Literature Review



Living your best life means embracing the last years, too

09/12/24 at 03:00 AM

Living your best life means embracing the last years, too UCSF - The University of California - San Francisco; by Suzanne Leigh; 9/9/24 UC San Francisco is working with nonprofits that serve seniors and patients with serious medical conditions to raise awareness about palliative care and advance care planning. The partnerships are the result of a collaboration between the UCSF Division of Palliative Medicine and the San Francisco Palliative Care Work Group (PCWG), which is working to address inequities among communities of color in accessing palliative care and advance care planning.

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Habitat Health gets $50 million in funding, names CEO

09/12/24 at 03:00 AM

Habitat Health gets $50 million in funding, names CEO Modern Healthcare; by Diane Eastabrook; 9/10/24Habitat Health announced Tuesday it has tapped former Cigna executive Matthew Bennett as CEO and raised $50 million in capital as the company prepares to open its first Program of All-Inclusive Care for the Elderly in Sacramento, California early next year. Bennett previously held several executive positions at Cigna, including senior vice president of care delivery at Evernorth, the company’s pharmacy and healthcare provider services business. He said he plans to use the new capital to launch Habitat Health's PACE programs throughout California. 

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Tennessee health-care company enters Triad with acquisition of White Oak of Burlington

09/12/24 at 03:00 AM

Tennessee health-care company enters Triad with acquisition of White Oak of Burlington Triad Business Journal; by David Hill; 9/11/24 National Healthcare, a publicly traded company from Nashville, acquired Alamance County facility as part of larger purchase of senior living centers. ... It also has three behavioral health hospitals, 34 homecare agencies and 30 hospice agencies, in addition to Alzheimer’s and memory care units and related operations. ... [Additional subscription may be required.]

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Half of home care workers have seen, experienced workplace violence, report finds

09/12/24 at 03:00 AM

Half of home care workers have seen, experienced workplace violence, report findsMcKnight's Home Care; by Adam Healy; 9/10/24The majority of home care workers have had a brush with workplace violence or harassment, so addressing these dangers can yield significant positive impacts for providers and their staff. That’s according to a new report on home care workplace safety by Transcend Strategy Group. More than 50% of home-based care workers have witnessed or experienced at least one incident of workplace violence or harassment, the report found. About 1 in 5 reported having seen at least seven instances of violence or harassment while on the job. Certified nursing assistants, registered nurses and physician assistants were the most likely groups to be subject to workplace dangers.

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Kaiser Permanente enters deal with CommonSpirit to expand Colorado presence

09/12/24 at 03:00 AM

Kaiser Permanente enters deal with CommonSpirit to expand Colorado presence GlobalData; 9/11/24 Kaiser Permanente and CommonSpirit Health have expanded their alliance with a new long-term agreement, aimed at providing Kaiser Permanente's members with enhanced access to healthcare services in Colorado, US. This agreement will integrate Kaiser Permanente physicians into CommonSpirit's hospitals, offering members, including Metro Denver residents, more convenient healthcare services and options close to home. CommonSpirit Health, a nonprofit health system, has a significant presence in Colorado, operating nearly 20 hospitals and over 240 care sites with a workforce of more than 16,000 and 5,300 healthcare professionals, including physicians and practice clinicians. Meanwhile, Kaiser Permanente, also a nonprofit, is known for its integrated care and coverage model, which includes care from its own providers, as well as a broad external network. 

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Leading the Way: Gilchrist and Franklin Hospice forces in landmark integration

09/12/24 at 02:15 AM

Leading the Way: Gilchrist and Franklin Hospice forces in landmark integration Franklin Hospice, Chambersburg, PA; by Karen M. Giffin; 9/9/24 Franklin Hospice and Gilchrist ... have announced an affiliation agreement. This partnership will unite two of Maryland’s oldest and most experienced nonprofit organizations, together with nearly 70 years of service to their communities. As the healthcare landscape continues to transform nationwide, this type of affiliation of two synergistic nonprofit organizations with similar missions, visions, and values will position both organizations for continued growth, innovation and financial strength. ... This strategic affiliation will strengthen their ability to offer compassionate care to more patients and families throughout Central and Southern Maryland, as well as Washington and Frederick Counties and South-Central Pennsylvania. Both organizations will retain their name and branding while offering a unified approach to care. 

