Literature Review
Hospice of Northeast Missouri marks 30 years, eyes future growth
11/26/24 at 03:15 AMHospice of Northeast Missouri marks 30 years, eyes future growth KBUR, Burlington, MO; by collinleddy; 11/25/24 Hospice of Northeast Missouri recently marked 30 years of service, expanding from its original focus in Adair County to cover a ten-county region. This growth addresses the critical need for end-of-life care in rural areas, providing support for patients and their families in managing symptoms and caregiving responsibilities. The organization has seen an increase in demand for its services, particularly among Medicare recipients in rural areas. Between 2010 and 2022, the percentage of rural Medicare beneficiaries using hospice care rose from 34% to 42%, reflecting broader trends in aging populations and the growing importance of caregiving. ... As the hospice looks ahead, it plans to further expand its resources and focus on community education, ensuring that more families are aware of the benefits hospice care provides during difficult times.Editor's note: Per the ongoing number of hospices that celebrate decade-marker anniversaries, we typically do not post those articles. However, the growth patterns in these descriptions reflect hospice organizational trends nationwide: expanding geographical access, rural utilization, increased priorities for caregivers, snf the importance of community education.
People who genuinely afraid of getting old usually display these 8 behaviors (without realizing it)
11/26/24 at 03:10 AMPeople who genuinely afraid of getting old usually display these 8 behaviors (without realizing it) Baseline; by Lucas Graham; 11/25/24 One might think aging is all about the wrinkles, the sagging skin, and that stubborn gray hair that won’t stay hidden. But in reality, it’s not those things that get under your skin. It’s the quiet, creeping fear of what aging really means. Will I still matter? Am I losing my edge? We all have moments where we cling to something that keeps us feeling young, whether it’s trying to keep up with the latest slang ... or avoiding a birthday candle count that feels a little too honest. But what if these subtle habits are really signs of something deeper? Let’s unpack the little things we do when aging feels like a four-letter word, and see what they tell us about our relationship with time.
Addressing barriers to advance care planning by adults with advanced cancers
11/26/24 at 03:00 AMAddressing barriers to advance care planning by adults with advanced cancers Regenstrief Institute, Indianapolis, IN; by Shelley Johns, PsyD and Susan Hickman, PhD; 11/25/24 In one of the first studies to test the utility of mindfulness to support advance care planning by adult cancer patients and their family caregivers, researchers from Regenstrief Institute and Indiana University have found that mindfulness showed promise in improving quality of life and advance care planning outcomes in patients and their family caregivers coping with advanced cancer. ... Mindfulness emphasizes paying attention to the present moment with an attitude of openness, compassion and interested curiosity accomplished through meditation and other exercises to manage stress. “Mindfulness is about noticing what’s here so we can choose the wisest response and hopefully be less emotionally reactive,” said Dr. Johns. “Mindfulness practices help individuals increase their mindfulness muscle, so to speak. Anything that we do in our life ... can be done with mindful focus, with mindful attention."
Providers hoping for better days ahead with ‘suspicious,’ unannounced CMS site visits
11/26/24 at 03:00 AMProviders hoping for better days ahead with ‘suspicious,’ unannounced CMS site visits McKnights Long-Term Care News; by James M. Berklan; 11/25/24 A campaign to strip mystery out of unannounced, often thinly explained site visits by Centers for Medicare & Medicaid Services contractors may be bearing some fruit. Providers have been rattled by visitors’ demands for information and the ability to take photos with little explanation. They’re hoping that the government-hired fact-checkers communicate and execute their mission better moving forward. ... “When the people who educate consultants and others don’t know about something, it’s concerning. It was so suspicious with the way they [contractors] came into facilities,” McCarthy said. Upon investigation, provider advocates were able to confirm the site visits are legitimate and can happen to any provider or supplier as part of their Medicare enrollment or verification process. And while explicit advance notice may not be given, a record of the visits’ orders can be confirmed in the Provider Enrollment, Chain, and Ownership System (PECOS). [Click on the title's link to continue reading.]
