Literature Review
The Alliance on CMS Hospice Special Focus Program Implementation: “Doubling down on a dangerous decision, eager to work with incoming administration to fix”
01/17/25 at 02:15 AMThe Alliance on CMS Hospice Special Focus Program Implementation: “Doubling down on a dangerous decision, eager to work with incoming administration to fix” National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 1/16/25 The National Alliance for Care at Home (the Alliance) issued the following statement in response to the news of hospice providers filing litigation against the Centers for Medicare & Medicaid Services (CMS) over their flawed implementation of the Hospice Special Focus Program (SFP). The Alliance and the broader hospice community, who have been engaged on this program since its inception, have repeatedly shared concerns directly with CMS staff at all levels. They warned that this approach would inflict unnecessary harm to patient care, cause confusion to families when selecting a hospice provider to care for their loved ones at the end of life, and will cause some providers to sustain irreparable damage. These concerns have been echoed by lawmakers, providers, and the leading national hospice trade organizations. “With CMS doubling down on a dangerous course of action by proceeding with the Hospice SFP in its current state—and offering no due process or administrative recourse to address or mitigate its flaws—some hospice providers will suffer irreparable harm and have no choice but to seek justice through the courts on behalf of their patients and mission,” said Dr. Steve Landers, CEO of the Alliance. [Click on the title's link to continue reading.]
Several large hospice providers see leadership transitions
01/17/25 at 02:00 AMSeveral large hospice providers see leadership transitions Hospice News; by Holly Vossel; 1/13/25New executives have stepped into c-suite and other roles at some of the nation’s largest hospice organizations as 2025 kicks off. ...
Healthcare & Life Sciences Private Equity Deal Tracker: Renovus acquires Superior Health
01/17/25 at 02:00 AMRenovus acquires Superior Health McGuire Woods; by Trey Andrews; 1/13/25 Renovus Capital Partners has announced the acquisition of Superior Health Holdings. Superior, formed in 2021 and based in Baton Rouge, Louisiana, is a provider of home health and hospice services throughout Louisiana. Renovus, based in Philadelphia, is a lower middle market private equity firm that invests in a few sectors, including healthcare services. Founded in 2010, the firm invests across a range of healthcare companies, including those in life sciences commercialization, IT, revenue cycle management and behavioral health. Terms of the acquisition were not disclosed.
Knoxville nurses bring wedding to UT Medical Center for bride’s dying mother
01/17/25 at 02:00 AMKnoxville nurses bring wedding to UT Medical Center for bride’s dying mother WATE Knoxville, TN; by Molly O'Brien; 1/15/25 Nurses on the Progressive Care Unit at UT Medical Center planned a wedding for one of their patient’s daughter. Samantha Barry and her now husband, Phillip Bastelica, were supposed to get married in a few months. Barry, like most daughters, always planned on her mother being at her wedding day. Her mother, Lynn, is battling a terminal illness and was recently released from the Progressive Care Unit to hospice. ... It seemed unlikely that Lynn would be able to attend the wedding planned for August, so Barry and Bastelica decided to move the day up. ... The nurses who cared for Lynn jumped into action to plan a wedding for Barry.
CMS Call for Nominations: 2025 CMS Health Equity Award
01/17/25 at 02:00 AMCMS Call for Nominations: 2025 CMS Health Equity Award U.S. Centers for Medicare and Medicaid Services; by CMS Health Equity; via CMS email 1/13/25Nominations for the 2025 CMS Health Equity Award are now open to organizations working to advance health equity, showing others how to reduce disparities in health care access, quality, and outcomes. Nominations are due February 18 at 11:59 pm PT. ... Health equity is defined by CMS as the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, and other factors that affect access to care and health outcomes.
New Hampshire woman’s father dies in hospice care [in fire evacuation zone] when California fires broke out
01/16/25 at 03:00 AMNew Hampshire woman’s father dies in hospice care when California fires broke out CBS News WBZ, Boston, MA / YouTube; 1/15/25 Just two hours before the fire evacuation--Merle Fetter--Barbara's husband of 64 years died in Royal Oaks Hospice Care, with Barbara holding his hand until the end . … As the fire moved through Altadena towards Monrovia Barbara was forced to leave Merrill's body, unable to be evacuated. ... [Daughter in New Hampshire:] “I didn't know where my mother was. I didn't know what happened to my father's body.” Barbara's daughter—Joy—thousands thousands of miles away in New Hampshire couldn't fly to Los Angeles until Friday. When she finally landed she received a reassuring call from Royal Oaks her mom was OK and her father's remains taken to the coroner's office. Staff feel like residents here are their family.
