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All posts tagged with “Hospice Provider News | Operations News | Challenges.”
Hospice Claims Edits for Certifying Physicians
05/01/24 at 03:00 AMHospice Claims Edits for Certifying PhysiciansCenters for Medicare & Medicaid Services (CMS); Related CR Release Date 4/18/24; Effective Date: 5/1/24; Implementation Date: 10/7/24Related CR Title: Additional Implementation Edits on Hospice Claims for Hospice Certifying Physician Medicare EnrollmentStarting May 1, 2024, we’ll deny hospice claims if the certifying physician, including hospice physician and hospice attending physician, isn’t on our PECOS hospice ordering and referring files. This addresses hospice program integrity and quality of care per Section 6405 of the Affordable Care Act.
Millions of American kids are caregivers now: ‘The hardest part is that I’m only 17’
05/01/24 at 03:00 AMMillions of American kids are caregivers Now: ‘The hardest part is that I’m only 17’The Wall Street Journal; by Clare Ansberry; 4/27/24An estimated 5.4 million children help care for relatives, as families can't afford or find other in-home care. ... Leo Remis gos to high school, plays videogames, and helps take care of his disabled mom. ... More than 70% of young caregivers are caring for a parent or grandparent, according to a caregiving report. Many miss school, feel more isolated and worry about the future. Juggling homework with cooking and giving injections can be overwhelming and lead to anxiety.Editor's Note: Access to this article might require a subscription. Click here for alternate access.
The value of hospice-emergency department collaboration
05/01/24 at 03:00 AMThe value of hospice-emergency department collaboration Hospice News; by Jim Parker; 4/29/24 Fostering greater collaboration between hospices and hospice emergency departments can help reduce health care costs, generate revenue and improve patient outcomes. Reducing hospitalizations and emergency department (ED) visits are key goals for many health care stakeholders, particularly those that operate within a value-based environment. ... Nearly 40 million seniors visit the ED annually, according to the Institute for Healthcare Policy and Innovation at the University of Michigan. For patients, however, the ED may not always be the best option, Rebeka Malloy, director of clinical engagement for Compassion and Choices, said at the National Hospice and Palliative Care Organization’s (NHPCO) Virtual Interdisciplinary Conference. ...
HHS issues new rule to strengthen nondiscrimination protections and advance Civil Rights in health care
05/01/24 at 03:00 AMHHS issues new rule to strengthen nondiscrimination protections and advance Civil Rights in health careHHS Press Office; 4/26/24Today, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS) issued a final rule under Section 1557 of the Affordable Care Act (ACA) advancing protections against discrimination in health care. By taking bold action to strengthen protections against discrimination on the basis of race, color, national origin, sex, age, and disability, this rule reduces language access barriers, expands physical and digital accessibility, tackles bias in health technology, and much more.
OSF launches new tools to help make end-of-life planning easier
05/01/24 at 03:00 AMOSF launches new tools to help make end-of-life planning easier News25, Peoria, IL; by Liz Lape; 4/26/24 OSF Healthcare reports that thousands of patients are dying in medical facilities without end-of-life care plans. ... Sarah Overton, Chief Officer of Nursing, describes that studies show that over 70% of patients would prefer a setting other than a hospital to spend their last moments, like at home hospice or palliative care. OSF has launched self-service resources such as an Advanced Careplanning page and Patient Questionnaire on their app MyChart. Overton says the goal is to make end-of-life care planning more available to the public.
FTC finalizes changes to data privacy rule to step up scrutiny of digital health apps
05/01/24 at 02:15 AMFTC finalizes changes to data privacy rule to step up scrutiny of digital health apps Fierce Healthcare; by Heather Landi; 4/26/24 The Federal Trade Commission (FTC) finalized a rule Friday that aims to tighten the reins on digital health apps sharing consumers' sensitive medical data with tech companies. The agency issued a final version of its revised Health Breach Notification Rule to underscore the rule’s applicability to health apps in a bid to protect consumers' data privacy and provide more transparency about how companies collect their health information.
How Avow Hospice used triage to boost quality, reduce turnover
04/30/24 at 03:00 AMHow Avow Hospice used triage to boost quality, reduce turnoverHospice News; by Jim Parker; 4/26/24Avow Hospice has implemented a triage system that has resulted in improved quality scores and reduced turnover. The Florida-based provider uses an acuity system that draws data from its electronic medical record (EMR) system to help stratify patients based on their most likely immediate needs. To complement these efforts, Avow also revamped its approach to night time and weekend visits, Rebecca Gatian, COO of Avow Hospice, said at the National Hospice and Palliative Care Organization’s Virtual Interdisciplinary Conference.
