Literature Review

An unimaginable year for UnitedHealth Becker's Payer Issues; by Jakob Emerson; 12/30/24 The year 2024 will be remembered as one full of unprecedented challenges and turmoil for the nation's largest healthcare company. From the tragic and targeted killing of UnitedHealthcare CEO Brian Thompson to a crippling cyberattack on subsidiary Change Healthcare, UnitedHealth Group has faced a cascade of crises that affected the entire healthcare industry. These major events, compounded by legal battles and heightened public scrutiny, have exposed systemwide vulnerabilities and sparked a broader reckoning about the role of insurers within healthcare. ... Adding to the turbulence, the Justice Department is actively investigating the relationship between UnitedHealthcare and Optum, while also suing to block the company's planned $3.3 billion acquisition of home health provider Amedisys. 

Killing of UnitedHealthcare CEO brings resentment of the health care system to the fore STAT Business, Boston, MA; by Bob Herman and Tara Bell; 12/6/24 The targeted killing of UnitedHealthcare CEO Brian Thompson has become a defining moment in the zeitgeist of American health care. The attack was a tragedy that adds to the country’s grim tally of gun deaths. But instead of eliciting sympathy, it opened the floodgates for an outpouring of rage, captured across social media and online forums, over the health care system — one that charges people the highest prices in the world, erects financial and bureaucratic barriers to getting care, and has plunged millions of people into debt. Social media posts have ranged from mournful to apathetic to joyful, including morbid celebrations of Thompson’s death. That deluge has forced people across the country to grapple with two heavy subjects at once: the callousness of a slaying, and an undercurrent of deep-seated anger at a health care industry that makes a lot of money by exploiting Americans. ... [Click on the title's link to continue reading.]

UnitedHealthcare CEO Brian Thompson fatally shot in New York City, reports say USA Today; by Christopher Cann; 12/4/24, updated 11:11 am ET The CEO of UnitedHealthcare, one of the largest insurance providers in the nation, was fatally shot Wednesday morning outside the Hilton hotel in midtown Manhattan, where the company was hosting an investors conference, multiple news outlets reported, citing police sources. Brian Thompson, 50, was shot just before 7 a.m. near the hotel on 54th Street between 6th and 7th Avenues, the New York Post, New York Times and WPIX reported. UnitedHealth did not immediately respond to a request for comment from USA TODAY. A spokesperson for the New York City Police Department who declined to be identified by name told USA TODAY a 50-year-old man was fatally shot outside the hotel, but did provide the victim's name, saying the department was waiting to notify the family. 

National program helped 27 states develop background check processes for long-term care McKnights Senior Living; by Kimberly Bonvissuto; 11/11/24 A national background check program was so successful in helping states develop or enhance systems for conducting background checks of prospective long-term care employees that more than a quarter million prospective employees were disqualified from working in the sector, even after funding for the program ran out, according to a final report on the program. The US Department of Health and Human Services Office of Inspector General released a final analysis on Thursday of the National Background Check Program for long-term care providers. The agency reported that 29 states participated in the program between 2010 and 2024 and that the program helped 27 of them develop programs to identify efficient, effective and economical procedures for conducting background checks on prospective long-term care employees. During the National Background Check Program, states disqualified at least 106,000 individuals with criminal convictions from employment. Disqualifying criminal convictions included offenses of murder, assault, battery, robbery, theft, fraud and forgery. 

Victim of hospice nurse wonders how she could've stolen from them NBC News KUSA-TV 9, Denver, CO; Newscast video, reported by Rhea Jha; 10/24/24 A home care hospice nurse has been sentenced to 32 years in prison for stealing more than $100,00 from multiple patients. Victims are wondering how this happened.  ... "That loss of trust, I don't know how you recover from that." Editor's note: This news story identified "All Generations Home Care" as the agency involved, and that they did not respond for comment.

Lawsuit filed against Visiting Nurse Service entities and individual defendant for assault of hospice patient NewRamp; by NewRamp Editorial Staff; 10/22/24 The Law Offices of Robert E. Brown has filed a lawsuit against three Visiting Nurse Service entities and individual defendant Joy Odunze-Matthew following the violent assault of Carolyn Albanese, a terminally ill hospice patient under their care. The complaint alleges gross negligence by VNS and its affiliates for failing to properly vet, train, and supervise their staff, specifically the defendant Odunze-Matthew. The lawsuit seeks compensatory and punitive damages to address the physical, emotional, and psychological harm suffered by Ms. Albanese and her family. 

