Literature Review

Aging Mastery: 10 weeks, 10 topics to empower seniors for healthy living New Hampshire Union Leaders; by Kathleen D. Bailey; 10/20/24 Jen Brechtel, director of Community Health for the Granite VNA, said one of the biggest issues in the agency’s “Aging Mastery” program” is sleep. “It’s the topic people come in most for,” she said. “We partner with a sleep center to help them out. Another big one? Community engagement.” The Granite VNA and Hospice is interested in all factors affecting their senior clients. With a menu of data-driven programs, the agency is reaching out to help seniors master aging. The “Aging Mastery” program is a project of the National Council on Aging, according to Brechtel. ... The 10-week class, ongoing now in Sanbornton, has sessions devoted to the concepts that please (or plague) elders: navigating longer lives, exercise, sleep, healthy eating/hydration, financial fitness, advance planning, healthy relationships, medication management, community engagement and falls. Experts from the community take turns teaching the topics, with a VNA staffer as moderator.

October is a fallen leaf, but it is also the wider horizon more clearly seen. ~ Hal Borland

3 strategies for hospice GIP compliance Hospice News; by Jim Parker; 10/21/24 Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. Audits are becoming more frequent in the hospice space, and GIP is an increasing focus, including ​for the most common types — Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE). In a survey earlier this year, more than half of hospice providers reported having undergone multiple types of audits within a six-month period. ... In addition to these routine MAC audits, the U.S. Department of Health and Human Services Office of the Inspector General (GIP) has been performing a national audit of GIP utilization, as well as an additional investigation into management of the associated payment cap. The inpatient cap limits the number of days of inpatient care for which Medicare will pay to 20% of a hospice’s total Medicare patient care days, according to OIG. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.

The powerful companies driving local drugstores out of business DNYUZ; 10/19/24 The small-town drugstore closed for the last time on a clear and chilly afternoon in February. Jon Jacobs, who owned Yough Valley Pharmacy, hugged his employees goodbye. He cleared the shelves and packed pill bottles into plastic bins. Mr. Jacobs, a 70-year-old pharmacist, had spent more than half his life building his drugstore into a bedrock of Confluence, Pa., a rural community of roughly 1,000 people. Now the town was losing its only health care provider. Obscure but powerful health care middlemen — companies known as pharmacy benefit managers, or P.B.M.s — had destroyed his business. This has been happening all over the country, a New York Times investigation found. P.B.M.s, which employers and government programs hire to oversee prescription drug benefits, have been systematically underpaying small pharmacies, helping to drive hundreds out of business.

Poetry, again, confronts death JAMA; by Rafael CAmpo, MD, MA; 10/16/24Poetry can help physicians in many ways at the border between life and death. Though we might think first of the consoling power of elegy in confronting mortality, other poems, like “Again,” [referenced] aid us in wrestling with what death is in the first place—and are even more useful when research falls short in attempting to demystify it. One such scientific controversy surrounds in-hospital resuscitation, especially for older adults, with studies showing inconsistent rates of meaningful survival after these potentially life-saving interventions, confounded by the physical and emotional trauma that accompanies them, poor understanding of patients’ and families’ wishes, unclear definitions of “meaningful,” and varying patient selection criteria. [The poem titled] “Again” distills some sense out of this complexity as only poetry can, with the urgent repetition of “again” expressing the ingrained imperative to act when patients experience cardiac arrest while echoing both the many previous resuscitations hospital staff well remember, along with the 2-beat, up-down muscle memory of performing chest compressions. ... Thus, a reflexive, futile endeavor becomes a human being’s dying moment, allowing us to feel closure. Debates around in-hospital resuscitation suddenly quieted, we recognize life’s inevitable finality, underscored by the poem’s ironically dignified resignation in its concluding line: “Never again did you wake.”Editor's note: Click here to access the poem, "Again."

