Literature Review
13 steps to achieve AI implementation in your business
09/13/24 at 03:00 AM13 steps to achieve AI implementation in your business Tech Trends Post; 9/11/24 AI technologies are quickly maturing as a viable means of enabling and supporting essential business functions. However, creating business value from artificial intelligence requires a thoughtful approach that balances people, processes and technology. AI comes in many forms: machine learning, deep learning, predictive analytics, natural language processing, computer vision and automation. Companies must start with a solid foundation and realistic view to determine the competitive advantages an AI implementation can bring to their business strategy and planning. ... Some of the many benefits that businesses can gain by adopting AI include the following:
Hospitals target Medicare Advantage in DSH payment lawsuit
09/13/24 at 03:00 AMHospitals target Medicare Advantage in DSH payment lawsuitModern Healthcare; by Alex Kacik; 9/11/24Hospitals allege in a new lawsuit that the federal government unlawfully changed Medicare disproportionate share hospital payment calculations to include care provided to Medicare Advantage patients, and facilities lost billions of dollars in the process. Eighty hospitals on Monday sued the Health and Human Services Department over how the agency factors inpatient care for Medicare Advantage patients into DSH payments, which are meant to bolster providers that treat many low-income patients. Hospitals from states including California, Ohio, Pennsylvania and Texas allege HHS violated the Administrative Procedure Act by not following the typical rulemaking process when it finalized a rule in June 2023 on how Medicare Advantage influences DSH calculations.
Innovative program reduces nurse turnover and fosters development
09/13/24 at 03:00 AMInnovative program reduces nurse turnover and fosters development Oncology Nursing News; by Heather Wood, RN, OCN and Marie Garcia, RN, OCN; 9/12/24 Cancer incidence is on the rise in the US, especially among the growing older population. ... Unfortunately, the current shortage of oncology nurses is expected to worsen, as fewer people enter the profession while aging nurses retire. By 2025, a shortage of 200,000 to 450,000 oncology nurses is predicted in the US. ... In response, The US Oncology Network (The Network) has developed one of the most comprehensive programs in the nation to support the professional development and retention of new oncology nurses. ... Designed to enhance their knowledge of fundamental oncology, OCEAN is a collaborative effort bringing together a multidisciplinary team of experts and speakers from across The Network. The program provides fundamental oncology knowledge around 12 core areas delivered over 22.5 hours of live virtual learning. Content ranges from ... various treatment modalities ... to palliative care and advanced care planning. OCEAN’s impact extends beyond skill development, fostering a sense of belonging and purpose among participating nurses. ... Early results from the program are promising, such as increased retention rates [12% better than the national average] and cost savings.
Judge approves $439M sale of 3 Steward hospitals
09/13/24 at 03:00 AMJudge approves $439M sale of 3 Steward hospitalsModern Healthcare; by Hayley DeSilva; 9/11/24Steward Health Care received approval from a U.S. Bankruptcy Court judge to sell three of its Florida hospitals to Orlando Health in a $439 million deal. Orlando Health, the highest bidder for the facilities, is acquiring Melbourne Regional Medical Center, Rockledge Regional Medical Center and Sebastian River Medical Center, all in Florida, according to a Tuesday court filing.
Telehealth groups urge feds to extend virtual prescribing flexibilities
09/13/24 at 03:00 AMTelehealth groups urge feds to extend virtual prescribing flexibilities Healthcare IT News; by Mike Miliard; 9/11/24 With just four months to go until the scheduled expiration of Drug Enforcement Administration flexibilities on virtual prescribing of controlled substances, a long list of hundreds of healthcare stakeholders is calling on Congress and the White House to extend them before "countless patients [are] abandoned, left without lifesaving clinically appropriate care." Led by the American Telemedicine Association and its ATA Action arm, more than 330 disparate organizations have signed on to an effort urging federal officials to extend pandemic-era allowances for virtual prescribing that "have been a lifeline for countless individuals across the country, ensuring uninterrupted access to essential mental health care, substance use treatment, end-of-life care, and many other crucial treatments during a time when in-person visits were impossible or unsafe."
What is hospice?