Hologram technology wows rural care patients
11/26/24 at 03:00 AMHologram technology wows rural care patients Becker's ASC Review; by Francesca Mathewes; 11/25/24 Cancer patients in rural Tennessee are testing virtual visits from hologram health consultants, Fox 26 News reported Nov. 23. The technology allows healthcare providers, in this case a physician, to consult with patients via a lifelike hologram. Clay Jackson, MD, a palliative care specialist in Germantown, Tenn., said that the technology has expanded access to care in the rural area, where patients might otherwise have to travel more than 100 miles for in-person care. "Two words: blown away. My patients can't believe how great the technology is," said Dr. Jackson in the report. "They may be a one-car family, it may be patients for whom additional travel would cause additional pain or discomfort or stress, especially those who are undergoing active treatment for their cancer," he added. The device and AI-powered spatial computing platform cost $29,000. The technology has been used in the entertainment industry and in professional sports, but this marks the first time the technology has been used in health consultations.
Your children or spouse might not be the best power of attorney — what you can do about it
11/26/24 at 03:00 AMYour children or spouse might not be the best power of attorney — what you can do about it Medical Economics; by Howard Enders; 11/25/24 It’s easy to assume that your spouse or children will be the most suitable candidates for this role, but that isn’t always true. Family members may be emotionally compromised or lack the expertise needed to handle complex medical or financial decisions. So, how can you ensure that your health, finances and legacy are protected? Let’s explore the key elements of estate planning, including setting up the right power of attorney, maximizing savings for future medical expenses and preventing unnecessary financial burdens on your loved ones. ... [Click on the title's link to continue reading.]
Elevate Podcast: Marianne Muzic-Lucenti, LCSW, ACHP-SW, APHSW-C, Palliative Care Program Manager, St. Mary’s Healthcare System
11/26/24 at 03:00 AMElevate Podcast: Marianne Muzic-Lucenti, LCSW, ACHP-SW, APHSW-C, Palliative Care Program Manager, St. Mary’s Healthcare System Hospice News; by Mick Stahlberg; 11/25/24 In this episode, Hospice News Senior Editor Jim Parker speaks with Marianne Muzic-Lucenti, manager of one of the oldest pediatric palliative care programs in the nation, at St. Mary’s Healthcare System in Queens, New York City. The discussion profiles the program and looks at the outlook for palliative care for 2025.
If my dying daughter could face her mortality, why couldn’t the rest of us?
11/26/24 at 03:00 AMIf my dying daughter could face her mortality, why couldn’t the rest of us? DNYUZ, appearing first in The New York Times; Ms. Wildman; 11/25/24 The first week of March 2022, I flew to Miami with my 13-year-old daughter, Orli; her 8-year-old sister, Hana; and my partner, Ian. We were, by all appearances, healthy. Robust, even. In reality, we were at the end of a reprieve. Orli’s liver cancer had by then been assaulted by two years of treatments — chemotherapy, a liver transplant, more chemotherapy, seven surgeries. Now new metastases lit up a corner of one lung on scans, asymptomatic but foreboding. We asked her medical team if we might show her a bit of the world before more procedures. Our oncologist balked. Hence, this brief weekend away. When we arrived at the beach Orli ran directly to the water, then came back and stretched out on a lounge chair. She turned to me and asked, “What if this is the best I ever feel again?” Three hundred and seventy-six days later, she was dead. In the time since she left us, I have thought often of Orli’s question. All that spring, Orli asked, pointedly, why did we think a cure was still possible, that cancer would not continue to return? Left unspoken: Was she going to die from her disease? It was a conversation she wanted to have. And yet what we found over the wild course of her illness was that such conversations are often discouraged, in the doctor’s office and outside it. ... [Click on the title's link to continue reading this profound story.]Editor's note: While families are gathered for Thanksgiving, many health changes will be observed since this time last Thanksgiving, with countless unknowns to unfold until Thanksgiving next year. Tune into the wide scope of conversations that people do want to have, don't want to have, and--perhaps--that your own family needs to have, with grace and care for all.