I’m moving forward and facing the uncertainty of aging
01/16/25 at 03:00 AMI’m moving forward and facing the uncertainty of aging California Healthline; by Judith Graham; 1/15/25 It takes a lot of courage to grow old. I’ve come to appreciate this after conversations with hundreds of older adults over the past eight years for nearly 200 “Navigating Aging” columns. Time and again, people have described what it’s like to let go of certainties they once lived with and adjust to new circumstances. These older adults’ lives are filled with change. They don’t know what the future holds except that the end is nearer than it’s ever been. And yet, they find ways to adapt. To move forward. To find meaning in their lives. And I find myself resolving to follow this path as I ready myself for retirement. Patricia Estess, 85, of the Brooklyn borough of New York City spoke eloquently about the unpredictability of later life when I reached out to her as I reported a series of columns on older adults who live alone, sometimes known as “solo agers.” ...
Novant and Atrium restricting visitors as respiratory viruses spread
01/16/25 at 03:00 AMNovant and Atrium restricting visitors as respiratory viruses spread WCCB Charlotte, NC; by Jeff Monheit; 1/13/25 Starting Tuesday [1/14], children under age 12 are asked not to visit Atrium Health facilities and children under age 13 are asked not to visit Novant Health hospitals in North Carolina. The hospital systems are taking extra precautions to reduce the spread of respiratory viruses. Atrium Health is implementing temporary visitor restrictions in acute care hospitals, emergency departments, rehabilitation units and facilities, behavioral health, inpatient hospice, infusion centers and certain cancer areas including bone marrow transplant clinics ... At Novant, children under age 13 are asked not to visit Novant Health hospitals in North Carolina. Children may be permitted to visit hospitalized patients under special circumstances, such as visiting a family member who is in end-of-life care. In these instances, parents should work with the patient’s care team to make arrangements.
Why some doctors have started asking patients about their spiritual lives
01/16/25 at 03:00 AMWhy some doctors have started asking patients about their spiritual lives KCLU - NPR for the California Coast; by Ben Thorp; 1/14/25 ... [Some] hospitals have begun to embrace programs targeted at spiritual support in addition to physical care. Those programs are supported by a growing body of research on the health benefits of spiritual practice. One of those programs is out of the Indiana University Health system, which connects patients being discharged from the hospital with individuals called "connectors," if the patient doesn't have a community support network of their own. ... [Case description of Timothy Moss:] After Moss' struggles were identified by his doctor, he was connected to a unique program within the Indiana University Health system called the Congregational Care Network. That program pairs patients with members of local faith groups who spend time with patients over a 12-week period.
ASTP Rule codifies requirements for TEFCA-Qualified health information networks
01/16/25 at 03:00 AMASTP Rule codifies requirements for TEFCA-Qualified health information networks McDermott Will & Emery, Washington, DC; by James A. Cannatti III, Jennifer S. Geetter, and Nathan Gray; 1/15/25 On December 16, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the NationaTl Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) final rule in the Federal Register as part of its continued focus on improving information sharing among healthcare stakeholders. Rather than codifying comprehensive substantive and procedural requirements for entities participating in TEFCA, the final rule provides a flexible framework establishing how such decisions will be made in current and future subregulatory documents.
6 behaviors you must unlearn to be a relevant leader in 2025
01/16/25 at 03:00 AM6 behaviors you must unlearn to be a relevant leader in 2025 Forbes; by Glenn Llopis; 1/7/25 Leadership today isn’t what it used to be. Gone are the days when a title or a corner office automatically commanded respect. Today, business leaders need more than authority, they need relevance. But being a relevant leader is not just about adopting new behaviors; it’s about unlearning bad habits. Especially those that do more harm than good. ... Here are six behaviors you must unlearn that once felt relevant and now may be holding you back. I’ve also included the six behaviors you must relearn.
VITAS eyeing expansion in 12 states
01/16/25 at 03:00 AMVITAS eyeing expansion in 12 states Hospice News; by Jim Parker; 1/14/25 Historically, VITAS Healthcare has relied heavily on organic growth, a strategy the company is not turning away from. However, it may add more acquisitions to the mix. VITAS is a subsidiary of Chemed Corp. (NYSE: CHE). The company this year made its return to the M&A market after a hiatus of several years. In April, VITAS acquired Covenant Health and Community Services’ hospice operations as well as one assisted living facility in an $85 million deal. Now, the company is seeking out other targets, with an emphasis on Certificate of Need states. “There are at a minimum 12 states we don’t operate in that we think are very attractive to us, and we are out actively sourcing deals, and we expect some of that deal flow to continue to come through here in 2025 and beyond …” VITAS CEO and Chairman Nick Westfall said during the JP Morgan Healthcare conference. “We think we’re in the early roads of really an ongoing consolidation inside of the space.”