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Florida-based Synthase Collaborative and Southern Care Collaborative merge: Bringing 10 community health organizations together across four states

09/12/24 at 02:05 AM

Florida-based Synthase Collaborative and Southern Care Collaborative merge: Bringing 10 community health organizations together across four states

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National Partnership for Healthcare and Hospice Innovation

09/12/24 at 02:00 AM

National Partnership for Healthcare and Hospice Innovation Fierce Pharma - Special Report: The Fierce 50 of 2024 - Innovation Honorees; by Fraiser Kansteiner; distributed 9/10/24 With an aging population and shifting healthcare environment, providing proper, personalized care for the U.S.’ most vulnerable patients can be a challenge.That’s why Tom Koutsoumpas, one of the masterminds behind the National Partnership for Healthcare and Hospice Innovation (NPHI), has been working to continually improve hospice and palliative care across the nation for decades. ... The goal, he explained in an interview with Fierce, was to "become the national voice for the future of hospice, palliative care, and advanced illness care." Through its efforts, NPHI seeks to work in tandem with its network of nonprofit community programs to help them innovate, thrive into the future and continue to evolve in the ever-changing U.S. healthcare system, Koutsoumpas said. While local hospice and palliative care groups exist to tackle many of these same goals, “programs in the community have no scale,” Koutsoumpas explained. “They have no opportunity to work from scale to address cost issues, rising costs, changes that occur.” In turn, NPHI was founded to help bring those programs together while allowing them to retain their identities as discrete, local providers. Editor's note: NPHI is a sponsor for our newsletter. 

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Over 140 cars take part in 19th Lube-a-Thon for Hospice

09/11/24 at 03:30 AM

Over 140 cars take part in 19th Lube-a-Thon for Hospice Portage.Life; by Center for Hospice Care; 9/10/24 Friday July 26 marked the 19th time Tom's Car Care Canter hosted its Lube-a-Thon for Hospice. From 7am until almost 6pm cars were lined up out to the street to get their oil changed for just a $45 donation to Center for Hospice Care. Even with the line, wait times weren't that long. The Tom's team was moving cars out on an average of five to six minutes each! Along with the oil change, patrons received a ticket for a free car wash (good until the end of October), a coupon for a free muffin or cookie and a cup of coffee or fountain drink as well as an event t-shirt. ... Thanks to all of the participants, sponsors and other donations, the 19th Lube-a-Thon for Hospice raised over $10,000 to help Center for Hospice Care improve the quality of living for those in our nine-county service area.

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Medicare administrative contractor news includes a data breach and potential consolidation

09/11/24 at 03:15 AM

Medicare administrative contractor news includes a data breach and potential consolidation HFMA, Downers Grove, IL; by Nick Hut; 9/9/24 Recent happenings involving Medicare administrative contractors (MACs) include a notice of a data breach and a request for feedback on possible consolidation. CMS sent out word that nearly 950,000 Medicare beneficiaries whose claims go through Wisconsin Physicians Service Insurance Corporation (WPS) are being informed that their protected health information or other personally identifiable information may have been compromised due to a security vulnerability in third-party software. The breach also could have affected those with other insurance if their information was collected to support CMS’s audits of healthcare providers, according to a news release. Belying its name, WPS handles Medicare Parts A and B claims spanning Indiana, Iowa, Kansas, Michigan, Missouri and Nebraska (not Wisconsin). 

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Too Much, Too Little, Just Right: Optimizing cancer care for older adults

09/11/24 at 03:15 AM

Too Much, Too Little, Just Right: Optimizing cancer care for older adults The ASCO Post, American Society of Clinical Oncology; by Ramy Sedhom, MD; Bobby Green, MD; and Julia  Frydman, MD, MS; 9/10/24 Imagine walking into a fancy restaurant only to find a menu consisting mostly of kids’ dishes. It would make no sense. Just 25% of restaurant diners are younger than age 12, and they rarely write Yelp reviews. But when it comes to cancer treatment, this is not very far from what we do. The median age for a new cancer diagnosis is 67, and among those who die of cancer each year, 73% are older adults. Yet just one in four clinical trial participants is aged 70 or older. Consequently, guidelines for most new cancer therapies are based on a median age that is significantly younger than the patient population who actually receives these therapies. That’s quite a conundrum. More than half of patients older than age 65 experience toxicity of grade 3 or worse while undergoing standard chemotherapy. ... Palliative Care—For a 40-year-old mother of two young children, the goal of cancer treatment is usually clear: complete remission and long-term survival. But when you ask older patients with cancer about their priorities, a majority regard symptom control, emotional coping, and other quality-of-life measures at least as much as longevity and sometimes more.

