Literature Review

National Partnership for Healthcare and Hospice Innovation, and American Cancer Society unveil Advanced Cancer Guide to Support Patients & Families Facing Terminal Cancer Cision - PR Newswire, Washington, DC; 11/13/24 Today, the National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit serious illness care providers, proudly introduces the Advanced Cancer Care Patient & Caregiver Guide, developed in collaboration with the American Cancer Society. This essential resource is designed to assist individuals living with cancer and their caregivers by providing critical information that enables them to receive care in the comfort of their own homes. ... This comprehensive guide aims to minimize hospital and emergency room visits, easing stress for patients, families, and medical facilities alike. Drawing on the expertise of over 100 serious illness care providers and the American Cancer Society, it delivers practical, reliable support for those navigating cancer care at home. Editor's note: The National Partnership for Healthcare and Hospice Innovation (NPHI) is a sponsor for our newsletter.

WellSky acquires leading durable/home medical equipment software provider Bonafide, enhancing home care solutions Healthcare IT Today; by Healthcare IT News; 11/12/24 WellSky, a leading health and community care technology company, announced today that it has acquired Bonafide, an enterprise software solution for durable medical equipment (DME) and home medical equipment (HME) companies. With the addition of Bonafide, WellSky expands its footprint in DME/HME and will serve more providers with an integrated software platform that allows them to run their businesses compliantly, efficiently, and profitably. DME/HME is a rapidly growing segment in the healthcare industry, driven by the increasing demand for patient-centered care in the home. Bonafide has built a fully integrated enterprise workflow management platform that combines billing, revenue cycle management, resupply, supply chain, inventory management, mobile delivery, and more to help DME/HME providers accelerate growth. The company serves 200 clients, including some of the largest and fastest-growing DME/HME providers.

Ascension president addresses UN on cyberattacks Becker's Hospital Review; by Kristin Kuchno; 11/11/24 Eduardo Conrado, president of St. Louis-based Ascension, discussed the health system's May ransomware attack at a Nov. 8 United Nations Security Council meeting. The council met to discuss strategies for countering cyberattacks in healthcare, according to a Nov. 8 news release from the U.N. Ascension's response to the May 8 ransomware attack cost the health system approximately $130 million. The attack forced its hospitals and clinics off its EHR system and disrupted key diagnostic services, including MRIs and CT scans. ... "Overnight, nurses were unable to quickly look up patient records from the computer stations and were forced to comb through paper back-ups for patient medical history and medications," Mr. Conrado said at the meeting.  ... A comprehensive approach is key, Tedros Adhanom Ghebreyesus, PhD, director-general of the World Health Organization, told the U.N. "Countries should invest not only in technologies for detecting and mitigating cyberattacks but in training staff to respond to them," he added...

ACA's future in Trump's 2nd term: 17 things to know Becker's Hospital Review; by Laura Dyrda; 11/8/24 The Affordable Care Act has been through many iterations since being signed into law in 2010. Donald Trump's second presidential term could bring about more changes. The New York Times gathered perspective from experts across the political spectrum to outline what could happen next based on limited information from the campaign trail and Mr. Trump's historical view of the ACA. Here are 17 key points. 

‘Everything is lining up’: Home-based care M&A expected to soar in near-term future Home Health News; by Audrie Martin; 11/11/24 Home health, home care and hospice M&A was historically high in 2021, with high valuations serving sellers and solid return on investment serving buyers. Transactions plummeted after that, but recent signs suggest M&A is beginning to pick back up across sectors. ... Sellers should expect questions about employee retention, the company’s track record of growth after M&A and whether their leadership has done due diligence before entering the race. ... Experts predict that large, founder-led home health and hospice businesses will be in high demand in the coming year. Larger home care companies, especially those that are Medicaid-funded, will also be in demand. 

Balancing work, life and whatever is in between McKnights Senior Living; guest column by Rebekah Bray, LNHA; 11/11/24 Defining our work and lives as separate entities implies that one should not affect the other. For balance, opposing forces must be equal and not influence each other. In actuality, our careers and our home lives have been begrudgingly unifying for years.  ... Late night and weekend hours somehow have become a badge of honor that demonstrates a commitment to the senior living community or long-term care facility, with the thinking that no one else will possibly be able to achieve it. Endless hours are not sustainable and, simultaneously, a baseline has been developed that tireless commitment is the bare minimum. ... [People] in leadership positions in healthcare seldom are given the luxury to unplug, mentally or physically, due to the endless cycle of problems, including staffing, changes to regulations, revenue and day-to-day operations. Many leaders consider it a sacrifice that comes with the job of leadership. ... Editor's note: Work-life balance continues to be a trend in reasons for retention, unionization, strikes, and more. More significantly--in the midst of your important work as leader--this is your life. This is your time to create and navigate relationships, work, and more. Tapping into your passion for end-of-life care, what will be your joys and regrets when you are receiving palliative and hospice care? What kinds of grief care will your family need after your death?

Cigna ends Humana merger talks, prioritizes share buybacks Modern Healthcare - Insurance; by John Lauerman, Bloomberg; 11/11/24 Cigna Group said it won’t pursue a combination with rival insurer Humana Inc. after reports the two companies had renewed discussions of a deal. The company “remains committed to its established M&A criteria and would only consider acquisitions that are strategically aligned, financially attractive, and have a high probability to close,” according to a statement Monday. Cigna shares jumped by 8% in premarket trading, while shares in Humana dropped by 7%. The two health insurance giants, with a combined market value of roughly $125 billion, held talks about a deal last year, but Cigna walked away after the two companies failed to agree on a price, Bloomberg News reported in December.   

