Literature Review

What home health providers need to know about the Medicare TPE Audit ProcessHome Health Care News, by Joyce Famakinwa;  4/2/24... TPE is a medical review program that began for the home health and hospice settings in December 2017. The goal of the program is to weed out improper payments by zeroing-in on providers with high claims denial rates or unusual billing practices. ... TPE has three pillars. Target refers to errors or mistakes that are identified through data in comparison to providers or peers. Probe is the examination of 20 to 40 claims. ... Education means helping providers reduce claim denials and appeals through one-on-one individualized education. 

Fostering respect and appreciation seen as keys to retaining direct care workersMcKnights Online Forum, by Kimberly Bonvissuto; 3/27/24 Expressions of appreciation and respect can go a long way in addressing senior living’s direct care workforce crisis, according to a panel of direct workers and employers who addressed what makes employees want to stay — or go. ... Nate Hamme, president and executive director of the Ceca Foundation, ... said that the most important part of employee recognition is listening to people. ... He added that there is a science to recognition backed by research into what motivates people and implementing programs around that. ... Recognition programs, Hamme added, should focus on IMPACT: inclusive, mission-aligned, public, authentic, consistent and timely. 

Mortality, hospice use rates differ in assisted living communities depending on whether memory care is offeredMcKnights Senior Living, by Kimberly Bonvissuto; 4/4/24Assisted living communities that provide memory care services may attract residents closer to the end of life or promote hospice use at the end of life compared with assisted living communities without such services, according to the findings of a new study. ... Researchers from the Brown University School of Public Health, the University of Melbourne and the Johns Hopkins University School of Nursing examined whether end-of-life outcomes — mortality and hospice use — differed between assisted living facilities with and without memory care services among 15,152 residents who moved into larger communities between 2016 and 2018.Editor's Note: Click here for the source article, "Do end-of-life outcomes differ by assisted living memory-care designation?"

Do end-of-life outcomes differ by assisted living memory-care designation?Journal of the American Geriatric Society, by Xiao Joyce Wang, Portia Y Cornell, Emmanuelle Belanger, Kali S Thomas; 4/24Residential care/assisted living (RC/AL) is an increasingly common place of end-of-life care for persons with Alzheimer's disease and related dementia (ADRD), who have unique care needs as their health declines. Approximately 22% of RC/ALs provide specialized memory care (memory-care RC/AL). Understanding how end-of-life outcomes differ by memory care among residents with ADRD could facilitate aging/dying in place for this population. The objective of this paper is to examine if end-of-life outcomes (i.e., mortality, hospice use, and number of days receiving hospice in the last month of life) differ between residents with ADRD who moved to memory-care RC/AL, compared with residents with ADRD who moved to RC/AL without memory care (general RC/AL).

Wide variation in differences in resource use seen across conditions between Medicare Advantage, Traditional MedicareHealth Affairs, by Jeah Jung, Caroline S. Carlin, Roger Feldman, Ge Song; 9/23Medicare Advantage (MA) is a rapidly growing source of coverage for Medicare beneficiaries. Examining how MA performs compared with traditional Medicare is an important policy issue. We analyzed national MA encounter data and found that the adjusted differences in resource use between MA and traditional Medicare varied widely across medical conditions in 2019.

When dying does not go well: a qualitative studyBMC Palliative Care, by Christof Breitsameter; 3/24Several studies deal with the question of what constitutes a "satisfactory death". A smaller number of studies deal with unsatisfactory dying processes. And only a few shed light on unsatisfactory deaths that take place in hospices and palliative care units, which see themselves as places conducive to a "good" death. What also remains largely undiscussed are the ethical aspects that accompany the observation of an unsatisfactory course of death.

Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over timeSupportive Care in Cancer, by Maureen Wilson Genderson, Maria D. Thomson, Laura A. Siminoff; 10/23Cancer caregiving, a critical component in the cancer-care model, has deleterious effects on the caregiver’s physical and mental health. The degree to which these negative effects are uniformly experienced by caregivers is unclear; effects may be exacerbated at the end of life when caregiving is intensified. Not all caregivers have the support of an additional involved support person (secondary caregiver). The impact of the secondary caregiver’s absence on the primary caregiver’s well-being is understudied.

It’s the truth I’m after, and the truth never harmed anyone. What harms us is to persist in self-deceit and ignorance. ~Marcus Aurelius

Saturday newsletters focus on headlines and research - enjoy!

Community Hospice & Palliative Care recognizes National Volunteer MonthJAX Chamber, Press Release; 4/3/24 As April marks National Volunteer Month, Community Hospice & Palliative Care reaffirms its dedication to promoting and celebrating the invaluable contributions of volunteers. Volunteers are the heart and soul of our organization, providing companionship and a compassionate presence to patients and their families during challenging times. Throughout the month, Community Hospice & Palliative Care will spotlight individual volunteers and their inspiring stories through various social media platforms. These narratives will highlight the profound impact that volunteers have on the lives of those they serve and showcase the diverse ways in which they enrich our community. Editor's Note: Use this spark your own planning and recognition for your all-important hospice and palliative care volunteers!

Other Business Headlines of Interest, updated 4/4/24 per nasdaq.com

Ohio’s Hospice celebrates Spring Spectacular Treasures of Time: Raises over $36kCarroll County Messenger, by Thomas Clapper; 4/2/24Ohio’s Hospice celebrated its Spring Spectacular Treasures of Time March 16 with food, entertainment, silent and live auctions and as always, celebrity servers. Celebrity servers have become the mainstays of the annual event which raised funds for local hospice care. 2024 celebrity servers, who raised a total of $36,671, included Gary and Nicole Chaddock, Brad Eick, Rick and Holly Morgan, Matt Kishman, Kate Offenberger, Janet Smith, Katie DeLane, Allan Furbee, Tom James, Grant Bake and Cedar One, Mark Scott, John Weyand and Bill and Barb Newell.