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Rita and Alex Hillman Foundation announces $500,000 in funding for nine projects to improve serious illness and end of life care

09/11/24 at 03:00 AM

Rita and Alex Hillman Foundation announces $500,000 in funding for nine projects to improve serious illness and end of life care Globe Newswire; by Rita & Alex Hillman Foundation; 9/10/24 The Rita and Alex Hillman Foundation ... announced nine grants to support innovative, early-stage interventions that address the serious illness and end of life needs of marginalized populations. The $500,000 in funding, part of a collaborative effort with The Arthur Vining Davis Foundations, will advance nursing-driven initiatives that improve care for diverse populations and expand access to high-quality end of life services. ... This year’s grants demonstrate a commitment to the design, development, and delivery of better and more equitable care. The 2024 HSEI grant recipients are:

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Home health care company operators sentenced to prison in $5.5 million kickback scheme and tax evasion

09/11/24 at 03:00 AM

Home health care company operators sentenced to prison in $5.5 million kickback scheme and tax evasionDOJ press release; 9/5/24A married Macomb County [MI] couple, Noli and Isabel Tcruz, both 68, were sentenced today to 6 years in prison and 38 months in prison, respectively, on health care fraud kickback conspiracy, tax evasion, and fraud charges, announced U.S. Attorney Dawn N. Ison. This follows the sentencings earlier this year of two doctors who had pled guilty to receiving kickbacks and bribes from the Tcruzes... The Tcruzes engaged in an approximately $5 million conspiracy to illegally pay kickbacks and bribes to acquire referrals for home health care for Medicare beneficiaries and refused to pay their income tax obligations for both -personal and business taxes. After their last home health company was shut down in February 2020, Noli Tcruz began engaging in Covid-19 program fraud, and used a family member’s identity and company to steal from and defraud the Small Business Administration and Health and Human Services out of more than $250,000 from pandemic assistance funds.

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Leadership in the age of AI: At the crossroads of humanity and technology

09/11/24 at 03:00 AM

Leadership in the age of AI: At the crossroads of humanity and technology Forbes; by Dr. Adil Dalal, DBA; 9/9/24 It has only been 200 years since the First Industrial Revolution and the mass adoption of what we now call technology... The Second Industrial Revolution in the late 19th and early 20th centuries, marked by great progress in mass production, ... emphasizing the importance of machines over humans and managers over employees. ... Today, the world stands on the precipice of the Fourth Industrial Revolution with artificial intelligence, which is not just reshaping industries but also redefining the very essence of leadership and decision-making. ...  A technology-driven leader [TDL] who prioritizes novelty over humanity can pose significant risks, potentially leading to societal downfall. ... A human-centric leader [HCL] prioritizes the well-being, growth and empowerment of people, steering humanity toward greatness. ... So is there an ideal Technology Age leader who can lead humanity through this historical moment? Yes! ... They must embody and demonstrate the following three qualities:

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CHCF unveils palliative care mural

09/11/24 at 03:00 AM

CHCF unveils palliative care mural California Department of Corrections and Rehabilitation (CHCF); by Lt. M. Orozco; 9/9/24 California Health Care Facility (CHCF) staff joined the incarcerated population and outside stakeholders to unveil the palliative care mural Aug. 23. Warden Gena Jones had a vision to normalize CHCF’s environment, making it more appealing for the incarcerated population and staff to enjoy while working. The vision consists of murals being painted throughout the institution with this mural setting the path for many more to come. In April 2024, incarcerated artists Issac Sinsun, Antiono Garcia, Loreto Arizpe, and Francsico Olivares started the palliative care mural. Little did they know it was the start to a new beginning. With the combined efforts of the four artists, the mural took 81 days and about 2,268 hours to complete. The ideas for the artwork were a combined effort from custody and medical staff as well incarcerated population within the housing unit. [Click on the title's link to see photos.]