How to start the most difficult conversation in the world this holiday season
11/26/24 at 03:00 AMHow to start the most difficult conversation in the world this holiday season EIN Presswire, Philadelphia, PA; by Cremstar; 11/25/24 According to a Caring.com Survey only 32% of Americans have a will. This Thanksgiving take advantage of this year’s holiday gatherings to plan for the inevitable. ... “There isn’t one right way to approach this topic. It really depends on the person you’re talking with,” says J.G. Sandom, CEO of Cremstar, a leading online cremation service. For example, if you know your person doesn’t like to be taken by surprise, give them a heads up, says Kate DeBartolo of the Conversation Project, an initiative of the Institute for Healthcare Improvement. Planning a visit with your parent(s)? Let them know beforehand that this topic is on your mind and that you’d like to talk about it with them. This gives them the opportunity to think about what they want, if they haven’t already. Here are Four Tips to ensure a successful dialogue:
Today's Encouragement: Gratitude makes ...
11/26/24 at 03:00 AMGratitude makes sense of our past, brings peace for today and creates a vision for tomorrow. ~ Melody Beattie
Hospice of Baton Rouge: New grief center opens offering vital support and healing
11/26/24 at 03:00 AMHospice of Baton Rouge: New grief center opens offering vital support and healing Unfiltered With Kiran, Baton Rouge, LA; by Megan Kelly; 11/25/24 As the holiday season approaches, a time often filled with joy and togetherness, it can also be a profoundly challenging period for those experiencing grief. The Hospice of Baton Rouge has recognized this need and has transformed a property into a haven of healing: The Retreat at Quarters Lake. This newly established grief center aims to address the significant gap in resources for grieving individuals, a void that became especially apparent during the COVID-19 pandemic. “The Retreat at Quarters Lake provides hope, healing, and connectivity for the grieving through counseling, support groups, alternative grief therapies, and community education,” reads a statement on their website. The facility offers both traditional grief services, such as individual counseling and support groups, and unique, holistic approaches that include art therapy, music therapy, and pet therapy. The goal is to provide a comprehensive support system that caters to individuals of all ages and backgrounds. “We are focusing on some alternative therapies like yoga, meditation, gardening, and even fishing,” said Catherine Schendel, CEO of The Hospice of Baton Rouge. “We want to utilize the beautiful landscaping here to offer non-traditional grief support as well.”
How to manage sibling relationships strained by family caregiving
11/26/24 at 03:00 AMHow to manage sibling relationships strained by family caregiving AARP; by Christine A. Di Pasquale; 11/25/24 ... Conflict around caregiving is not unusual, especially between sisters, says Megan Gilligan, Ph.D., an associate professor of Human Development & Family Science at the University of Missouri. Gilligan is a co-author of the longitudinal Within-Family Differences Study that looks at understanding the “relationships between parents and their adult children and grandchildren, as well as between siblings in adulthood.” Gilligan and her colleagues found that sisters tend to be more critical of one another than sons when it comes to parental caregiving. “Daughters are raised with a sense of expectation, obligation, of wanting to provide that care and wanting that care to look a certain way,” she explains. “And we found that when multiple daughters were involved in care, maybe sometimes they’re kind of stepping on each other’s toes whereas … sons were more likely to kind of step back and let sisters navigate that,” she says. ... Gilligan suggests that we replace the idea of equality with equity in caregiving. Siblings should ask what the parents want each child to do and then divide that work equitably if not equally in order to reduce sources of stress for the ailing parent and among siblings.
