Literature Review



The operational advantages of hiring seniors to provide home care

04/05/24 at 03:00 AM

The operational advantages of hiring seniors to provide home care Home Health Care News, by Joyce Famakinwa; 4/1/24Seniors Helping Seniors has long distinguished itself from other home care companies by hiring active seniors to serve as caregivers. Josh Obeiter — an owner of one of the company’s franchise locations — has seen even more added value from this strategy as the industry at large combats labor shortages. At Seniors Helping Seniors, the average age of an employee is around 70 years old, and 80% of caregivers are in their 60s and 70s, according to Obeiter.

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Palliative care could be a game changer for public health

04/05/24 at 03:00 AM

Palliative care could be a game changer for public health Harvard Public Health, by Meredith Lidard Kleeman; 4/4/24California and Hawaii are pioneering ways to expand access. ... California is one of the first states in the country to require insurance companies that administer Medicaid benefits to fully cover palliative care services for eligible residents. ... Palliative care is poised to be a game changer for public health. Nearly 50 percent of states now include palliative care services for eligible Medicaid recipients, according to C-TAC. And in California and Hawaii, two paths are being forged toward wider palliative care access. ... 

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Hospice update: March goes out like a lion

04/05/24 at 03:00 AM

Hospice update: March goes out like a lion Morgan Lewis - Health Law Scan, by Howard J. Young; 4/2/24 The old adage—March comes in like a lion and goes out like a lamb—didn’t quite hold true for the hospice sector, which experienced a late-month flurry of activity. The government gave the hospice sector a lot to consider, from MedPAC’s suggested freeze on hospice rates to CMS’s 2025 Proposed Hospice Rule (public comments due May 28, 2024) that, if finalized as is, would include a 2.6% payment bump. CMS’s Proposed Hospice Rule lays the groundwork for the long-anticipated Hospice Outcomes and Patient Evaluation (HOPE) quality measures data collection instrument, which will be used to collect data at various points during the hospice stay, not just at admission and discharge.  

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Ohio’s Hospice celebrates Spring Spectacular Treasures of Time: Raises over $36k

04/05/24 at 03:00 AM

Ohio’s Hospice celebrates Spring Spectacular Treasures of Time: Raises over $36kCarroll County Messenger, by Thomas Clapper; 4/2/24Ohio’s Hospice celebrated its Spring Spectacular Treasures of Time March 16 with food, entertainment, silent and live auctions and as always, celebrity servers. Celebrity servers have become the mainstays of the annual event which raised funds for local hospice care. 2024 celebrity servers, who raised a total of $36,671, included Gary and Nicole Chaddock, Brad Eick, Rick and Holly Morgan, Matt Kishman, Kate Offenberger, Janet Smith, Katie DeLane, Allan Furbee, Tom James, Grant Bake and Cedar One, Mark Scott, John Weyand and Bill and Barb Newell.

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Other Business Headlines of Interest, updated 4/4/24 per nasdaq.com

04/05/24 at 03:00 AM

Other Business Headlines of Interest, updated 4/4/24 per nasdaq.com

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FDA approves AI Tool that can detect sepsis

04/05/24 at 03:00 AM

FDA approves AI Tool that can detect sepsis Forbes, by Cailey Gleeson; 4/3/24 The U.S. Food and Drug Administration approved an AI tool that can diagnose sepsis, Prenosis, the company behind the software, announced Wednesday, the latest in a series of agency approvals for AI diagnostic tools. ... At least 350,000. That’s how many adults who develop sepsis die from the condition or are discharged to hospice annually, according to the U.S. Centers for Disease Control and Prevention. 