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The 'great disruption' coming for Medicare Advantage

09/11/24 at 03:00 AM

The 'great disruption' coming for Medicare Advantage Becker's Payer Issues; by Jakob Emerson; 9/9/24 Come mid-October, the Medicare Advantage program will enter its annual enrollment period, marked by significant changes for older adults. Among these changes are increased government scrutiny, tighter CMS regulations, reduced base payments, and rising healthcare costs. ... "Taken together, some are calling these cuts 'the great disruption,'" wrote Sachin Jain, MD, CEO of SCAN Group, a nonprofit MA carrier with more than 285,000 members, in a LinkedIn post on Sept. 4. Dr. Jain outlined five key observations about the evolving landscape:

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Mental health jobs to grow 3X more than the rate of all US jobs

09/11/24 at 03:00 AM

Mental health jobs to grow 3X more than the rate of all US jobs Becker's Hospital Review; by Erica Carbajal; 9/9/24 By 2033, employment growth in mental health professions is expected to triple that of average job growth in the U.S., according to a CNN analysis of data from the Bureau of Labor Statistics. While the median projected employment growth for all occupations across the next decade is 4%, the rate for mental health-related jobs is 12%. This includes psychiatrists, psychologists, therapists, counselors, psychiatric aids and social workers, according to CNN's report published Sept. 7. Editor's note: Too often, mental health health jobs in hospice and palliative care are relegated to low status on priorities for staffing, instead of the regulatory high priority for "whole-person" care defined throughout the CMS Hospice Conditions of Participation. As significant changes continue to unfold for hospice and palliative services, we will continue to report trends and shifts that emerge in the healthcare landscape for mental health jobs.  

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Blue Ridge Hospice expanding mission to serve people better, sooner

09/11/24 at 03:00 AM

Blue Ridge Hospice expanding mission to serve people better, sooner The Winchester Star, Winchester, VA; by Brian Brehm; 9/9/24 “We’re calling this a year of transformation,” said Jason Parsons, who was named CEO of the Winchester-based nonprofit in December. “Blue Ridge has been around for 43 years and this year, 2024, we’re transforming ourselves into Blue Ridge Care, which includes Blue Ridge Hospice, Blue Ridge Independence at Home — which is our PACE (Program of All-Inclusive Care for the Elderly) program — Blue Ridge Palliative Care Services and our eight thrift shops.” It’s a sweeping change for an organization that most people only associate with end-of-life care. Parsons ... said Blue Ridge Care will continue to provide graceful exits for patients in the final chapter of their lives, but it will also expand its focus to improve the quality of life for seniors who still have a lot of stories to tell.

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CMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states

09/11/24 at 03:00 AM

CMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states Hospice News; by Jim Parker; 9/10/24 The U.S. Centers for Medicare & Medicaid Services (CMS) is expanding its enhanced oversight for new hospices in fraud-ridden states, including California, Nevada, Arizona and Texas. The agency in July 2023 first announced a “provisional period of enhanced oversight” for new hospices in those states. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. “To combat fraud, waste, and abuse under the hospice benefit, CMS will expand prepayment medical review this September in Arizona, California, Nevada and Texas,” the agency indicated in a statement. “To help reduce burden on compliant providers, initial review volumes will be low and adjusted based on results. If you’re noncompliant, we may implement extended review or take additional administrative actions.” 

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2024 NHPCO Facts and Figures Report now available

09/11/24 at 03:00 AM

2024 NHPCO Facts and Figures Report now available National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/10/242022 Data Show First Increase in Hospice Utilization Rates Since COVID The National Alliance for Care at Home (the Alliance) published the 2024 edition of National Hospice and Palliative Care Organization (NHPCO) Facts and Figures, an annual report on key data points related to the delivery of hospice care, including information on patient characteristics, location and level of care, Medicare hospice spending, and hospice providers. Facts and Figures – the leading resource for hospice providers and others interested in understanding the work of the community – has been published annually for over two decades by NHPCO. ... The findings in this report reflect patients who received care in Calendar Year (CY) 2022, or Fiscal Year (FY) 2022, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. This year COVID-19 continued to impact patient care as COVID-19 waivers were still in place through May 2023. These waivers included increased telehealth services. With 49.1% of all Medicare decedents in 2022 choosing hospice care, utilization of hospice increased in 2022 for the first time since 2019. The increase hints at a normalization of the utilization rates back to pre-COVID data. Hospice utilization rates increased across all race and ethnicity groups, with the largest increase among Hispanic Medicare beneficiaries seeing. The total number of beneficiaries enrolled in hospice care in 2022 was 1.72 million. Due to the unique impact of COVID-19 on 2020 data, those data are not included in many of the charts this year.

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Today's Encouragement: Honoring 911 - If we learn nothing else from this tragedy, ...

