Literature Review

Blumenauer proposes overhaul to Hospice Benefit: If enacted, the legislation would be the single most significant update to the hospice benefit and payment structure since its inception in 1982. 

New revised Medicaid Fraud Control Unit performance standardsOIG press release on X; 9/19/24HHS-OIG published revised Medicaid Fraud Control Unit (MFCU) performance standards. The standards provide helpful guidance to MFCUs in their operations and assist HHS-OIG in overseeing MFCUs. Read the performance standards here: https://direc.to/fj2o. 

Mercy Health Home Care and Hospice by Compassus to provide care in Greater Lima Area HometownStations.com - ABC, FOX, NBC, CBS, Lima, OH; by Mercy Health - St. Rita's; 9/23/24 The Mercy Health Home Care and Hospice programs serving the greater Lima, Ohio, area, announced a new name today: Mercy Health Home Care and Hospice by Compassus. The name change reflects a joint venture partnership between Bon Secours Mercy Health, the fifth-largest Catholic health system in the U.S., and Compassus, a leading national provider of integrated home-based health care services, finalized earlier this year. Locations in Lima formerly managed by Mercy Health will be rebranded under the joint venture and managed by Compassus.

63 Hispanic and Latino leaders to know | 2024 Becker's Hospital Review; by Anna Falvey; 9/20/24 Becker's is thrilled to honor these Hispanic and Latino healthcare leaders. Diverse leadership in healthcare culminates in a more comprehensive, seamless experience for both patients and providers alike. The leaders honored in this list are transforming the patient journey, ushering in the new wave of healthcare providers and promoting DEI. ... Becker's Healthcare developed this list based on nominations and editorial research. Leaders do not pay and cannot pay for inclusion on this list. This list is not exhaustive, nor is it an endorsement of the leaders or organizations mentioned. Editor's note: Reminder that the National Hispanic Heritage Month is September 15 to October 15. Are you recognizing your Hispanic employees and volunteers? Click here for CMS resources. 

Hospice fraud prevention toolkitCMS press release; 9/24People with Medicare should beware of scammers offering older Americans in-home perks, like free cooking, cleaning and home health services, while they are unknowingly being signed up for hospice services. The scammers then unlawfully bill Medicare for these services in your name. Criminals are using every avenue they can to sign people up including door-to-door visits, false advertising, phone, text and email. Hospice care is for people who are terminally ill and only the patient and doctor can make this serious decision about end-of-life care. This toolkit includes social media posts and a drop-in article to help educate beneficiaries and their loved ones on how to protect themselves against Medicare Hospice fraud.Publisher's note: Also see resources posted on the CMS Senior Medicare Patrol Hospice Fraud website.

NHPCO hosts final Annual Leadership Conference, welcomes evolution to National Alliance for Care at Home NHPCO / National Alliance for Care at Home; by Elyssa Katz; 9/20/24 The National Hospice and Palliative Care Organization (NHPCO) hosted its annual leadership conference (ALC2024) in Denver, Colorado September 14–18, 2024. This conference is the final conference that legacy NHPCO is hosting as it joins with the National Association for Home Care and Hospice (NAHC) to become the National Alliance for Care at Home (the Alliance). NAHC will host its final conference on October 20-24, 2024, in Tampa, Florida.  Over 1,000 attendees and exhibitors joined for the in-person program which included action-packed days of keynotes, concurrent education sessions, networking opportunities, award presentations, and celebrations. ... Thanks to the generous support of attendees [at Tuesday evening's Gala], the National Hospice Foundation, NHPCO’s fundraising affiliate, raised over $200,000 throughout the evening. All funds will support the Lighthouse of Hope fund to help fulfill patients’ last wishes. ... As NHPCO celebrates the lasting impact its member have had since 1978 and looks ahead to the Alliance, ALC2024 also served as an opportunity to recognize, celebrate, and honor the many leaders from across the nation who played critical roles in shaping the hospice and palliative care community. 

‘Think like a reviewer’: How hospices can use communication, documentation to boost quality McKnights Home Care; by Adam Healy; 9/24/24 Regulators are tightening their scrutiny of the hospice industry, so providers must prioritize the documentation and communication practices that help them obtain higher quality scores. That’s according to hospice industry experts who spoke during an educational session at the National Hospice and Palliative Care Organization’s annual meeting in Denver. “They’re looking closely at the hospice industry,” Angela Huff, senior managing consultant at Forvis Mazars, said last week during the conference. “They have increasing concerns about fraud, waste and abuse in this space. … Don’t think this is going to stop.” ... A key part of hospice quality assurance is communication, Gallarneau said. Providers should support open, friendly channels of communication. This helps staff and clients feel comfortable raising concerns, making quality issues easier to tackle quickly and effectively. Also, prioritizing accuracy in documentation will help providers stay ready for any surveys or audits, Gallarneau noted. Hospices should ensure patient consent and election of benefit forms are properly filled out, signed and dated, and staff should all be trained to do so accordingly. 

