Literature Review
5 signs that quickly identify someone with good leadership skills
09/27/24 at 02:00 AM5 signs that quickly identify someone with good leadership skills Inc., by Marcel Schwantes; 9/25/24 Not every person in charge of another person, team, or company is aware of which behaviors motivates and inspires others. Do you agree with this statement? For any human relationship to thrive, it has to be founded on trust. ... Great Place To Work -- the global research consultancy that partners with Fortune to conduct the annual study of those best companies -- has confirmed that trust is the human behavior you cannot afford not to have. It found that 92 percent of employees believe that their managers are people they can trust. ... Not every person in charge of another person, team, or company is aware of which behaviors produce the kind of trust that motivates and inspires others. For those who do, it is a continuous journey of personal development. In their journey, they'll most likely find that trust is only present when certain behaviors are displayed daily. Here are five that I have identified as leading to trust:
The growing, troublesome issues around non-solicitation agreements in home care
09/26/24 at 03:10 AMThe growing, troublesome issues around non-solicitation agreements in home care Home Health Care News; by Audrie Martin; 9/23/24 In August, Comfort Keepers was fined $500,000 and forced to remove language from its contracts restricting caregivers from accepting positions with home care clients up to one year after terminating employment. That contract language, dubbed a non-solicitation agreement, is a widely used clause in home care contracts to protect providers’ businesses. On its end, the Irvine, California-based Comfort Keepers is a large franchise that offers non-medical in-home support, including meal preparation, companionship and personal assistance. The company required each client to execute a care agreement containing this language before receiving services. California Attorney General Rob Bonta concluded that this agreement violated California law by restraining worker mobility, as caregivers could not be hired by any Comfort Keepers client, not just the client to whom they were assigned to provide services. ...
Texas families take on Houston-based solar company in arbitration case
09/26/24 at 03:00 AMTexas families take on Houston-based solar company in arbitration case CBS News Texas; by Andrea Lucia, Lexi Salazar, and Mike Lozano; 9/24/24 In February, the CBS News Texas I-Team revealed a pattern of complaints against Sunnova Energy, accusing it of preying on the sick and elderly by getting them to sign long-term payment plans for solar panels they can't afford. ... Joshua resident Cynthia Hampton was featured in the I-Team's February report about Sunnova. Hampton believed her late father, who was receiving in-home hospice care, was tricked into signing a contract with Sunnova, leaving his children to settle the debt after his death. ... Mark Alexander believes the company's practices violate the Deceptive Trade Practices Act and that the company has committed breach of warranty and fraud. ... In an emailed statement to the I-Team, Sunnova wrote in part: "Nothing is more important to us as a company than customer service. ...
77% of health system IT employees eyeing new jobs
09/26/24 at 03:00 AM77% of health system IT employees eyeing new jobs Becker's Health IT; Naomi Diaz; 9/25/24 Health system IT employees are keeping their options open, with 77% actively seeking new jobs or planning to do so within the next year, according to Bloomforce's "2024 EHR Salary Insights Report." The report, based on an online survey conducted between November and December 2023, gathered responses from 284 healthcare professionals across various roles, including application analysts, team leads, project managers and people managers. It explored areas such as salary, job satisfaction, work-life balance, talent retention and attitudes toward remote work. Here are some key findings from the report: [Click on the title's link to read more.]
HopeHealth CMO: Hospice rules for ‘unrelated care’ getting stricter
09/26/24 at 03:00 AMHopeHealth CMO: Hospice rules for ‘unrelated care’ getting stricter Hospice News; by Jim Parker; 9/25/24 Dr. Ed Martin began working in hospice in 1987 after hearing families talk about their experiences with those services. Today, he is chief medical officer of Rhode Island-based HopeHealth. The more than 50-year-old nonprofit organization also serves parts of Massachusetts. Martin recently spoke about the complicated issue of care that is deemed “unrelated” to a patient’s terminal diagnosis at the National Hospice and Palliative Care Organization’s Annual Leadership Conference in Denver. Hospice News sat down with Martin at the conference to discuss how he and his organization are addressing the matter of unrelated care, as well as the efficacy of requirements for an addendum to the election statement. [Click on the title's link to continue reading this interview.]