After Helene, clinician teams brought critical care to isolated WNC communities
11/26/24 at 03:00 AMAfter Helene, clinician teams brought critical care to isolated WNC communities NC Health News; by Jaymie Baxley; 11/25/24 After the remnants of Hurricane Helene wreaked havoc on western North Carolina’s health care infrastructure, the N.C. Office of Emergency Medical Services deployed nine multidisciplinary teams of clinicians to waterlogged communities where residents were cut off from providers. It was a complex undertaking that required the state to set up mobile treatment centers, medical support shelters and pop-up emergency departments in places with limited — or no — access to clean water and electricity. One team was forced to take a long detour through Tennessee just to reach the flooded county it had been assigned to. Kimberly Clement, manager of NCEMS’ Healthcare Preparedness Program, said more than 1,000 patients were treated across the federally declared disaster area for issues ranging from respiratory illness to injuries suffered while clearing debris from their storm-battered homes. Some of the visiting clinicians stayed for nearly two months, leaving only after the situation had improved enough for local emergency agencies to resume regular operations. The state recently deactivated its last medical unit in western North Carolina, a mobile clinic in McDowell County that stayed open for seven weeks after Helene blew through. Clement described the site’s closure as a milestone in the region’s long road to recovery. ... NCEMS has responded to multiple hurricanes through the years, but Clement said Helene was “very different and very extreme.”
60 harsh life realities 20-somethings don’t realize yet, according to people in their 40s
11/26/24 at 02:00 AM60 harsh life realities 20-somethings don’t realize yet, according to people in their 40s boredpanda; by Viktorija Ošikaité; 11/25/24 You tend to take life for granted in your 20s, and why wouldn’t you? ... You feel invincible and perpetually ready to conquer anything. But as you grow older, you will feel Father Time’s harsh reality checks. ... These 40-somethings would know, and they are sharing their nuggets of wisdom with 20-year-olds in this Reddit thread. ...Editor's note: While this is far more pop culture than the professional information we provide, take a break and enjoy these fun (and often wise) guides. Whatever your age, what are your favorites? What would you add? Delete? Share with a 20-something in your life?
Hospice urges people to recycle Christmas trees
11/25/24 at 03:30 AM[United Kingdom] Hospice urges people to recycle Christmas trees BBC News; by Holly Phillips; 11/23/24 A charity is asking the public to recycle their Christmas trees this year. St. Barnabas Hospice, in Lincoln, is inviting people to take part in their "tree-cycle" initiative, by disposing of their tree in an eco-friendly way while supporting the charity. People who have bought a real tree can register for it to be collected so it can be recycled or replanted in the new year. Volunteers from the hospice will be picking up trees between 7 and 12 January in return for a voluntary donation.
Early palliative care linked to better end-of-life outcomes in ovarian cancer
11/25/24 at 03:00 AMEarly palliative care linked to better end-of-life outcomes in ovarian cancer AJMC - The American Journal of Managed Care, Cranbury, NJ; by Brooke McCormick; 11/22/24 Initiating palliative care (PC) more than 3 months before death was associated with improved quality of care and reduced care intensity at the end of life (EOL) for decedents with ovarian cancer, according to a study published in JAMA Network Open. Alongside oncologic treatment, the American Society of Clinical Oncology recommends all patients with advanced cancer receive early, dedicated PC within 8 weeks of diagnosis. PC benefits include prolonged survival, enhanced quality of EOL care, and improved patient and caregiver quality of life (QOL). Early referral to specialist PC is also linked to less aggressive EOL care.
Why the DOJ’s lawsuit against the UGH-Amedisys merger may not go anywhere
11/25/24 at 03:00 AMWhy the DOJ’s lawsuit against the UGH-Amedisys merger may not go anywhere MedCityNews; by Marissa Plescia; 11/21/24 Experts aren’t sure what the outcome of the DOJ’s recent lawsuit against the proposed UnitedHealth Group/Amedisys merger will be under the incoming Trump administration. The Biden administration has focused more on supporting clinicians, while the previous Trump administration favored corporations. ... But even aside from the differences in governing philosophy, one expert noted that the main reason for antitrust lawsuits — prices would rise as a result of the transaction, hurting consumers and patients — seems to be missing from the equation here. That’s because of the outsized role Medicare and Medicaid play in the home health industry. ... By acquiring Amedisys, UHG would grow its home health and hospice footprint to five more states, as well as receive 500 additional locations across 32 states it already operates in. The deal would also give UHG control of at least 30% of the home health or hospice services in eight states. ... Will the DOJ succeed? It's hard to say for sure what the outcome of the DOJ’s lawsuit will be, particularly with the change in administration. ...