Martis Capital rumored to purchase Three Oaks Hospice’s in $150m deal Hospice News; by Holly Vossel; 10/18/24 The private equity firm Martis Capital may soon acquire Dallas-based Three Oaks Hospice for a price tag ranging from $150 million to $160 million. Rumors of the potential sale appeared today in an Axios report, in which unnamed sources reportedly confirmed the deal. The Nashville-based investment and management company Petra Capital currently owns Three Oaks Hospice, which reportedly generates between $10 and $13 million in EBITDA, Axios indicated. Rumors that the hospice was considering a potential sale were first reported last month by the website Ion Analytics. The private-equity backed company provides hospice, palliative care and bereavement services across 28 locations in seven states. 

Best Places to Work in Healthcare - 2024Modern Healthcare; 10/16/24Transparency, compassion and trust are the hallmarks of any good relationship — including those between employers and employees. The winning companies of this year’s Best Places to Work in Healthcare awards keep their staffs engaged by offering expansive benefits, flexible schedules and the chance to give back to their communities. The honorees also set high standards of integrity and accountability, while providing opportunities for growth. [Congratulations to all award winners, including:]

5 Reasons you should work with people who think differentlyForbes; by Kate Vitasek; 10/17/24One 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 the short and long term.

Training the next generation of hospice leadersHospice News; by Jim Parker; 10/18/24As hospice providers scramble to hire new clinical staff, they also need to consider who will be their next generation of leaders... To prepare the next generation to take the helm, providers need to think now about leadership development, Lisa Novak, CEO of Northern Illinois Hospice, said at the National Hospice and Palliative Care Organization’s (NHPCO) Annual Leadership Conference in Denver. “It’s an intentional choice for all of us as leaders to provide our staff some time to nurture their skills, some time to sit with them …,” Novak said at the conference. “Hospice is interdisciplinary. We know how to bring different voices to the table. We know how to bring different styles to the table. Where we fall short is we’re sometimes resource light, and we don’t carve out the time, the intentionality to do it.”Notable mentions: Demetress Harrell, Hospice of the Pines; Phil Ward, Community Hospice & Palliative Care.

Adventures are things that happen that aren't supposed to happen. ~Percy Keese Fitzhugh, Roy Blakeley: Lost, Strayed or Stolen, 1921.

HealthRev Partners and Trella Health announce partnership to empower home health and hospice agencies The Warren Record; by Trella Health; 10/17/24HealthRev Partners, [a] revenue cycle management partner specializing in innovative, tech-driven solutions for home health and hospice agencies, and Trella Health, [a] provider of market intelligence and Customer Relationship Management (CRM) solutions for the post-acute care industry, have announced a new partnership. HealthRev Partners and Trella Health will collaborate to help agencies reach their full potential by cultivating stronger relationships with referral sources and optimizing their revenue cycle through complementary solutions.

American Cancer Society names interim CEOModern Healthcare; by Caroline Hudson; 10/16/24The American Cancer Society named Dr. Wayne A.I. Frederick as interim CEO, effective Nov. 2. Frederick will replace Karen Knudsen, who is stepping down Nov. 1 after more than three years in the role. In his new position, Frederick will oversee the cancer society and the affiliated American Cancer Society Cancer Action Network.

Nonprofit endeavors to facilitate food justice Towne Post Network; by Julie Yate; 10/17/24 Bringing Justice Home [in Louisville, KY] is a nonprofit organization committed to alleviating hunger caused by food insecurity for those facing disabilities and chronic or serious illnesses. Now in its fourth year, the completely volunteer-run initiative seeks to facilitate food justice by delivering groceries and household supplies to health-compromised families and individuals who fall below the poverty line. Equally important is the relationship building that occurs as resources are shared and volunteers open their hearts to bringing justice closer to home. ... “Bringing Justice Home is a new kind of neighborhood that goes beyond zip codes, race, disabilities, health labels or status,” says Constance Merritt, who co-founded the organization along with her wife, Maria Accardi. Merritt is a published writer and a licensed social worker with a master’s degree from the University of Louisville. She has worked with older adults in low-income senior housing, patients and families in hospital palliative care, and individuals receiving HIV and AIDS services.