Man accused of choking terminally ill wife accepts plea deal KSL.com; by Pat Reavy; 9/27/24 A man who prosecutors say attempted to end his terminally ill wife's life by choking her has accepted a plea deal. DeWayne McCulla, 46, pleaded guilty on Thursday in 5th District Court to an amended charge of attempted manslaughter, a third-degree felony. The charge comes with a domestic violence sentencing enhancement. Arenda Lee McCulla, 47, died on Dec. 21, 2021, following her battle with breast cancer. The night before, however, as a small group of family members were by her side in La Verkin, DeWayne McCulla "choked the victim in an attempt to kill her to ease her suffering while they were with her during her terminal cancer and being on hospice," according to charging documents. Other family members pulled McCulla off of his wife.Editor's note: Crucial information that is not reported in this article: Where was the hospice team in managing this patient's pain? In educating and supporting the caregiver (the husband?) and family about contacting the hospice? In making required visits when the patient is actively dying? In assessing the caregiver's ability to provide care, especially any history or risks of domestic violence, neglect, or abuse? What safety-in-the-home protocols were used by this hospice, especially when hospice team members followed up? Aware of not-knowing these many factors, I do not ask these with judgment but rather to raise awareness of core, preventive measures for other hospice patients.

Nurse workplace violence reporting increased 1,080% with new tool Becker's Clinical Leadership; by Mariah Taylor; 9/19/24 Making it easier to report workplace violence with quick-scan codes on walls and badges increased reporting by 1,080% in two months, according to a new study. ... When surveyed, nurses said they did not report workplace violence incidents for the following reasons: "nothing will change" (24%), "event was not severe enough" (21%), "part of the job" (15%), "electronic reporting system is time-consuming/complicated" (9%), "lack of time" (6%), "don’t know how" (3%) and "lack of leadership support" (3%). In addition, more than half of respondents said they disclosed the event to the charge nurse when they did not formally report it.  To overcome these barriers, researchers created a tool that allows nurses to scan a quick-response code with their phones. Codes were located on wall flyers and name badge stickers. Two months after implementation, the tool recorded 94 quick response code scans and 59 workplace violence reports, a 1,080% increase in violence reports compared to the two previous months.

How Texas healthcare facilities can prepare for new workplace violence prevention standards for healthcare workers JW News; by Jeffrey H. Frost; 8/14/24 ... On May 15, 2023, Governor Abbott signed SB 240, relating to workplace violence prevention in certain healthcare facilities. ... Texas healthcare facilities must meet Chapter 331 workplace violence prevention requirements by September 1, 2024. ... Covered facilities [which includes hospice] must establish a workplace violence prevention committee, prevention plan, and policy. ... At a minimum, the prevention plan must: (i) be tailored to the practice setting; (ii) define “workplace violence”; (iii) provide for annual training; (iv) review physical security and safety; (v) create a reporting system; and (vi) adjust the care assignments (if possible) of employees and providers who have been assaulted or threatened. Editor's Note: For non-Texas hospice and palliative providers, what Workplace Violence Prevention Plan do you have in place, or not? This article provides excellent information and action plans for you to use.

Personal conflicts, even violence, are not uncommon in long-term care The New York Times; by Paula Span; 6/9/24... In long-term care facilities, residents sometimes yell at or threaten one other, lob insults, invade fellow residents’ personal or living space, rummage through others’ possessions and take them. They can swat or kick or push. Or worse. Eilon Caspi, a gerontologist at the University of Connecticut, has searched news coverage and coroners’ reports and identified 105 resident deaths in long-term care facilities over 30 years that resulted from incidents involving other residents. The actual number is higher, he said, because such deaths don’t always receive news media attention or are not reported in detail to the authorities. “We have this extraordinary paradox: the institutions, nursing homes and assisted livings who care for the most vulnerable members of our society are some of the most violent in our society,” said Karl Pillemer, a Cornell University gerontologist who has studied resident-to-resident conflict for years. [Click on the article's title for more. Might require subscription to access the full article.]

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.

Wide-ranging health care bill gets final approval from CT House CT Mirror - Connecticut's Nonprofit Journalism; by Jenna Carlesso; 5/6/24The House gave final passage Monday to a wide-ranging health care bill that would add protections for home care workers, boost preparedness for cyberattacks at medical facilities and establish new regulations for the state’s health information exchange, among other reforms. ... The sections on additional protections for home care workers were prompted by the murder of visiting nurse Joyce Grayson, who was killed in October while working at a halfway house in Willimantic. ... The bill requires home health aide agencies to collect certain client information upon intake and make it available to any employee assigned to the client. Information includes a history of violence against health care workers, domestic abuse, substance use, psychiatric history, any listing on a sex offender registry, the crime rate of the municipality the person lives in, and whether there are any weapons or safety hazards in the home. [Click on the title's link for more important information about this bill's safety measures.]