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RNs are moving away from home health and hospice, federal survey reveals

04/05/24 at 03:00 AM

RNs are moving away from home health and hospice, federal survey reveals McKnights Home Care, by Adam Healy; 4/2/24 Though the number of registered nurses continues to grow, fewer are working in home healthcare and hospice compared to years past, according to the latest national sample survey collected by the Health Resources & Services Administration. In 2018, there were 179,509 RNs working in home health and hospice, representing about 6% of the nursing workforce, according to an earlier national survey. HRSA’s latest count estimated that there were 173,808 RNs in home health and hospice in 2022, or only 5% of the workforce. 

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Integration of palliative care across the spectrum of heart failure care and therapies: considerations, contemporary data, and challenges

04/05/24 at 03:00 AM

Integration of palliative care across the spectrum of heart failure care and therapies: considerations, contemporary data, and challengesCurrent Opinion in Cardiology, by Sarah Chuzi and Katharine Manning; online ahead of May 1, 2024 printRecent findings: Patients with chronic heart failure [HF], as well as those who are being evaluated for or who have undergone advanced HF surgical therapies such as left ventricular assist device or heart transplantation, have a number of palliative care [PC] needs, including decision-making, symptoms and quality of life, caregiver support, and end-of-life care. ... PC skills and teams may also help address preparedness planning, adverse events, and psychosocial barriers in patients who have had HF surgeries, but more data are needed to determine association with outcomes.

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Fostering respect and appreciation seen as keys to retaining direct care workers

04/05/24 at 02:00 AM

Fostering respect and appreciation seen as keys to retaining direct care workersMcKnights Online Forum, by Kimberly Bonvissuto; 3/27/24 Expressions of appreciation and respect can go a long way in addressing senior living’s direct care workforce crisis, according to a panel of direct workers and employers who addressed what makes employees want to stay — or go. ... Nate Hamme, president and executive director of the Ceca Foundation, ... said that the most important part of employee recognition is listening to people. ... He added that there is a science to recognition backed by research into what motivates people and implementing programs around that. ... Recognition programs, Hamme added, should focus on IMPACT: inclusive, mission-aligned, public, authentic, consistent and timely. 

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Tool simplifies requests for palliative care consults

04/05/24 at 02:00 AM

Tool simplifies requests for palliative care consultsAmerican Association of Critical-Care Nurses; 4/2/24A simple screening tool integrated into the admissions process for critically ill patients can streamline requests for palliative care consultations, according to a study published in Critical Care Nurse (CCN). ... An initiative in the mixed surgical and medical ICU at Bon Secours Mercy Health Anderson, a 230-bed, community hospital in Cincinnati, sought to improve the process of requesting palliative care consultations. “ Integrating Palliative Care Screening in the Intensive Care Unit: A Quality Improvement Project” demonstrates the potential impact of adding a simple screening tool at the point of admission to initiate automatic referrals for palliative care consultations.

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PACS Group could raise $400 million in IPO

04/04/24 at 03:15 AM

PACS Group could raise $400 million in IPOMcKnights Long-Term Care News, by Kimberly Marselas;   4/3/24PACS Group, one of the nation’s largest nursing home operators, could raise about $400 million in an initial public offering, according to a fresh round of documents filed this week. Utah-based PACS plans to offer 19.05 million shares of common stock when it goes public, with an estimated price of $20 to $22 per share. At the top of that range, the move to the New York Stock Exchange could net the company $429 million in value.

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Vietnam veterans group salutes Mish, the World War II vet in hospice care who adopted them

04/04/24 at 03:00 AM

Vietnam veterans group salutes Mish, the World War II vet in hospice care who adopted them NBC News KGET.com, Bakersfield, CA; by Robert Price;  4/2/24Ray Mish’s military service to this country ended with World War II, but his service to the community of Bakersfield and to his fellow veterans never ended. As the number of Kern County veterans of World War II gradually diminished over the years, and Ray Mish saw the brotherhood of fighters he so cherished slowly erode, he looked elsewhere for that special sort of camaraderie. He found it in a generation-younger group of local Vietnam War veterans. ... This week [as Mish rests at home receiving hospice care], 24 days before his 100th birthday, a dozen members of Bakersfield’s Vietnam Rat Pack converged on his home in north Bakersfield. ...