Congresswoman Kat Cammack introduces legislation to block 80-20 Rule
04/30/24 at 03:00 AMCongresswoman Kat Cammack introduces legislation to block 80-20 Rule Home Health Care News; by Joyce Famakinwa; 4/26/24 ... On Thursday, Congresswoman Kat Cammack (R-Fla.) introduced a bill to block the U.S. Department of Health and Human Services (HHS) from finalizing the 80-20 provision. Additionally, the legislation would also block HHS from implementing any similar rules that place a minimum requirement for how much of Medicaid spending on HCBS goes towards direct workers’ wages. Cammack’s reason for introducing this legislation is her belief that the 80-20 provision will severely limit access to care at a time when providers are already struggling to serve patients.
'Why we need to talk about dying': Thames Hospice and the reality of palliative care
04/30/24 at 02:15 AM'Why we need to talk about dying': Thames Hospice and the reality of palliative careMaidenhead Advertiser; by Sam Leech; 4/27/24What is your understanding of what a hospice does?Many would suggest it is a place where people go to die – but there is much, much more to the journey of patients and loved ones at Thames Hospice [United Kingdom]. ... Catherine McLaughlin, the hospice’s chief executive, said: “This is a place where – yes, death is a big part – but it’s about how do you make memories? How do you give hope at a time when there might not be much of that? Those final days in somebody’s life is a very important time and the lasting memories are important to those who are left behind.”Editor's Note: Too often--in order to make hospice palatable to another's "sign-on-the-dotted-line-so-we-can-admit-you"--marketing professionals overtly deny that hospice is about "dying," "death," or "grief." Take note from this CEO who sensitively weaves in death, dying and bereavement for not only hospice, but also for "palliative care" with gentle, authentic conversation and questions to the public.
How to overcome the disruptive forces that can impede high-value innovation
04/30/24 at 02:00 AMHow to overcome the disruptive forces that can impede high-value innovation Healthcare Financial Management Association (hfma.org); by Liz DeForest; 4/28/24 ... Healthcare is full of what we call “missing innovations” — good ideas that never go beyond promising pilot tests or, like EHRs, are adopted so slowly that their progress is measured in decades, even though other industries were adopting digital solutions very rapidly. Switchover disruptions are among the reasons for these missing innovations. ... [The author interviewed authors of Why not better and cheaper? (Oxford University Press, June 2023), written by industry analysts and twin brothers James B. and Robert S. Rebitzer about their observations of health system action and inaction. James Rebitzer is the Peter and Deborah Wexler Professor at Boston University’s Questrom School of Business. Robert Rebitzer is a national adviser at the consulting firm Manatt Health.]
Hospital CEOs chart paths into healthcare's future
04/29/24 at 03:15 AMHospital CEOs chart paths into healthcare's futureBecker's Hospital Review; by Kelly Gooch; 4/24/24Hospital and health system CEOs understand the need to meet demand for healthcare services while also focusing on the well-being of employees and strengthening the talent pipeline. They are also focusing on healthcare education and workforce development. Additionally, they are zeroing in on technology or partnerships that can expand capacity, help improve care and drive innovation. The innovation piece particularly resonates with Bert O'Malley, MD, president and CEO of Baltimore-based University of Maryland Medical Center.
Relief provisions not enough to mitigate damage of 80/20 policy, providers say
04/29/24 at 03:00 AMRelief provisions not enough to mitigate damage of 80/20 policy, providers say McKnights Home Care; by Adam Healy; 4/24/24 Though newly finalized changes to the Medicaid Access Rule attempted to soften the blow of its controversial 80/20 provision, home care providers remained vehemently opposed to the Centers for Medicare & Medicaid Services’ strict new spending mandate. “Overall, while there are many positive provisions within the final rule as well as mitigations to make the payment adequacy provision less onerous, NAHC remains extremely concerned about the negative consequences of the pass-through policy,” the National Association for Home Care & Hospice said in an analysis for NAHC members released after the rule was published.
1st state passes law to decriminalize medical errors
04/29/24 at 02:15 AM1st state passes law to decriminalize medical errors Becker's Hospital Review; by Erica Carbajal; 4/25/24Kentucky Gov. Andy Beshear recently signed a bill into law that shields healthcare providers from being criminally charged for medical errors, making it the first state to do so. HB 159 ensures that healthcare providers, including nurses, "shall be immune from criminal liability for any harm or damages alleged to arise from an act or omission relating to the provision of health services." It includes exceptions for negligence and intentional harm. ... In wake of [this article's cited] case, nurses and medical groups nationwide — including the American Nurses Association and the Institute for Healthcare Improvement — have called for systemwide workforce and safety reforms to focus on harm prevention, arguing that the criminalization of errors would discourage workers from reporting mistakes. ... The Kentucky Hospital Association said it supports the new law.