Startup Guaranteed looks to improve end-of-life care Healthcare Brew; by Cassie McGrath; 11/6/24 After losing her father, Jessica McGlory founded a startup to improve end-of-life care. In August 2019, Jessica McGlory got a call that her father had had a double heart attack and was admitted to a hospital in Chicago. As his health declined, McGlory became his caregiver and healthcare proxy. But she said she never got the opportunity to discuss her father’s end-of-life care or his wishes. “I thought it was going to be an opportunity to really focus on my loved one, but instead, [I] had to focus on everything else and really didn’t get the support [I] expected from the hospice,” she told Healthcare Brew. Hospice is palliative care that typically includes counseling, physical care, medicine, and equipment for patients with terminal illnesses. Two years later, despite having no previous experience in healthcare, McGlory decided to take action. In 2022, she launched Guaranteed, a New York-based hybrid end-of-life care startup that works to support people with terminal illness as well as their loved ones and caregivers. ... Guaranteed has raised $10 million to date and is looking to expand into three more states next year, she said.

Gilchrist’s commitment: Bridging the gap in hospice care for minority communities Afro News - The Black Media Authority; 11/11/24 Equitable access to hospice care remains a critical issue, particularly in minority communities where disparities persist. Black Americans, for instance, continue to be underrepresented in hospice and palliative care services despite ongoing efforts to bridge the gap. Gilchrist, a trusted provider of end-of-life care for more than 30 years, is committed to addressing this inequity head-on. ... Veterans also face disparities in hospice care, especially African American veterans, who make up 12.4% of the veteran population, ... At the heart of Gilchrist’s commitment to serving Black communities in Baltimore lies the William L. and Victorine Q. Adams Gilchrist Center Baltimore. Named after two African American pillars of the local community, this state-of-the-art facility at Stadium Place on East 33rd Street serves as a beacon of hope for residents of Baltimore City and their families.

Educating patients and clinicians on end-of-life care and discussions CancerNetwork - home of the journal Oncology; by Kelley A. Rone, DNP, RN, AGNP-c CancerNetwork® sat down with Kelley A. Rone, DNP, RN, AGNP-c, to discuss the importance of speaking compassionately and ensuring patient awareness when leading end-of-life discussions among those with gastrointestinal (GI) cancers. The discussion also focused on combating burnout in the clinic, using opioids to help manage pain and other symptoms, and educating all members of a multidisciplinary team on initiating end-of-life conversations with their patients. ... As part of leading these end-of-life conversations, Rone emphasized the necessity of addressing the discomfort patients tend to feel when talking about the fact that they may die from their cancer. ... When working with other members of a multidisciplinary care team, Rone illustrated the challenge of having physicians understand that their treatments may fail in younger patients and helping other oncologists become more experienced in speaking about death with patients. ...

With the rise of AI, is a Chief Automation Officer necessary? HR Daily Advisor Newsletter - Technology; by Lou Bachenheimer; 11/11/24 In the age of digital transformation and advanced technology like AI, automation is a critical element for organizations to stay competitive. That’s why many C-suites are considering incorporating a Chief Automation Officer (CAO) into the fabric of their organization to provide senior executive oversight of automation initiatives. But is a whole new role in the c-suite needed and necessary to successfully implement AI and automation into your organization? ... Instead of pouring new resources and energy into new roles that are created off the back of hype, what is needed is executive sponsorship and leadership of advanced automation programs at the highest and most influential levels, underpinned by the appropriate business knowledge and network to be able to drive real change.

Homecare owner allegedly withholds $86k in wages HomeCare, Indianapolis, IN; 11/11/24 The U.S. Department of Labor (DOL) has alleged that home health care company owner Hahn March violated federal wage laws and withheld $86,000 in wages by using improper pay practices at her two Indianapolis, Indiana, companies: Signal Health Group Inc. and SHG Employee Leasing Company. In 2018, federal investigators cited March for not paying overtime wages to employees at her then-owned company, Aging and Disabled Home Healthcare. ... The complaint was filed following an investigation by the DOL Wage and Hour Division, which discovered March and Nancy Stanley, the chief financial officer of both companies, used an artificial regular rate pay scheme to lower hourly pay rates and, in turn, shortchanged employees $86,427 in overtime wages. ... The DOL is seeking $172,854—including $86,427 in back wages and an equal amount in liquated damages—for 43 current and former employees. ... “Employees who work in home health care—one of our nation’s lowest-paying professions—provide necessary daily and hospice care that allow individuals to remain in their homes and aid them in navigating their basic needs, providing dignity and comfort to clients and their families,” said Aaron Loomis, Wage and Hour Division district director.

Veterans guest house to open a hospice home: Serving veterans through their final journey ABC 8 KOLO, Reno, Nevada; by Rebecca Kitchen; 11/11/24 For the last 30 years, the Veterans Guest House has made a commitment to serve veterans and their families as they seek medical care in our area. And over those 30 years, the need has grown tremendously. In fact, the Guest House has regularly been at capacity this year. To accommodate the increased need, the Veterans Guest House has also expanded on the services it offers. ... Every day, veterans and their families are confronted with end-of-life decisions. Some, have the resources to live out those days in comfort. But others face those last moments with uncertainty. “So, our solution is providing a home so they can get the hospice care and the 24-hour care that they need when they can’t get that where they live,” said Froslie. The current home and mission remain the same. This is a second home that will offer a cost-free, private residence for veterans in their final days. It is not a medical facility. Veterans will enroll with a hospice provider of their choice, who will oversee their medical needs.