Literature Review

[Updated] CMS proposes over 4% cut to Home Health Medicare payments in 2025 Home Health Care News; by Andrew Donlan; 6/26/24 The U.S. Centers for Medicare & Medicaid Services (CMS) published its FY 2025 home health proposed payment rule Wednesday. With it, the agency signaled that more significant cuts could be on the way for providers. To rebalance the Patient-Driven Groupings Model (PDGM) and make it budget neutral, at least according to its internal methodology, CMS is proposing a permanent prospective adjustment to the CY 2025 home health payment rate of -4.067%. For CY 2023 and CY 2024, CMS previously applied a 3.925% reduction and a 2.890% reduction, respectively.

'We may not ever be fully staffed': Health system C-suites plan for the future Becker's Hospital Review - Leadership & Management; by Laura Dyrda; 6/24/24 After the pandemic, most healthcare leaders experienced a "great resignation" as workers left for other service industries and ever since health systems have been dealing with a lack of skilled labor to backfill the vacancies. "As we have realized we may not ever be fully staffed to the degree we were pre-COVID, we now must augment our existing workforce with technology that extends their capabilities," said Mark Moseley, MD, president of USF Tampa General Physicians and executive vice president of Tampa General Hospital. "This is a two-part challenge. First, we need to deploy technology thoughtfully with sound blocking and tackling, which is expensive in both time and capital. Second, we must train our workforce to use these new technologies to aid them in their daily responsibilities in a manner that does not diminish the ethos of why many of us went into healthcare: the interactions with patients and members of the healthcare team." Physicians and nurses can fall on a wide spectrum of excitement or distaste for incorporating technology into their practice. Some may find it impersonal and challenging to understand while others see it as a tool boosting their capacity. ... [Click on the title's link to continue reading.]

Project ECHO: 5 years of fostering learning in your community Dartmouth Health; by Connections Magazine and modified for the web; 6/25/24 Teach, teach, learn, learn. That is the model Project ECHO® at Dartmouth Health uses to connect people and their communities in a virtual setting, sharing knowledge between participants and subject matter experts. The program is especially helpful for rural communities seeking expertise on a broad range of health and medical issues. ... ECHO is an acronym for Extension for Community Healthcare Outcomes. ... The past three cohorts of the Palliative Care ECHO have been very successful, and the program content has continued to evolve over time. The sessions have had an average of 70 participants and have received high scores on feedback metrics. Fifty percent of participants were repeat attendees. “Our mission is to improve palliative care throughout our region, and our leadership is committed to the model,” Kathleen Broglio, DNP says. “This was the culmination of what I hoped to do in my career.” Editor's Note: Memorable quote from this article, "“Everyone is a teacher, and everyone is a learner,” says Kathleen Broglio, DNP, associate professor of medicine and a nurse practitioner of palliative medicine. Broglio has co-led the Palliative Care ECHO with Robin Larson, MD, MPH through three courses (cohorts) and with the support of the Project ECHO team at Dartmouth Health.

Garnet Health shutters palliative care program Hospice News; by Jim Parker; 6/25/24 New York state-based Garnet Health has announced a restructuring plan that spells the demise of its inpatient palliative care services. The plan includes layoffs of about 1% of the health system’s workforce, numbering 26 employees. This is estimated to save Garnett $4.6 million in salaries and benefits. “[Garnet] continues to be challenged with significant labor expenses, inflation on supplies and equipment, and low payor reimbursement rates,” the health system indicated in a statement. The restructuring is the result of financial headwinds, including decreased demand. Patient volumes are gradually increasing, but not yet to pre-pandemic levels, the company stated in an announcement.

‘Lot of work to be done’: What home health leaders expect from payment rulemaking in 2024Home Health Care News; by Joyce Famakinwa; 6/24/24 In recent years, home health care has faced relentless cuts from the Centers for Medicare & Medicaid Services (CMS). It has plagued the industry, but providers and advocates alike are still hopeful a light at the end of the tunnel is ahead. ... Home Health Care News recently caught up with PQHH CEO Joanne Cunningham and David Totaro, the president and executive director of Hearts for Home Care. ... [Cunningham said,] "I anticipate that what we will see, given CMS’s posture and prior rulemaking cycles, is the continuation of the policy that will put in place permanent cuts to the Medicare home health program. We’re bracing ourselves for an additional sizable permanent cut. We don’t know exactly what CMS has planned for the temporary cuts, otherwise known as the clawback cuts. We will certainly see, at a minimum, CMS identify what their new projected value of the temporary cuts are. ...

Big Bend Hospice names leaders to head Seven Oaks Health Business Wire, Tallahassee, Florida; 6/25/24 Big Bend Hospice, a leading provider of end-of-life care in Florida's Big Bend region, announced key leadership promotions today to head its new parent company, Seven Oaks Health. The promotions position Seven Oaks Health for continued growth in fulfilling its mission of reimagining healthcare for those facing chronic, serious, or terminal illness, with a focus on empowering patients to live healthier lives wherever they call home.