Hospital nurse turnover, vacancy rates by year
09/26/24 at 03:00 AMHospital nurse turnover, vacancy rates by year Becker's Clinical Leadership; by Mackenzie Bean; 9/24/24 Nurse turnover and vacancy rates have declined since their pandemic-era peaks but remain elevated, according to data from the "2024 NSI National Health Care Retention & RN Staffing Report." The report, released in April, includes survey findings from 400 hospitals in 36 states on registered nurse turnover, retention, vacancy rates, recruitment metrics and staffing strategies. Survey data covers more than 194,000 nurses and was collected in 2023. ... Below are the average rates of registered nurse turnover and vacancy in hospitals between 2019 and 2024, according to the report. The data suggests hospitals have made progress in reducing nurse turnover and vacancy rates since their peak during the pandemic. However, sustained efforts to stabilize the workforce, improve working conditions and address burnout are needed to fully recover.
‘Think like a reviewer’: How hospices can use communication, documentation to boost quality
09/26/24 at 03:00 AM‘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.
Hospital mergers and health care price increases: A primer for reporters
09/26/24 at 03:00 AMHospital mergers and health care price increases: A primer for reporters Association of Health Care Journalists (AHCG); by AHCG Staff; 9/24/24 Hospital mergers — market consolidation — can lead to health care price increases of anywhere from 3% to 65%, according to a 2022 RAND Corporation review. The FTC’s director of the Bureau of Economics has said hospitals that merge may charge 40% to 50% more than if they hadn’t merged. Mergers can also result in layoffs and lower tax revenues and have a negative impact on patient care by reducing access to some health care services. With so much research confirming negative effects and as health care prices continue to rise, what — if anything — can be done to slow market consolidation and/or reduce the harms to patients and local economies?
3HC appoints new President and CEO
09/26/24 at 03:00 AM3HC appoints new President and CEO Goldsboro Daily News, Goldsboro, NC; by Andrew Stevens; 9/24/24 3HC Home Health and Hospice Care Inc., a leading North Carolina provider of home health and hospice announced today that a new President and CEO has been appointed by their Board of Directors. The Board Chair, Shirley Harkey, DHA, RN, FACHE, sent notice to 3HC’s Executive Team on Sept. 16, announcing the appointment of Jennifer J. Whitley, MSN, RN, FNP-C as President and Chief Executive Officer effective Sept., 17. “Mrs. Whitley has successfully served in many roles at 3HC since 1995, from Home Health Nurse to Interim CEO,” said Shirley Harkey, 3HC Board Chair. “With 10 years of experience as Assistant Vice President of Clinical Services and 9 years as Chief Clinical Officer, she stepped into the Interim CEO role in April 2024 and served this organization well during that time. Over the years, Mrs. Whitely has led the organization through many challenges and opportunities to improve clinical care, documentation, and operational efficiencies. ..."
Epic hit with antitrust suit by Particle Health
09/26/24 at 03:00 AMEpic hit with antitrust suit by Particle Health Modern Healthcare; by Brock E.W. Turner; 9/23/24 A startup’s dispute with electronic health record giant Epic Systems has escalated to court. Particle Health, a startup that helps providers and health technology companies aggregate and share data, filed a suit Monday in the U.S. District Court for the Southern District of New York alleging Epic is using its market power to prevent products that would compete with the EHR company's payer platform. ... Particle also alleges Epic used its influence to obtain a favorable ruling from Carequality, the national interoperability framework used by more than 50,000 organizations including clinics, hospitals and health tech companies. An Epic spokesperson said Particle’s claims are “baseless” and the lawsuit is an attempt to divert attention from Particle’s “unlawful actions” on the Carequality health information exchange network. The spokesperson said the company would defend itself against the claims.
Today's Encouragement: You have to color outside the lines ...