Addus taking a cautious approach to hospice deals
11/25/24 at 03:00 AMAddus taking a cautious approach to hospice deals Hospice News; by Jim Parker; 11/22/24 Valuations in the hospice space have led Addus Homecare (Nasdaq: ADUS) to take a more conservative approach to hospice transactions as it actively seeks home health and personal care deals. Hospice multiples reach record highs in 2020 and 2021, as much as 26x. Since then the price tags have reportedly come down, but they haven’t gone far enough, according to Addus President and COO Brad Bickham. The company also seeks to bulk up its home health business relative to the scale of its hospice operations. “First and foremost is the pricing aspect of it. But secondly, it’s probably sequencing to a certain extent,” Bickham said during the Stephens Annual Investment Conference. “Our hospice platform is certainly significantly larger than our home health platform. We have found that home health does a good job of feeding hospice in the markets where we do have that overlap. It’d be good to essentially catch up our home and health platform at the hospice side, and certainly it’s a cheaper valuation.”
Veterans enjoy early Thanksgiving meal
11/25/24 at 03:00 AMVeterans enjoy early Thanksgiving meal ABC KOLO 8 NewsNow, Reno, NV; by Terri Russell; 11/22/24 More than 250 Veterans and their families gathered at the Washoe County Senior Center to eat an early Thanksgiving meal courtesy of several local businesses and organizations. ... With such a large crowd it was all hands-on deck. But those who came to help say they were more than willing to lend a helping hand. “I knew it was above and beyond fabulous,” says Katie Hurst, with St. Mary’s Hospice of Northern Nevada. “And being in hospice business it is really important to reach out to those who are on this side of their journey. And we couldn’t find a better calling.” Plenty of donations came in to pay for the meal. ... This won’t be the last time Veterans get together for the holidays. Another meal is planned for Christmas on December 19th at the Washoe County Senior Center.
National Alliance for Care at Home lays out 2024, 2025 priorities
11/25/24 at 03:00 AMNational Alliance for Care at Home lays out 2024, 2025 priorities HomeCare, Washington, DC; 11/21/24 As 2024 starts to wind down and a new administration and Congress begins to take over in Washington, home health advocates are focused on two primary priorities: reversing planned reimbursement cuts for home health and reforming plans that target underperforming hospices. As Americans gather for Thanksgiving, “these are major family issues and also major national public policy issues of the highest level of strategic importance for our country,” said Dr. Steve Landers, CEO of the National Alliance for Care at Home, the organization formed by the recent merger of the National Association for Homecare and Hopsice and the National Hospice and Palliative Care Organization. “We’re not done with 2024 yet,” Landers said Thursday, Nov. 21. “We’ve got a lot that we want to accomplish right now, this year—and we’re looking to the future.” The number one priority, he said, is for Congress to intervene and stop home health payment cuts as outlined in a final rule from the Centers for Medicare and Medicaid Services (CMS). He said that the cuts would impact patient outcomes, reduce visits and hurt providers—and that they were implemented based on a Congressional mandate saying CMS should support home health.
Today's Encouragement: Gratitude can transform common days into ...
