Literature Review
The identity dilemma: Navigating rebranding decisions in home health M&A
03/18/24 at 03:00 AMThe identity dilemma: Navigating rebranding decisions in home health M&A Home Health Care News, by Patrick Filbin; 3/14/24 ... While some companies swiftly integrate acquired businesses into their brand and splash their logo, marketing materials and likeness on the newly acquired assets, others opt to maintain the selling company’s identity. In home-based care, the decision to “rebrand or retain” takes into account a number of factors, sources told Home Health Care News. They include operational efficiency, patient/client retention, market positioning and more.
Today's Encouragement: You think winter will never end ...
03/18/24 at 03:00 AMToday's Encouragement: You think winter will never end, and then, when you don’t expect it, when you have almost forgotten it, warmth comes and a different light.” ― Wendell Berry
Telehealth study investigates reimbursements for rural health care delivery
03/18/24 at 03:00 AMTelehealth study investigates reimbursements for rural health care deliveryMedical Xpress, by Vincent Jacobbi, Mayo Clinic; 3/15/24A recent Mayo Clinic study published in the American Journal of Hospice and Palliative Medicine investigated how telehealth in palliative care may provide value for rural caregivers, health care teams and their patients. Researchers were particularly interested in determining what billing models were most cost-effective and sustainable for health care teams and caregivers transitioning patients from hospital to home care
Hines VA introduces new monitoring system for hospice and nursing home Veterans
03/18/24 at 03:00 AMHines VA introduces new monitoring system for hospice and nursing home Veterans VA Press Release; 3/15/24 Edward Hines Jr. VA Hospital has begun integrating a new patient monitoring system to improve Veteran health and assist medical staff. The AvaSure© Continuous Video Monitoring System places portable cameras in patients’ rooms who may need closer monitoring. Staff can observe up to 15 patients simultaneously through a virtual interface to monitor for issues such as a patient out of bed or patient-caused medical device interference. ... The monitoring system will be used in Hines VA’s Community Living Center (CLC), which includes short- and long-term nursing home care and hospice.
Breast cancer palliative care and metastatic disease: Looking beyond end of life
03/18/24 at 03:00 AMBreast cancer palliative care and metastatic disease: Looking beyond end of life MedPage Today, by Shalmali Pal; 3/15/24 ... It is important to inform patients that they can receive palliative care at any timeopens in a new tab or window during their treatment, from the time of diagnosis to end of life. ... At some juncture, the options for metastatic breast cancer treatment become limited. Progression can be classified into four general types:
Institutional effforts to address legacies of slavery—Implications for the health care system
03/18/24 at 03:00 AMInstitutional effforts to address legacies of slavery—Implications for the health care system JAMA Health Forum; by Sara N. Bleich, PhD; Jose F. Figueroa, MD, MPH; Martha Minow, JD; 3/14/24... Health care systems across the country are increasing their efforts to help address structural racism. For example, the Healthcare Anchor Network (HAN), which launched in 2017, includes 40 health systems in 45 states and Washington, DC, that have committed to address structural racism and the corresponding public health disparities. HAN aims to improve community health by leveraging key assets such as hiring, purchasing, and place-based investment strategies.
Clinician perspectives on integrating neuro-oncology and palliative care for patients with high-grade glioma
03/18/24 at 03:00 AMClinician perspectives on integrating neuro-oncology and palliative care for patients with high-grade glioma Oxford Academic Neuro-Oncology Practice; by Rita C Crooms, MD MPH; Jeannys F Nnemnbeng, MD MS RRT; Jennie W Taylor, MD MPH; Nathan E Goldstein, MD; Ksenia Gorbenko, PhD; Barbara G Vickrey, MD MPH; 3/14/24 Background/objectives: Patients with high-grade glioma have high palliative care needs, yet few receive palliative care consultation. This study aims to explore themes on 1) benefits of primary (delivered by neuro-oncologists) and specialty (SPC) palliative care and 2) barriers to SPC referral, according to a diverse sample of clinicians.
HIMSS24: Change Healthcare outage is the elephant in the room
03/18/24 at 03:00 AMHIMSS24: Change Healthcare outage is the elephant in the room Modern Healthcare - Digital Health, by Brock E.W. Turner; 3/14/24 There's certainly buzz about the Change Healthcare data breach at the Healthcare Information and Management Systems Society’s annual conference. But getting executives to talk openly about it is a non-starter. The breach, which has hobbled systems nationwide, has put even greater emphasis on the topics of cybersecurity and protecting patient data. But many attendees at the event in Orlando, Florida, have been unwilling to discuss it on the record, citing their relationship with the claims processing company owned by UnitedHealth Group.