09/26/24 at 03:00 AMYou have to color outside the lines once in a while if you want to make your life a masterpiece. ~ Albert Einstein
Building a clinic-based palliative care program
09/26/24 at 03:00 AMBuilding a clinic-based palliative care program Hospice News; by Jennifer Murtoff; 9/25/24 Palliative care is often delivered in the hospital setting or in the home, but a number of organizations have set up clinics to deliver those services. These locations often assist patients by offering a variety of services beyond symptom management. While they offer an alternative to home-based services, they present their own unique benefits and challenges. One of the agencies that uses the clinic model is Hospice of Northwest Ohio, which serves both Ohio and Michigan. Their palliative care subsidiary, Sincera — Supportive Care and Symptom Relief, launched in 2008 and recently opened a location in Oregon City, Ohio. At Sincera clinics, patients of any age who have chronic, serious illnesses can receive expert palliative care services. Creating the clinic-based model was a challenge, according to Richard Russell, president and CEO of Hospice of Northwest Ohio.
The power of collaboration: Pharmacists and nurses partner to enhance patient care
09/26/24 at 03:00 AMThe power of collaboration: Pharmacists and nurses partner to enhance patient care American Society of Health-System Pharmacists (ASHP) News Center; by Karen Blum; 9/23/24 Pharmacists and nurses work together on today's most pressing health challenges - from managing heart failure to deprescribing in palliative care to tackling obesity in pre-transplant patients. The Collaborative Care Grant for Nurses and Pharmacists from the ASHP Foundation and American Nurses Foundation recognizes the potential impact of this interdisciplinary teamwork on improving healthcare outcomes. At UPMC Presbyterian Hospital, the grant program helped fund the creation of a medication optimization clinic (MOC) for those with heart failure with reduced ejection fraction. “It made a lot of sense to bring together our collective expertise to manage these patients to get them on more optimal medications,” said James Coons, a clinical pharmacist in cardiology at UPMC Presbyterian Hospital. Coons, an ASHP member and professor at the University of Pittsburgh School of Pharmacy, worked with nurse practitioner and longtime collaborator, Jennifer Kliner, on the project.
2 years after its rebrand, CenterWell Home Health is set on tackling big goals
09/26/24 at 03:00 AM2 years after its rebrand, CenterWell Home Health is set on tackling big goals Home Health Care News; by Andrew Donlan; 9/24/24 Kirk Allen, the president of home solutions at Humana Inc., is living a home health veteran’s dream. Right now, he is heads down on helping create a value-based home health model within CenterWell, Humana’s provider services arm. Home health leaders have always touted the extraordinary health and monetary value that can be derived from their services. Not many have had the opportunity to prove that out, however. Allen does. Humana owns CenterWell Home Health, which is one of the largest providers in the country. CenterWell also includes CenterWell Pharmacy and CenterWell Primary Care. Eventually, CenterWell Home Health wants to have 80,000 home health patients under its value-based model. ... After Humana fully acquired Kindred at Home, it divested the home care and hospice assets. With the large and remaining home health footprint, Humana created CenterWell Home Health.
Filling trailers, homes & hearts
09/26/24 at 03:00 AMFilling trailers, homes & hearts Tracy Area Headlight Herald, Tracy, MN; 9/25/24 The Hospice of Murray County Rummage Sale takes place every fall at the Murray County Fairgrounds in Slayton. But in no other year has the event meant as much to people organizers will never meet. And for one former Tracy resident, it provided a chance to make an even bigger difference than she already does in her hometown of Mankato. Two trailers full of all kinds of furniture — from chairs, tables and couches, to beds and lamps — were driven from the fairgrounds to Mankato on Saturday for an organization called A Fresh Start, a program started during COVID that supports those impacted by the homeless. Editor's note: What a beautiful, thoughtful community partnership.
Pay cuts, layoffs hit the C-suite
09/26/24 at 02:50 AMPay cuts, layoffs hit the C-suite Becker's Hospital CFO Report; by Alan Condon; 9/25/24 Health systems are increasingly trimming executive positions and pay to stabilize their financial footing amid rising operational costs, workforce shortages and inflationary pressures. Springfield, Mass.-based Baystate Health will see three top leaders depart, effective Oct. 23, including Chief Quality Officer Doug Salvador, MD, Chief Information and Digital Officer Kevin Conway and Chief Human Resources Officer Kristin Morales-Lemieux. ... Similarly, Providence, R.I.-based Lifespan has cut 20% of its executive roles as part of a broader restructuring effort aimed at reducing overhead costs and directing more resources to patient care. The restructuring has led to the departure of key figures, including Crista Durand, who served as president of Newport (R.I.) Hospital since 2014. ... Corvallis, Ore.-based Samaritan Health Services recently laid off 1% of its workforce and temporarily reduced executive pay to counteract financial losses. ... For hospital executives across the country, these cuts serve as a stark reminder that restructuring may be inevitable to maintain operational viability. As the healthcare landscape evolves, systems will continue to seek ways to reduce overhead, streamline decision-making, and focus on financial sustainability.
