Literature Review
[In case you missed it] The HOPE Assessment Tool: What you need to know [free webinar by CHAP]
10/23/24 at 03:00 AM[In case you missed it] The HOPE Assessment Tool: What you need to know [free webinar by CHAP]Community Health Accreditation Partner (CHAP); 10/21/24 On October 16, 2024, we hosted a webinar on the upcoming implementation of the HOPE Assessment Tool, which will catalyze hospice care starting in 2025. The webinar provided valuable insights into the tool’s implementation, content highlights, and its anticipated impact on hospice program operations. During the session, participants asked numerous important questions, many of which we’ve compiled into this FAQ for further clarification. Access the recorded session and handouts if you missed it or would like to review the presentation.
Palliative care access for indigenous populations: Removing barriers and reducing disparities
10/23/24 at 03:00 AMPalliative care access for indigenous populations: Removing barriers and reducing disparities ECRI, Plymouth Meeting, PA; by Eileen Cornish; 10/22/24 ... Indigenous populations across North America face barriers to healthcare due to a combination of historical, social, economic, and systemic factors. Key barriers include historical trauma and distrust, remote or rural geography, economic disparities, cultural differences, systemic racism, and discrimination. ... For this topic, ECRI librarians identified 35 studies, including six systematic reviews, that discuss barriers to palliative care for Indigenous people across North America. ... Removing Barriers: Here are several key takeaways from the studies we identified. Other barriers are likely exist; however, these common themes emerged from the studies identified in ECRI’s review.
New Feature: Newsletter Archive
10/23/24 at 03:00 AMNew Feature: Newsletter Archive Hospice & Palliative Care Today; 10/22/24 Do you want to find a past newsletter?
Kaiser Permanente mental health workers go on strike in Southern California
10/23/24 at 03:00 AMKaiser Permanente mental health workers go on strike in Southern California Fox 5 - KUSI, San Diego, CA; by Danielle Dawson; 10/21/24 Thousands of mental health workers at Kaiser Permanente locations across Southern California hit the picket lines on Monday for the first day of an open-ended strike, calling for measures to reduce employee turnover and better patient care. ... The unionized mental health professionals — encompassing therapists, psychologists, social workers and psychiatric nurses — have been demanding Kaiser address issues in their next contract that have contributed to “substandard” care in Southern California. ... Last year, California behavioral health regulators flagged several of these problems when it hit Kaiser with a $50 million fine — the largest-ever penalty issued by the department — for failing to provide timely care to its patients as part of a wider $200 million settlement agreement. “Our agency could lose its Medicare license because we have five days to see our patients and, because our unsustainable caseloads, patient care is being delayed,” Elizabeth Meza, a San Diego-area hospice worker, told KUSI Monday morning. “We are only able to provide the minimum amount of care that they need.”
Today's Encouragement: Death is no enemy of life
10/23/24 at 03:00 AMDeath is no enemy of life; it restores our sense of the value of living. Illness restores the sense of proportion that is lost when we take life for granted. To learn about value and proportion we need to honor illness, and ultimately to honor death. ~ Arthur W. Frank
Nonprofit repurposes wedding bouquets for seniors
10/23/24 at 03:00 AMNonprofit repurposes wedding bouquets for seniors Spectrum News 1, Columbus, OH; by Taylor Bruck; 10/21/24 Todd Davis, a resident of Columbus, knows it’s the simple things in life that mean the most. That’s why every weekend, he and volunteers pick up leftover flowers from weddings and other events and repurpose them into beautiful bouquets. They then deliver them to senior citizens all over Columbus and people in hospice care. ... Every week, volunteers turn thousands of flowers into about 200 bouquets, equating to nearly 10,000 this year and endless smiles.
Leveraging sales strategies in hospice payment cap management
10/23/24 at 02:00 AMLeveraging sales strategies in hospice payment cap management Hospice News; by Jim Parker; 10/22/24 Errors or other inconsistencies with the payment cap can have significant consequences for providers, and sales and marketing staff can help hospices achieve a healthy balance. The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. For Fiscal Year 2024, the U.S. Centers for Medicare & Medicaid Services set the cap at $33,394. In 2025, this will rise to $34,465. If a hospice has a cap liability, they will have to repay that amount to Medicare. In some situations, a hospice might face additional monetary penalties, interest charges or referrals to the U.S. Treasury Department in severe cases.