Advanced lung cancer: Studies explore palliative care delivered by telehealth and in a stepped-care approachThe ASCO Post - American Society of Clinical Oncology; by Alice Goodman; 6/25/24 Early palliative care can be integrated into the course of treatment for patients with advanced lung cancer via delivery by telehealth with outcomes similar to when palliative care is delivered via in-person visits, according to results of the REACH PC trial presented by Joseph Greer, PhD, of Harvard Medical School, Boston, at the 2024 ASCO Annual Meeting Plenary Session. A separate randomized noninferiority study presented at the ASCO meeting by Jennifer S. Temel, MD, FASCO, also of Harvard Medical School, Boston, found that stepped palliative care was noninferior to monthly visits with early integrated palliative care. Results of the stepped-care study were published in JAMA to coincide with the presentation at ASCO. [This article includes:]

Summer COVID wave emerges: 5 notes Becker's Clinical Leadership; by Paige Twenter; 6/24/24 As "FLiRT" coronavirus variants account for about 77% of infections, COVID-19 cases are ticking upward this summer, according to CDC data.  Here are five things to know from the CDC's June 21 update:

Supporting the Sandwich Generation: Taking care of the caregiver The Examiner News, Mount Kisco, NY; by Mary K. Spengler; 6/25/24 Many Westchester residents struggle to find a balance between work and home responsibilities. Those who fall in the “sandwich generation,” typically qualified as those in their 30s or 40s, can find themselves with the unique role of bringing up their dependent children while also caring for their aging parents, all while juggling their careers. Multigenerational needs became even more pressing during the pandemic, with record numbers of adult children moving back home, younger children having to switch to virtual or hybrid learning and elderly parents needing new forms of care. Sandwich generation caregivers provide an important source of support and love to family members, and often experience feelings of satisfaction and meaning in their lives from being in this role. However, many also feel highly strained and overwhelmed due to the emotional, physical and financial burden weighing on them. Implementing positive strategies to better care for themselves while they care for others is imperative to combating caregiver burnout. ... Editor's Note: Mary K. Spengler is a registered nurse and social worker and serves as CEO of Hospice of Westchester.

Aroostook House of Comfort hosts 11th Annual Golf Classic: Raises over $80kThe Aroostook Hospice Foundation proudly hosted its 11th Annual Golf Classic on Saturday, June 15 at the Presque Isle Country Club, successfully raising over $80,000 for the Aroostook House of Comfort. This remarkable achievement was made possible through the generous contributions of 162 sponsors, 46 teams, 60 in-kind donors and 32 dedicated volunteers. ... The unwavering generosity of community members and partners allows them to maintain a 9,800-square foot, state-of-the-art facility where individuals and families receive compassionate care, comfort, and support during their hospice journey. Editor's Note: The Aroostook House of Comfort is an inpatient hospice and respite care facility owned by the Aroostook Hospice Foundation and staffed by Northern Light Home Care & Hospice, in South Portland, Maine.

Medical aid-in-dying bill stalls in Delaware Senate Bay to Bay News, Dover, Delaware; by Joseph Edelen; 6/24/24 An act that would allow physician-assisted suicide stalled in the state Senate on Thursday. House Bill 140, if enacted as written, permits a terminally ill individual who is an adult resident of Delaware to request and self-administer medication to end their life in a humane and dignified way. ... The bill, brought by Rep. Paul S. Baumbach, D-Newark, narrowly passed the House of Representatives in April, with a vote of 21-16. On Thursday in the Senate, the measure logged 10 yes votes and nine no votes, with Sen. Kyra Hoffner, D-Dover, not voting. But Senate sponsor Bryan Townsend, D-Newark, then changed his yes vote to no. The alteration meant that the initiative stalled in the Senate but could be brought back to its floor for another vote by Sunday, the last day of this year’s legislative session. Many senators seemed emotional while speaking about the measure Thursday. ...

A paradigm shift for healthtech CEOs: Increasing patient satisfaction and retention Forbes; by Eric Giesecke; 6/24/24In our hyperconnected world, seamless communication is the norm. From the latest news to customer service chats, consumers expect streamlined interactions. However, the healthcare and healthtech industries have lagged in adopting consumer-friendly practices. ... A patient’s experience is extremely important for healthcare organizations to thrive. It’s important to remember that in the digital age, competitors are not just other healthcare companies. ... So how can we customize experiences better than ever before? One important step is taking the time to understand your organization's current technology. ...

When victims die more than 30 days after a crash, they don’t count StreetsBlogUSA; by Kea Wilson; 6/24/24... Since it first launched in 1975, the federal Fatality Analysis and Reporting System database has excluded all car crash deaths that occur more than 30 days after the initial collision. That means people like [9-year-old] Ben — who lived with a traumatic brain injury, a severed spinal cord, an inability to speak, and other major disabilities for five years before he died — aren't included in official annual death totals. Survivors say those stats also don't capture the sheer scale of the grief, horror, and hardship suffered by victims and their families, whether they succumb to their injuries immediately or manage to hang on.