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Lutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations

04/04/24 at 03:00 AM

Lutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations McKnights Senior Living, by Kathleen Steele Gaivin; 3/29/24 Diakon Senior Living operations and its four continuing care retirement / life plan communities will become part of Lutheran Senior Services under an agreement ... that the organizations say will create one of the largest nonprofit senior living and care organizations in the country. The transaction is pending regulatory approvals and is expected to close this summer.

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9 health systems join digital startup venture with Northwell Health

04/04/24 at 03:00 AM

9 health systems join digital startup venture with Northwell HealthBecker's Health IT, by Giles Bruces, 4/2/24 Nine health systems are partnering with a venture studio aiming to launch digital health startups. The systems will work with Aegis Ventures, a startup incubator that has built four companies over the past three years with New Hyde Park, N.Y.-based Northwell Health. John Noseworthy, MD, emeritus president and CEO of Rochester, MN-based Mayo Clinic, will serve as chair of the new Digital Consortium. The group says its goal is to develop solutions "built for health systems by health systems." The nine founding members of Aegis Ventures' Digital Consortium are:

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As America’s population ages, women shoulder the burden as primary caregivers

04/04/24 at 03:00 AM

As America’s population ages, women shoulder the burden as primary caregivers PBS News; by Ali Rogin, Claire Mufson, and Satvi Sunkara; 3/30/24 Currently, 1 in 6 Americans is older than 65, a number that’s projected to rise to 1 in 4 by 2050. As older Americans’ needs for medical care and other support grow, women bear the biggest part of the burden of caring for them. Ali Rogin speaks with some women about their experiences and author Emily Kenway about the often unseen costs of caregiving. 

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Survey shines light on health care discrimination against LGBTQ+ people

04/04/24 at 03:00 AM

Survey shines light on health care discrimination against LGBTQ+ people  KFF Health News; 4/3/24Members of the LGBTQ+ community are twice as likely to experience discrimination in health care, a survey found. ... The survey, conducted by KFF, noted that members of the LGBTQ community have historically faced disparities while receiving health care, including challenges to accessing mental and physical health care. Editor's Note: This article includes specific examples from Utah, Colorado, and New Hampshire.

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Nursa Survey finds 98% of hospital CFOs view nurse staffing as top challenge

04/04/24 at 03:00 AM

Nursa Survey finds 98% of hospital CFOs view nurse staffing as top challenge Morningstar, provided by Business Wire; 4/2/24Survey results offer insight into C-suite perspectives on workforce trends and financial impact. Nursa, a nationwide platform that exists to put a nurse at the bedside of every patient in need, today released the results of a survey with healthcare decision-makers that examines their perspectives on the evolving social contract of employment, opinions on the 1099 workforce, and reflections on what makes a nurse truly valuable to an organization. Key findings from the survey include:

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Home care providers hail bill establishing standard classification for direct support workers

04/04/24 at 03:00 AM

Home care providers hail bill establishing standard classification for direct support workers McKnights Home Care, by Adam Healy; 4/3/24 The Senate last week passed legislation that would address the dire shortage of direct support workers with the establishment of a classification to help stakeholders collect workforce data. Specifically, if signed into law, the Recognizing the Role of Direct Support Professionals Act would require the Office of Management and Budget to consider establishing a standard occupational classification (SOC) for direct support professionals (DSPs). This classification would make it easier for policymakers to gather useful data about these workers and help them better address critical workforce challenges.

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Today's Encouragement: The most valuable gift you can give to humanity ...