09/13/24 at 03:00 AMWhat is hospice?JAMA Patient Page; by Vanessa Wagner, Adam Marks; 9/11/24Hospice is a specialized model of medical care for people with terminal illness. The goal of hospice is to provide compassionate care to maximize a person’s comfort and quality of life during the natural dying process. Hospice care teams are composed of doctors, nurses, social workers, chaplains, and other individuals who work together to address the physical, emotional, social, and spiritual needs of people with a terminal illness and to support their families. This generally includes alleviating symptoms (such as pain, shortness of breath, or anxiety), establishing a comfortable and peaceful environment, and facilitating meaningful time with loved ones.Publisher's note: Written by two physicians and appearing in JAMA, this "hospice introductory piece" might be helpful for new employee orientation or community outreach.
Helping patients keep their dignity in their final moments
09/13/24 at 03:00 AMHelping patients keep their dignity in their final moments Physician's Weekly; by Linda Girgis, MD, FAAFP; 9/11/24 In the US, approximately $365 billion is spent annually on end-of-life care, or ten percent of total healthcare expenditures. While some of this is essential, such as hospice care, much is spent on futile care. The Merriam Webster Dictionary defines futile as “serving no useful purpose, completely ineffective.” While we may be able to keep patients alive longer, such as using ventilators, it should be evaluated as to the endpoint. It is futile if the patient has no hope of recovery. ... How can we help our patients die with dignity?
More nonprofit hospices consolidating amid economic, regulatory pressures
09/13/24 at 03:00 AMMore nonprofit hospices consolidating amid economic, regulatory pressures Hospice News; by Jim Parker; 9/12/24 As M&A in the for-profit space continues its two-year slump, nonprofits are consolidating in rising numbers. Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofits are pursuing acquisitions and affiliations, as well as forming regional collaboratives. In addition, some nonprofits have also been acquired by for-profit companies. Driving this trend are reimbursement and regulatory pressures, as well as a need to compete with larger, well-capitalized for-profit entities, according to Mark Kulik, senior managing director for the M&A advisory firm The Braff Group. [Click on the title's link to continue reading this significant article.]
AI scribes show promising results in helping family doctors and nurse practitioners spend more time with patients and less time on paperwork
09/13/24 at 03:00 AMAI scribes show promising results in helping family doctors and nurse practitioners spend more time with patients and less time on paperwork LaGrange Daily News, Toronto, Canada; by PR Newswire / Canada Newswire; 9/11/24 Family doctors report spending 70% to 90% less time on paperwork in a study evaluating the use of artificial intelligence (AI) scribe technology. OntarioMD (OMD), a subsidiary of the Ontario Medical Association (OMA), announced this week the findings of the study that examined the use of AI scribes by more than 150 family doctors and nurse practitioners (NPs) over a three-month period. AI scribes capture conversations between family doctors or nurse practitioners (NPs) and their patients and summarizes them into detailed electronic medical notes. The family doctors and NPs assessed AI scribes' effectiveness in reducing their time spent on administrative tasks and the results are very promising. ... The results also support the Ministry of Health and Ontario Health's Patients Before Paperwork (Pb4P) initiative aimed at helping doctors spend more time caring for patients instead of doing unnecessary paperwork.
Is medical assistance in dying part of palliative care?
09/13/24 at 03:00 AMIs medical assistance in dying part of palliative care?JAMA Network; by Harvey Max Chochinov, Joseph J. Fins; 9/11/24Whatever one’s view on medical assistance in dying (MAID), an underlying question is whether it should be considered part of palliative care. The Canadian Hospice Palliative Care Association takes the stance that MAID “definitionally fall(s) outside of the scope of palliative care.” 1 This is a historical perspective dating to Hippocratic injunctions against a fatal draft. But with the advent of euthanasia and assisted suicide as legal life-ending options in various jurisdictions, the insistence on separation between palliative care and MAID has been questioned.
Marshall medical students volunteer for Day of Service
09/13/24 at 03:00 AMMarshall medical students volunteer for Day of Service CBS WOWK-13 News, Huntington, WV; by Jessica Patterson; 9/11/24 On a day of reflecting and honoring lives lost to a horrific tragedy, people across the country are commemorating the services and sacrifices people made on Sept. 11, 2001, by volunteering in their communities. According to AmeriCorps, America’s National Day of Service and Remembrance is designed to honor and commemorate the heroes of 9/11 including armed forces, first responders, volunteers and countless others, for their acts of service during the terror attacks and in the aftermath. In Huntington, some college students are stepping up to do their part in the local community. Residents from the Marshall University Joan C. Edwards School of Medicine General Surgery Program spent the day volunteering at a local hospice house. The Emogene Dolin Jones Hospice Facility welcomed all the students’ hard work helping to prepare the grounds and gardens for the end of summer. “They are here today to help beautify and plant flowers here at our inpatient unit, the Emogene Dolin Jones Hospice House, which is part of Hospice of Huntington,” said Melanie Hall, Hospice of Huntington president and CEO.
Medicare Advantage bonus payments decline for first time since 2015
09/13/24 at 03:00 AMMedicare Advantage bonus payments decline for first time since 2015Becker's Payer Issues; by Rylee Wilson; 9/11/24Bonus payments to Medicare Advantage plans will decline by around 8% in 2024 compared to 2023, according to a report from KFF. The analysis, published Sept. 11, found bonus payments to MA plans will decline by around $1 billion to $11.8 billion in 2024. Although this was the first decline since 2015, the $11.8 billion in payments will still exceed amounts for every year from 2015 to 2022. The number of bonus payments will decline because of temporary policies in place during the COVID-19 pandemic increased star ratings for some plans, according to KFF. When the policies ended, some plans took a hit in bonus payments. CMS pays Medicare Advantage plans bonus payments for achieving a star rating of four or higher.
Improving access to palliative care for patients with cancer
09/13/24 at 03:00 AMImproving access to palliative care for patients with cancer JAMA - JN Learning; podcast by Eduardo Bruera, MD; 9/11/24 Palliative care is an essential component to high-quality care for patients with cancer. How can access to palliative care be expanded? Eduardo Bruera, MD, from MD Anderson Cancer Center speaks with JAMA Editor in Chief Kirsten Bibbins-Domingo about 2 new trials in JAMA that address access to care and what more it will take for executives, insurers, and regulators to support palliative care programs. [Podcast: 11 minutes 53 seconds]
Indiana music therapy specialists talk about the practice
09/13/24 at 03:00 AMIndiana music therapy specialists talk about the practice BallStateDailyNews.com; by Hannah Amos; originally posted 9/3/24, distributed 9/12/24 The strum of a guitar, the hum of a voice and the steady beat of a drum makes more than just music. It provides a way for people to work through their emotions. Kirby Gilliam, owner and founder of Plainsong Music Services in Anderson, Indiana, said she noticed music creates a safe space. ... [She] uses different techniques: expressive, receptive, recreated and the ISO principle. Expressive music therapy is when the patient makes music. The receptive technique is when the therapist makes music and the patient listens. Recreated is when patients sing songs made by other artists. Finally, the ISO principle is when the music matches the patient’s mood, and through music, they shift the mood in a positive direction, Gilliam said. “Music therapy is an evidence-based field, based and rooted in science and research,” Gilliam said. “If it didn't have the evidence base, it would be more like hippie-dippy and anecdotal … The why is [that] music opens up your entire brain — all of the pathways.” ... Another worker at Plainsong is Hospice Coordinator Kinsey Lavy, who primarily works with geriatrics and individuals with intellectual and developmental disabilities. Editor's note: For a book specific to music therapy and music for hospice and grief care, with practical uses by mental health practitioners, I invite you to examine my book, Music of the Soul - Composing Life Out of Loss, published in Routledge's Series in Death, Dying and Bereavement, edited by Robert A. Neimeyer.
