Literature Review



3 keys to hospice oversight preparation

06/06/24 at 03:00 AM

3 keys to hospice oversight preparation Hospice News; by Jack Silverstein; 6/4/24 When hospice providers are being investigated not just by CMS but the FBI, the stakes for compliance are higher than ever. In May of 2024, the federal law enforcement agency placed its spotlight on the rising number of complaints about hospice fraud, in which hospices participate in signing up seniors for care without the seniors’ knowledge. Integrity concerns are in four states: Arizona, California, Nevada and Texas. The mechanics vary but the end result is the same: hospices getting paid for services they either did not provide, provided at a substandard level or had no authority to provide at all. ...

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Man killed elderly parents, partner and himself in murder-suicide at SW Miami-Dade home [1 victim was in hospice care]

06/06/24 at 03:00 AM

Man killed elderly parents, partner and himself in murder-suicide at SW Miami-Dade home NBC 6 South Florida; by Laura Rodriguez; 6/3/24A man shot and killed his elderly parents and partner before turning the gun on himself in a murder-suicide at a home in southwest Miami-Dade Sunday, police and family members said. According to police, [Jesus] Regueira [Jr.] shot and killed his parents, 83-year-old Jesus Regueira Sr. and 84-year-old Mercedes Morato, 61-year-old Kyrsten Stahre, who police identified as his girlfriend but family members said was his wife, before turning the gun on himself. ... The bodies were first discovered by family friend Joanna Cruz, whose mother was bringing food to Morato, who was under hospice care. ... “I think the problem was his mom had a severe stroke and she was in hospice and his mom was his life. Because someone had said that he wasn’t handling it well. The mom was there, but she had hospice coming in. His mom was his favorite person in the world. I don't know about the dad but I just know that’s probably what happened," Carol Miloch said. Editor's Note: Workplace violence in healthcare settings continues to rise, and to be a leading cause for nurse unionization and strikes.

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Normandy Welcomes World War II Heroes - 80th Anniversary

06/06/24 at 02:00 AM

Normandy Welcomes World War II Heroes - 80th AnniversaryU.S. Department of Defense; 6/4/24World War II veterans met with cheers and applause from throngs of well-wishers as they arrived in Normandy, France, for events commemorating the 80th anniversary of D-Day. ... The number of these heroes at D-Day anniversary events in Normandy each year is diminishing, but the gratitude and awe for their service and sacrifice endures.We Honor Veterans - NHPCONHPCO; retrieved from the internet on 6/5/24We Honor Veterans empowers end-of-life care partners to meet the unique needs of America’s Veterans and their families. Our guidance and resources are focused on respectful inquiry, compassionate listening and grateful acknowledgment so that veterans can be guided through their life stories toward a more peaceful ending.Editor's Note: Thank you NHPCO for your foresight in developing this program! You identified the massive losses of our WWII generation of veterans (and more). You educated hospice organizations nation-wide and equipped us with meaningful resources, while we still had years of time to provide active support.

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Reap what you sow

06/05/24 at 03:15 AM

Reap what you sowFraud of the Day; by Larry Benson; 6/4/24Newly released Federal Trade Commission data show that consumers reported losing more than $10 billion to fraud in 2023, marking the first time that fraud losses have reached that benchmark. This marks a 14% increase over reported losses in 2022. The short of this report is that there is more opportunity in fraud than ever before. And fraudsters don’t care who they are scheming from. Including the dying. Shiva Akula owned and oversaw the day-to-day operations of Canon Healthcare, LLC, a hospice facility with offices in Louisiana and Mississippi. ... Between January 2013 and December 2019, Akula billed Medicare approximately $84 million in fraudulent claims. He was paid approximately $42 million relating to these fraudulent claims. And leaving the dying to just do that. Die without the extra care he profited from. ... [Akula was sentenced to serve 20 years in prison and to repay $42 million in fraudulent Medicare billing claims.]

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What health system CEOs need to tackle conflict, change

06/05/24 at 03:00 AM

What health system CEOs need to tackle conflict, change Becker's Hospital Review; by Laura Dyrda; 5/31/24  Health system CEOs are leaving behind ego-driven, top down leadership in favor of a trusting and a supportive culture to guide their organizations and transform healthcare delivery. Change is hard, but necessary, to grow. "One of my greatest realizations is the importance of fostering a culture where every individual genuinely feels valued and supported," K. Craig Kent, MD, CEO of Charlottesville, VA.-based UVA Health and executive vice president of health affairs at the University of Virginia told Becker's. ... Change is happening on many fronts. More care is exiting the hospital to be delivered at outpatient sites, in the home and through virtual connections. Patients are more actively participating in decision-making about their care, and digital technology makes it possible to personalize care more than ever before. ...