De-Escalating angry people: A critical safety skill in education and healthcare
10/23/24 at 02:00 AMDe-Escalating angry people: A critical safety skill in education and healthcare Campus Safety; by Jacob Milner; 10/15/24 These five de-escalation disciplines will help you effectively deal with angry students, family members, visitors, and patients. ... But before we dive into de-escalation itself. It’s crucial to remember that no matter the situation, your primary goal should always be safety, then de-escalation. If you don’t feel safe attempting to de-escalate someone, then don’t. But if you feel that you are in a situation where de-escalation can be attempted, carry on. Now that being said, let’s get into it. ...
Providence, Compassus form home care joint venture
10/23/24 at 01:00 AMProvidence, Compassus form home care joint ventureModern Healthcare; by Diane Eastabrook; 10/22/24Home care provider Compassus will take over management of Providence’s home-based care services through a joint venture the two companies announced Tuesday. Under the arrangement, Brentwood, Texas-based Compassus would manage and jointly own Providence’s home health, hospice, community-based palliative care and private duty nursing services under the name Providence at Home with Compassus, the companies said in a news release. Neither company would disclose financial terms of the deal, which is subject to approval by state and federal regulators.Publisher's note: This joint venture is different from other recent Compassus joint ventures with Mercy Health, OhioHealth, and Bon Secours.
Enhabit Home Health & Hospice Becomes Age-Friendly Health Systems participant
10/22/24 at 03:15 AMEnhabit Home Health & Hospice Becomes Age-Friendly Health Systems participant HomeCare, Dallas, TX; 10/21/24 Enhabit Inc., a home health and hospice provider, announced it has been recognized by the Institute for Healthcare Improvement (IHI) as an Age-Friendly Health Systems participant. The Age-Friendly Health Systems is an initiative of the John A. Hartford Foundation and the IHI, in partnership with the American Hospital Association and the Catholic Health Association of the United States. The Age-Friendly Health Systems aims to follow a set of evidence-based practices, cause no harm and align with what matters to the older adult and their family caregivers. Age-Friendly Health Systems participants are recognized for aiming to become an Age-Friendly Health System and have submitted examples of how they put four elements of care—the “4Ms”—into practice with older patients. ...
Home health care aide charged with manslaughter in death of elderly central Florida man
10/22/24 at 03:00 AMHome health care aide charged with manslaughter in death of elderly central Florida man
Florida health system rolls out virtual nursing tech to 1K rooms
10/22/24 at 03:00 AMFlorida health system rolls out virtual nursing tech to 1K rooms Becker's Health IT; by Giles Bruce; 10/17/24 Fort Myers, Fla.-based Lee Health is expanding virtual nursing technology to nearly 1,000 patient rooms, representing about half its beds. The four-hospital system is rolling out dual-camera virtual care devices from telehealth company Caregility to scale its virtual nurse offering. The remote fleet management tools come with artificial intelligence capabilities and cloud-based updates. "Our virtual nursing program introduces innovative possibilities in patient care workflows by connecting the care in the complex patient journey," Lee Health Chief Nursing Officer Jennifer Higgins, DNP, RN, said in an Oct. 16 statement. "From admissions and discharges to continuous patient monitoring, patients benefit from an additional team member dedicated to their care."
Help at Home to acquire Helpmates, Inc.
10/22/24 at 03:00 AMHelp at Home to acquire Helpmates, Inc. The Daily Herald, Huntingdon, PA; 10/21/24 Penn Highlands Healthcare and Excel Companion Care, LLC, doing business as Help at Home, have agreed to the acquisition of Helpmates, Inc., the health system’s non-skilled in-home services. Help at Home is a national in-home provider with a focus on unskilled personal care services. “The acquisition of Helpmates enables our health system to focus and grow the core services of Healthcare at Home which include home health and hospice,” said Cheryl Mitchell, Service Line Leader of Penn Highlands Healthcare at Home. ... The acquisition will occur on or around December 9, 2024 following governmental approval.
Millennials are reporting a mysterious wave of memory problems. What’s going on?
10/22/24 at 03:00 AMMillennials are reporting a mysterious wave of memory problems. What’s going on? Globe Magazine, Boston, MA; by Felice J. Freyer; 10/21/24 ... Memory lapses are expected as we age, but there’s evidence that many younger people — in the prime of life, ages 20 to 50 — are losing their grip on thoughts, struggling to retain new information and retrieve old knowledge. Experts blame the way we live and the world we live in, abuzz with distracting technologies amid endless demands on our time and minds. Dr. Andrew E. Budson, a Boston University neurologist who specializes in memory disorders in older adults, runs into younger people whenever he gives a talk. Inevitably, someone in their 30s or 40s will approach him afterward with: My memory is terrible. . . . I know I’m young, but I’m concerned I’m getting Alzheimer’s disease. ... [Click on the title's link to continue reading.]