Agrace grants local 1990 Brewers bat boy a final baseball wish
09/13/24 at 03:00 AMAgrace grants local 1990 Brewers bat boy a final baseball wish Agrace; 9/12/24 In 1990, Will Natz was 10 years old and about to have his dream come true—he was going to be a Milwaukee Brewers bat boy. As he waited in the County Stadium dugout, he heard Bob Uecker announce his name. ... Natz treasured the cassette tape that held a recording of that moment. ... [Due] to his progressing illness and the need for supplemental oxygen, Natz—a lifelong baseball fan—doubted he would get to another Brewers game in person. That was until his Agrace Hospice Care social worker, Kristin Kalpinski and nurse Jill Cooley saw a chance to make his wish come true with assistance from Agrace’s Wish program. Through the Wish program, Kalpinski, Cooley and staff from the Agrace Foundation contacted the Brewers Community Foundation, American Family Field and other community partners. A donor gave Natz and his family four wheelchair-accessible seats for a Brewers game, plus tickets for Kalpinski and Cooley to go along to support Will’s care needs. Just a few days later, Natz was on his way to a game.
The ‘Holy Grail’ of palliative care payment through ACOs
09/13/24 at 03:00 AMThe ‘Holy Grail’ of palliative care payment through ACOs Hospice News; by Jim Parker; 9/11/24 As opportunities to provide palliative care through Accountable Care Organization (ACO) relationships continue to arise, operators will likely need to understand the varying types of reimbursement that exist in that arena. ACOs are groups of physicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients. Hospices and palliative care providers can collaborate with ACOs by becoming members of those organizations themselves, or by contracting with them through a preferred provider network. Community-based palliative care’s track record of reducing costs and hospitalizations could make providers of those services attractive to ACOs, according to Edo Banach, partner at Manatt Health, a division of the law firm Manatt, Phelps & Phillips, LLP.
Competency standards for quality are needed now more than ever
09/13/24 at 02:00 AMCompetency standards for quality are needed now more than everModern Healthcare; by Stephanie Mercado; 9/11/24Stephanie Mercado is CEO of the National Association for Healthcare Quality. Healthcare quality is foundational to achieving the overarching goals of every care provider: improving population health, enhancing patient experiences, controlling costs, and more. Yet we are not where we need to be – and sustainably achieving quality and safety goals continues to be just outside of our reach. Why? New research from the National Association for Healthcare Quality reveals that people working in healthcare define quality very differently from one another. They use a range of terms like compliance, utilization management, safety, equity, population health, value. When stakeholders see quality differently and see each effort to advance quality as separate and distinct, it’s no wonder we are not further along in this quest for quality.Publisher's note: This article discusses concerns including care, cost, the workforce cliff, and how quality is achieved.
Hospice Insights Podcast: What’s the latest on UPICs? Highlights from recent audit activity, part I
09/13/24 at 02:00 AMHospice Insights Podcast: What’s the latest on UPICs? Highlights from recent audit activity, part I JD Supra; podcast by Husch Blackwell, LLP; 9/11/24 [UPIC stands for Unified Program Integrity Contractor audits.] UPIC activity is picking up, and the UPICs are reviving some old tactics. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss these trends which include extrapolation, Medicaid nursing home room and board payments, patient interviews, and more. Meg and Bryan also describe some handouts they’ve developed to help hospices stay prepared for the inevitable audit.
Agnesian HealthCare Foundation 2024 Charity Open has successful year
09/12/24 at 03:10 AMAgnesian HealthCare Foundation 2024 Charity Open has successful year envision - Greater Fond du Lac, WI; by Agnesian HealthCare Foundation; 9/11/24 The Agnesian HealthCare Foundation recently hosted its 36th annual Charity Open, presented by the Michels Corporation, celebrating another successful year supporting local hospice and cancer patient care. Since 1989, the Charity Open has raised more than $7.6 million. Thanks to the generosity of those attending and sponsoring the event, the Agnesian HealthCare Foundation raised approximately $455,000. Proceeds from this year’s event are supporting SSM Health at Home Hospice and SSM Health Cancer Care services within the greater Fond du Lac area – helping ensure that all patients have access to these vital services regardless of their ability to pay. “Our hospice team supports our patient’s last days by offering comfort and dignity,” according to Kim Laws, Agnesian HealthCare Foundation director of development and interim leader. “Our goal is to provide this service regardless of the family’s ability to pay."