NAHC expresses disappointment regarding Medicaid Access Rule
04/26/24 at 03:00 AMNAHC expresses disappointment regarding Medicaid Access Rule HomeCare; 4/23/24 The National Association for Home Care & Hospice (NAHC) released a statement noting that it was, 'extremely disappointed that the Centers for Medicare and Medicaid Services (CMS) elected to finalize the “payment adequacy” provision in the Medicaid Access Final Rule (CMS 2442-F).' "This is a misguided policy that will result in agency closures, force providers to exit the Medicaid program, and will ultimately make access issues worse around the country," a statement from the organization read. "As NAHC and our partners across the homecare industry have demonstrated, such a provision is not only unworkable due to the varied nature of Medicaid programs across the country, CMS also lacks statutory authority to impose this mandate."
New facility is first in Wisconsin to serve homeless people with terminal illnesses
04/25/24 at 03:00 AMEnd-of-life care facility for people experiencing homelessness opens on Monona Drive [Wisconsin] Isthmus, Madison, WI, by Linda Falkenstein; 4/23/24It started as an idea from palliative care physician Dr. Ann Catlett. Catlett had experienced having to discharge terminally ill patients who had no housing onto the streets. And she had seen a model home where patients without a home could live out their days in peace, receive hospice services and other daily palliative care. ... Thus was born Solace Friends, a Madison-area nonprofit with the goal of opening a care facility for people with terminal illnesses who are unhoused or experiencing housing insecurity. ... The opening of the adult family home was celebrated Tuesday with a press conference and tour of the facility.
Employing telehealth to ease the hospice transition for kids with cancer
04/25/24 at 03:00 AMEmploying telehealth to ease the hospice transition for kids with cancer mHelathIntelligence, by Anuja Vaidya; 4/23/24 ... In a study published in the Journal of Pain and Symptom Management last month, Children's Healthcare of Atlanta researchers detailed a telehealth-based intervention the hospital has employed to ease the transition to hospice for young cancer patients and their families. ... The intervention includes a series of coordinated telehealth visits during the first month of hospice enrollment for children or young adults, 29 or younger, with cancer. ... Hospice nurses participating in the pilot received a tablet equipped with mobile WiFi cellular service that they would take to the family's home, which enabled the [hospital/pediatric specialty] nurses and families to join the call. ... The most important finding of the study was that coordinated telehealth visits between the hospital, hospice, and the families during the first month of hospice enrollment were feasible and acceptable to all participants.
The moral compass of medicine: Exploring ethical dilemmas
04/25/24 at 03:00 AMThe moral compass of medicine: Exploring ethical dilemmas Medscape, by Lambeth Hochwald; 4/23/24 While the ethical conflicts discussed in medical school once focused primarily on patient privacy, end-of-life issues, and conflicts of interest with pharmaceutical companies, today, the list of ethical dilemmas facing physicians has risen to include everything from gender care and vaccine issues to weight loss drug access and abortion regulations in some states. ... So, what happens when a physician’s expertise clashes with local, state, or national politics?
Skepticism is healthy, but in medicine, it can be dangerous
04/25/24 at 02:15 AMSkepticism is healthy, but in medicine, it can be dangerous The New York Times, Guest Essay, by Dr. Daniela J. Lamas; 4/24/24 I arrived at the hospital one recent morning to find a team of doctors gathered just outside a patient room. The patient was struggling — his breaths too fast and too shallow. For days we had been trying to walk the line between treating the pain caused by his rapidly growing cancer and prolonging his life. [The author describes interactions with the family.] ... We are at a crossroads in medicine when it comes to public trust. After a pandemic that twisted science for political gain, it is not surprising that confidence in medicine is eroding. ... Our medical system relies on trust — in face-to-face meetings as well as public health bulletins. Distrust can lead doctors to burnout and can encourage avoidable negative outcomes for our patients.Editor's Note: For a patient/caregiver/family to agree to a hospice admission, they must first trust the physician who refers them to your organization. Before that, the referring physician must trust your organization. Too often, "trust" is diluted as a "soft skill." "Trust"--as described in this article--is a cornerstone, a foundation of strength, endurance, and integrity in the hardest, most conflicted times of decisions about living and dying that a person (and family) might face.