Aging Mastery: 10 weeks, 10 topics to empower seniors for healthy living
10/22/24 at 03:00 AMAging Mastery: 10 weeks, 10 topics to empower seniors for healthy living New Hampshire Union Leaders; by Kathleen D. Bailey; 10/20/24 Jen Brechtel, director of Community Health for the Granite VNA, said one of the biggest issues in the agency’s “Aging Mastery” program” is sleep. “It’s the topic people come in most for,” she said. “We partner with a sleep center to help them out. Another big one? Community engagement.” The Granite VNA and Hospice is interested in all factors affecting their senior clients. With a menu of data-driven programs, the agency is reaching out to help seniors master aging. The “Aging Mastery” program is a project of the National Council on Aging, according to Brechtel. ... The 10-week class, ongoing now in Sanbornton, has sessions devoted to the concepts that please (or plague) elders: navigating longer lives, exercise, sleep, healthy eating/hydration, financial fitness, advance planning, healthy relationships, medication management, community engagement and falls. Experts from the community take turns teaching the topics, with a VNA staffer as moderator.
In memoriam: Dr. Robert Twycross
10/22/24 at 03:00 AMIn memoriam: Dr. Robert TwycrossIAHPC press release; 10/21/24The International Association for Hospice & Palliative Care (IAHPC) mourns the death of Dr. Robert Twycross, an outstanding pioneer of the global palliative care movement. A lifetime member of the IAHPC, Dr. Twycross made a significant contribution to the IAHPC List of Essential Medicines, developed years before the World Health Organization added a special section for essential medicines for pain relief and palliative care. Dr. Twycross was born on January 29, 1941, and died yesterday, October 22nd, 2024. He was a pioneer of the hospice movement, helping to establish palliative care in the 1970s as an accepted field of modern medicine.
A special dedication for a Make-A-Wish room
10/22/24 at 03:00 AMA special dedication for a Make-A-Wish room KOB-4, Albuquerque, NM; by KOB; 10/18/24 There’s nothing like making a child’s wish come true. For children fighting a critical illness, those wishes are a gift of hope that can help give them the strength to continue their fight. Through tears and hugs, the Make-A-Wish room where wishes are planned and granted was dedicated to the memory of a Wish Kid. ... “After two days in the hospital, we were able to bring our precious boy home. ...” It’s a situation no family prepares for after bringing their newborn home. ... Seth was placed on hospice and his family focused on letting him live out his best life. That’s when make a wish became part of his story. “They were pure magic from the moment we met them, after sitting down to meet and learn about Seth, we discussed possible wish ideas.” That meeting was done in the Wish Room. ... “Our Wish Room is where Wish Kids come in to do their discovery visits, to talk about their wish to plan. And so it’s a really fun space just for kids to come in, forget about their diagnosis for a while and dream big,” said Sara Lister, president & CEO of Make-A-Wish New Mexico.
Hockey team helps with Hotcakes for Hospice at Oswego Elks Lodge
10/22/24 at 03:00 AMHockey team helps with Hotcakes for Hospice at Oswego Elks Lodge Oswego County News Now, Oswego, NY; by Lauren Royce; 10/20/24 People poured into the Elks Lodge on West Fifth Street in Oswego Sunday morning, happy to buy a breakfast and enjoy some pancakes, eggs, bacon and other staples with friends and family. It was all for a good cause. The Friends of Hospice in Oswego County (FOHOC) hosted its sixth annual Hotcakes for Hospice breakfast with the help of the SUNY Oswego men's hockey team. For head coach Ed Gosek, it is a way to give back to the community while honoring the memory of his wife, Mary, who died in hospice care in 2017. ... The Lakers were outside holding signs by Bridge Street and inside helping serve food and clean tables for guests. ... Elena Twiss, executive director of FOHOC, said that bringing in the hockey team was a great way to bring the community together, and that the players and coaches have been a valuable resource all six years they've helped out.
3 strategies for hospice GIP compliance
10/22/24 at 03:00 AM3 strategies for hospice GIP compliance Hospice News; by Jim Parker; 10/21/24 Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. Audits are becoming more frequent in the hospice space, and GIP is an increasing focus, including for the most common types — Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE). In a survey earlier this year, more than half of hospice providers reported having undergone multiple types of audits within a six-month period. ... In addition to these routine MAC audits, the U.S. Department of Health and Human Services Office of the Inspector General (GIP) has been performing a national audit of GIP utilization, as well as an additional investigation into management of the associated payment cap. The inpatient cap limits the number of days of inpatient care for which Medicare will pay to 20% of a hospice’s total Medicare patient care days, according to OIG. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.
