Literature Review

NCCI unveils new, more precise Workers’ Comp Medical Price Index Insurance Journal; by William Rabb; 10/7/24 In recent years, workers’ compensation insurers have struggled to accurately gauge the precise trends in medical costs, and have had to rely on indexes that weren’t quite on-point: The U.S. Consumer Price Index is geared toward what patients pay and does not include Medicare’s reimbursement rates, which so many states now tie their workers’ comp fee schedules to. ... Comes now the National Council on Compensation Insurance with a new measuring stick, the Workers’ Compensation Weighted Medical Price Index. It was unveiled recently and has received favorable feedback from carriers, Stephen Cooper, NCCI’s executive director and senior economist, said in a webinar. “By taking the PHC and its construction, we’ve gone and re-created a similar index using similar methodology,” Cooper said. ... 

Hurricane Helene Disaster Relief Fund for home care & hospice employees in the CarolinasAssociation for Home & Hospice Care of North Carolina (AHHC of NC); by Judy Penn, Executive Director; 10/3/24 Click here to DONATE. Click here to APPLY for Assistance. urricane Helene has severely impacted our community, with many lives already lost in the Carolinas, and countless missing with no means of communication.  The Carolinas Foundation for Hospice & Home Care is accepting donations to distribute directly to hospice and home care employees devastated by this storm. Agencies are facing tremendous challenges, including displacement and/or evacuation of staff and patients, collapsed roads, failing infrastructure, lack of water, and the inability to communicate with downed lines. There is a major need for gas to continue to power generators for oxygen dependent patients both in home settings and hospice inpatient facilities. The Association staff has been in contact with government agencies to us keep up-to-date on the situation as it unfolds. Our industry is comprised of caring, compassionate individuals who help those in need. Please consider donating to the Hurricane Helene Relief Fund to help home care and hospice employees hit the hardest. ... 100% of ALL ADMINISTRATIVE COSTS are being borne by the Association and the Foundation. 100% of your donation (tax-deductible) comes in, and 100% of your donation goes out.

EEOC sues AccentCare Home Health Care company for pay discrimination and retaliation U.S. Equal Employment Opportunity Commission; Press Release; 9/27/24 AccentCare, a nationwide home health care service company headquartered in Dallas, Texas, violated federal civil rights laws by paying female employees less than a male colleague because of their sex and retaliating against a female employee who repeatedly complained, the U.S. Equal Employment Opportunity Commission (EEOC) charged in a lawsuit filed today. According to the EEOC’s lawsuit, female Licensed Practical Nurses (LPNs) working out of AccentCare’s Pottsville, Pennsylvania, location were paid less than their male colleague for performing equal work, despite their superior qualifications. After a female LPN repeatedly complained about the gender-based pay disparity and requested a raise, AccentCare retaliated against her, and ultimately fired her. Such alleged conduct violates Title VII of the Civil Rights Act of 1964 and the Equal Pay Act of 1963, which prohibits pay discrimination based on sex and retaliation for opposing sex discrimination.

Health systems abandon rigid hierarchies Becker's Hospital Review; by Laura Dyrda; 9/27/24 Health systems are relinquishing traditional leadership structures to reimagine a more effective healthcare delivery organization. The rigid hierarchies instilled within many hospitals and health systems years ago ensured a tight grip on quality and management. But times have changed; the rapid evolution of digital technology and need for nimbleness are forcing hospitals to change. "As an industry, healthcare must transition from hierarchical, top-down leadership to more agile, decentralized models that empower teams and promote innovation at all levels," said Wendy Horton, PharmD, CEO of UVA Health University Medical Center in Charlottesville, Va. "Excellent communication skills will be vital for navigating these changes, along with a strong emphasis on workforce well-being including strategies to address mental health, retention and burnout." ... Dr. Horton also elevates empathy and effective communication for healthcare leaders. ... The proliferation of artificial intelligence and other technologies in healthcare is streamlining the purely administrative tasks, further emphasizing the human connection between leaders and their teams.

Most annoying office behaviors HR Daily Advisor; by Lin Grensing-Pophal; 9/25/24 ... Identifying Behaviors That Annoy: A great first step in combating annoyed employees is to understand what behaviors and actions set those employees off in the first place. A recent survey by Kickresume reveals the most annoying colleague behaviors. The findings showed that 85% of people have dealt with an annoying coworker, with 58% saying these behaviors significantly affect their productivity. Here is the list of the top 15 [with % of employees who find these behaviors annoying]: Credit stealer, 33%. Micromanager, 32%. Chronic complainer, 30%. Personal space intruder, 30%. Lunch thief, 27%. Non-stop chatter, 27%. Loud talker, 26%. Know-it-all, 24%. Procrastinator, 21%. Underperformer, 21%. Email spammer, 20%. Sick but shows up to work, 17%. Ignore-my-headphones talker, 17%. Corporate over-optimist, 16%. Tech illiterate, 15%. Late arriver, 15%.