Operator hopes to expand residents’ digital literacy with unique tech concierge program
04/25/24 at 02:00 AMOperator hopes to expand residents’ digital literacy with unique tech concierge program McKnights Senior Living, by John O'Connor; 4/22/24Beginning in June, residents in some BHI Senior Living communities will be able to take advantage of a unique tech concierge program. For residents, the new service will feature on-demand tech support, alongside virtual assistance, in-home appointments and a curriculum of tailored enrichment classes and training sessions. For the operator, the program will deliver immediate tech support while also gathering and analyzing data that can be used to inform future technology investments and strategic moves.Editor's Note: How might you adapt this creative service for the persons you serve? What differences might it make in patient care? In hospice caregiver/family satisfaction? What tech support do you have for your staff, especially when they are making home or other in-the-field visits? Relating this to today's articles on the importance of "trust" and "nurses' negativity about AI," do your innovative technologies improve or impede the patient/family's needs and experiences with you?
Health disparities across states: 6 new findings
04/24/24 at 03:00 AMHealth disparities across states: 6 new findings Becker's Clinical Leadership, by Kelly Gooch; 4/18/24 The Commonwealth Fund released a new report April 18 examining racial and ethnic disparities in healthcare access, quality and outcomes across the U.S. The report, titled "Advancing Racial Equity in U.S. Health Care: The Commonwealth Fund 2024 State Health Disparities Report," examined state health system performance for five racial and ethnic groups — (non-Hispanic) Black; white; American Indian and Alaska Native; Asian American, Native Hawaiian and Pacific Islander; and Hispanic (any race). [Click on the title's link for (1) Six summary findings, and (2) To download the report.
[Maine] Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) implementation delayed until further notice
04/24/24 at 03:00 AM[Maine] Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) implementation delayed until further noticeState of Maine Department of Health and Human Services; 4/22/24 As of March 15, 2023, MaineCare temporarily excluded hospice services from EVV requirements as a delayed enforcement of our approved State Plan requirements. On December 1, 2023, we announced our plan to implement EVV requirements for hospice services starting July 1, 2024. following enactment of P.L. 2023, ch. 576 (LD 2055), An Act to Prohibit the Department of Health and Human Services from Implementing Electronic Visit Verification for Hospice Providers Within the MaineCare Program Unless Mandated by the Federal Government, the Department is delaying the implementation of EVV requirements for hospice services until further notice.
What the ‘fundamentally contradicting’ Medicaid Access Rule includes
04/24/24 at 03:00 AMWhat the ‘fundamentally contradicting’ Medicaid Access Rule includes Home Health Care News, by Andrew Donlan; 4/22/24 The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. [The] timeline of the rule is now clear. Specifically: ... [Click on the title's link for more]
Increasing Hospice CAHPS scores through enhanced caregiver training
04/23/24 at 03:00 AMIncreasing Hospice CAHPS scores through enhanced caregiver training Hospice News, by Jim Parker; 4/19/24 Improving education and training for family caregivers may give hospices’ quality scores a boost. Maryland-based Hospice of the Chesapeake has introduced a standardized caregiver training program designed to enhance the work they had previously done in this area. After a review of scientific literature, it became clear that nationally, caregiver training was spotty, and this affected families’ perceptions of the care their loved one received, Monica Ferebee, clinical manager of hospice at Hospice of the Chesapeake ... More than 70% of hospice patients are primarily cared for by untrained family caregivers with no medical background, Ferebee found. She led Chesapeake’s change project to address these concerns, and thereby improve performance on Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys.
Change in long-term care: Nursing homes across U.S. closing
04/23/24 at 03:00 AMChange in long-term care: Nursing homes across U.S. closing limaohio.com, by Precious Grundy; 4/19/24... According to the American Health Care Association website, more than 1,000 nursing homes have closed in the United States since 2015. ... According to the Population Reference Bureau website, in 2050 the population older than 65 will increase from 58 million (in 2022) to 82 million in just a few decades. The topic of long-term care will remain in questions. The American Health Care Association also said nursing homes across the United States have closed due to staffing shortages. ... Older adults now have the option of a home health aide, assisted living facilities and family caregivers.Editor's Note: How is this trend playing out in your service area? How do these closures impact your referral sources? Your hospice patients in skilled nursing facilities and memory care units? Accuity of patient care needs in the home, assisted living? Hospital-in-the-home? The palliative care services you provide?
Lawmakers mull bills to ensure hospice, home health worker safety
04/23/24 at 03:00 AMLawmakers mull bills to ensure hospice, home health worker safety Hospice News, by Holly Vossel; 4/19/24 Lawmakers in Connecticut and Vermont have recently introduced legislation aimed at protecting hospice and home health workers. Some stakeholders worry that the laws may impact care continuity among vulnerable homebound terminally ill populations lacking end-of-life support.