Literature Review

States eye (and deny) 4-day workweek Becker's Hospital Review, by Alexis Kayser; 3/4/24 The shortened workweek appeals to most Americans. A July survey found that 81% of the full-time U.S. workforce supports a four-day schedule, and 89% would sacrifice something else for that extra day off: working longer hours on "on-days," taking a pay cut or even switching industries. But the idea is less likely to win executives' favor. ... Multiple states have introduced their own legislation to support the four-day workweek, to varying levels of success. 

House-passed funding bill makes Medicare hospice benefit a ‘piggybank,’ provider groups argue McKnights Home Care, by Adam Healy; 3/7/24 To keep the government open in fiscal year 2024, hospice partially may be bankrolling it — and providers are not pleased about this prospect. The House late Wednesday passed a newly released appropriations bill that includes an extension of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). This act which would effectively allow the Medicare hospice benefit to act as a pay-for for nonhospice legislative priorities. 

Bringing the hospital homePenn Medicine News, by Mary Beth Budnyk; 3/5/24Since his 2020 diagnosis with multiple sclerosis, Steve Lengle has had good and bad days. The bad days are becoming more frequent as his condition continues to decline, causing debilitating pain, weakness, and fatigue, and affecting everything from his memory to his ability to walk. The Lengles found the help they needed through Penn Medicine Advanced Home Health (PMAHH), a new program that aims to prevent hospitalizations by providing a higher level of in-home care to patients who are experiencing an acute medical concern. Editor's Note: This article describes an example of the fairly new Acute Hospital Care At Home program, launched by CMS in November 2020. 

Lower reimbursement a leading cause for poor margins, CFOs say Becker's Hospital CFO Report, by Madeline Ashley; 3/6/24 A recent report from the Healthcare Financial Management Association and Eliciting Insights, a healthcare strategy and marketing research company, found that 84% of health systems have cited lower payer reimbursements as a leading cause for low operating margins. [Click on the title's link for six more findings from the report.]

End-of-life care stakeholders celebrate end of hospice VBID carve-in McKnights Home Care, by Adam Healy; 3/6/24 Various hospice associations on Tuesday cheered the Centers for Medicare & Medicaid Services’ recent decision to abandon the Hospice Benefit Component of the Value-Based Insurance Design (VBID) model. ... Providers have long held that the uniqueness of hospice care, a multidisciplinary, person-centered care model, would make it a poor fit for MA. 

50 most influential clinical executives: Nominate a clinical leader!Modern Healthcare; email 3/6/24Eligibility: Nominees must carry an executive title of senior vice president or higher. Nominees must be or have previously been a licensed clinician working within the healthcare industry.Judging Criteria: Nominations will be reviewed and judged based on the following criteria:

4 hospital closures in 2024 Becker's Hospital CFO Report, by Madeline Ashley; 3/5/24Many hospitals and emergency departments have been forced to close in 2024 due to circumstances like high costs and shifts in care needs. Becker's has reported on four hospital and emergency department closures in 2024.Editor's Note: Locations include Michigan, Wisconsin, Tesac, and Ohio. Click on this article's link for details.

CMS offers relief to providers affected by Change Healthcare outageModern Healthcare, by Lauren Berryman; 3/5/24The Centers for Medicare and Medicaid Services has rolled out efforts to help providers navigate the Change Healthcare outage disrupting healthcare operations nationwide, the Health and Human Services Department announced Tuesday.Editor's Note: Access to the full article requires a subscription

TCN Talks (podcast): Top new stories for February

Judge: Iowa hospice program told worker to ‘let people die’ Iowa Capital Dispatch, by Clark Kauffman; 3/5/24An Iowa judge has awarded jobless benefits to a hospice worker who allegedly quit after being told to let patients die rather than provide them with services.

UChicago Medicine nurses plan 1-day strike Becker's Hospital Review, by Kelly Gooch; 3/5/24Members of the National Nurses Organizing Committee, an affiliate of National Nurses United, are set to hold a one-day strike March 14 at UChicago Medicine. The union represents 2,800 nurses at UChicago Medicine, according to a union news release. UChicago Medicine, which includes the flagship 811-bed University of Chicago Medical Center, has roughly 13,000 employees total.Editor's Note: The University of Chicago Medical Center provides palliative and hospice care services. At the time of this publication, we do not know if or how these services will be impacted. 

Charity Spotlight: Ryan House and Executive Director Tracy Leonard-Warner Fiesta Bowl - Charity Stories, by Theresa Palmquist; 3/5/24 Every year, the Fiesta Bowl Organization provides financial support to nonprofits across the state in an effort to enhance and elevate the lives of Arizona's youth. In its latest grant cycle, Fiesta Bowl Charities granted $25,000 to the Sponsor-A-Stay fund at Ryan House, a nonprofit pediatric-focused facility that provides respite, palliative and end-of-life care for patients with life-limiting and life-threatening diagnoses. ... It is only one of three facilities like its kind in the United States and is modeled after Helen-House in the United Kingdom, which has more than 50 pediatric respite, palliative and hospice care houses.