When Medicaid comes after the family home
03/18/24 at 03:00 AMWhen Medicaid comes after the family home The New York Times, by Paula Span; 3/16/24Federal law requires states to seek reimbursement from the assets, usally home, of people who died after receiving benefits for long-term care. ... The letter came from the state department of human services ... It expressed condolences for the loss of the recipient's mother, who had died a few weeks earlier at 88. ... Medicaid estate recovery means surviving family members may have to sell the home of a loved one to repay Medicaid, or the state may seize the property. Editor's Note: Please share this article with your hospice bereavement counselors. (Access might be limited, per NYT subscriptions.)
Preventing adverse drug events in hospice care
03/18/24 at 03:00 AMPreventing adverse drug events in hospice care Hospice News, by Holly Vossel; 3/15/24 Documentation errors and a fragmented health system pose the greatest risks for adverse drug events among hospices. ... Evaluating these risks involves having solid medication reconciliation processes in place — both at the time of a patient’s admission and throughout their end-of life care experience, according to Mary Lynn McPherson, professor and executive program director of advanced post-graduate education in palliative care at the University of Maryland’s School of Pharmacy. McPherson also serves on the board of the American Academy of Hospice and Palliative Medicine (AAHPM).
Care Alternatives, whistleblowers resolve hospice fraud suit
03/18/24 at 03:00 AMCare Alternatives, whistleblowers resolve hospice fraud suitBloomberg Law, by Daniel Seiden; 3/15/24
The 19 rural emergency hospitals, by state
03/18/24 at 03:00 AMThe 19 rural emergency hospitals, by state Becker's Hospital CFO Report, by Andrew Cass, 3/15/24Nineteen hospitals have converted to the rural emergency designation since the law that created the designation took effect in January 2023, according to data from University of North Carolina's Cecil G. Sheps Center for Health Services Research in Chapel Hill. Here are the hospitals that have converted to rural emergency status, by state: ... [Click on the title's link to view]
MedPAC releases March 2024 report on Medicare payment policy
03/18/24 at 03:00 AMMedPAC releases March 2024 report on Medicare payment policy CMS MedPAC; 3/15/24 Washington, DC, March 15, 2024—Today, the Medicare Payment Advisory Commission (MedPAC) releases its March 2024 Report to the Congress: Medicare Payment Policy. The report presents MedPAC’s recommendations for updating provider payment rates in traditional fee-for-service (FFS) Medicare for 2025 and for providing additional resources to acute care hospitals and clinicians who furnish care to Medicare beneficiaries with low incomes. ... MedPAC recommends ... eliminating the payment update for hospice providers; and payment reductions for three post-acute care sectors (skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities).Click here for this report's "Chapter 9: Hospice Services"
What's not talked about in healthcare enough?
03/18/24 at 02:00 AMWhat's not talked about in healthcare enough? Becker's Health IT, by Naomi Diaz; 3/14/24 In the rapidly evolving landscape of healthcare technology, industry leaders express a common concern: the overshadowing of fundamental practices by the allure of cutting-edge innovations. Becker's asked seven hospital and health system leaders at the HIMSS 2024 annual meeting: What's something in healthcare or the health tech space that is not talked about enough?
Colorado Senate passes bill to shorten ‘Medical-Aid-in-Dying’ waiting period
03/17/24 at 03:45 AMColorado Senate passes bill to shorten ‘Medical-Aid-in-Dying’ waiting period Colorado Newsline, by Sara Wilson; 3/8/24 The Colorado Senate approved a bill Friday that would alter the state’s medical aid-in-dying law by shortening the required waiting period and allowing more medical professionals to prescribe the medication. ... Senate Bill 24-68 would tweak the law by shortening the waiting period between a patient’s first and second request for the medication from 15 to seven days. ... Statistics from Denver Health’s medical aid-in-dying program show that about 1 in 4 patients died from their illness during the current 15-day waiting period... The bill would also allow advanced practice registered nurses to prescribe the medication... The bill was amended in committee to reinstate a Colorado residency requirement.
Home Care costs continue to increase, outpacing other long-term care settings
03/17/24 at 03:40 AMHome Care costs continue to increase, outpacing other long-term care settings Home Health Care News, by Andrew Donlan; 3/12/24 The pricing increases in home care have again outpaced other long-term care sectors, according to Genworth’s annual cost of care report.
