Literature Review

VITAS® Healthcare continues its pathway of success and promotes two key operations executives Investors Observer; 2/23/24 Two executive leaders at VITAS Healthcare have been promoted to top operational roles. Joel Wherley now serves as president and chief operating officer (COO) and Bryan Wysong as executive vice president (EVP) of operations for the nation’s leading end-of-life care provider. 

[Updated] CMS crackdown on fraudulent hospice providers in full effect in 2024, expert says McKnights Product Theater, by Adam Healy; 2/22/24In recent years, unscrupulous hospice providers have cropped up in California and other states. In response, the Centers for Medicare & Medicaid Services has prepared a slew of tools to curtail the fraud. States continue to feel the effects. As an example, a California hospice operator last week was convicted in a Medicare fraud scheme for billing nearly $3 million for services that patients did not need, according to the Department of Justice. 

Where hospices are investing their 2024 recruitment, retention dollars Hospice News, by Holly Vossel; 2/20/24As hospices zero in on their investments in staff engagement and operational efficiencies, organizational culture is becoming a higher priority. ... Some have leveraged technology to streamline their operations and reduce documentation burdens, while others have poured resources into sculpting their organizational culture and developing training and career pathways.Notable mentions: Tanya Marion, Enhabit; Craig Dresang, YoloCares; Cooper Linton, Duke HomeCare & Hospice.

10 states where 'nurse burnout' is Googled most Becker's Clinical Leadership, by Mariah Taylor; 2/21/24Betternurse.org used Google Trends from Oct. 21, 2023 to Jan. 23, 2024, to gauge the relative search interest for the term "nurse burnout." Arizona had the highest search for nurse burnout, while Los Angeles was the metro area with the most burnout searches. The week in 2023 with the most searches for burnout was Nov. 26 to Dec. 2. On average in the last five years, November was the highest search month for nurse burnout. [Click on the title's link for states with the highest scores for "nurse burnout" searches.]

C-suites, clinicians are burning out at both endsBecker's Hospital Review, by Alexis Kayser; 2/22/24C-suite leaders and clinicians often feel they are on opposite sides of an ever-expanding chasm. But they actually have a lot in common, according to Bruce Cummings and Paul DeChant, MD — a former executive and a former practicing physician, respectively, and perhaps an unlikely pair. Executives and physicians are both knowledge workers. Both are trained to spot and solve problems. Both crave the autonomy to fix those problems — but often, neither feels they truly have it. Both are far strides from the bright-eyed, difference-driven graduates they once were. Both are exhausted, and neither really knows how to talk about it. 

RiverStone Health closing hospice facility in Billings MTN News; 2/23/24RiverStone Health Home Hospice will close this summer in Billings, the agency announced Friday, largely because of struggles to raise enough money to support operations and find enough employees. RiverStone officials said in a news release they will instead focus efforts on providing hospice care to patients at their own homes, regardless of their ability to pay.

Vancouver hospital asked wrong family whether to pull the plug on patientKGW8 NBC News; 2/21/24In a terrible case of mistaken identity that has never been publicly disclosed, KGW found PeaceHealth Southwest Medical Center in Vancouver allowed a family to pull the plug on the wrong man. “We made life-ending decisions for a person we don’t even know,” said Danielson’s husband, Gary.

How immersive technology became a Veteran’s dying wish At the end, he wanted to “fly over” the Virgin Islands VA News, by Dr. Anne Lord BaileyImmersive technology gave one Veteran a last chance to experience his homeland. Mr. Tito, an Army Vietnam Veteran and Virgin Islands native, lived in the Phoenix VA Health Care System Community Living Center (CLC) for four years. 

UnitedHealth unplugs change healthcare information systems to contain cyber attackManaged Healthcare Executive, by Peter Wehrwein; 2/23/24UnitedHealth Group disconnected Change Healthcare's information system to contain a cyberattack that the company says is from an unnamed “nation-state associated cyber security threat actor.”

Palliating serious illness during disasters and public health emergenciesAm J Nurs, by Masako Mayahara, Djin L Tay, Jeannette Kates, William E Rosa; 2/23/24, ahead of print 3/1/24The increase in disasters and public health emergencies in recent years is a serious public health concern. The needs of suffering victims can be multifaceted, particularly the needs of those who are from systematically marginalized populations. Palliative care nurses play a vital role in mitigating the suffering of those affected by these events. 

MA may be worth the gamble: How agencies can win at a new game HomeCare, by Lindsay Doak; 2/23/24 Over the past decade, a major shift has occurred in the Medicare market that many of us didn’t see coming: the takeover of Medicare Advantage (MA). ... This is a true game changer for the home health and hospice industry. ... So, how can agencies successfully contract with MA plans, while ensuring their costs are covered? This is where I like to refer to the wise words of Kenny Rogers’ “The Gambler,” who said, “If you’re gonna play the game…You gotta learn to play it right.”

Eagle Scout keeps hospice patients warm ABC News KAALTV, by Rachel Mantos; 2/23/24A service project for one Rochester Eagle Scout ended with a heart-warming friendship after a kind gesture to Mayo Clinic hospice patients. Lars Ingram got the idea to help out hospice patients for his Eagle Scout project from his father, a Mayo Clinic hospice physician. ... After the blankets were delivered to 100 patients, Ingram received word one of them was also a former Eagle Scout.

Not all mourning happens after bereavement – for some, grief can start years before the death of a loved one The Conversation, by Beth Daley; 2/22/24For many people, grief starts not at the point of death, but from the moment a loved one is diagnosed with a life-limiting illness. Whether it’s the diagnosis of an advanced cancer or a non-malignant condition such as dementia, heart failure or Parkinson’s disease, the psychological and emotional process of grief can begin many months or even years before the person dies. This experience of mourning a future loss is known as anticipatory grief.Editor's Note: All clinical team members need to be equipped to tune into and validate grief that is already underway. Social workers and chaplains--especially--need to be trained to tend grief in the present, and to know how to make high-acuity referrals to bereavement counselors.