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Hospice of Santa Barbara celebrates 50 years with its Legacy of Compassion Campaign and a strong commitment to the future

06/05/24 at 03:00 AM

Hospice of Santa Barbara celebrates 50 years with its Legacy of Compassion Campaign and a strong commitment to the futureSanta Barbara Independent; by Hospice of Santa Barbara; 6/3/24 When Hospice of Santa Barbara (HSB) officially opened its doors in 1974, it was at the forefront of a visionary movement. Only one other hospice existed in the United States at the time and a local group of Santa Barbara leaders committed to meeting the needs of people and families struggling with life-threatening illness or grieving the death of a loved one. Over the past 50 years, HSB has served tens of thousands of people. ... During this time, HSB has repeatedly adapted and grown to meet the changing needs of our community including the many community crises and disasters our community has faced. ... [As] HSB looks to their next 50 years, they see a changing landscape that greatly impacts their mission.

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LeadingAge: CMS on right track with high-acuity hospice RFI

06/05/24 at 03:00 AM

LeadingAge: CMS on right track with high-acuity hospice RFIHospice News; by Jim Parker; 5/31/24 The senior care advocacy group LeadingAge has praised the U.S. Centers for Medicare & Medicaid Services (CMS) inquiries into high-acuity palliative care, but expressed concern over reimbursement and staffing issues. The agency’s 2025 proposed hospice rule featured a series of requests for information (RFI) on issues like health equity, social determinants of health and future quality measures. The RFIs contain further questions about the utilization of higher-cost palliative treatments under the Medicare Hospice Benefit. The agency posed similar queries in its proposed rule for 2024. The new proposal seeks greater clarity on the financial risks and costs that providers say represent barriers to providing those services, such as palliative chemotherapy, radiation blood transfusions or dialysis, among others.

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Lessons learned establishing the Palliative Care Research Cooperative's Qualitative Data Repository

06/05/24 at 03:00 AM

Lessons learned establishing the Palliative Care Research Cooperative's Qualitative Data Repository Journal of Pain and Symptom Management; Salimah H Meghani, Kim Mooney-Doyle, Amber Barnato, Kathryn Colborn, Riley Gillette, Krista L Harrison, Pamela S Hinds, Dessi Kirilova, Kathleen Knafl, Dena Schulman-Green, Kathryn I Pollak, Christine S Ritchie, Jean S Kutner, Sebastian Karcher; 5/31/24 ... The [Palliative Care Research Cooperative Group] PCRC Data Informatics and Statistics Core leadership partnered with the Qualitative Data Repository (QDR) to establish the first serious illness and palliative care qualitative data repository in the U.S. ... Specifically, we discuss how we co-designed the PCRC-QDR and created tailored guidelines for depositing and sharing qualitative data depending on the original research context, establishing uniform expectations for key components of relevant documentation, and the use of suitable access controls for sensitive data. ... This work advances the establishment of best practices in qualitative data sharing.

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Should all healthcare workers take the Hippocratic Oath?

06/05/24 at 03:00 AM

Should all healthcare workers take the Hippocratic Oath? Becker's Hospital Review; Madeline Ashley; 5/29/24 As private equity expands across the healthcare industry and proper patient care is brought into question, Don Berwick, MD, a Harvard Medical School health policy lecturer in Boston and former CMS administrator during the Obama administration, called for an extended Hippocratic Oath for all who work in healthcare. During an April 3 senate hearing in Boston, titled, "When Health Care Becomes Wealth Care: How Corporate Greed Puts Patient Care and Health Workers at Risk," Dr. Berwick spoke passionately about how patient needs have been put on the backburner, but should be the No. 1 priority in healthcare.

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Hawaiʻi is the first state to provide palliative care coverage

06/05/24 at 03:00 AM

Hawaiʻi is the first state to provide palliative care coverage EIN Presswire; by Governor JOsh Green, MD; 4/4/24 Governor Josh Green, M.D., and the Department of Human Services (DHS) Med-QUEST Division are pleased to announce that the Centers for Medicare and Medicaid Services (CMS) approved a new State Plan Amendment (SPA) to cover community palliative care services through Medicaid, making Hawaiʻi the first state in the nation to do so.  ... “After several years of hard work and collaboration with many community members and experts in the field, I am proud to announce that Med-QUEST is the first Medicaid program in the country to get this benefit approved,” said Governor Green. “This will greatly improve the quality of life and health outcomes for thousands of people who face serious medical conditions in our state. Hawaiʻi continues to lead the nation in innovations in health and health care.”  

