Literature Review

Meet the death doulas who bring comfort to people at the end of their lives Fortune Well; by Liz Seegert; 5/7/24... “The essence of doula care is to provide non-judgmental support and guidance to individuals and families through times of critical, transformative life change,” according to the National End of Life Doula Alliance (NEDA), a member-based nonprofit that offers trainings and directories. Their role complements that of other services, such as hospice or palliative care, with physical, emotional, spiritual, and practical support. That can include holding someone’s hand or listening as a patient reminisces, or simply being a calming presence during the dying process. On the practical side, a doula might help the patient draft advance directives or family members with tasks like care coordination, vigil planning, respite care, and bereavement support. 

Enhabit concludes review of strategic alternatives Valdosta Daily Times; Press Release; 5/8/24 Enhabit, Inc., a leading home health and hospice provider, today announced Enhabit’s Board of Directors (the “Board”) has concluded the Company’s strategic review process, announced in August 2023, which was overseen by the Board with assistance from its financial and legal advisors, Goldman Sachs and Sidley Austin, respectively. After evaluating a full range of strategic alternatives, including a potential sale, merger or other transaction, the Board unanimously determined that continuing to execute on the Company’s strategic plan as an independent, public company is in the best interests of the Company and its shareholders at this time.

Ascension health care network disrupted by cyberattack, interrupting clinical operations CBS Chicago News; by Adam Harrington and Matthew Cramer; 5/9/24 The Ascension health care network announced Wednesday that its clinical operations have been disrupted by a cyberattack. In a news release, Ascension said it responded immediately, and access to some systems has been interrupted with remediation efforts in progress. "Our care teams are trained for these kinds of disruptions and have initiated procedures to ensure patient care delivery continues to be safe and as minimally impacted as possible," Ascension said in a news release. "There has been a disruption to clinical operations, and we continue to assess the impact and duration of the disruption."

Van Duyne, Blumenauer, 38 lawmakers push CMS on hospice integrityVanDuyne.house.gov; Press Release; 5/8/24Today, Congresswoman Beth Van Duyne (R-TX) and Congressman Earl Blumenauer (D-OR) led a bipartisan group of 38 lawmakers demanding answers from Centers for Medicare & Medicaid Services (CMS) on the implementation of recent reforms aimed at combatting hospice fraud and abuse. “When electing to receive hospice care, individuals and their families must be confident the provider is committed to delivering individualized, compassionate care that optimizes quality of life; however, we continue to hear about instances of pervasive fraud and abuse,” the lawmakers wrote.  ... To better understand the steps CMS has taken to increase program integrity, the lawmakers continued the letter with detailed questions on the implementation of reforms. Read the full letter here.  ...“Thank you, Representatives Blumenauer and Van Duyne, for your leadership in holding CMS accountable and safeguarding hospice patients and families from fraudulent activities,” said Ben Marcantonio, Interim CEO of the National Hospice and Palliative Care Organization. “Preserving the integrity of the Medicare Hospice Benefit is paramount to ensure high-quality care for Americans with serious illness and end-of-life care needs.” 

Addus HomeCare expects 2024 acquisitions Hospice News; by Jim Parker; 5/7/24Addus HomeCare Corp. is poised for further acquisitions, potentially including some hospice deals. The company is seeking to pair its clinical services with its personal business in its existing markets. This is a cornerstone of its acquisition strategy. But Addus Chairman and CEO Dirk Allison does not rule out the possibility of moving into new markets if circumstances are right. ... When examining new markets, Addus focuses on regions where they can quickly become the largest or second-largest provider by market share, according to CFO Brian Poff. ... Addus’ roughly 33,000 employees provide hospice, home health and private duty nursing services across more than 200 locations in 22 states.

