal share may force state Medicaid programs to cut services, HCBS expert saysMcKnights Home Care, by Adam Healy; 2/15/24The Congressional Budget Office this month released its “Budget and Economic Outlook” report for the coming decade. In its report, CBO predicted a roughly $58 billion drop in federal Medicaid outlays for 2024 compared to 2023 — a 9% decrease in federal Medicaid spending, due in part to fewer beneficiaries on states’ Medicaid rolls. 

Ascension posts $708M quarterly turnaroundBecker's Hospital CFO Report, by Alan Condon; 2/19/24Ascension reported a net income of $359.5 million in the fiscal second quarter ending Dec. 31, which is a $708 million improvement on the $238.1 million net loss it reported during the same quarter in 2022. "We remain focused on improving hospital operations, ensuring sustainability for the future and making purposeful decisions that improve the health of individuals and the communities we are privileged to serve,"CFO Liz Foshage said. "Our Q2 quarterly results are a demonstration of this commitment and a signal that we continue to move in the right direction."

Survey: Nearly half of healthcare workers witness discrimination against patientsMcKnights Long-Term Care News, by Foster Stubbs; 2/20/24Healthcare workers (HCWs) are likely to witness discrimination in their workplaces, according to a new report from the Commonwealth Fund and the African American Research Collaborative. This can contribute to negative health outcomes for patients as well as emotional distress for both patients and healthcare workers.Editor's Note: What Policies and Procedures do you have in place for your hospice interdisciplinary teams,  volunteers, and non-clinical staff? What diversity education and competencies do you regularly require and update? 

[Nebraska] New polling finds 70% support for legalizing medical cannabisNebraska Examiner, by Paul Hammel; 2/19/24New polling found that 70% of respondents are ready to legalize medical marijuana in Nebraska and that a majority of those responding want to approve a novel alternative to property, sales and income taxes.

How palliative care could help break the SNF-to-hospital cycle Hospice News, by Molly Bookner; 2/20/24A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. ...  Nursing homes are incentivized to hospitalize residents eligible for both Medicare and Medicaid because those patients can later return to the nursing home with a higher-paying Medicare benefit before transitioning back to long-term care with lower Medicaid day rates.

Death can be isolating and dehumanizing. But what if it didn’t have to be?City Life, by Ben Seal; 2/17/24... In the three years since Elaine’s passing, I’ve longed for a world where more people could be given the chance to die as she did — with the fullness of life surrounding her, and with complete support, emphasizing the emotional and spiritual, not just the medical. In Philadelphia and beyond, a growing community of death-care workers — doulas, nurses, grief counselors, social workers, even funeral directors — is trying to build that world. They are reclaiming death and dying from the institutional model that has become the norm over the past century. Editor's Note: Has hospice now become so institutionalized and medical/regulatory focused that we have lost sight of "emphasizing the emotional and spiritual, not just the medical"? I ask the question, but do not draw judgment, as answers must be contextualized. 

To be free is not merely to cast off one’s chains, but to live in a way that respects and enhances the freedom of others. - Nelson Mandela

Most Pa. workers can’t take paid leave to care for sick loved ones. State law could change thatWESA Pittsburgh's NPR News Station, by Kristen Mosbrucker-Garza; 2/18/24About 66% of workers statewide don’t have paid family and medical leave benefits, according to a U.S. Census compensation survey from March 2022. And the brunt of that unpaid work often falls on any women in the household, said Meghan Pierce, CEO of the Executive Forum of Women in Philadelphia. ... The Executive Forum of Women, created in the late 1970s, is one organization in the coalition of nonprofits and businesses pushing to get paid family medical leave as a state law in Pennsylvania.