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Hospice Certifying Physician edit in effect

06/05/24 at 03:00 AM

Hospice Certifying Physician edit in effectAAPC - American Academy of Professional Coders; by Rebecca Johnson; 6/3/24 The Centers for Medicare & Medicaid Services (CMS) and its Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) are all systems go for the new — and potentially troublesome — claims system edit. The edit went into effect June 3. ... In the 2024 Hospice Payment Rate Update final rule, CMS adopted a requirement that two categories of physicians must be enrolled in or validly opted out of Medicare for hospice services to be paid: the hospice medical director or the physician member of the hospice interdisciplinary group; and the attending physician that certifies the patient for hospice. CMS did at least grant hospices’ requests for an implementation delay at that time, moving the deadline from the proposed Oct. 1, 2023, to May 1, 2024. Then, on the eve of that start date, CMS bumped the edit for one more month. ...

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StateServ Rebrands to Dragonfly Health

06/05/24 at 03:00 AM

StateServ Rebrands to Dragonfly HealthPR Newswire; 6/3/24StateServ, a leading provider of benefit management solutions for durable medical equipment ("DME") and pharmaceuticals for the post-acute care market, announced today it has rebranded to Dragonfly Health. The new identity marks an inflection point for the Company, as it combines DME and pharmacy offerings, enabling a scalable, holistic care-at-home service platform driven by advanced technology and robust analytics. Through its comprehensive offering of equipment and medication solutions, Dragonfly Health seeks to improve quality of life and transform the care-at-home experience for caregivers, patients, and their families.

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National aging framework outlines governmentwide initiatives promoting home-based care

06/05/24 at 03:00 AM

National aging framework outlines governmentwide initiatives promoting home-based careMcKnight's Home Care; by Adam Healy; 6/3/24The Department of Health and Human Services released a new framework for its National Plan on Aging on Thursday. The framework aims to guide a multifaceted, governmentwide approach to help caregivers and home- and community-based service providers enable older adults to age comfortably in place.

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Joel Mekler - Medicare Moments: Watch out for these latest scams

06/05/24 at 03:00 AM

Joel Mekler - Medicare Moments: Watch out for these latest scams New Castle News; by Joel Mekler; 6/3/24 ... Across the country, many unscrupulous hospice providers are recruiting and enrolling nonterminally ill patients for end-of-life care they do not need and then billing Medicare for services and items they may never receive. They trick beneficiaries into signing up for hospice by offering freebies, such as additional groceries, nurse visits, durable medical equipment, bus coupons, and more once they enroll. They also make false claims, such as saying “Medicare now covers cooking and cleaning services”. Or they tell beneficiaries they qualify due to age, saying “You’re now old enough to qualify for hospice!” Another tactic is giving money, with some recruiters telling beneficiaries, “You can earn $400/month if you agree to enroll in our program.” ... Tips [to consumers] to avoid hospice fraud:

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Palliative care significantly improves discussion and documentation of end-of-life care preferences among patients with AML and MDS

06/05/24 at 03:00 AM

Palliative care significantly improves discussion and documentation of end-of-life care preferences among patients with AML and MDS Oncology Learning Network; transcribed interview featuring Areej El-Jawahri, MD; 6/1/24 Areej El-Jawahri, MD, Massachusetts General Hospital, Boston, Massachusetts, discusses results from a clinical trial comparing a collaborative palliative and oncology care model vs usual care for adult patients with acute myeloid leukemia (AML) and high-risk myelodysplastic syndrome (MDS). The study showed that palliative care significantly improved the rates of discussion and documentation of end-of-life (EOL) care preferences, reduced hospitalization at the EOL, and improved the quality of life in patients. 

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Community Hospice & Palliative Care setting sights on Florida, Georgia expansion

06/05/24 at 03:00 AM

Community Hospice & Palliative Care setting sights on Florida, Georgia expansionHospice News; by Holly Vossel; 6/3/24Florida-based Community Hospice & Palliative Care recently opened a new location in its home state that will serve as an office for interdisciplinary staff and a community center. The new center is a key part of the hospice and palliative care provider’s overall strategic growth plans to improve access among underserved populations, according to Community CEO Phillip Ward. ... One aim of launching the center is to improve care collaboration and access among African Americans in the community, according to Ward.

