Literature Review

Couple who volunteers together, shares the same joy Envision - Greater Fond du Lac, WI; contact Betty Wallerser; 10/7/24 For the past nine years, Matthew Davis, a Green Lake resident, has been spending a good amount of his days volunteering with SSM Health at Home Hospice – Green Lake. “A friend of mine mentioned volunteering for hospice telling me that it was the most rewarding thing he had ever done, so I thought I’d give it a try,” according to Matthew. A handful of stories and memories later, Matthew is still volunteering for SSM Health at Home Hospice – Green Lake. ... In 2023, Matthew’s wife, Becky, also started volunteering for SSM Hospice at Home Hospice in Green Lake.  “I always wanted to be a hospice volunteer,” Becky shares. “I worked in physical therapy for 25 years and had a comfort level with patients I knew some people didn’t have. When a close friend of mine passed away on hospice, I knew it was my time to sign up.” Matthew and Becky are one of several couples who volunteer in hospice and are a great asset to the Volunteer Services team, as they both visit with several hospice patients a week.

The best bets for palliative care reimbursement post-VBID Hospice News; by Jim Parker; 10/8/24 The hospice component of the value-based insurance design model (VBID) will sunset at the end of this year, but opportunities for payment through Medicare Advantage and other models remain. The hospice component is part of the larger VBID program, which will continue through 2030. The component was designed to test coverage of hospice through Medicare Advantage. It also contained elements intended to expand access to palliative care, for which reimbursement in general is scarce. Hospice News spoke with Dr. Bob Parker, chief clinical officer and chief compliance officer for the Texas-based hospice provider Kindful Health, about the opportunities in place for palliative care providers. [Click on the title's link for this interview.]

Hospital-at-home care’s future still hangs in the balance Home Health Care News; by Joyce Famakinwa; 10/7/24 Even with a proven track record for clinical effectiveness and cost savings, the hospital-at-home model’s future hangs in the balance. “The data suggests that, for the populations that have been studied in multiple different places, it’s a very safe service to be done and with high-quality care, low readmission rates, low escalation rates, low infection rates,” Dr. Adam Groff, co-founder Maribel Health, told Home Health Care News. “The bottom line is people love it, patients love it and it’s a high-quality care experience.” ... In 2020, the hospital-at-home model had its breakthrough. Though the model was common internationally, it was considered niche in the U.S. This changed with the introduction of the Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care At Home program. A recent report from CMS found that the program has been largely successful. ... Despite the momentum the model has seen in recent years, challenges still exist when it comes to operations and scalability. Specifically, less than 9% of waiver-approved hospitals accounted for more than 70% of all U.S. admissions, according to data from MedPAC’s June 2024 report to Congress. ... 

Ellen McGirt on supporting caregivers at work Great Place to Work; by Roula Amire with Ellen McGirt; 10/8/24 This episode of Better features journalist, speaker, and podcast host Ellen McGirt. In this deeply personal conversation, we dive into the challenges of caregiving while balancing a career.  ...On how managers can better support caregivers at work: Flexible time off, no questions asked. A flexible schedule can change everything for people. ...On the impact a senior leader can have by talking about caregiving and grief: If a very senior person triggers this conversation in the workplace with a disclosure or concern, you're going to see new training, new conversations, new talking points, and new volunteers, and maybe even new staff positions around this. ...On how colleagues can support coworkers who are caretakers, or members of the sandwich generation: Kindness and compassion go a long way. ...

How to prepare yourself for death when given a terminal diagnosis Yahoo!Life; by Kate Ng; 10/8/24 Receiving a terminal diagnosis can be a devastating blow, for the individual and their loved ones. There is no right or wrong way to react to such news, and people respond with all sorts of emotions - from anger and denial, to acceptance and peace. Having a terminal illness can also give a person new perspective. ...

'Trying not to cry:' Helene's wrath sets new normal in battered western North Carolina townCBS WBTW-13, Florence, SC; by Adrianna Lawrence; 10/8/24 Kyle Katona has lived through his share of hurricanes. But nothing could ready him for the wrath Helene unleashed across the idyllic valleys of western North Carolina. "I've never seen the amount of devastation that Hurricane Helene caused in the mountains," the Four Seasons hospice store driver said. He wasn't alone. "I don't think anybody was prepared for the level of catastrophe that was going to occur," said Rikki Hooper, Four Seasons' clinical operations officer. Traumatized residents awoke to the sound of water coursing into their homes before the sun came up -- taking everything and, in some heartbreaking instances, everyone, with it. "Nobody should have to go through this," said Polk County residents Pixie and Deena Moore said. Discolored tree lines 10 to 20 feet high in some places peppered the landscape amid rows of utility vehi cles and overturned cars caked in debris were stark reminders of Helene's total destruction. At Lake Lure -- a beloved vacation spot minutes from Chimney Rock -- mud stands in for where water once flowed. Instead, officials and first responders were providing medical treatment. Military helicopters flicked across the sky and bulldozers cleared out areas. If it sounds like a warzone, that's because it was as close as it could be to one, Pixie Moore said. Editor's note: Click here to donate directly to Four Seasons' hurricance relief needs; or Amazon Wish List. Click here for our 10/2 interview with TCN leaders with Four Seasons about Helene's devastation and hospice needs. 

