Literature Review

As IV shortage continues after hurricane, U.S. invokes wartime power to speed recovery CBS News; by Alexander Tin; 10/15/24 The Biden administration says it has invoked the wartime powers of the Defense Production Act to speed rebuilding of a major American factory of intravenous fluids that was wrecked by Hurricane Helene last month. Damage to the plant in North Carolina has worsened a nationwide shortage of IV fluids, and hospitals say they are still postponing some surgeries and other procedures as a result. Some 60% of the nation's IV supplies had relied on production from the plant, run by medical supplier Baxter, before it was damaged by the storm. "Ensuring people have medical supplies they need is a top priority of the Administration. It's exactly why we are working closely with Baxter to support cleanup and restoration of the facility, including invoking the Defense Production Act to help production resume as quickly as possible," an official with the Department of Health and Human Services told CBS News on Tuesday.

Heartlinks expands hospice, palliative programs with new adult family home Hospice News; by Holly Vossel; 10/16/24 Heartlinks is opening a de novo located in Sunnyside, Washington, with an aim of providing a range of services to seniors in the area. Hospice and palliative care will be a “strong focus” of services provided at the new senior living facility, Heartlinks Adult Family Home, said Shelby Moore, the organization’s executive director. Other services available include 24/7 access to personal care, assistance with activities of daily living, medication management and respite care. The new location is designed to create a peaceful and comforting space for individuals with advanced and life-limiting illnesses in an area that lacks resources for patients and their families, Moore stated. 

BCBS reaches record antitrust settlement for $2.8B Becker's Payer Issues; by Jakob Emerson; 10/16/24  The Blue Cross Blue Shield Association, along with the 33 independent BCBS companies, have agreed to pay $2.8 billion to settle antitrust claims from healthcare providers, marking the largest settlement of its kind in the healthcare industry. In addition to the cash settlement, the plaintiffs stated in an Oct. 14 filing in Alabama federal court that BCBS plans must implement significant operational changes across 16 categories. These changes include how BCBS processes claims, communicates, contracts with, and makes payments to providers. The new operational requirements are expected to alleviate administrative burdens and inefficiencies experienced by providers, according to the plaintiffs' counsel. The settlement applies to providers who treated BCBS members between July 2008 and October 2024. The tentative agreement still requires approval from U.S. District Judge R. David Proctor. The BCBS Association denies the allegations made in the lawsuit.

Forbes Leadership Strategy: 5 reasons you should seek to work with people who think differently Forbes; by Kate Vitasek; 10/17/24 One of the most common pitfalls we see in the business world is when organizations exclusively work with people who think like they do. While at first glance, this could seem like it would help the organization become more unified, in the long run, it can actually do more harm than good. Instead, you should seek to work with people who think differently from you. By bringing in people with unique perspectives and backgrounds, you can unlock a host of valuable benefits that will serve you well in both the short- and long-term. 

Update on 3 nonprofit hospices impacted by Helene Hospice & Palliative Care Today; Chris Comeaux with Cordt Kassner and Joy Berger; 10/17/24Chris Comeaux shared updates on hospices impacted by the recent natural disaster. While no patients or staff were lost, some completely lost their homes or experienced significant property damage.  The final loss of life remains uncertain due to unaccounted people. Hospices nationally have shown unity in supporting local counterparts through financial aid, supplies, and volunteer efforts coordinated by many nonprofits. Certain areas may lack electricity until March. Hospices face challenges like displaced skilled nursing facilities, but resources are being mobilized. Chris announced a tabletop discussion in November to learn from this experience and highlighted the need for continued patient monitoring, especially in evacuation zones. To read more and contribute:

Where is assisted dying legal? How the rules worldwide compare The Times, London, UK; by Bruno Waterfield, Josie Ensor, and Bernard Lagan; 10/16/24In 1937, Switzerland legalised assisted suicide provided those doing the assisting were not motivated by “any selfish intent”. Six decades later, the US state of Oregon legalised physician-assisted suicide for people with less than six months to live. In 2001, the Netherlands became the first country in the world to decriminalise assisted dying. In the two decades since, the debate around a state or nation’s approach to life and death has sped up. Belgium, Australia and ten more US states have decriminalised forms of assisted dying. The approach varies, but they all fall under the umbrella of assisted dying, a term that usually refers either to euthanasia — the practice of a doctor administering a lethal drug — or to assisted suicide, in which a person self-administers a lethal drug, often after someone has helped them to procure it. [Click on the title's link for its list of comparisons.]