Hudson Valley Hospice celebrates nurses everywhere for their life-changing work Townsquare Hudson Valley; 5/7/24 Hudson Valley Hospice is celebrating its nurses in all of their roles! From LPNs to registered nurses, nurse case managers to triage nurses, on-call nurses to nurse practitioners, they make a difference each moment of every day in their patients and their loved ones' lives. Hudson Valley Hospice is proud to call many of these heroes their own, with three of them being nominated for Hudson Valley Magazine’s 2024 Excellence in Nursing Awards: ... To Hudson Valley Hospice’s extraordinary nurses and nurses everywhere, thank you and Happy Nurses Month!Editor's Note: Hudson Valley Hospice effectively used the national nurses celebration to thank all nurses (their organizations and others), honor their persons receiving nursing excellence awards, promote community awareness about their hospice services, and recruit nurses for open roles. Bravo to you for this great communication!

Hospice Certifying Physician Medicare Enrollment InformationPalmetto GBA email; 5/6/24Pursuant to our authority under section 6405 of the Affordable Care Act, and as part of CMS' larger strategy to address hospice program integrity and quality of care, certifying physicians, including hospice physicians and hospice attending physicians, must be enrolled in or opted-out of Medicare for the hospice service to be paid. Effective June 3, 2024, (delayed from May 1, 2024) CMS will begin implementing edits to enforce this new rule and will deny hospice claims if the physician entered in the Attending field on the claim is not in the Provider Enrollment Chain and Ownership System (PECOS) as an enrolled or opted-out physician.

Improving inclusive palliative care for transgender patients Hospice News; by Holly Vossel; 5/7/24... Nearly a quarter (21.3%) of 865 interdisciplinary palliative professionals indicated that they had observed some form of discriminatory care delivered to a transgender patient in a recent study published in Cambridge University Press’ journal Palliative Support Care. Furthermore, 85.3% of study participants said they witnessed disrespectful care, while inadequate and abusive care was observed by 35.9% and 10.3% of palliative teams, respectively. ... [Read more for descriptions and interventions, as discussed with Zachary Fried, licensed clinical social worker and training supervisor of Optum at Home, a subsidiary of UnitedHealth Group.] 

Golf tournament raises more than $22,000 for local charity Avow Foundation, Naples, FL; Press Release; 5/6/24On Monday, April 8, Royal Palm Golf Club hosted a Pro-Am tournament to benefit Avow Foundation, raising more than $22,000 to support Avow’s mission to provide hospice, palliative care, and bereavement services to the community. Their collaborative efforts resulted in a successful tournament, attracting 76 professional and amateur golfers from clubs around Collier County.

Maddy Baloy had only 1 year to live after cancer diagnosis — and chose joy: 'Didn’t let anything defy her’ People; by Lizzie Hyman; 5/8/24 Even surrounded by loved ones in hospice care at her Florida home, Maddy Baloy craved adventure. “She kept saying, ‘I want to go outside and go swimming,’ ” her fiancé Louis Risher tells PEOPLE in this week’s issue. It was how Baloy had approached each day from the time she was diagnosed with terminal cancer in February 2023, to the end of her life on May 2, 2024. In just over one year, the 26 year old gained the admiration and support of millions who followed her journey on TikTok as she worked her way through a 19-item bucket list of skills to learn, people to meet and places to go. “Maddy did not let anything defy her,” Risher, 27, says. “She was always just about love.”

Caring for the Caregiver: A Guide for Home Care Providers Forbes; by Joan Ekobena; 5/8/24This article proposes that nurturing the psychological and physical well-being of caregivers [employees] is essential. It’s not just a matter of ethical responsibility but a fundamental factor for maintaining quality care, promoting continuity of care and boosting employee retention. This can create a positive ripple effect, which can not only increase customer satisfaction but also boost business revenue. ... A recent decision by the Office of Inspector General (OIG) underscores the increasing awareness of the need to invest in caregiver wellness. Guides are listed as "Strategies for Supporting Caregiver Wellness and Mindset": ... [Note: "Caregiver" denotes employees who provide home care, not the family "caregiver" in the home.] 

4 ways to mitigate breaches and security crises in healthcare Health IT Answers; by Matt Betts and Carlos Estrada; 5/7/24 ... In this age of ransomware attacks and data breaches, organizations are turning to the experts in change management: healthcare services partners that have relevant experience with volatile contact volumes and strategies to best support these consumers. When evaluating a solutions partner, focus on these four areas to adequately assess a competitive edge: