Literature Review

Action is key to continue to break down barriers for equitable cancer care OncLive; by Ryan Scott; 5/8/24 Experts from the University of Wisconsin (UW) School of Medicine and Public Health, including Catherine Zhang, MD, MPH, ... Monica Patel, MD, ... Janelle N. Sobecki, MD, ... and Loyda Braithwaite, NP ... participated in an interview with OncLive® on disparities in cancer care. In [this] interview, these experts addressed significant barriers to equitable cancer treatment and highlighted challenges for rural communities to access specialized oncologic care. Furthermore, they emphasized financial limitations affecting treatment access, specifically for marginalized groups, and the need to push for health policy changes.  ... 

New dementia guide provides best Standards of Care from 100+ not-for-profit hospice, palliative and advanced illness organizations PR Newswire; by National Partnership for Healthcare and Hospice Innovation (NPHI); 5/9/24 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for not-for-profit hospice care, in collaboration with Aliviado Health and the Center to Advance Palliative Care (CAPC), announces today the release of the NPHI "Dementia Care Resources Provider Guide." The new guide aims to improve the quality of life for patients with dementia, reducing hospitalizations, and easing the burden of advanced illness for families and caregivers. A dementia diagnosis poses substantial challenges for both patients and their families, impacting millions of Americans nationwide. Shockingly, the Alzheimer's Association reports that an estimated 6.7 million individuals in the U.S. currently live with dementia. 

SXSW 2024: ‘Flipping the Script on End of Life’The Michigan Daily; by Olivai Tarling; 5/7/24 If you asked me to describe a Hollywood death scene, I’m pretty sure I could do it perfectly. ... This panel discussed the taboo topic of death and the dangers of its inaccurate portrayals on screen. Panel members included Zoanne Clack (“Grey’s Anatomy”), doctor-turned executive-producer, screenwriter Scott Z. Burns (“Contagion”) and Julie McFadden, hospice nurse and social media personality, as they discussed the taboo topic of death and the dangers of its inaccurate portrayals on screen.

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.

Honoring National Nurses Week: 11 hospital executives' thank-you notes to nurses Becker's Clinical Leadership; by Mariah Taylor and Kelly Gooch; 5/6/24 The American Nurses Association's theme of National Nurses Week, "Nurses Make the Difference," highlights nursing excellence and how nurses embody the spirit of compassion and care in every healthcare setting. ... [Click on the title's link for] Becker's collected messages of appreciation from hospital and health system leaders across the U.S. ...

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.] 

Spiritual distress, hopelessness, and depression in palliative care: Simultaneous concept analysisMDPI; by Helga Martins, Rita S. Silva, Joana Braganca, Joana Romeiro, and Silvia Caldeira; 5/7/24The results highlight that the three concepts are different but also share some overlapping points. Spiritual distress is embedded in the rupture of their spiritual/religious belief systems, a lack of meaning in life, and existential issues. Hopelessness is a sense of giving up and an inability to control and fix the patient’s situation. Finally, depression is a state of sadness with a multi-impaired situation. In conclusion, refining the three concepts in palliative care is essential since it promotes clarification and enhances knowledge development towards intervention.

HCA accused of withholding pay of 1,000 workersBecker's Hospital Review; by Kelly Gooch; 5/6/24 HCA Healthcare faces a lawsuit alleging its Asheville, N.C.-based Mission Health illegally kept pay from at least 1,000 employees, the Citizen Times reported May 6. Sharon McRee — who said she worked as a nonexempt, hourly respiratory therapist at Mission from July 2002 through its 2019 acquisition by Nashville, Tenn.-based HCA before leaving in July 2022 — alleges she and approximately 1,000 or more employees "clocked in as required and performed the principal activities of their jobs," but their employer "generally did not pay them for all of their time worked," according to the lawsuit, which was accessed by Becker's.

‘Take Me Out Feet First’ docuseries about end of life options debuts on Amazon Prime Video Variety; by Addie Morfoot; 5/7/24 In “Take Me Out Feet First,” a new docuseries now streaming on Amazon Prime Video, director Serene Meshel-Dillman chronicles people’s right to choose medical aid in dying. The six-part docuseries, made in partnership with the nonprofit advocacy organization Compassion & Choices, profiles 25 terminally ill people, their families, and friends, as well as experts in the medical field who advocate for MAID. The series chronicles people who have taken control of how their final days will play out. While some live in states where medical aid in dying is legal, some do not.

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: