Literature Review

CMS memo hints at what hospices can expect under Special Focus ProgramMcKnight's Home Care; by Adam Healy; 10/8/24Hospices subjected to Special Focus Program (SFP) scrutiny will undergo frequent surveys, and noncompliant providers may face termination from the Medicare program, according to the Centers for Medicare & Medicaid Services. Under the SFP, hospices will receive surveys no less than every six months, and follow-ups may be needed, CMS said in a memo to state hospice survey agencies. Hospices that are found to have condition-level deficiencies will be required to complete appropriate enforcement remedies, which include suspension of payment, civil money penalties, directed plans of correction, directed in-service training or termination, according to CMS’ state operations manual. Hospices that have completed two SFP surveys within 18 months, have zero uncorrected condition-level deficiencies and zero pending immediate jeopardy or condition-level complaints may graduate from the SFP, CMS said. However, any hospice that does not comply with all of CMS’ requirements within the necessary timeframes may be considered for termination.

Indianapolis Moms: How furry friends can help with grief and depression WISHTV.com, Indianapolis, IN: by Ashley Fowler; 10/9/24 Our four-legged friends can bring us laughter, joy, and love. But one Indianapolis woman says they can also help us heal. Roleen Demmings has written about her challenges with depression and grief after the death of her mother. ... “My mom was in hospice. She had cancer. My sister and I were her caretakers, and throughout that time, we noticed that we were gaining weight,” Demmings said. “We didn’t want to get out of bed; we had to force ourselves to and we realized the depression setting in even before she died.” She says she knew she needed to exercise more, eat better, and go to therapy, but then she found a non-traditional way of coping: a handsome Newfoundland/Poodle mix named Remy. “Those days where I didn’t want to get out of bed, I knew I had to walk him ...  He doesn’t understand depression, but, y’know, he’s really helped me with mine,” Demmings said. “While we were going through our sadness, he really was a light for us. I call him our lifeboat in the sea of depression.”

Florida health-care workers exhausted as Hurricane Milton approaches The Washington Post; by David Ovalle and Sabrina Malhi; 10/8/24The storm shutters are up at Stephen Johnson’s house near the water in North Fort Myers, Fla. ... But  Jones won’t be home when Hurricane Milton is expected to thunder ashore this week along the Gulf Coast. Instead, the paramedic — like thousands of health-care workers across Florida — intends to ride out the storm at work, then jump into action when the winds die down, the waters recede and people seek medical assistance. ... “It gets stressful. You don’t know if you’re going to come back to a home,” Johnson, 28, of Brewster Ambulance Service, said during a brief break Tuesday after two straight days of organizing evacuations of patients from hospitals and assisted-living facilities across Lee County in southwest Florida while surviving on granola bars and energy drinks. ... By Tuesday afternoon, Florida health officials had deployed nearly 600 ambulances, buses and other transport vehicles to ferry patients out of harm’s way. More than 200 health-care facilities — including 115 assisted-living facilities, 10 hospitals and five hospice providers — have reported evacuations, according to the state’s health department.

[Podcast] Health by law: What should clinicians and students know about the legal landscape of advance care planning?AMA Journal of Ethics; by Thaddeus M. Pope; 10/7/24Dr Thaddeus M. Pope joins Health By Law to discuss updates to the Uniform Law Commission’s Health-Care Decisions Act.

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.

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. ...

Still going at 90: Pioneering Jacksonville triathlete Dottie Dorion's life is now a film [Co-found of Community Hospice & Palliative Care in Jacksonville, FL]Jacksonville Florida Times-Union; by Matt Soergel; 10/8/24 ... Dorion's remarkable athletic life is told in a documentary called "Beyond Triathlon," which features her and fellow athlete Celeste Callahan of Denver, each of them pioneering competitors who in midlife decided they would devote themselves to grueling endurance races. ... [Her husband of 63 years,] George Dorion was in hospice care, a cause Dottie has long championed as an advocate for and a co-founder of Community Hospice & Palliative Care — at a time when hospice was a foreign concept to most people in America. She has been involved in numerous causes beyond hospice. She is co-founder of Volunteers in Medicine, a clinic that provides free health care to uninsured working adults and their families. And she's supported sports programs at the University of North Florida, particularly for women athletes; she's set up endowed scholarships there, and there's a fitness center on campus named after her. 

Hospices leverage school-based partnerships to strengthen bereavement care Hospice News; by Holly Vossel; 10/7/24 Some hospices have increasingly recognized the value of collaborating with local educators when it comes to improving community grief support for bereaved children and their families. Establishing collaborative relationships with educational institutions can help hospices ensure that they’re developing age-appropriate grief services, according to Cole Warner, director of support services at North Carolina-based Hospice of Davidson County. The nonprofit provides hospice services across 10 counties in its service area and also offers bereavement and veteran programs. The ability to identify and communicate grief-related emotions ranges across different age groups, and bereavement care teams need to be well-versed on youths’ cognitive capacity, Warner said. This involves having educators weigh in the common challenges that kids experience along their grief journeys. ...

The greatness of a community is most accurately measure by the compassionate actions of its members. ~ Coretta Scott King

It’s official: How to be a Servant Leader comes down to 6 behaviors, Says Research The best leadership philosophy in the world, simplified to its most basic tenets. Inc.com; by Marcel Schwantes; 10/4/24 Workplace culture became a critical business topic a decade ago, with more executives and HR leaders recognizing that shared values and behaviors drive engagement, innovation, and performance. Building a strong culture, however, requires visionary leadership. One framework I’ve been using to develop leaders in my coaching and training practice is based on the seminal research of organizational leadership scholar Dr. Jim Laub. Laub identified six key leadership behaviors essential to fostering a thriving culture. These behaviors are rooted in the principles of Servant Leadership, a people-centric approach where leaders prioritize serving others, creating environments of trust, engagement, and productivity. ...

'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. 

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. ...