A simple question changed how I saw my daughter’s life
10/22/24 at 03:00 AMA simple question changed how I saw my daughter’s life Newsweek Life; by Nikki Moberly; 10/20/24 When my daughter was born almost 24 years ago, not only did I begin my journey as a first-time parent, I embarked on an odyssey that nobody could have prepared me for. This little girl with the face and disposition of an angel was born with a devastating condition, diagnosed at two-and-a-half months old with Aicardi Syndrome. ... The first years of her life were laser-focused on learning more about her rare condition, symptom stabilization, medication adjustments, therapists, and doctor's appointments. Erin was eligible for early intervention services allowing her to go to school at age three. ... For one of those interviews, the social worker came to my home for us to complete Erin's "student profile" card. I was about to learn the power of a well-placed question. She started by simply asking: "What are Erin's strengths?" ... [Click on the title's link to continue this mother's journey through her daughter's life and death.]
Today's Encouragement: October is a fallen leaf ...
10/22/24 at 03:00 AMOctober is a fallen leaf, but it is also the wider horizon more clearly seen. ~ Hal Borland
The powerful companies driving local drugstores out of business
10/22/24 at 03:00 AMThe powerful companies driving local drugstores out of business DNYUZ; 10/19/24 The small-town drugstore closed for the last time on a clear and chilly afternoon in February. Jon Jacobs, who owned Yough Valley Pharmacy, hugged his employees goodbye. He cleared the shelves and packed pill bottles into plastic bins. Mr. Jacobs, a 70-year-old pharmacist, had spent more than half his life building his drugstore into a bedrock of Confluence, Pa., a rural community of roughly 1,000 people. Now the town was losing its only health care provider. Obscure but powerful health care middlemen — companies known as pharmacy benefit managers, or P.B.M.s — had destroyed his business. This has been happening all over the country, a New York Times investigation found. P.B.M.s, which employers and government programs hire to oversee prescription drug benefits, have been systematically underpaying small pharmacies, helping to drive hundreds out of business.
YoloCares: State awards nearly $3 million to YoloCares
10/22/24 at 02:00 AMYoloCares: State awards nearly $3 million to YoloCares The Enterprise; by Craig Dresang; 10/19/24 In a move to expand and deepen the regional safety net for people facing a serious or life-limiting illness, Davis-based YoloCares recently applied for, and secured, a nearly $3 million commitment from the State of California to add an Enhanced Care Management component to its portfolio of offerings. By design, ECM intends to address the social determinants of health which are the nonmedical factors that influence health outcomes. ... [As] Medi-Cal looks towards a major transformation in the structure of benefits, ECM is the Golden State’s initiative to address a lack of palliative and supportive care services. ... According to Lisa Adams, YoloCares’ director of patient access and palliative care, “Our clinical team is adept at responding to the complex and unique needs of our patients and their families, often going above and beyond the scope of typical palliative care to help our patients find comfort and dignity during health challenges and transitions. This funding and recognition from the state simply acknowledges and supports the work we have been doing all along.”
Martis Capital rumored to purchase Three Oaks Hospice’s in $150m deal
10/22/24 at 02:00 AMMartis Capital rumored to purchase Three Oaks Hospice’s in $150m deal Hospice News; by Holly Vossel; 10/18/24 The private equity firm Martis Capital may soon acquire Dallas-based Three Oaks Hospice for a price tag ranging from $150 million to $160 million. Rumors of the potential sale appeared today in an Axios report, in which unnamed sources reportedly confirmed the deal. The Nashville-based investment and management company Petra Capital currently owns Three Oaks Hospice, which reportedly generates between $10 and $13 million in EBITDA, Axios indicated. Rumors that the hospice was considering a potential sale were first reported last month by the website Ion Analytics. The private-equity backed company provides hospice, palliative care and bereavement services across 28 locations in seven states.
Home health agencies may soon claim telehealth services during patients’ hospital stays
10/22/24 at 02:00 AMHome health agencies may soon claim telehealth services during patients’ hospital stays McKnights Home Care; by Adam Healy; 10/17/24 In a recent change, the Centers for Medicare & Medicaid Services announced that it would allow home health providers to submit claims for telehealth while their clients are receiving inpatient care. Currently, Medicare beneficiaries may not be inpatients in a hospital or skilled nursing facility and simultaneously receive home healthcare. CMS rejects any home health service claims that overlap with a patient’s hospital or SNF stay, and providers are responsible for submitting a new claim without any dates for service that coincide with an inpatient stay. In a recent change request, CMS announced that it would modify its rule to allow home health providers to submit telehealth claims even when their clients are in hospital or SNF care. The change specifically applies to telehealth services that fall under the G0320, G0321 or G0322 Healthcare Common Procedure Coding System codes.