October is a symphony of permanence and change. ~ Bonaro W. Overstreet

Twin Cities nonprofit fighting senior loneliness with flowers CBS Minnesota; by Susan-Elizabeth Littlefield; 10/6/24 One in four senior Americans is living in isolation. And according to the National Institute of Health, 43% of seniors struggle with loneliness. But a group of Twin Cities women are fighting that trend with flowers. Bluebirds & Blooms in Edina looks like a floral shop, and in a way, it is. But workers there aren't making money. Instead, they're making joy. It's a mission so celebrated that they have an overflow of volunteers. Bluebirds & Blooms started in 2018 after one of the creators saw a news story about a charity in Idaho that re-purposed flowers for hospice patients. They decided to create something similar, delivering to senior centers and hospices around Minnesota.

Gallery brings creativity to hospice care BBC News, United Kingdom; Joshua Askew; 10/6/24 A Kent gallery has partnered with a local hospice to bring creative activities and the enjoyment of art to hospice patients. The Turner Contemporary, in Margate, is holding the "Look Club" where those living with life-limiting illnesses can explore ideas and questions around exhibitions with its team. Brian Hodgson, 77, from Broadstairs, who was referred to the hospice by his neurologist, described it as "a special and emotional experience to be there with an artist, listening to them talk about their work". Pilgrims Hospices also hosts "Living Well" sessions, offering patients and their families social, creative, and educational activities. By working together, Turner Contemporary said the pair were showing the "transformative power of art in healthcare settings." It said giving patients opportunities for creative expression, social interaction and personal growth could help break the stigma around hospices being solely places for end-of-life care.

Guest column: Hopewest – Breaking the silence: Supporting suicide prevention and survivors of loss Special to the Herald Times; 10/2/24 Those left in the wake of a suicide loss sometimes aren’t sure where to turn or what to do. Uprooted by shock and overcome by the grief of losing someone to suicide can feel painful and isolating. ... The stigma surrounding suicide deaths, particularly on the Western Slope of Colorado, often hinders individuals from seeking the support they need. To address this crisis in our communities, we must not only bring awareness to suicide prevention but also collectively understand and acknowledge the challenges that survivors of suicide loss face. “Grief after the loss of a loved one to suicide is a unique and painful experience. Survivors struggle with a range of challenges, from the heavy weight of stigma surrounding the death, to judgment from others,” said Judy Eskelson, HopeWest Meeker Bereavement Counselor. “And for many in our community, they may not fully understand the ins and outs of this type of grief. Life after this kind of death can be overwhelmingly difficult, leaving families to navigate a path they never expected to walk.” ... Following the devastating loss of a loved one to suicide, the HopeWest bereavement team is here to walk alongside individuals and families needing a source of comfort and guidance through their grief journey. Editor's note: Though many hospices provide bare, minimum grief support, many others--like HopeWest--live out their mission by providing a fuller scope of bereavement counseling and support. What does your hospice provide? Throughout your service area, do bereaved persons (whether hospice deaths or not) think of your agency as the "dying, death and bereavement" expert, or not? 

NCCI unveils new, more precise Workers’ Comp Medical Price Index Insurance Journal; by William Rabb; 10/7/24 In recent years, workers’ compensation insurers have struggled to accurately gauge the precise trends in medical costs, and have had to rely on indexes that weren’t quite on-point: The U.S. Consumer Price Index is geared toward what patients pay and does not include Medicare’s reimbursement rates, which so many states now tie their workers’ comp fee schedules to. ... Comes now the National Council on Compensation Insurance with a new measuring stick, the Workers’ Compensation Weighted Medical Price Index. It was unveiled recently and has received favorable feedback from carriers, Stephen Cooper, NCCI’s executive director and senior economist, said in a webinar. “By taking the PHC and its construction, we’ve gone and re-created a similar index using similar methodology,” Cooper said. ... 

University of Maryland bolstering palliative care workforce via master’s degree, certification program Hospice News; by Molly Bookner; 10/7/24 The University of Maryland, Baltimore (UMB) School of Pharmacy is seeking to address the dearth of palliative care-trained clinicians and improve care among seriously ill patients. By 2060, the demand for palliative care is expected to nearly double, according to the World Health Organization. Yet, despite this need, significant gaps in training remain, with many professionals lacking exposure to hospice or palliative care during their schooling. UMB seeks to bolster the palliative care workforce through its online Graduate Studies in Palliative Care program, launched in 2017. While most palliative care clinical education programs see small cohorts of five or fewer students, UMB is seeing a larger crowd of professionals enter the workforce. Of the Class of 2024, 36 students received their Master of Science degree and seven received a graduate certificate. “We have an amazing diversity of students,” Mary Lynn McPherson, professor in the Department of Practice, Sciences, and Health Outcomes Research at the School of Pharmacy and executive program director of Graduate Studies in Palliative Care, told Palliative Care News.