Literature Review

Staff training key to improving hospice quality smong LGBTQ+ patientsHospice News; by Holly Vossel; 6/13/24Hospice staff training models with culturally appropriate LGBTQ+ components are key to improving quality outcomes among an increasingly diverse base of underserved seniors. Ongoing staff education and communication skill building are two significant pieces of bridging gaps of hospice care among LGBTQ+ seniors, according to Jerry Farmer, vice president of diversity, equity and inclusion at AccentCare.

'I don't ever trust Epic to be correct': Nurses raise more AI concerns Becker's Health IT; by Giles Bruce; 6/14/24 Nurses continue to voice concerns about artificial intelligence and its integration into EHRs, saying the technology is ineffective and interferes with patient care. Nurses from health systems around the country spoke to National Nurses United, their largest labor union, for a June 5 story about issues with such programs as automated nurse handoffs, patient classification systems and sepsis alerts. Multiple nurses cited problems with EHR-based programs from Epic and Oracle Health that use algorithms to determine patient acuity and nurse staffing levels. "I don't ever trust Epic to be correct," Craig Cedotal, RN, a pediatric oncology nurse at Kaiser Permanente Oakland (Calif.) Medical Center, told the nurses' union. "It's never a reflection of what we need, but more a snapshot of what we've done." ... Hundreds of nurses protested AI at Kaiser Permanente San Francisco Medical Center in April.

Advocates rally in DC for the future of hospice: NHPCO and HAN amplify provider voices on Capitol Hill NHPCO; Press Release; 6/13/24 More than 100 hospice and palliative care advocates from across the country met with over 150 congressional offices this week to discuss key legislative and regulatory priorities for ensuring and expanding access to hospice and palliative care. The meetings were part of Hospice Action Week, hosted in Washington, DC by the National Hospice and Palliative Care Organization (NHPCO) and its advocacy affiliate, the Hospice Action Network (HAN). “The cornerstone of effective advocacy is storytelling. It’s about sharing why hospice holds personal significance and why serious illness and end-of-life care policy should resonate with our lawmakers,” said Logan Hoover, NHPCO’s VP of Policy & Government Relations. “From Hawaii to Rhode Island, advocates from 35 diverse states came to DC this year. The relationships they’re building with Members of Congress hold the potential to shape the future of the healthcare landscape.” 

What does death look like for those experiencing homelessness in Southern Nevada?

OKC woman charged after allegedly facilitating mother's suicide: 'Do with it what you will'The Oklahoman; by Josh Dulaney; 6/6/24A woman facing murder charges is accused of giving a firearm to her mother who then shot herself to death. In Oklahoma County District Court this week, Jaye Dee Watts, 44, was charged with first-degree murder in the commission of a crime, second-degree murder, kidnapping and aiding suicide by furnishing a weapon. Court documents reveal the shocking allegations. About 7:13 p.m. on Sept. 10 ... Oklahoma City police responded to a call about an attempted suicide involving a firearm. The caller was a hospice employee who said she had received a phone call from Watts, the victim’s daughter. According to an affidavit that was part of an arrest warrant filed by a homicide detective, Watts told the hospice employee that her mother, 72, shot herself. The hospice employee called 911 after speaking with Watts, and responding officers found Watts’ mother dead inside the home. Editor's Note: The descriptions are graphic. This is not an example of "Medical Aid in Dying" for the purpose of ending suffering, but rather an example of elder abuse paired with workplace violence.

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.

How businesses should (and should not) use AI: A strategic blueprint Forbes; by Bernard Marr; 5/31/24 Businesses often find themselves at a crossroads in the race to leverage artificial intelligence (AI). The lure of AI's promise is undeniable—from enhancing customer experiences to automating routine tasks. Yet, how a company approaches AI can spell the difference between mere technological flirtation and achieving real, transformative outcomes. Here, I offer a strategic blueprint for businesses keen on not just piloting AI but also scaling it effectively.