04/04/24 at 03:00 AM

The most valuable gift you can give to humanity is a good example. - Ifeanyi Enoch Onuoha

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Elevating quality, outcomes, and patient experience through Value-Based Care: CMS Innovation Center’s Quality Pathway

04/04/24 at 03:00 AM

Elevating quality, outcomes, and patient experience through Value-Based Care: CMS Innovation Center’s Quality PathwayNEJM Catalyst; by Susannah M. Bernheim, MD, MHS; Noemi Rudolph, MPH; Jacob K. Quinton, MD, MPH; Julia Driessen, PhD; Purva Rawal, PhD; and Elizabeth Fowler, PhD, JD; 4/3/24The U.S. Center for Medicare and Medicaid Innovation is launching a new Quality Pathway to elevate patient-centered quality goals in the design and evaluation of alternative payment models. The Quality Pathway will align model design around quality goals; elevate outcomes and experience measures, particularly patient-reported outcomes; and ensure that evaluations have the ability to assess the impact of models on primary quality goals. These determinations will help the Innovation Center make critical decisions about which models to scale or expand in the pursuit of improving the quality of care for people with Medicare and Medicaid.

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What home health providers need to know about the Medicare TPE Audit Process

04/04/24 at 03:00 AM

What home health providers need to know about the Medicare TPE Audit ProcessHome Health Care News, by Joyce Famakinwa;  4/2/24... TPE is a medical review program that began for the home health and hospice settings in December 2017. The goal of the program is to weed out improper payments by zeroing-in on providers with high claims denial rates or unusual billing practices. ... TPE has three pillars. Target refers to errors or mistakes that are identified through data in comparison to providers or peers. Probe is the examination of 20 to 40 claims. ... Education means helping providers reduce claim denials and appeals through one-on-one individualized education.

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Remembering my daughter while being a cancer survivor myself

04/04/24 at 03:00 AM

Remembering my daughter while being a cancer survivor myself Coping, by Dottie Monroe; 4/1/24  Her name was Jill, my daughter. She was a beautiful, sensitive woman who loved animals and the joys of nature. ... Can you imagine that there is any parent in the world who wouldn’t give up their own life to save their child? Or question why my child and not me because that seems so wrong? Sometimes there is no explaining the why of things, although I gave it thought for a long time. Then one day I was done with “why.”

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Hospice, home health provider Charter Healthcare files for Chapter 7 Bankruptcy

04/04/24 at 03:00 AM

Hospice, home health provider Charter Healthcare files for Chapter 7 Bankruptcy Hospice News, by Jim Parker; 4/2/24 Hospice and home health provider Charter Healthcare, a portfolio company of Pharos Capital, recently filed for Chapter 7 bankruptcy. No public announcement was made. The petition for bankruptcy was filed in the Federal District Court of Delaware in late January, according to documents obtained by Hospice News. A public record search showed Chapter 7 filings for Charter locations in at least eight states, which span the company’s entire footprint. 

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Blue Shield's Palliative Care Program wins national recognition for improving lives

04/04/24 at 03:00 AM

Blue Shield's Palliative Care Program wins national recognition for improving lives Blue Shield California; 3/28/24 During the first quarter of this year, the Journal of Palliative Medicine published results of a study entitled “Cost and Utilization Implications of a Health Plan’s Home-Based Palliative Care Program” from leaders at Blue Shield and researchers from West Health Research Institute that garnered attention from industry publications. ...  Major findings from the study were that home-based palliative care delivered to people not yet eligible for hospice reduced their hospital and emergency room use, showed trends towards an increased length of life, and extended the continuum of care for people with serious illness and their caregivers.

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Art exhibit in Sandy centers experiences of grief

04/04/24 at 03:00 AM

Art exhibit in Sandy centers experiences of grief OPB, by Sheraz Sadiq; 4/3/24 Art and writing prompts were used during grief support groups offered by Mt. Hood Hospice to help participants process their experience with grief. Dozens of pieces of artwork, poems and other forms of writing created during those sessions are featured in "Grief Made Visible," an exhibit now in its second year that will open on April 5 at AntFarm Café and Bakery in Sandy, OR.

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