'It's been really inspiring': Grace House continues end-of-life care despite challenges
03/17/24 at 03:35 AM'It's been really inspiring': Grace House continues end-of-life care despite challenges Akron Beacon Journal, by Kelsie Horner; 3/13/24Through a flood and financial challenges, an Akron nonprofit has continued to provide end-of-life care and companionship for people who might otherwise die alone. Since opening its doors 1½ years ago, Grace House has cared for 66 residents during their final days. ... Grace House is one of only three organizations in the nation to provide free, “non-barrier” end-of-life care for people who are unhoused or alone.
Why I chose palliative care: A nurse's personal journey to providing comfort care
03/17/24 at 03:30 AMWhy I chose palliative care: A nurse's personal journey to providing comfort careAnschutz, by Lauren Carter; 3/5/24My interest in palliative care started with my grandma’s use of hospice services seventeen years ago. She suffered with multiple sclerosis for over forty years. ... What may have been a terrible experience for most people was actually made very positive for me. ... Unfortunately, I had another opportunity fifteen years later, to once again be there for my family in this way. ... It takes empathy and specialized training to assist in end-of-life care. It may be something that we are called to. I care deeply about these patients and their families. I am able to have difficult conversations when necessary. I try to create space for family members to talk about who the person in the hospital bed is, when that person can no longer talk for themselves. ...
Johns Hopkins study reveals medical marijuana lowers pain, hospital visits
03/17/24 at 03:25 AMJohns Hopkins study reveals medical marijuana lowers pain, hospital visits BNN, by Wojciech Zylm; 3/5/24Recent research highlights significant improvements in well-being for cannabis users, offering hope for those with chronic illnesses. The study showcases a potential shift in the perception and utilization of medical cannabis in healthcare.
Jimmy Carter has spent over a year in hospice care. How has he defied the odds?
03/17/24 at 03:20 AMJimmy Carter has spent over a year in hospice care. How has he defied the odds? Northeastern Global News, by Tanner Stening; 3/12/24 End-of-life advocates and experts cite Carter’s stay in hospice as having a positive impact on the discourse of end-of-life care, which Northeastern University experts say many people put off until it’s too late. ... According to the National Institutes of Health, more than 90% of patients who enter hospice care die within the first six months. Roughly 36% of patients die within a week of entering hospice.Editor's Note: This article includes an important, transparent piece of information that many articles about President Carter's 1-year hospice anniversary have not mentioned: "If the patient lives past six months, the medical professionals would need to recertify the patient for continued care." Click here for the CMS "Face-to-Face Requirement Affecting Hospice Recertification."
Why home care leaders are now banking on ‘Caregiver-First’ cultures
03/17/24 at 03:15 AMWhy home care leaders are now banking on ‘Caregiver-First’ culturesHome Health Care News, by Patrick Filbin; 3/4/24 Over the last several years, a notable trend is emerging in home care: Top-tier companies are shifting their focus from prioritizing customers to prioritizing caregivers. This strategic move reflects a growing recognition of the critical role caregivers play, and aims to address persistent caregiver shortages.
10 urgent patient safety challenges in 2024
03/17/24 at 03:10 AM10 urgent patient safety challenges in 2024 Becker's Clinical Leadership, by Ashleigh Hollowell; 3/11/24While employment for new clinicians was positive in the last year with 96% of new nurses finding work, the issue is transitioning those clinicians from education into bedside and hospital practice, which is the most pressing safety challenge of 2024, according to the ECRI's annual report on patient safety. ... Here are the 10 most urgent patient safety challenges facing providers in 2024 ...
CMS hears you, hospice providers
03/17/24 at 03:05 AMCMS hears you, hospice providersMcKnights Home Care, by Liza Berger; 3/8/24 Rarely does the Centers for Medicare & Medicaid Services succeed in shocking us. The large bureaucracy, which is not exactly known for its nimbleness, managed to do so this week when it abruptly cancelled the hospice component of the Value-Based Insurance Design Model. ... For those who wonder whether advocacy works, I’d chalk this up to a win for providers — and a clear example of advocacy in action.
Sunday newsletters
03/17/24 at 03:00 AMSunday newsletters focus on top read stories of the last week (in order) - enjoy!
Today's Encouragement
03/17/24 at 03:00 AMHappy St. Patrick's Day! May the road rise to meet you. May the wind be always at your back. May the sun shine warm upon your face. And rains fall soft upon your fields. And until we meet again, May God hold you in the hollow of His hand. ~Traditional Irish Blessing