NHPCO speaks out on 2025 Proposed Medicare Hospice Rates Hospice News; by Jim Parker; 5/28/24 The proposed 2.6% payment increase for hospices is insufficient in today’s economic climate, the National Hospice and Palliative Care Organization (NHPCO) indicated in comments on the 2025 proposed payment rule. ... [Read more for multiple issues addressed.] ... For 2025, the hospice industry group also asked CMS to reconsider the proposed payment rate based on more recent data. ... “It is important to note that hospices, unlike certain other provider types, are at the mercy of these rate updates with no means to address inaccuracies in the market basket forecast. This results in payment rates that are not accurately aligned with the costs faced by hospice providers,” NHPCO indicated. 

What AccentCare’s clinicians wanted from the company’s AI implementationHome Health Care News; by Joyce Famakinwa; 5/23/24Like many others, AccentCare has embraced artificial intelligence. However, the company wasn’t satisfied with implementing generative AI and looping in its clinicians afterwards. Instead, the company made its nurses a part of this process from the start. “It’s our philosophy at AccentCare that we don’t make changes to clinical practice without having a conversation with the people who are delivering clinical care,” Tracy Dent, vice president of clinical operations at AccentCare, told Home Health Care News. “They’re the people who are delivering care at the bedside. We want to make sure they have a voice in decisions that are going to impact their ability to do so.”Editor's Note: Pair this with another article in today's newsletter, "Three ways to communicate with Gen-Z—and why it’s important."

Experts urge Legislature to pass bill preventing for-profit and private equity hospice in New York Spectrum News 1; by Susan Arbetter; 5/21/24The FBI has issued public warnings about hospice fraud in four states — Texas, Arizona, Nevada and California. The bureau is alerting consumers to a wide-spread scam in which patients are enrolled in hospice without their knowledge by recruiters who “sell” hospice care to people who aren’t actually eligible. ...  One reason fraudsters have yet to gain a foothold in New York is that new hospices here go through a “Certificate of Need” process (CON) which reviews applications, provides for public comment and ensures that hospice operators don’t have a history of fraud or abuse. But according to Jeanne Chirico, president and CEO of the Hospice & Palliative Care Association of NYS (HPCANYS), and Kara Travis, president and CEO of Mountain Valley Hospice & Palliative Care, and a trustee of HPCANYS, there’s more that New York can do to protect consumers. They are urging lawmakers to pass a bill carried by state Sen. Liz Krueger and Assemblymember Amy Paulin that would prohibit the establishment of new for-profit hospices in the state (A6032 - Paulin / S6460 – Krueger).

The human side of AI: Insights on balancing automation and empathy Innovation & Tech Today; by Enrico Palmerino; 5/20/24 ... As AI automates more tasks with clinical precision, empathy is a critical human element we cannot overlook. That intangible ability to understand and share the feelings of another isn’t just a soft skill — it’s an essential catalyst for trust, loyalty, and genuine connection. Consider the healthcare industry, where empathy is (quite literally) often a matter of life and death. Can an AI-powered diagnostic system truly grasp a patient’s fear and vulnerability when facing a serious illness? ... Finding the delicate balance between leveraging AI automation and preserving human empathy is the new challenge before us. It’s a duality that will shape how businesses operate and how we interact with technology. ... Let the machines optimize processes while we optimize the ability to connect and inspire. In this harmonious future, AI is a tool that elevates us — not replaces us.Editor's Note: Is AI a hot topic among your leaders and interdisciplinary clinicians? Often, "empathy" and "communication" are cited as key cautions and conflicts. 

Making AI actionable in healthcare – a high-level guide Becker's Hospital Review; by Calum Yacoubian, MD, Director Healthcare AI Strategy, IQVIA; 5/14/24 Never has there been more interest and excitement around the potential of Artificial Intelligence (AI) in healthcare. The advent of Generative AI and LLMs, popularized by OpenAI with ChatGPT, has opened many people’s eyes to what might be possible. Yet, the translation of this promise to patient impact is only in its infancy, and while it is a path with huge potential, as healthcare professionals, we must tread carefully and responsibly. In this article, we discuss the importance of the ecosystem in which healthcare AI must exist, to be successful. That ecosystem is made up of people, process, and technology.