Literature Review

ASTHO and NAMD call on Congress to fully fund Medicaid and CHIP in U.S. territories ASTHO - Association of State and Territorial Health Officials; by Jane Esworthy and Stephanie Rhodes; 6/20/24 In a joint letter to Congress, the Association of State and Territorial Health Officials (ASTHO) and the National Association of Medicaid Directors (NAMD) urged Congress to fully fund Medicaid and Children's Health Insurance Programs (CHIP) in the U.S. territories. ASTHO and NAMD request that Congress lift the annual Section 1108(g) allotment cap for all territories and authorize a permanent 83% Federal Medical Assistance Percentage (FMAP) for Puerto Rico. ... “ASTHO recognizes the importance of permanent, sustainable, and equitable Medicaid financing for all U.S. territories,” says Joseph Kanter, MD, MPH, ASTHO CEO. ... “Unlike the states, the U.S. territories face an annual cap on their Medicaid funding,” says Kate McEvoy, Executive Director of NAMD. “This has impaired the territories’ capacity to provide needed health care to Medicaid-eligible U.S. citizens and nationals. It has also held the territories back from making the structural investments in care delivery and value-based payment reform, workforce, IT systems, and program integrity that are crucial to high performing and innovative Medicaid programs.”

Novant scraps $320M hospital deal with CHS Becker's Hospital Review; by Alan Condon; 6/18/24 Winston-Salem, N.C.-based Novant Health has called off its planned $320 million acquisition of two North Carolina hospitals from Community Health Systems after an appellate court granted the Federal Trade Commission an emergency injunction blocking the deal. In a 2-1 decision, the 4th U.S. Circuit Court of Appeals said it would allow the FTC to prevent the two-hospital acquisition from proceeding until its appeal is resolved. ... The FTC argues that the transaction would "irreversibly consolidate the market for hospital services in the Eastern Lake Norman Area in the northern suburbs of Charlotte."

How health equity impacts hospices’ bottom lines Hospice News; by Holly Vossel; 6/18/24More hospices nationwide have increasingly recognized the value proposition of expanding their reach into untapped and underserved populations and geographic markets. Aside from increased access, census volumes and quality, health equity’s return on investment can also include a better recruitment and retention outlook, according to David Turner, vice president of special projects and initiatives at St. Croix Hospice, which serves 10 Midwest states. Turner is also CEO and partner of Nashville-based Heart’n Soul Hospice. Hospices stand to benefit from recruiting and retaining a more ethnically diverse base of interdisciplinary workers and c-suite executives, Turner said at the Hospice News Elevate conference in Washington D.C.

The 9 biggest challenges physicians face in daily practice: Survey Becker's Hospital Review; by Ashleigh Hollowell; 6/20/24 ... The following challenges are the ones physicians most often ranked as very or somewhat significant as they relate to their day-to-day work:

Tapestry Hospice settles healthcare kickback claims for $1.4 million United States Attorney's Office - Northern District of Georgia; Press Release; 6/20/24 Tapestry Hospice of Northwest Georgia, LLC, and its owners and managers, David Lovell, MD, Stephanie Harbour, Ben Harbour, and Andrew Nall (collectively “Tapestry”), agreed to pay $1.4 million to resolve allegations that they violated the False Claims Act by entering into kickback arrangements with medical directors in exchange for referrals of hospice patients to Tapestry. “By entering into kickback arrangements, health care providers can cause doctors to make medical decisions that are motivated by financial gain, rather than the patient’s best interest,” said U.S. Attorney Ryan K. Buchanan. “Our office is committed to ensuring the accountability of health care providers who put their own financial needs ahead of their patients.” “The False Claims Act settlement in this case will hopefully be a deterrent to those who selfishly evade our federal healthcare programs for their own benefit,” said Keri Farley, Special Agent in Charge of FBI Atlanta. “The message is clear, the FBI will not tolerate companies operating corporate-wide schemes to illegally line their pockets.” 

The ‘Inter-AI’ Period: 7 key actions leaders should take now CEOWorld Magazine; by Nada R. Sanders, PhD; 6/20/24 Generative AI is not transient, part of a hype cycle, or a fleeting trend. It’s a game-changing innovation that’s opened the door to novel human-machine partnerships, AI-driven superintelligence, and a new way to win in business. In the AI timeline, we’ve entered “The Inter-AI Period,” a small window of opportunity where leaders can shape how they use AI now and in the future. This window of opportunity is short—perhaps a few years at most—after which decision processes embedded in AI will harden. ... By studying transformative AI leaders ... and conducting interviews with dozens of corporate CEOs, we’ve identified seven key actions every leader should take now:

