Literature Review



Where states stand on medical marijuana in the workplace

03/20/24 at 03:00 AM

Where states stand on medical marijuana in the workplace JD Supra, by Madalyn Cohee; 3/18/24 A federal judge in Vermont last month ruled a plaintiff’s medical marijuana use was not protected by the Americans with Disabilities Act. In Skoric v. Marble Valley Regional Transit District et al., the plaintiff was fired by his employer for failing a random drug test by testing positive for marijuana despite having a valid, state-issued medical marijuana card and being prescribed medical marijuana to treat his chronic pain and depression.

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CMS.gov: ACO Primary Care Flex Model

03/20/24 at 03:00 AM

CMS.gov: ACO Primary Care Flex ModelCMS.gov; 3/19/24The ACO Primary Care Flex Model (ACO PC Flex Model) is a voluntary model that will focus on primary care delivery in the Medicare Shared Savings Program (Shared Savings Program). It will test how prospective payments and increased funding for primary care in Accountable Care Organizations (ACOs) impact health outcomes, quality, and costs of care. The flexible payment design will empower participating ACOs and their primary care providers to use more innovative, team-based, person-centered and proactive approaches to care. The model, which starts January 1, 2025, aims to grow participation in ACOs and the Shared Savings Program and increase the number of people with Medicare in an accountable care relationship.

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Creating a community-led telehealth approach for supportive cancer care

03/20/24 at 03:00 AM

Creating a community-led telehealth approach for supportive cancer care mHealthIntelligence, by Anuja Vaidya; 3/18/24 Tennessee Oncology is joining forces with rural patients to explore strategies for expanding telehealth access to supportive cancer care services. ... The NEST program aims to expand access to palliative care, psychology, and integrative oncology and nutrition services among rural cancer patients in seven Middle Tennessee counties: Robertson, Dickson, Putnam, Dekalb, Warren, Bedford, and Coffee counties.

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Signs of end-stage Parkinson's disease

03/20/24 at 03:00 AM

Signs of end-stage Parkinson's disease Medical News Today; Medically reviewed by Heidi Moawad, MD, by Meara Withe; 3/18/24... Understanding the signs of end-stage Parkinson’s disease is crucial for patients, caregivers, and healthcare professionals alike. This article explores the physical health, mental health, and emotional dimensions of end-stage Parkinson’s, shedding light on what to expect and how to provide compassionate care during this demanding phase. Editor's Note: Hospice and palliative non-medical interdisciplinary team members need to understand disease-specific factors related to the patient's experience and the family caregiver's challenges. These include social workers, chaplains, counselors, and caregiver-oriented volunteers.  

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Legendary healthcare researcher John E. Wennberg, who shaped efforts to reform the nation’s healthcare system, dies at 89

03/20/24 at 03:00 AM

Legendary healthcare researcher John E. Wennberg, who shaped efforts to reform the nation’s healthcare system, dies at 89Dartmouth Geisel School of Medicine, by Susan Green; 3/18/24John E. (Jack) Wennberg, MD, MPH, founder and director emeritus of The Dartmouth Institute for Health Policy and Clinical Practice, the Peggy Y. Thomson Professor in the Evaluative Clinical Sciences Emeritus at the Geisel School of Medicine, and founding editor of the Dartmouth Atlas of Health Care, died March 10, 2024. He was 89 years old. “His work pioneered a field that has grown into an entirely new academic discipline in medicine,” Duane Compton, PhD, Geisel School of Medicine dean, says. ... Wennberg focused on improving decision quality by combining better clinical evidence with informed patient preferences. The introduction of shared decision-making between clinicians and patients to preserve warranted variation due to patient preferences is now embedded in health policies across the globe.

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Care coordination, quality data crucial to hospice referral growth

03/20/24 at 03:00 AM

Care coordination, quality data crucial to hospice referral growthHospice News, by Holly Vossel; 3/18/24Care coordination and quality data will be engines for hospice referral growth. Hospices saw census volumes drop during the COVID-19 public health emergency as facilities nationwide restricted access to patients amid mandated state closures. Providers often turned to electronic communications to reach patients in facility- and community-based settings alike. Adaptability has been among the keys to coping with the pandemic’s lingering punches in referral streams, according to Craig Dresang, CEO of California-based YoloCares. As end-of-life care received a spotlight during a global pandemic, the historical viewpoints around hospice care delivery have been undergoing a “fundamental shift,” Dresang said.

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Giving hospice patients a dignified end-of-life experience

03/20/24 at 03:00 AM

Giving hospice patients a dignified end-of-life experience Steve Adubato On the Air, with Charles Vialotti, MD; 3/13/24On--location at Villa Marie Claire Residential Hospice, Steve Adubato is joined by medical director, Charles Vialotti, MD to talk about his personal commitment to hospice care and giving residents and their families a dignified end-of-life experience.

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Personal care workers received most Medicaid fraud convictions in 2023: OIG

03/20/24 at 03:00 AM

Personal care workers received most Medicaid fraud convictions in 2023: OIG McKnights Home Care, by Adam Healy; 3/15/24 More personal care workers were convicted for Medicaid fraud than any other provider type last year, according to a new report released Thursday by the Department of Health and Human Services Office of the Inspector General. OIG found that 279 personal care services (PCS) attendants were convicted of Medicaid fraud in 2023 — far more than the next four highest provider types combined. These convictions amounted to more than $10.5 million in criminal charges. 

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The benefits of integrating palliative care into home-based care programs

03/20/24 at 03:00 AM

The benefits of integrating palliative care into home-based care programs Home Health Care News, by Patrick Filbin; 3/18/24 Navigating new service lines can be daunting, especially when integrating palliative care into existing service lines. Yet, as some providers can attest, embracing change can also yield significant benefits. ... “It’s easier to remain in your own silo,” Tiffany Hughes, COO PalliCare Inc., said at the Hospice News/Palliative Care News Palliative Care Conference in Tampa, Florida. “I saw that [mindset] coming from hospice where it’s the perfect model of care because you control everything. When you start adding in different elements and add more hands into the pot, it gets more complicated.” Providers who are integrating more models of care into their operations are showing that – in general – the juice is worth the squeeze.

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Palliative Care Movement achieves significant progress in California

03/20/24 at 03:00 AM

Palliative Care Movement achieves significant progress in California California Health Care Foundation, by Claudia Boyd-Barrett; 3/19/24 ... Palliative care has taken root in California over the past 15 years, driven by hundreds of leaders within health plans, hospitals, clinics, home care agencies, advocacy and education organizations, and state government. ... Some of California’s greatest palliative care progress has been accomplished in programs serving people at the lowest income levels through the state’s Medi-Cal program and through public health care systems.

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SNFists found to reduce ‘burdensome’ end-of-life care

03/20/24 at 03:00 AM

SNFists found to reduce ‘burdensome’ end-of-life care McKnights Long-Term Care News, by Josh Henreckson; 3/18/24 Advanced practice clinicians who specialize in skilled nursing care help reduce the use of unnecessary care at end of life, according to new study results released Friday in JAMA Network Open. These physicians, nurse practitioners and physician assistants — who provide at least 80% of their evaluation and care visits in nursing homes — were referred to collectively as “SNFists” by the report authors. They reduced the burdensome care transitions that many residents face, benefiting both caregivers and their patients, the study confirms.

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Healthcare CEO exits marked by fresh faces, empty tanks

03/20/24 at 03:00 AM

Becker's Hospital Review, by Alexis Kayser; 3/29/24 Last year, hospital CEO turnover hit a record high, placing additional strain on many health systems' unstable foundations. In March, Becker's connected with healthcare leaders at prominent executive search and consulting firms to learn where this trend stands. ... [This article examines:]

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Improvements in interdisciplinary communication following the implementation of a standardized Handoff Curriculum: SAFETIPS

03/20/24 at 02:30 AM

Improvements in Interdisciplinary Communication Following the implementation of a standardized Handoff Curriculum: SAFETIPS (Statistics, Assessment, Focused Plan, Pertinent Exam findings, to Dos, If/Thens, Pointers/Pitfalls, and Severity of Illness) Cureus, by Shaefali Shandilya and Justen M. Aprile; 3/18/24 Handoffs between medical providers serve a crucial patient safety function. While most published literature on the topic studies the handover process among physicians, robust literature is available on interdisciplinary medical communication. Little is known about the downstream effects of effective physician handover on subsequent physician and nursing interactions. ...Results: Statistical analysis revealed significant post-intervention mean score increases of one full point in four categories, namely organization and efficiency, communication, content, and clinical judgment.

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For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans − especially at midsize chains that dodge public scrutiny

03/20/24 at 02:00 AM

For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans − especially at midsize chains that dodge public scrutinyThe Conversation, by Sean Campbell and Charlene Harrington; 3/14/24 ... Overall, private-equity investors wreak havoc on nursing homes, slashing registered nurse hours per resident day by 12%, outpacing other for-profit facilities. The aftermath is grim, with a daunting 14% surge in the deficiency score index, a standardized metric for determining issues with facilities, according to a U.S. Department of Health and Human Services report.The human toll comes in death and suffering. A study updated in 2023 by the National Bureau of Economic Research calculated that 22,500 additional deaths over a 12-year span were attributable to private-equity ownership, equating to about 172,400 lost life years. The calculations also showed that private-equity ownership was responsible for a 6.2% reduction in mobility, an 8.5% increase in ulcer development and a 10.5% uptick in pain intensity.

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Lubbock author publishes "I'm on Hospice: A Children's Book"

03/20/24 at 02:00 AM

Lubbock author publishes "I'm on Hospice: A Children's Book for Processing & Coping With a Terminal Illness" CBS WDTV 5; book is by Sydney Crane (author) and Nina Broen (illustrator); tv interview 3/14/24While a child is in the care of a hospice team, they will likely hear words and phrases that they do not know or have questions they are unsure how to ask. Presenting information through Riley's story, I'm On Hospice encourages conversations and facilitates a space for questions, discussion, and understanding within any relationship dynamic surrounding a terminally ill child. Riley is a nine-year-old boy whose life purpose is all about baseball, and he shares how each of his hospice caretakers helps him be comfortable and safe.Editor's Note: This book is available on Amazon and Kindle. The description above is from Amazon, as the tv interview is video.

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Medicare Advantage prior authorization: The impact - increased access to care

03/20/24 at 02:00 AM

Medicare Advantage prior authorization: The impact - increased access to care HHS-OIG; 3/19/24 HHS-OIG’s work on this issue drew national attention to the problem spurring the Centers for Medicare & Medicaid Services, the Industry, and Congress to action.  Editor's Note: You can download the "Impact Brief" from this site. Click on the title's link.

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For-profit nursing home owners rebut report that left few untarnished

03/20/24 at 02:00 AM

For-profit nursing home owners rebut report that left few untarnished McKnights Long-Term Care, by Kimberly Marselas; 3/18/24 A brutal takedown of private nursing home ownership published last week included both pointed and widespread attacks on the role of for-profit companies in the sector, adding to stakeholders’ fears that negative characterizations will stymie much-needed future investment. ... However, what the article failed to highlight, providers and their representatives pointed out to McKnight’s Long-Term Care News Friday, are the investments many for-profits providers are pouring into quality and innovation efforts in a field with historically low margins — margins that they said dried up during the pandemic’s crisis days.Editor's Note: See the original article (posted above this summary) this article rebuts, "For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans - especially at midsize chains that dodge public scrutiny."

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Living a special life to the end

03/19/24 at 03:30 AM

Living a special life to the end The Daily Sentinel, by Nathan Deal; 3/17/24, updated 3/18/24“Today’s a good day to have a good day. The sun will come up in the east and it will set in the west. All you have to do is match its energy.” That was the mantra of Andy Smith, Grand Junction High School and Colorado Mesa University graduate, rugby enthusiast, friend of Coach K, and lover of sunsets and sunrises. It was the outlook he lived by even on his darkest days.Editor's Note: Read this inspiring story about college student Andy Smith, cared for by HopeWest Hospice in Grand Junction, CO. 

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UnitedHealth Group cyberattack status update

03/19/24 at 03:00 AM

UnitedHealth Group cyberattack status update UnitedHealth Group Press Release; 3/18/24 Today [Monday 3/18/24], Change Healthcare will begin releasing medical claims preparation software, an important step in the resumption of services. This will be made available to thousands of customers over the next several days. The company expects to have third-party attestations available prior to services becoming operational. Following this initial phase, remaining services restoration will continue through ongoing phases of activation until all customers have been connected.

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What you should—and shouldn’t—say to a friend going through a major illness

03/19/24 at 03:00 AM

What you should—and shouldn’t—say to a friend going through a major illness MSN, by Jenna Ryu; 3/18/24When a friend receives a life-changing diagnosis, it can be tough to know how to show up for them. ... For instance, you might automatically respond to your buddy's health news with, "I know what you're going through," when really, all you wanted was to be sympathetic. ... So if you’re not sure what, exactly, to say to help them feel better, here are five compassionate and respectful phrases that’ll let them know you’re in their corner.

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Healthcare hit hardest by ransomware last year, FBI IC3 report shows

03/19/24 at 03:00 AM

Healthcare hit hardest by ransomware last year, FBI IC3 report shows HealthITSecurity, by Jill McKeon; 3/12/24 The healthcare sector suffered more ransomware attacks than any other critical infrastructure sector last year, according to complaint data examined in the Federal Bureau of Investigation’s 2023 Internet Crime Report. ... In 2023, IC3 received a record 880,418 complaints, with losses exceeding $12.5 billion. These figures signify a 10 percent increase in complaints received and a 22 percent increase in losses suffered compared to last year’s report.

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Police identify 13 deaths at unlicensed Arlington, Mansfield group homes since 2022

03/19/24 at 03:00 AM

Police identify 13 deaths at unlicensed Arlington, Mansfield group homes since 2022 Fort Worth Star-Telegram, by James Hartley; 3/14/24 At least 13 people have died since 2022 under the care of a woman who was running five unlicensed group homes in North Texas, police wrote in a warrant to search one of the homes. ... Regla “Su” Becquer, 49, was arrested Monday and charged with one count of abandoning or endangering an individual creating imminent danger of bodily injury. ... Police have said more charges are expected in their ongoing investigation. Search warrants obtained by the Star-Telegram, written by Detectives Krystallyne Robinson and Devon Coffer, show police believe the abuse was extensive.

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COLUMN: March is National Social Workers Month

03/19/24 at 03:00 AM

COLUMN: March is National Social Workers Month The Andalusia Star News; by Vicki C. Wacaster; 3/16/24 In recognition of National Social Workers Month in March 2024, we wish to honor and recognize the vital gifts of dedication, love, professionalism, time, talent, and care Hospice Social Workers provide. ... Hospice social workers often perform the following tasks:

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Tensions between grieving hearts and Western minds: Brave spaces for grief literacy and mystical experiences

03/19/24 at 03:00 AM

Tensions between grieving hearts and Western mind: Brave spaces for grief literacy and mystical experiences

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[UPDATED] Skilled Nursing giant PACS Group files for IPO as it looks to expand footprint

03/19/24 at 03:00 AM

[UPDATED] Skilled Nursing giant PACS Group files for IPO as it looks to expand footprint Skilled Nursing News, by Zahida Siddiqi; 3/14/24 PACS Group filed for an initial public offering with the Securities and Exchange Commission on Wednesday, citing focus on growth plans in its filing. ... The Farmington, Utah-based PACS Group is one of the largest skilled nursing providers with more than 200 nursing facilities across nine states and serves over 20,000 patients daily. It plans to list on the NYSE under the symbol PACS. 

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