Senior living community evacuates amid California wildfires
01/16/25 at 03:00 AMSenior living community evacuates amid California wildfires Newslooks; by Mary Sidiqi; 1/14/25 The peaceful routine at the Terraces at Park Marino, a senior living facility in Pasadena, California, was shattered on January 7 when the Eaton fire, driven by ferocious Santa Ana winds, turned a typical evening into a harrowing battle for survival. Terraces Wildfire Evacuation Quick Looks
Today's Encouragement: A year from now ...
01/16/25 at 03:00 AMA year from now you may wish you had started today. ~ Karen Lamb
Philips recalls remote cardiac monitoring software after 2 deaths
01/16/25 at 03:00 AMPhilips recalls remote cardiac monitoring software after 2 deaths Modern Healthcare; by Lauren Dubinsky; 1/14/25 Philips is recalling its remote cardiac monitoring software, which has been associated with 109 reported injuries and two reported deaths, according to the Food and Drug Administration. The agency labeled the action a Class I recall, its most serious designation. ... The recall is related to the company’s Monitoring Service Application, which processes and transmits symptomatic and asymptomatic cardiac events in electrocardiogram data received from the Mobile Cardiac Outpatient Telemetry device. The company and its subsidiary Braemar Manufacturing discovered that the software was not properly handling certain EKG readings between July 2022 and July 2024.
How poor communication is killing patients and burning out doctors
01/16/25 at 02:15 AMHow poor communication is killing patients and burning out doctors Medpage Today's KevinMD.com; by Pamela Buchanan; 1/14/25 This week alone, I had two particularly heart-wrenching encounters [as an Emergency Room physician]: A 65-year-old man with metastatic lung cancer, convinced his shortness of breath was just pneumonia. When I explained the progression of his disease, he was shocked. No one had told him that his cancer was likely incurable. A 97-year-old woman brought in for “failure to thrive.” She was frail, pale, and not eating—classic signs of the final stages of metastatic cancer. When I suggested hospice care, she seemed blindsided, as if this reality was completely new to her. Both cases highlight a troubling trend: Patients often come to the ER not just for care, but for clarity. They don’t understand their diagnosis, prognosis, or treatment plan. ...
Guidelines for evaluating, diagnosing, and disclosing dementia published by Alzheimer’s Association
01/16/25 at 02:10 AMGuidelines for evaluating, diagnosing, and disclosing dementia published by Alzheimer’s Association Practical Neurology; 1/14/25 The Diagnostic Evaluation, Testing, Counseling, and Disclosure Clinical Practice Guideline (DETeCD-ADRD CPG) Workgroup, convened and funded by the Alzheimer’s Association, has developed new recommendations for clinicians to use when evaluating patients with possible Alzheimer disease (AD) or AD and related dementias (ADRD). An executive summary of the recommendations for use in primary care and other practice settings was published in Alzheimer’s & Dementia, along with a companion article summarizing specific guidance for specialists. The Workgroup included representatives from primary, specialty, subspecialty, long-term, and palliative care disciplines as well as the fields of health economics and bioethics. Editor's note: Click for open access to the Alzheimer's Association clinical practice guideline ..., executive summary of recommendations for primary care.
Weekly US map: Influenza summary update
01/16/25 at 02:00 AMWeekly US map: Influenza summary update U.s. Centers for Disease Control and Prevention (CDC); retrieved 1/15/25 A Weekly Influenza Surveillance Report Prepared by the Influenza Division utpatient Respiratory Illness Activity Map Determined by Data Reported to ILINet. This system monitors visits for respiratory illness that includes fever plus a cough or sore throat, also referred to as ILI, not laboratory confirmed influenza and may capture patient visits due to other respiratory pathogens that cause similar symptoms. Editor's note: Throughout the nation, local and regional reports of increased flu, respiratory diseases, and COVID are emerging. Click here to monitor information for your service areas. Scroll down to the bottom of the page for its map.
Introduction: ‘Those who have made death their life’
01/16/25 at 02:00 AMIntroduction: ‘Those who have made death their life’The Daily Yonder - Keep It Rural; by Hannah Clark; 1/15/25 Hannah Clark spent six months riding along with the nurses and certified nursing assistants (CNAs) of Hearth Hospice who provide in-home care to those living in Northwest Georgia and Southeast Tennessee. These hospice workers often drive up to a hundred miles a day to visit a handful of patients scattered across the Appalachian landscape in both rural towns and urban centers. What will follow this introductory essay is her photo reportage in three parts, documenting what she has witnessed accompanying these caregivers. The intimate portraits and vignettes show tender moments at different stages towards the end of one’s life. Their beauty lies in the companionship Clark captured in moments of need and vulnerability.