171K+ clicks saved: Inside Johns Hopkins' nurse documentation revamp Becker's Clinical Leadership; by Erica Carbajal; 6/17/24 Across healthcare, efforts to advance documentation are often focused on enhancing physicians' workflow. But at Baltimore-based Johns Hopkins Hospital, leaders are equally focused on improving documentation in nursing. ... [The] American Nurses Credentialing Center recognized Johns Hopkins with 10 exemplars, one of which recognized the hospital as a leader in nursing informatics. Case in point: The hospital has saved nurses 170,620 clicks in four months, April Saathoff, DNP, RN, vice president and chief nursing information officer at Johns Hopkins Medicine, told Becker's. ... "Instead of the nurse having to go in and document on every single row on a head-to-toe reassessment for the patient, we now have some fields added to the top where the nurse can document reassessment changes noted or reassessed no changes," Dr. Saathoff said, adding that the changes are saving nurses an average of 13 minutes per reassessment. Editor's Note: What might your organization be able to streamline in your online documentation? Before IT or clinical management decides unilaterally, get input from your clinicians who make the visits and use the system. Include your psychosocial/spiritual care team members as well, as you might delete something crucial that they need.

Celebrating palliative and end of life care at King's on Dame Cicely Saunders' birthdayKing's College London press release; 6/22/24On Dame Cicely Saunders' birthday [June 22, 1918], we are taking time to celebrate the work being done at Cicely Saunders Institute in the Faculty of Nursing, Midwifery and Palliative Care. Dame Cicely Saunders OM DBE (1918-2005) (Nursing, 1944; Medicine, 1957) revolutionised palliative care for the dying by pioneering the modern hospice movement, as well as establishing the Institute of Palliative Care at King's. This lives on in the Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation.Publisher's Note: Honoring our heros...

It’s your funeral! How to plan ahead for the best party you’ll never attend The Guardian; by Doosie Morris; 6/14/24 Years before the indomitable Joan Rivers died in 2014 she immortalised hopes for her own farewell in her memoir. ... The rise in so-called “death positivity”, along with the mortal reality check wreaked on us by the pandemic, has helped to reframe death as a part of life for many of us. Taboos around discussing death are breaking down and planning your own funeral is increasingly considered as responsible as writing a will. ... While the latest Australian Funeral Industry report found less than one in five Australians have actually planned their own funeral, a definite vibe shift is occurring and 90% of people say they want to. ... “When people say ‘I don’t want a funeral’ I remind them it’s not actually for them,” Griffith says. “You might think you’re doing your loved ones a favour, but you are actually denying everyone who needs somewhere to put their grief.” ... 

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Dangerous heat puts tens of millions in the US on alert; paired with NIH & OSHA resources for you to protect patients and employeesAssociated Press article, paired with information and resources from NIH and OSHA; 6/18/24

Bluegrass Care Navigators and Hosparus Health announce landmark affiliation agreement Hosparus Health Press Release; 6/17/24 Today marks a significant milestone as Bluegrass Care Navigators and Hosparus Health announced that their respective boards of directors have signed a Memorandum of Understanding (MOU) to begin working toward a formal affiliation between the two organizations. The affiliation is rooted in the organizations’ shared mission of providing compassionate, high-quality care to those facing serious illness and end-of-life. It aims to enhance service delivery, improve operational efficiencies, and bolster long-term sustainability — all while preserving the unique identities and local operations of both organizations. David Cook, Hosparus Health President and CEO, said, “This formal affiliation is designed to strengthen and improve resiliency for our organizations. Rest assured, we will continue to honor and maintain the distinct identities and local presence that our communities have come to cherish. This affiliation is a testament to our shared commitment to working together and enhancing care for our communities.” “Both Bluegrass Care Navigators and Hosparus Health share a joint mission: to provide exceptional, compassionate, high-quality care to those facing frailty, serious illness and end-of-life,” added Liz Fowler, President and CEO of Bluegrass Care Navigators. “Our long histories of service, innovation, and excellence make this affiliation a natural and exciting next step.” [Click on the title's link to read more.] 

When your parents die: Becoming an adult orphan The Montecito Journal; by Deann Zampelli; 6/18/24 Shortly after I got married, my 64-year-old mother lost her battle with breast cancer. Seven years later my father joined her. The loss isn’t any less painful just because you are a grown-up. ... Many don’t realize that grief isn’t linear. We don’t go through a neat little phase, checking off each stage as we complete it. The famous (and somewhat debunked) five stages of grief introduced by Elisabeth Kübler-Ross in the 1960s (Denial, Anger, Bargaining, Depression, Acceptance) were from a study she did on the emotional states of patients who were dying. It was their stages she was referencing, not ours. ... I came to a frightening realization. ...  It suddenly dawned on me that my siblings and I were next in line to kick it. [Click on the title's link to continue reading.]Editor's Note: While serving in your hospice leadership roles, you experience the ongoing aging, changes and likely even deaths of your own family members, friends, and mentors. Do you, your hospice communications, and/or your grief services rely on the outdated "Stages of Grief" model? These "stages" opened the door in the 1960's for talking about death and dying, but became extremely misused and overpopularized for persons surviving the loss. Learn, update your knowledge, information, and clinical bereavement practices with extensive bereavement/loss/grief research, clinical best practices, and more. For expert information, resources, and bereavement professionals, examine www.adec.org, the Association for Death Education and Counseling.