James City County couple who started pediatric hospice nonprofit glad for its expansion
09/26/24 at 02:40 AMJames City County couple who started pediatric hospice nonprofit glad for its expansion Daily Press; James City, VA; by Alison Johnson; 9/25/24 Every year on July 3, Allen and Joan Hogge take out old photo albums to look at pictures of a little boy who barely reached age 8. The James City County couple remembers happy moments on the birthday of their only son, Marcus, who died of a progressive neurological disease. ... They think about how he loved sneaking up on people, giving them a gentle pinch and running off giggling as a toddler. ... Marc’s short life with his parents and two younger sisters led the Hogges to found a pediatric home health and hospice nonprofit, Edmarc, that has grown steadily over the past 46 years to provide free services to families across Hampton Roads. Recently, the nonprofit opened a new Williamsburg office to reach residents of the city and surrounding counties, including James City, Gloucester, Mathews, Charles City and New Kent. ... “This expansion means so much to us,” Allen Hogge said. “We understand all too well how lonely and difficult and exhausting it can be to have a child with a serious illness." ... Named for Marc and the late Rev. Edward “Ed” Page, the pastor at the Hogges’ former church in Suffolk, Edmarc in 1978 became the nation’s first hospice and palliative care program designed for children.
A night with the stars: Soldout event raises nearly $100,000 for Richmond County Hospice
09/26/24 at 02:30 AMA night with the stars: Soldout event raises nearly $100,000 for Richmond County Hospice Richmond County Daily Journal, Richmond County, NC; by Jimmy Potts; 9/24/24 Last Saturday’s Dancing with the Stars fundraiser generated nearly $100,000 for Richmond County Hospice during the gala event hosted by the Cole Auditorium. The $95,000 raised last Saturday eclipsed the $83,000 raised last year, which Richmond County Commission President Jeff Smart attributed to growing support for the event year after year. “I couldn’t be more proud of that. Did y’all hear sold out? In Richmond County, that doesn’t happen folks. I had people calling me today wanting tickets, and I couldn’t sneak them through the back door,” Smart said. “… Last year, we topped around $83,000. The good news is we had more sponsors. We sold out, which is the most ticket sales you can have. We had a record number of sales from our dancers.” Along with performances from the dancers, the event also featured a slew of restaurants putting their confections to the test as part of a contest. The event also featured performances multiple area dances troupes as well as more than 18 contestants performing in the competition.
Fairhope Hospice and Palliative Care announces Grand Opening of Advanced Illness Management (AIM) Clinic
09/26/24 at 02:00 AMFairhope Hospice and Palliative Care announces Grand Opening of Advanced Illness Management (AIM) Clinic Fairhope Hospice & Palliative Care; by Julie Theado; 9/24/24Fairhope Hospice & Palliative Care celebrated the grand opening of their Advanced Illness Management (AIM) Clinic through a ribbon-cutting ceremony on Sept. 23, hosted by the Lancaster-Fairfield County Chamber of Commerce alongside community leaders. The AIM clinic ... is designed to meet the growing needs of the community by providing a convenient setting where patients can receive care from nurse practitioners for routine visits and urgent, non-emergency care. Physician support will also be available to help patients better manage symptoms and stress associated with their conditions, ultimately aiming to reduce frequent hospitalizations. ... Kristin Glasure, President and CEO of Fairhope Hospice and Palliative Care, shared her thoughts on this expansion: “... By offering more specialized services in a dedicated setting, we’re ensuring that patients with advanced illnesses receive the best possible care while staying close to home."