An Eaton Fire First Responder recalls patients fleeing the fast-growing blaze
01/16/25 at 02:00 AMAn Eaton Fire First Responder recalls patients fleeing the fast-growing blaze Direct Relief; by Talya Meyers; 1/15/25 Eaton Fire evacuees, fleeing their homes for the safety of the Pasadena Convention Center, were arriving in numbers. For Fernando Fierro, vice president of nursing services at the community health center AltaMed, and the first of his response team to arrive, it was “chaotic.” “There wasn’t any infrastructure in place,” he recalled. More than 550 people sheltering at the convention center, in five event halls converted to dormitories, needed medical assessments. People had fled too urgently to bring their medications, or they needed canes and walkers, or they needed more intensive care than AltaMed’s response team could provide in a shelter setting. Complicating the situation were the close quarters and the presence of animals: People had brought their dogs, cats, and birds. Fierro, a U.S. Army combat veteran with extensive disaster response experience, knew the crowded shelter and animals would increase the likelihood of infectious diseases like norovirus and avian flu.
Internal communication examples: Top strategies for 2025
01/15/25 at 03:30 AMInternal communication examples: Top strategies for 2025 lumapps; by Jade Burens; 1/13/25 In the dynamic world of business, the significance of effective internal communication cannot be overstated. The shift towards remote and hybrid work models has underscored the necessity for robust, captivating internal communication strategies. This goes beyond merely sharing information; it's about nurturing a culture where employees feel valued, listened to, and acknowledged. Organizations that excel in internal communications witness improved employee engagement, productivity, and satisfaction. ...
Best healthcare jobs in 2025: US News
01/15/25 at 03:30 AMBest healthcare jobs in 2025: US NewsBecker's Hospital Review; by Kelly Gooch; 1/14/25U.S. News & World Report released its 2025 best jobs rankings on Jan. 14, highlighting the best jobs across 17 categories, including healthcare. The media company examined data from the U.S. Bureau of Labor Statistics to identify jobs with the greatest hiring demand. Jobs are then scored based on future prospects, wage potential, employment, safety and stability, and work-life balance. More information about the methodology is available here. For the second consecutive year, nurse practitioner took the No. 1 spot as the best job in the U.S. and also topped the healthcare list. These are the top 25 jobs in healthcare, according to U.S. News, listed alongside their median salary:
Agrace expands hospice services into Milwaukee County
01/15/25 at 03:10 AMAgrace expands hospice services into Milwaukee County Agrace.org; Press Release; 1/14/25 Residents of Milwaukee County who are in the final months of life have a new choice for high-quality, in-home hospice care. Agrace, the largest Wisconsin-based nonprofit hospice, has announced it is expanding its services into the county. For more than 45 years, Agrace Hospice Care has offered end-of-life care to people of all ages across southern Wisconsin. Milwaukee County residents can now enroll with Agrace to receive hospice care that comes to them where they live—in private homes, long-term care facilities or any other place they call home. In addition to a new regional office ... in Wauwatosa, Agrace has offices in Oconomowoc, Janesville, Dodgeville and Baraboo, and a hospice inpatient unit and residence in Madison. The Wauwatosa office is home base for an interdisciplinary care team that includes local hospice physician Andre Cernasov.
What is a Chief Learning Officer? CLO role explained
01/15/25 at 03:00 AMWhat is a Chief Learning Officer? CLO role explained Forbes; by Melissa Daimler; 1/12/25 A Chief Learning Officer is a strategic C-suite executive who develops leadership and technical skills in alignment with strategic priorities and cultural behaviors. Reporting directly to the CEO or CHRO, the CLO operates as a peer to other senior executives, participating in strategic decisions that shape organizational direction. Over the past thirty years, corporate learning has evolved from training delivery to building organizational capabilities. No role embodies this evolution more than the Chief Learning Officer (CLO), though even this title understates the role's current scope.
Kōkua Mau, Hawaii, Medicaid Palliative Care Services Benefit
01/15/25 at 03:00 AMKōkua Mau, Hawaii, Medicaid Palliative Care Services BenefitHawaiʻi is the first state to comprehensively cover palliative care services for its Medicaid beneficiaries, by adding community palliative care as a preventive service in its Medicaid state plan. Since the memo has been published we are now moving into the implementation phase. This novel SPA (State Plan Amendment) is the result of multi-stakeholder collaboration over many years. It serves as a road map for other states exploring new ways to pay for interdisciplinary, community-based palliative care.