[Opinion] Public health’s spirituality disconnect
09/12/24 at 03:10 AM[Opinion] Public health’s spirituality disconnect Harvard Public Health; by Katelyn N.G. Long, David H. Rosmarin, and Howard K. Koh; 9/10/24The separation of church and state has long represented a hallowed legal principle. As a result, perhaps, the field of public health has often divorced itself from spirituality—to the detriment not only of the diverse populations we serve but also of ourselves. ... Our team from the Harvard Initiative on Health, Spirituality and Religion studies ways to bridge the public health disconnect between body and soul. As part of our commitment to research and practice, we worked in 2022 alongside several dozen colleagues nationwide to analyze the most rigorous studies published on the topic this century and to make recommendations for the future. ...
The psychological impact of inclusive leadership
09/12/24 at 03:00 AMThe psychological impact of inclusive leadership Psychology Today; by Priya Nalkur Ed.D; 9/9/24 Here's how empathy can drive organizational success. Key Points:
Kaiser Permanente enters deal with CommonSpirit to expand Colorado presence
09/12/24 at 03:00 AMKaiser Permanente enters deal with CommonSpirit to expand Colorado presence GlobalData; 9/11/24 Kaiser Permanente and CommonSpirit Health have expanded their alliance with a new long-term agreement, aimed at providing Kaiser Permanente's members with enhanced access to healthcare services in Colorado, US. This agreement will integrate Kaiser Permanente physicians into CommonSpirit's hospitals, offering members, including Metro Denver residents, more convenient healthcare services and options close to home. CommonSpirit Health, a nonprofit health system, has a significant presence in Colorado, operating nearly 20 hospitals and over 240 care sites with a workforce of more than 16,000 and 5,300 healthcare professionals, including physicians and practice clinicians. Meanwhile, Kaiser Permanente, also a nonprofit, is known for its integrated care and coverage model, which includes care from its own providers, as well as a broad external network.
Telehealth palliative care helps people living with advanced cancer
09/12/24 at 03:00 AMTelehealth palliative care helps people living with advanced cancer Cancer Health; by Liz Highleyman; 9/9/24 Virtual palliative care can be as effective as in-person care, according to a recent study. Oncology palliative care is intended to relieve symptoms and improve quality of life. It is not the same as hospice care, and it can help people at any stage of cancer. National guidelines recommend integrating palliative care from the time of diagnosis for people with advanced cancer, but it is underutilized in part due to a shortage of trained providers. This study included 1,250 adults at 22 U.S. cancer centers who were diagnosed with advanced non-small-cell lung cancer. They had palliative care sessions every four weeks conducted either via video or in person. After six months, quality-of-life scores were equivalent in the two groups. They also did not differ significantly in terms of depression or anxiety, coping skills, understanding treatment goals or perception of their prognosis.
A dying wish: Longtime hospice volunteer has a challenge for GV
09/12/24 at 03:00 AMA dying wish: Longtime hospice volunteer has a challenge for GV Green Valley News, Green Valley, AZ; by Dan Shearer; 9/10/24 ... The woman who walked alongside dying patients as a hospice volunteer for more than 20 years is now herself in hospice. She smiles but says the glistening in her eyes are sad tears. But cancer hasn't taken her joy, and she’s emotionally strong enough to meet with a reporter in her final weeks to make a request of Green Valley: Please consider taking up just the kind of work she’s been doing for two decades. It’s tough, but it comes with lessons and blessings that last a lifetime. ...
House call: Hospital care at home is about to explode in New Jersey
09/12/24 at 03:00 AMHouse call: Hospital care at home is about to explode in New Jersey mycentraljersey; by Scott Fallon; 9/11/24 Delia Halpin was being treated for a lung infection at Hackensack University Medical Center over three days in July when doctors came to her room with a suggestion: You can go home if you’d like. Halpin, 80, wasn’t being discharged. She was returning to her Maywood house with a load of medical equipment, a tablet to let her keep in touch with doctors, and a team of nurses who would visit every day until she recovered. “No one wants to be in the hospital,” she said. “It was great to be home, be around family, be around the things you’re comfortable with.” Halpin is among the first wave of patients who received care under Hackensack’s new “Hospital from Home” program — but she is far from the last. ...