09/11/24 at 03:00 AM

If we learn nothing else from this tragedy, we learn that life is short and there is no time for hate. ~ Sandy Dahl, wife of Flight 93 pilot Jason DahlEditor's note: Read this again, especially in today's context. And, I thank our 2001 hospice organizations for the immeasurable ways they supported communities through this uncharted public tragedy, grief, and fear that affected us all. Of note, Hospice of Lancaster County (now Hospice & Community Care, Lancaster, PA) supported the families and community of the Shanksville Flight 93 crash through their bereavement leader Patti Holman- Anewalt, PhD.  She served as the founder and former director of their Pathways Center for Grief and Loss, and Bereavment section leader for NHPCO's Bereavement Professionals. From her trauma/grief expertise, Dr. Holman-Anewalt was also a disaster mental health specialist with the American Red Cross. Patti spent 2 weeks as an expert first responder in Shanksville supporting families at the crash site, with them at the morgue for body identification, and much more through that first year and those early annual remembrances. To my hospice colleague Patti, and to countless others, "Thank you!" To the heroes of Flight 93 and other 911 site, we offer a deeply reflective, profound "Thank you."

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Heart to Heart Hospice expanding services into Oklahoma

09/11/24 at 03:00 AM

Heart to Heart Hospice expanding services into Oklahoma PR Newswire; by Kim Dellinger; 9/10/24 Heart to Heart Hospice, one of the country's largest private providers of hospice care, is adding a new location in Durant, Okla., expanding its service offerings into the state for the first time. The new Durant site will serve Southeast Oklahoma, which includes the counties of Atoka, Bryan, Choctaw, Coal, Hughes, Johnston, Marshall, McCurtain, Pittsburg, Pontotoc, and Pushmataha. "It's exciting to be able to offer our care services in Oklahoma, which happens to be my home state," said Kelly Mitchell, Chief Executive Officer and Founder of Heart to Heart Hospice, who is from Sallisaw. Heart to Heart Hospice, based in Plano, Texas, has been serving patients with life-limiting illnesses, as well as their loved ones, since 2003. The company currently provides a broad range of hospice services across 63 locations in Indiana, Michigan, Oklahoma, and Texas.

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Mercy acquires Ascension hospital

09/11/24 at 03:00 AM

Mercy acquires Ascension hospital Becker's Hospital Review; by Alan Condon; 9/10/24 St. Louis-based Mercy has acquired Ascension's Via Christi Hospital in Pittsburg, Kan. The acquisition includes the hospital, its locations and related physician practices, but excludes Ascension Living Via Christi Village facilities and operations. The deal officially closed Sept. 1. Mercy, a 45-hospital system, now has three hospitals in Kansas: Mercy Hospital Pittsburg, Mercy Hospital Columbus and Mercy Specialty Hospital-Southeast Kansas in Galena. It also operates two primary care clinics in Pittsburg. "Whenever Mercy joins a new community, we want to hear from that community about what we can do to improve care and access for patients," Jeremy Drinkwitz, president of Mercy Joplin communities, said in a news release. "We want to ensure we are providing the right care where it's needed so patients can stay close to home. We'll be looking for the best ways to grow the already great services in place." 

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Hospice of the Foothills announces umbrella name, Foothills Compassionate Care

09/11/24 at 03:00 AM

Hospice of the Foothills announces umbrella name, Foothills Compassionate Care YubaNet.com; by Hospice of the Foothills; 9/10/24 As we celebrate 45 years as this community’s only nonprofit hospice, Hospice of the Foothills is excited to announce that we are formalizing our structure a bit to fit all of our programs under one all-encompassing organizational name. Going forward, Hospice of the Foothills, Sierra Community Palliative Care, Foothills Gift & Thrift Stores, and our Bereavement Programs will operate under the unified umbrella of Foothills Compassionate Care. Each program/service will maintain its name and identity but will be united under one umbrella.  We feel his strategic alignment will highlight all that we do more clearly and reinforce our commitment to providing compassionate, community-centered care without changing the ownership, staff, or core mission that our community has trusted for years. ... This is not about changing what works; it’s about creating a formal structure that reflects the comprehensive care we’ve always provided.

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On a culture of physician leadership development

09/11/24 at 03:00 AM

On a culture of physician leadership development Forbes; by Leon E. Moores, MD, DSc, FACS; 9/9/24 ... How do we create a culture of continuing physician leadership development? Over a decade ago, I was tasked with answering this very question. As a senior army surgeon, I approached the two-star general in the Army Medical Corps. I asked if I could put together a comprehensive program for physician leadership development for the 4200+ doctors in the US Army. ... We concluded that four distinct LOEs (lines of effort) needed development and implementation to create a culture of physician leadership. These LOEs, it turns out, are just as applicable in civilian healthcare as they were in the armed forces.

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