5 signs that quickly identify someone with good leadership skills Inc., by Marcel Schwantes; 9/25/24 Not every person in charge of another person, team, or company is aware of which behaviors motivates and inspires others. Do you agree with this statement? For any human relationship to thrive, it has to be founded on trust. ... Great Place To Work -- the global research consultancy that partners with Fortune to conduct the annual study of those best companies -- has confirmed that trust is the human behavior you cannot afford not to have. It found that 92 percent of employees believe that their managers are people they can trust. ... Not every person in charge of another person, team, or company is aware of which behaviors produce the kind of trust that motivates and inspires others. For those who do, it is a continuous journey of personal development. In their journey, they'll most likely find that trust is only present when certain behaviors are displayed daily. Here are five that I have identified as leading to trust:

77% of health system IT employees eyeing new jobs Becker's Health IT; Naomi Diaz; 9/25/24 Health system IT employees are keeping their options open, with 77% actively seeking new jobs or planning to do so within the next year, according to Bloomforce's "2024 EHR Salary Insights Report." The report, based on an online survey conducted between November and December 2023, gathered responses from 284 healthcare professionals across various roles, including application analysts, team leads, project managers and people managers. It explored areas such as salary, job satisfaction, work-life balance, talent retention and attitudes toward remote work. Here are some key findings from the report: [Click on the title's link to read more.]

Pay cuts, layoffs hit the C-suite Becker's Hospital CFO Report; by Alan Condon; 9/25/24 Health systems are increasingly trimming executive positions and pay to stabilize their financial footing amid rising operational costs, workforce shortages and inflationary pressures. Springfield, Mass.-based Baystate Health will see three top leaders depart, effective Oct. 23, including Chief Quality Officer Doug Salvador, MD, Chief Information and Digital Officer Kevin Conway and Chief Human Resources Officer Kristin Morales-Lemieux. ... Similarly, Providence, R.I.-based Lifespan has cut 20% of its executive roles as part of a broader restructuring effort aimed at reducing overhead costs and directing more resources to patient care. The restructuring has led to the departure of key figures, including Crista Durand, who served as president of Newport (R.I.) Hospital since 2014. ... Corvallis, Ore.-based Samaritan Health Services recently laid off 1% of its workforce and temporarily reduced executive pay to counteract financial losses. ... For hospital executives across the country, these cuts serve as a stark reminder that restructuring may be inevitable to maintain operational viability. As the healthcare landscape evolves, systems will continue to seek ways to reduce overhead, streamline decision-making, and focus on financial sustainability.

Why hospital-at-home, other providers are pressing worker safety Modern Healthcare; by Diane Eastabrook; 9/24/24 At-home care providers are testing strategies to better protect workers who are raising the alarm on workplace safety. A new survey of more than 400 home healthcare workers found more than half said they experienced or witnessed at least one act of violence or harassment in the workplace, according to Transcend Strategy Group, which conducted the poll on behalf of home care providers. The report, which echoes similar findings from a National Nurses United survey, comes as hospital-at-home programs expand and more care moves to where patients live. ... Home-based care providers are trying to address the issue because concerns about personal safety could make it harder to recruit and retain workers in a competitive job market. The concerns are also coming up in contract negotiations between unions and providers.

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.

New data explores trust gap between execs and employees HR Daily Advisor; by Lin Grensing-Pophal; 9/19/24Creating a harmonious workplace where trust flourishes between employers and employees is crucial for aligning incentives and driving employee engagement. Unfortunately, that trust is often hard to find in the business world. ... Consider, for example, these data points from the PwC survey:

Suffering revisited: Tenets of intensive caring Psychiatric Times; by Harvey Max Chochinov, MD, PhD, FRCPC Patients approaching death experience many losses, including losing a sense of self. This is perhaps one of the most substantive existential challenges dying patients face, as they find the essence of who they are—along with who they were or who they want to be—under assault. This notion of disintegration or fractured sense of personhood often lies at the heart of human suffering, which Eric Cassell, MD, MACP, defined as a person’s severe distress at a threat to their personal integrity. Although suffering can often lead to feelings of hopelessness and therapeutic nihilism for patients and health care professionals, it is important for those of us who care for the dying to understand the nature of suffering and how to be most responsive and therapeutically effective. [This author's Tenets of Intensive Caring include the following:]

How Gen Z is being courted by post-acute providers Modern Healthcare; by Diane Eastabrook; 9/18/24 Some post-acute care companies are revamping their recruitment playbooks to attract Generation Z workers as they battle for talent with other healthcare companies. Providers such as Good Samaritan Society, Bayada Home Health Care and Right at Home are developing strategies to recruit the demographic, which ranges in age from 12 to 27 and makes up a quarter of the U.S. population. Those organizations want to hire Gen Z because they are purpose-driven and adept at using technology, according to a 2023 study by financial services company Mercer.