Literature Review

Community Hospice & Palliative Care, a subsidiary of Alivia Care, Inc., becomes last remaining not-for-profit hospice provider [in North Florida] PR.com - Alivia Care, Inc. Press Releases, Gainesville, FL; 6/29/24 With recent changes in end-of-life care, North Florida residents may notice a shift as Haven, a long-standing provider in the region, transitions due to acquisition by a for-profit health care company, BrightSpring Health Services. As this transition takes place, Community Hospice & Palliative Care, a subsidiary of Alivia Care, Inc., wishes to express its continued dedication to providing compassionate, community-based care to individuals and families in the community. "We understand that transitions in healthcare can be challenging for our community," said Phillip Ward, President, and CEO of Community Hospice & Palliative Care. "However, we want to reassure everyone that our dedication to serving our neighbors with compassion, dignity, and unwavering commitment remains as strong as ever."

HHS to impose penalties on providers that block patients’ health information McKnights Home Care; by Adam Healy; 6/24/24In a bid to promote easier access and exchange of patients’ health records, the Department of Health and Human Services published a final rule Monday outlining penalties for providers that block access to electronic health information. ... Fragmented and inaccessible patient data can prevent long-term and post-acute care providers from seeing the full picture of a patients’ health. Hospitals, for example, are not required to share updates about a patient’s health with the patient’s post-acute care provider. As a result, home health and home care agencies frequently cannot access patients’ electronic health records to help assess and treat patients. Three disincentives: ... First, hospitals that commit information blocking can be subject to a reduction of three quarters of an annual market basket update. Second, clinicians eligible for the Merit-based Incentive Payment System will receive a zero score in the “promoting interoperability performance” MIPS category, which can be equivalent to roughly a quarter of the clinician’s MIPS score in a given year. Lastly, providers that participate in information blocking can have their Medicare Shared Savings Program or Accountable Care Organization eligibility revoked for at least one year. ...Editor's Note: Almost any solution raises additional challenges. How does HIPAA interface with this? How might a cyberattack at a hospital (or other healthcare agency) affect the patients' other agencies, putting them at risk as well?

Lawmakers remain committed to passing hospice workforce bill Hospice News; by Jim Parker; 6/24/24 Federal legislators plan to continue to work on passing a bill designed to bolster the hospice and palliative care workforce. The Palliative Care and Hospice Education Training Act (PCHETA) has come before Congress several times but has not yet been passed. The bill’s most recent development occurred in July 2023, when it was reintroduced by Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.). Capito has indicated that the senators are not giving up on the legislation as they seek to ensure that hospice and palliative care providers are able to meet growing demand. ... The legislation would establish fellowships through new palliative care and hospice education centers to provide short-term, intensive training, as well as incentivized award programs across all the relevant disciplines. It also would support programs to develop career paths within the field.

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:

Our Hospice collects food in employee-led drive The Republic; by Staff Reports; 6/20/24 Our Hospice (OHSCI) and Palliative Care collected 500 pounds of food for patients and families in need in an employee-led food drive. “The efforts, enthusiasm, and passion displayed by everyone at Our Hospice is truly astonishing!” said Chealsy Parr, a social worker who led the food drive. “Thanks to the participation of teammates from Greensburg, Columbus, the Hospice Center, Palliative Care, and North Vernon, we’ve significantly impacted those facing food insecurity.” “The employee – led food donations will go a long way to support those in our care who are in need,” said Steph Cain, president, Our Hospice and Palliative Care. [Located in Indiana] Editor's Note: Hospice leaders, how might you replicate this with your employees and volunteers, for the patients you serve? Forward this to the right person who can take this great initiative and make it happen.

Better manage privacy concerns related to AI in healthcare Fior Reports; by Becca Roberts; 6/17/24 Artificial intelligence technologies offer tremendous potential in healthcare, but it is critical for organizations to carefully consider the complex privacy concerns associated with different types of AI products and deployments, says Karen Habercoss, privacy officer at UChicago Medicine. “It’s critical to really understand what the use cases are and how we can minimize the amount of data we share to protect our patients, their privacy and their data,” she said. “I'm very much in favor of AI. I think it will bring about a fundamental change in the way we care for patients clinically in healthcare. Those are the very positive things that will come out of it. But with that comes a great responsibility to protect our patients from things they may not understand,” she said. 

Nurse’s union reacts to order that medical company pay $17M in bills Rhode Island News - Providence Now ABC 6; by Gino DeAngelis; 6/13/24 The United Nurses and Allied Professionals said it has been “sounding the alarm for years” about Prospect Medical Holdings’ lack of investment in both Our Lady of Fatima Hospital and Roger Williams Medical Center. The company was ordered to pay $17 million in overdue bills to vendors of both hospitals. UNAP said it represents 1,200 employees at both hospitals as well as at Prospect Home Health and Hospice. ... "This decision by Judge Stern further highlights the need for the next owner – whether it is Centurion Foundation or someone else – to invest their own capital into these important hospitals and healthcare facilities. We simply can not rely on saddling these hospitals with more and more debt as is being currently proposed." 