Oncology leaders call for ‘ethical deployment’ and ‘responsible use’ of AI in cancer care
09/26/24 at 02:00 AMOncology leaders call for ‘ethical deployment’ and ‘responsible use’ of AI in cancer care Healio; by Josh Friedman and Matthew Shinkle; 9/25/24 The AI revolution already has transformed delivery of cancer care. New algorithms rapidly identify patterns or abnormalities on imaging, improving diagnostic accuracy. Large language models can craft responses to patient questions, and machine learning predicts treatments to which a patient is most likely to respond. ... Oncologists are grappling with complex issues as they integrate AI into cancer care, according to results of a nationwide survey. Most oncologists believe they should have the ability to explain how AI models work and must protect patients from biased AI, findings published in JAMA Network Open showed. Most respondents also indicated patients should consent to use of AI before it is implemented in practice. ... Despite the potential benefits of AI to improve decision-making and outcomes, clinicians have expressed concerns about ... AI bias; the ability of AI to detail its decision-making process; who bears responsibility for errors or misuse; and whose treatment recommendation takes precedence when a physician and AI do not agree.
Here's what for-profit systems are watching as 2025 approaches
09/25/24 at 03:00 AMHere's what for-profit systems are watching as 2025 approaches Modern Healthcare; by Caroline Hudson; 9/9/24 ... Executives from HCA Healthcare, Tenet Healthcare, Community Health Systems and Universal Health Services joined insurers, pharmaceutical companies and others in the spotlight this week at the annual Wells Fargo Healthcare Conference in Boston. Discussions ranged from upcoming capital projects to supplemental payment programs. Here are five takeaways from the for-profits' discussions.
UnitedHealth Group's Optum to lay off 160 employees
09/25/24 at 03:00 AMUnitedHealth Group's Optum to lay off 160 employees Modern Healthcare; by Hayley Desilva; 9/19/24 UnitedHealth Group's Optum filed plans to lay off 160 employees at one of its locations in Basking Ridge, New Jersey. The majority of the cuts will occur on Dec. 11, with a single worker laid off Jan. 22, according to a Worker Adjustment and Retraining Notification Act notice filed with the state of New Jersey this month. ... The provider, pharmacy and technology services business said in the filing the planned layoffs are due to a need for "alignment of capabilities and services to meet the evolving needs of our business and those we serve." The employees will be eligible for severance pay and continue to receive their regular wages until their termination date.
[United Kingdom] 'Cuts to hospice care are a tragedy'
09/25/24 at 03:00 AM[United Kingdom] 'Cuts to hospice care are a tragedy' BBC News, United Kingdom; by Helen Drew and James W. Kelly; 9/22/24 A south London hospice has made several staff redundant and cut services because funding levels are failing to meet rising operating costs, its chief executive has said. Nick Stevens said St Raphael's Hospice's operating costs have risen by £1m over the last four years but only received a £140,000 uplift from the NHS, which provides a quarter of the charity's funding. Among the cuts was the disbandment of the "hospice at home" service which serves the local area. ... Mr. Stevens said they have had to reduce their clinical nurse community team by 20%. "That is a real tragedy. We've lost members with decades of expertise and experience who have supported hundreds of people through the last stages of their lives," he said. Mr. Stevens described such staff as "irreplaceable" and their loss will have a "detrimental impact" on the services offered by the hospice. Editor's Note: This trend continues to grow throughout the United Kingdom, with huge fundraisers to help pay costs. What implications might it have for the United States, or not?
Today's Encouragement: Wednesday is like ...
09/25/24 at 03:00 AMWednesday is like a speed bump in the middle of the workweek – slow down, take a breath, and then accelerate into the weekend. ~ Unknown
Cigna to cut Medicare Advantage plans in several states
09/25/24 at 03:00 AMCigna to cut Medicare Advantage plans in several statesModern Healthcare; by Lauren Berryman; 9/19/24Cigna Group's health insurance unit is scaling back Medicare Advantage offerings in eight states next year, according to a notice to third-party marketers published by the insurance brokerage Pinnacle Financial Services. Members in 36 health plans will be affected by Cigna Healthcare’s cuts and service area reductions in Colorado, Florida, Illinois, Missouri, North Carolina, Tennessee, Texas and Utah. Most people will have another Cigna Medicare Advantage plan available in their counties. The company's Medicare Advantage business is fully exiting at least three counties: two in Missouri and one in North Carolina, the notice said.