11/25/24 at 03:00 AMGratitude can transform common days into thanksgivings, turn routine jobs into joy, and change ordinary opportunities into blessings. ~ William Arthur Ward
Health care workers rally at Kaiser Permanente headquarters in Pasadena as strike enters fifth week
11/25/24 at 03:00 AMHealth care workers rally at Kaiser Permanente headquarters in Pasadena as strike enters fifth week Pasadena Now, Pasadena, CA; by Eddie Rivera; 11/22/24 More than 300 Kaiser Permanente mental health workers and their supporters marched Thursday, November 21 around the healthcare giant’s regional headquarters on Walnut Street in Pasadena, marking the fifth week of a statewide strike over working conditions and patient care concerns. The Pasadena demonstration, coordinated with a similar rally in Oakland, highlighted tensions between Kaiser Permanente and its mental health professionals represented by the National Union of Healthcare Workers. ... “We’re tired of the working conditions that Kaiser’s providing for us,” said Marisela Calvillo, a licensed clinical social worker who led the demonstration. ... Calvillo said she was seeing patients every 30 minutes without breaks while struggling to complete required documentation during lunch periods. She said therapists are given approximately two minutes per patient for administrative tasks, affecting her caseload of 86 patients.
OIG issues nursing facility industry segment-specific Compliance Program Guidance; first in a series in Furtherance of its Modernization Initiative
11/25/24 at 03:00 AMOIG issues nursing facility industry segment-specific Compliance Program Guidance; first in a series in Furtherance of its Modernization Initiative Butzel - Attorneys and Counselors Client Alerts; 11/22/24 On November 20, 2024, the U.S. Department of Health & Human Services, Office of Inspector General (“OIG”) issued the first Industry Segment-Specific Compliance Program Guidance (“ICPG”), which applies to the Nursing Facility Industry. This follows from the OIG’s Modernization Initiative to update publicly available resources for the healthcare industry first announced in September 20211 and finalized in April 2023. This ICPG comes just over a year after the OIG issued the General Compliance Program Guidance (“GCPG”) that kicked off the OIG’s efforts to modernize and consolidate numerous Compliance Program Guidance documents issued between 1998 and 2008. Editor's note: Click here to download the U.S. HHS OIG's 59-page November 2024 "NURSING FACILITY Industry Segment-Specific Complicance Program Guidance." A word search finds 30 references to "hospice."
Elizabeth Nemacheck: The personal consequences of EPH's discontinuation of in-home hospice
11/25/24 at 03:00 AMElizabeth Nemacheck: The personal consequences of EPH's discontinuation of in-home hospice Estes Park Trail-Gazette, Estes Park, CO; by Elizabeth Nemacheck; updated 11/22/24 I am writing regarding Estes Park Health's decision to eliminate in-home hospice and home health care in Estes Park. Hospice helps the family by dismantling hospice, Estes Park Health has off-loaded the end-of-life burden solely on the family, during one of the most difficult and totally predictable life events. I hope to illustrate three key issues we identified by sharing my story. My father died at home in September of 2024. After his terminal cancer diagnosis midsummer, my family discussed my dad's wishes in consultation with his oncologist and primary care doctor. Like so many of us, my dad decided that he would very much like to die at home, so that became our goal. We sought alternatives to hospice support beyond Estes Park Health's discontinued home hospice care; once we confirmed that the only hospice available in Estes was in-hospital hospice, we built the infrastructure ourselves to be able to keep my dad at home. Thankfully we had the financial resources to do so, and a lot of gumption. While we were able to keep him at home, we identified three key issues:
Hospices have long road ahead on improving health equity
11/25/24 at 03:00 AMHospices have long road ahead on improving health equity Hospice News; by Holly Vossel; 11/21/24 Prolific health disparities have driven hospices to implement various strategies to improve diversity, equity and inclusion among underserved patient populations. Some providers say the needle has much farther to go toward equitable access. End-of-life care models have increasingly diversified to reach a broader range of patients with different beliefs, values and spiritual outlooks, according to Altonia Garrett, COO of Blue Ridge Hospice. Garrett is also executive director of the Virginia-based hospice’s Diversity, Equity, Inclusion and Belonging Committee. Yet, hospice providers lack a full scope of understanding around the nuanced challenges impeding utilization and the ways to more effectively address unmet patient needs, Garrett said.