Ransomware spikes after Change hack Becker's Health IT; by Naomi Diaz; 6/13/24 Following Change Healthcare's admission that it paid off hackers after its ransomware attack, there has been a spike in healthcare-related cyber incidents, Wired reported June 12. In April, cybersecurity firm Recorded Future identified 44 instances of cybercriminal groups targeting healthcare organizations with ransomware attacks. These attacks involved stealing data, encrypting systems and demanding ransom payments while holding networks hostage. This marks the highest number of healthcare ransomware victims recorded in a single month during Recorded Future's four years of data collection, Allan Liska, a threat intelligence analyst at the company told Wired. 

Daughter stole $25K using [dying] father's credit, debit cardsLatrobe Bulletin, Latrobe, PA; by Joseph Bell; 6/6/24 A Vandergrift woman is facing multiple felony charges after she racked up over $25,000 in credit and debit card debt using her father’s accounts. According to court records, 44-year-old Kimberly Sue Shaw of Hancock Avenue is accused of using three of her father’s credit and debit cards for unauthorized purchases, in addition to transferring a sum of money from one of his bank accounts to another while he was hospitalized and later under hospice care. The defendant’s father, Dennis Lee Barger of Washington Township, died May 2.Editor's Note: Often, we think of elder abuse as being physical harm. However, it includes much more, and your interdisciplinary team members must be trained to signs, assessments, interventions, and safety (for the patient and self). Definitions are available on the CDC's "About Abuse of Older Persons" webpage. These definitions include physical abuse, sexual abuse, emotional or psychological abuse, neglect, and financial abuse.

Rural pharmacy owners say it's getting harder to stay open Times West Virginian; by Devi Shastri; 6/5/24 Rural pharmacies can be a touchstone for their communities. The staff knows everyone’s names and drugs, answers questions about residents’ mail-order prescriptions or can spot the signs of serious illness. But their business models face unrelenting pressures to the point that sometimes they have to close. An AP analysis of data from 49 states and the National Council for Prescription Drug Programs shows that several largely rural states have some of the lowest number of pharmacies per ZIP code. Editor's Note: This trend for closures in rural areas is rampant for hospitals, emergency departments, physicians, and more. Click here for a letter from NHPCO and numerous hospice providers to Congress, Jan. 5, 2024: Protect rural and frontier American's access to hospice and palliative care.

Empathetic AI: How Genai virtual agents will be leveraged Informa; by Josh Streets; 6/3/24 Imagine you're shopping online or in a store and have a question about a product. But you don’t want to find a store employee or call into their contact center to speak with a salesperson while you wait for answers. With a simple snapshot of a QR/UPC code on the product or a tap on your mobile device within an application, you're instantly connected to a virtual agent via video chat. This AI assistant not only understands your questions but can also pick up on your facial expressions and body language via your video discussion, to respond with empathy and some level of emotional intelligence. "I can see you're a bit frustrated," the virtual agent says with a warm, reassuring tone. "Let me walk you through the product details and address any concerns you might have."Editor's Note: This AI solution might be great for shopping, but is it ethical for hospice care, especially when the person calling might be elderly and assumes they are talking with a person? How would you feel, especially if you're calling when your loved is actively dying, or has just died moments before? 

St. Vincent Hospital nurses and the MNA file fifth in series of complaints with state and federal agencies about dangerous patient care conditions that continue to compromise the care and safety of patients admitted to the Worcester-based facility Massachusetts Nurses Association (MNA); 5/29/24 As patient care conditions continue to deteriorate at St. Vincent Hospital, the registered nurses and the Massachusetts Nurses Association (MNA) have filed yet another round of complaints to state and federal agencies seeking immediate intervention to protect patients and staff, a situation so dire the complaints include a direct appeal to the Department of Public Health to assign onsite inspectors on a daily basis to ensure hospital administration is providing the resources needed to ensure the safety of all concerned. In fact, the nurses report that DPH has recently been at the hospital investigating yet another serious patient safety incident. Editor's Note: As reported in numerous articles in our newsletter, patient safety and workplace violence/safety issues continue to be key causes for healthcare professional resignations, unionizations, and strikes (ie., nurses and/or physicians). It's time to review your organization's patient safety and workplace violence Policies and Procedures, staff and volunteer trainings, caregiver resources to ensure patient safety in the home, topics like "Abuse and Neglect," and your community's data on workplace safety concerns and community response resources.