Literature Review

AHHC joins other state hospice advocates in legal challenge to Special Focus Program The Association for Home and Hospice Care of North Carolina (AHHCNC); Press Release; 1/23/25The Association for Home and Hospice Care of North Carolina (AHHCNC) has joined a multi-state coalition of hospices and hospice associations in challenging the federal government's implementation of the Hospice Special Focus Program (SFP), deeming it unlawful and arbitrary. The challengers are seeking a preliminary injunction to halt the SFP, citing patient safety concerns, misrepresentation of compliance records, and jeopardized access to high-quality end-of-life care. Congress directed CMS to establish the SFP to enhance enforcement for noncompliance hospices, but the Final Rule includes unrelated measures, heavily relying on survey data and other information not related to hospices’ compliance with Medicare requirements. Tim Rogers, President and CEO of AHHCNC, states:  "The approach CMS uses disadvantages well-established hospices and ignores Congress’s intent." [Click on the title's link to continue reading.] 

Some wary of Providence home health joint venture with for-profit company Herald Net, Everett, WA; by Jenna Peterson; 1/23/25 Some nurses in the state say an upcoming joint venture between Providence Home and Community Care and Compassus, a for-profit company with private equity ownership, could have an adverse effect on health care. The deal, expected to be finalized in Washington early this year, ... impacts locations in five U.S. states. ... Boyle and Compassus spokesperson Dana Coleman said there will be no changes in care or staffing under the joint venture. But some nursing advocates, like Ian Mikusko, worry that a for-profit, private equity influence could be harmful for health care.“Private equity is somewhat more extractive because there’s a pressure to provide large dividend payments to investors,” said Mikusko, strategic researcher with the Washington State Nurses Association. Mikusko cited research that shows quality of care diminishes when private equity companies become involved in health care, such as a 2023 study from the Center for Economic and Policy Research.

DEA unveils long-overdue special registration for telemedicine in proposed ruleThe National Law Review; by Marika Miller, Nathan A. Beaver of Foley & Lardner LLP; 1/21/25 In the final days of the Biden administration, the Drug Enforcement Administration (DEA) released a proposed rule that would allow practitioners with a Special Registration to prescribe Schedule III-V, and in limited circumstances Schedule II, controlled substances via telemedicine. Practitioners with a Special Registration would still need to obtain a DEA registration in each state where they prescribe or dispense controlled substances. However, the proposed rule establishes a limited, less expensive State Telemedicine Registration as an alternative to the traditional DEA registration. The proposed rule imposes several obligations on practitioners with Special Registrations when they prescribe controlled substances via telemedicine.  [Click on the title's link to continue reading.]

The 'paradigm shift’ of hospice service diversification Hospice News; by Holly Vossel; 1/17/25 Some hospices have delved deeper into service diversification to improve timely access and expand their patient reach, while others remain focused on end-of-life care delivery. The decision to launch into new service realms can come with a range of operational and reimbursement questions. Among the keys to diversifying services is establishing a business infrastructure that allows for innovative growth based on communities’ needs, according to Leslie Campbell, COO of Touchstone Communities. The San Antonio, Texas-headquartered company provides hospice, home health, veterans services, assisted living and skilled nursing services. ... Hospice leaders need to ensure that both back-office administrative and interdisciplinary teams are educated on how business growth impacts them, particularly when it comes to quality and compliance across the care continuum, Campbell stated.

Partnership for Quality Home Healthcare to merge with National Alliance for Care at Home Home Health Care News; by Audrie Martin; 1/17/25 The Partnership for Quality Home Healthcare (PQHH) will shut down effective March 1. The PQHH board of directors will join efforts with the National Alliance for Care at Home (the Alliance) to create a stronger and unified voice for the industry. By collaborating with the Alliance, the PQHH board aims to enhance advocacy on public policy and regulatory issues impacting the home health community. Their goal is to promote a health care system that acknowledges home health’s vital role in providing compassionate, value-driven care. ... Since its founding in 2010, PQHH has represented community — and hospital-based home health care agencies, working in partnership with government officials to ensure access to high-quality home health care. This mission was at the forefront of their decision to close.

ASTP Rule codifies requirements for TEFCA-Qualified health information networks McDermott Will & Emery, Washington, DC; by James A. Cannatti III, Jennifer S. Geetter, and Nathan Gray; 1/15/25 On December 16, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the NationaTl Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) final rule in the Federal Register as part of its continued focus on improving information sharing among healthcare stakeholders. Rather than codifying comprehensive substantive and procedural requirements for entities participating in TEFCA, the final rule provides a flexible framework establishing how such decisions will be made in current and future subregulatory documents. 

Hospice centers: Balancing comfort and controversy Crossroads Today, Victoria, TX; by Amaya Norman; 1/9/25 Hospice centers play a critical role in providing care for patients with terminal illnesses, focusing on comfort, dignity, and peace during life's most challenging moments. These centers are designed to support both patients and their families, but public opinions about their services often vary. ... While many see hospice centers as an essential support system offering much-needed relief and care, others express concerns about the quality of services or the emotional toll they can bring to families. These differing perspectives have sparked ongoing discussions about the role and perception of hospice care in society.

New inpatient centers unveiled as other hospice programs consider closure Hospice News; by Holly Vossel; 1/9/25 Hospice providers across the country have recently launched new inpatient facilities as 2025 unfolds. The new year may also bring closures of certain hospice programs

Hospice CEO’s top predictions for 2025 Hospice News; by Jim Parker; 1/10/25Hospice News spoke with a group of industry leaders about the most pressing market forces and trends that will shape the space during 2025. Their comments carried some common threads, including rising demand for care in the home, continued labor pressures, industry consolidation and intensifying regulatory scrutiny. They also spoke about the need for greater integration of hospice into the larger health care continuum and the benefits of operators broadening their scope of services. During these conversations, four key themes rose to the forefront for the coming year.

Kirva Hospice CEO: Quality begins with staff education, engagement Hospice News; by Jim Parker; 1/7/25 Long-time hospice CEO Cheryl Hamilton Fried has taken the helm at Kirva Hospice, a new, standalone nonprofit established by the public service organizations Jewish Family Services and Beth Shalom. Kirva serves the Richmond, Virginia, region with plans to expand into contiguous markets. ... About 16% of their patients are of the Jewish faith.Q: What are your top priorities as you take the helm at Kirva? Developing culture, that’s always been big for me. I’ve done that everywhere I’ve gone. A: Developing people, so I’ve already tapped a couple of managers to elevate to directors, as we are growing our census pretty rapidly and really identifying areas that are unmet in the community. That’s what Kirva and Jewish Family Services want to do, is look at where the gaps are in senior care.

Seven trends in senior living that will define 2025 and beyond McKnights Senior Living; by Michele Hollerand, PhD, MBA; 1/6/25 Senior living is in the midst of a major transformation, and seven major trends have emerged as key drivers of the strategic plans adopted by boards across the country. Those trends will shape the way organizations position themselves for the future to capture a new customer base in 2025 and beyond.

CDC weekly US map: Influenza summary update U.S. Centers for Disease Control and Prevention (CDC) - HHS.gov; retrieved from the internet 1/2/25, with most current data from 12/21/24 A Weekly Influenza Surveillance Report Prepared by the Influenza Division: Outpatient Respiratory Illness Activity Map Determined by Data Reported to ILINet. This system monitors visits for respiratory illness that includes fever plus a cough or sore throat, also referred to as ILI, not laboratory confirmed influenza and may capture patient visits due to other respiratory pathogens that cause similar symptoms. Editor's note: Click here for the map and bookmark it to regularly monitor your service areas through this flu season.