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Today's Encouragement: There is a crack in everything ...

06/05/24 at 03:00 AM

There is a crack in everything, that’s how the light gets in. – Leonard Cohen

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Empathetic AI: How Genai virtual agents will be leveraged

06/05/24 at 03:00 AM

Empathetic AI: How Genai virtual agents will be leveraged Informa; by Josh Streets; 6/3/24 Imagine you're shopping online or in a store and have a question about a product. But you don’t want to find a store employee or call into their contact center to speak with a salesperson while you wait for answers. With a simple snapshot of a QR/UPC code on the product or a tap on your mobile device within an application, you're instantly connected to a virtual agent via video chat. This AI assistant not only understands your questions but can also pick up on your facial expressions and body language via your video discussion, to respond with empathy and some level of emotional intelligence. "I can see you're a bit frustrated," the virtual agent says with a warm, reassuring tone. "Let me walk you through the product details and address any concerns you might have."Editor's Note: This AI solution might be great for shopping, but is it ethical for hospice care, especially when the person calling might be elderly and assumes they are talking with a person? How would you feel, especially if you're calling when your loved is actively dying, or has just died moments before? 

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Most people don’t get the end-of-life care they really want. Here’s what you can do to change that.

06/04/24 at 03:00 AM

Most people don’t get the end-of-life care they really want. Here’s what you can do to change that.[Maria Shriver's] Sunday Paper; by Karen Spencer; 6/1/24My mother died of cancer in 2011, when I was in my 30s. My father had died a decade earlier, and most of our family lived far away. So even though I lived in Boston and my mom was in Denver, we had to figure out how I could help care for her from a distance. ... Here are 3 lessons I’ve learned along the way that I hope will help you, too.

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4 CEOs share their uncommon - or unpopular - opinions

06/04/24 at 03:00 AM

4 CEOs share their uncommon - or unpopular - opinionsBecker's Hospital Review; by Kelly Gooch; 5/29/24CEOs shared an unpopular (or uncommon) leadership or healthcare opinion they have. Here are answers collected by Becker's this year.

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How hospice valuations are shaping up in 2024

06/04/24 at 03:00 AM

How hospice valuations are shaping up in 2024Hospice News; by Jim Parker; 5/30/24When it comes to hospice acquisitions, buyers’ and sellers’ expectations on price tags are becoming more aligned. A surge of deals in 2021 and 2022 led to record-high valuations in the space with multiples reaching in excess of 30x in some instances. While many buyers were willing to pay that premium, some stepped out of the market due to the high valuations. But deal volume has largely declined in late 2023 and early 2024, and valuations are starting to come down.

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Today's Encouragement: Great things ...

06/04/24 at 03:00 AM

Great things are not done by impulse, but by a series of small things brought together. - George Eliot

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CU researchers analyze prevalence, impact of ethical or religious barriers to providing Medical Aid in Dying

06/04/24 at 03:00 AM

CU researchers analyze prevalence, impact of ethical or religious barriers to providing Medical Aid in DyingUniversity of Colorado Anschutz press release; by Tayler Shaw; 5/31/24The recently published paper finds that 26% of physician respondents reported large ethical or religious barriers to participating in medical aid in dying, but many of these physicians were still willing to engage in discussions with patients and provide referrals for care.

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EPCSO, Hospice of El Paso make dream come true for teen facing terminal illness

06/04/24 at 03:00 AM

EPCSO, Hospice of El Paso make dream come true for teen facing terminal illnessABC KVIA; by Tyaun Marshburn; 5/29/24Evan Molina was sworn in Wednesday by El Paso County Sheriff Richard Wiles to be honorary Sheriff of El Paso for the day. Molina is a pediatric patient at Hospice of El Paso. He said he has always wanted to be a sheriff, and today the El Paso County Sheriff's Office and Hospice of El Paso made that wish come true.

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The state of the hospice nursing workforce

06/04/24 at 03:00 AM

The state of the hospice nursing workforceHospice News; by Holly Vossel; 5/28/24Honing clinical scheduling and onboarding models is key to sustaining the hospice nurse workforce as demand for these clinicians rises and wages lag compared to those in other settings. Future generations of health care clinicians may be woefully unprepared to address both the quantity and and the complexity of emotional, physical and spiritual needs among a swelling aging population nearing the end of life.

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