Executive Personnel Changes - 10/18/24 

AAHPM Board President: Telehealth access ‘critical’ for hospice patientsHospice News; by Jim Parker; 10/17/24 The forthcoming expiration of telehealth flexibilities implemented during the pandemic could have a devastating impact on vulnerable populations, including those receiving hospice or palliative care. This is according to Dr. Holly Yang, board president of the American Academy of Hospice and Palliative Medicine (AAHPM). Currently, temporary federal rules allowing for greater access to telehealth are set to expire on Dec. 31. While legislation is in play to extend them, the outcome is uncertain, and the end of the year is approaching. Hospice News sat down with Yang to discuss the importance of these flexibilities and how their impending departure could impact patients and families, particularly those in rural areas or with limited mobility, poor health equity or social determinants of health needs.

CMS grants temporary relief for home health, hospice agencies affected by hurricane McKnights Home Care; by Adam Healy; 10/15/24 The Centers for Medicare & Medicaid Services has issued several temporary flexibilities intended to help hospices and home health agencies affected by Hurricane Helene continue to provide care amid the emergency. During the emergency period, home health providers may take advantage of extended deadlines for quality reporting and patient assessment requirements, according to CMS. The agency communicated last week that it would permit delayed Outcome and Assessment Information Set submissions, and it also extended the five-day completion requirement for patients’ comprehensive assessments to 30 days. These patients assessments may also be conducted remotely or by record view — a departure from the typical in-person requirement — during the temporary emergency period. CMS said that this change will allow patients to be cared for in the environment of their choice, reduce impacts on acute care and long-term care facilities, and maximize clinicians’ ability to care for patients with the greatest acuity.

Hospice Sabbath Progressive Journal; by Hospice of Chesterfield County Foundation; 10/14/24 As you attend your place of worship the weekend of November 1-3, 2024, you may see a single white carnation displayed in a prominent location. Hospice of Chesterfield County Foundation has chosen the white carnation as a symbol for the observance of Hospice Sabbath. Churches are being asked to participate by displaying a white carnation in memory of all who have received Hospice services. ... These individuals were significant to their families and to our community. They were our neighbors, our co-workers, our friends, and our loved ones. ... In its simple elegance, the white carnation symbolizes the hope and dignity which Hospice helped to ensure for these individuals and for their families. In its fragile beauty, the carnation reminds us of the sacredness of life and the mystery of death. Hospice recognizes that endings are inevitable; yet, life is affirmed as persons are encouraged to live each moment to its greatest capacity.

Video: North Hawaii Hospice holds lantern floating ceremony Big Island Video News; 10/15/24 The annual floating lantern ceremony was held Sunday evening at the Fairmont Orchid. ... The event was organized by North Hawaii Hospice, ... “The goal is to honor and remember those who have passed, in a group setting,” said North Hawaiʻi Hospice executive director Faye Mitchell. “We get to share in our grief, but also in our joy about the people that we’ve loved and who are no longer with us.” ... “When people come, they have a lantern paper which they get to decorate and write messages for their loved ones. And then they put that lantern paper onto a base, and at sunset we helped them light a candle in that lantern. ... “I am an organizer of this event, but I am definitely also a participant,” Mitchell said. “I lost my son Geno in February of this year. He was 24 years old. I have to say, one of the key things I learned from the experience is that grief shouldn’t be kept to myself. ... There’s something about sharing your grief with others who know what it’s like. So that’s why I share it even now, with everyone watching, because if … you’ve lost someone you’re not alone, and if you share this experience with others you’d be surprised how many people have gone through this. It’s so much better not to be alone in this."

Dozens of CarePartners patients in Asheville transferred to other facilities after HCA temporarily shuts down rehab, hospice center Asheville Watchdog; by Andrew R. Jones; 10/14/24 Hundreds of employees uncertain about their jobs after facility is closed to ease pressure on Mission Hospital. Mission Health’s CarePartners Health Services is temporarily closed following the pressures Hurricane Helene put on Asheville’s health care system, disrupting rehabilitative care for more than 50 patients and forcing more than 250 employees to take temporary jobs elsewhere in the system, according to employees and internal emails obtained by Asheville Watchdog.  ... The closing affected nearly 50 inpatient rehab patients, several long-term acute care patients, and eight hospice patients, all of whom were sent to home caregivers, skilled nursing facilities, other inpatient rehab programs, and UNC Health Caldwell in Lenoir, more than an hour’s drive to the east, according to one employee.