That message from your doctor? It may have been drafted by A.I. DNYUZ; 9/24/24 Every day, patients send hundreds of thousands of messages to their doctors through MyChart, a communications platform that is nearly ubiquitous in U.S. hospitals. They describe their pain and divulge their symptoms — the texture of their rashes, the color of their stool — trusting the doctor on the other end to advise them. But increasingly, the responses to those messages are not written by the doctor — at least, not entirely. About 15,000 doctors and assistants at more than 150 health systems are using a new artificial intelligence feature in MyChart to draft replies to such messages. Many patients receiving those replies have no idea that they were written with the help of artificial intelligence. In interviews, officials at several health systems using MyChart’s tool acknowledged that they do not disclose that the messages contain A.I.-generated content. The trend troubles some experts who worry that doctors may not be vigilant enough to catch potentially dangerous errors in medically significant messages drafted by A.I. 

Man accused of choking terminally ill wife accepts plea deal KSL.com; by Pat Reavy; 9/27/24 A man who prosecutors say attempted to end his terminally ill wife's life by choking her has accepted a plea deal. DeWayne McCulla, 46, pleaded guilty on Thursday in 5th District Court to an amended charge of attempted manslaughter, a third-degree felony. The charge comes with a domestic violence sentencing enhancement. Arenda Lee McCulla, 47, died on Dec. 21, 2021, following her battle with breast cancer. The night before, however, as a small group of family members were by her side in La Verkin, DeWayne McCulla "choked the victim in an attempt to kill her to ease her suffering while they were with her during her terminal cancer and being on hospice," according to charging documents. Other family members pulled McCulla off of his wife.Editor's note: Crucial information that is not reported in this article: Where was the hospice team in managing this patient's pain? In educating and supporting the caregiver (the husband?) and family about contacting the hospice? In making required visits when the patient is actively dying? In assessing the caregiver's ability to provide care, especially any history or risks of domestic violence, neglect, or abuse? What safety-in-the-home protocols were used by this hospice, especially when hospice team members followed up? Aware of not-knowing these many factors, I do not ask these with judgment but rather to raise awareness of core, preventive measures for other hospice patients.

[Germany] Impacts of clinical decision support systems on the relationship, communication, and shared decision-making between health care professionals and patients: Multistakeholder interview studyJournal of Medical Internet Research; Florian Funer, Diana Schneider, Nils B Heyen, Heike Aichinger, Andrea Diana Klausen, Sara Tinnemeyer, Wenke Liedtke, Sabine Salloch, Tanja Bratan; 8/24Clinical decision support systems (CDSSs) are increasingly being introduced into various domains of health care. The results indicate that using CDSSs could restructure established power and decision-making relationships between (future) health care professionals and patients. In addition, respondents expected that the use of CDSSs would involve more communication, so they anticipated an increased time commitment. The results shed new light on the existing discourse by demonstrating that the anticipated impact of CDSSs on the health care professional-patient relationship appears to stem less from the function of a CDSS and more from its integration in the relationship.

Alzheimer dementia among individuals with down syndromeJAMA Network Open; Eric Rubenstein, PhD; Salina Tewolde, ScM; Amy Michals, MPH; Jennifer Weuve, ScD; Juan Fortea, MD; Matthew P. Fox, ScD; Marcia Pescador Jimenez, PhD; Ashley Scott, MPH; Yorghos Tripodis, PhD; Brian G. Skotko, MD; 9/24In this cohort study of  ... adults with Down syndrome enrolled in Medicaid or Medicare between 2011 to 2019, 23.3% of adults had Alzheimer dementia diagnoses, and the mean age of death was 59.2 years. These findings suggest that Alzheimer dementia is almost universal among people with Down syndrome, and administrative claims data may offer valuable insights into improving care for this diverse population.

Well-being outcomes of health care workers after a 5-hour continuing education intervention-The WELL-B randomized clinical trialJAMA Network Open; J. Bryan Sexton, PhD; Kathryn C. Adair, PhD; 9/24To test the effectiveness of Well-Being Essentials for Learning Life-Balance (WELL-B), a web-based continuing education program [was developed] to deliver ... interventions to improve 4 dimensions of HCW [health care workers] well-being (ie, emotional exhaustion, emotional thriving, emotional recovery, and work-life integration). [The] ... sessions improved short-term HCW emotional exhaustion, emotional thriving, emotional recovery, and work-life integration. Health care worker impressions of WELL-B were positive. These findings suggest that WELL-B is a beneficial intervention.