Literature Review

Home-based pediatric hospice and palliative care provider visits: Effects on healthcare utilization The Journal of Pediatrics; by Steven M. Smith, MD; Daniel H. Grossoehme, DMin; Kate Cicozi, MD; Audrey Hiltunen, MD; Catherine Roth, MPH, CCRP; Gwendolyn Richner, BA; Stephani S. Kim, PhD, MPH; Nguyen K. Tram, PhD; Sarah Friebert, MD; May 2024 journal issue Objective: This hypothesis-generating study sought to assess the impact of home-based hospice and palliative care (HBHPC) provider home visits (HV) on healthcare use.  Conclusion: HBHPC provider HVs were associated with fewer inpatient admissions, hospital days, and intensive care unit days, and increased clinically relevant phone calls and phone calls before emergency department visit. These findings indicate that HBHPC HV may contribute to decreased inpatient use and increased use of the HBHPC team.

Workers at two Essentia Health facilities file for union representation Minnesota Nurses Association (MNA); by Sam Fettig and Lauren Bloomquist; 5/2/24 Registered nurses at Essentia Miller Hill Surgery Center and nurses and other healthcare workers at Essentia Solvay Hospice House announced this week that they have filed for an election with the National Labor Relations Board to form a union represented by the Minnesota Nurses Association ... because they want a voice in their workplace to improve both working conditions and how care is provided to their patients. ... At Essentia Solvay Hospice House, workers across the board, including Registered Nurses, Licensed Practical Nurses, Nursing Assistants, Administrative Assistants, Environmental Services workers, and Cooks, filed for a union election.

Highlighting Nurses Week: Tidewell Foundation raising the next generation of hospice nurses Observer; by Tidewell Foundation; 5/2/24 ... Serving Charlotte, DeSoto, Manatee, and Sarasota counties [Florida], the Tidewell Foundation provides the philanthropic support needed to ensure all who need the world-class care of Tidewell Hospice ... funds the only accredited non-profit Nurse Residency program in the United States. Tidewell began its Nurse Residency Program in 2018 to combat the nursing shortage in our region. Now, 6 years later, it is the first hospice to be accredited by the American Nurses Credentialing Center (ANCC), joining a network of 264 nurse residency programs across the nation.

Elara Caring, cited in death of visiting nurse Joyce Grayson, vows to contest violation McKnights Home Care; by Adam Healy; 5/3/24 The Department of Labor’s Occupational Safety and Health Administration (OSHA) has cited home health, hospice and personal care provider Elara Caring for failing to provide adequate safeguards to protect visiting nurse Joyce Grayson from workplace violence. Grayson, a licensed practical nurse, was killed last Oct. 28 while providing a home health visit for a client living in a halfway house in Willimantic, CT.  The DOL disclosed this week that its OSHA division cited New England Home Care, where Grayson worked, and Jordan Health Care Inc., which both do business as Elara Caring, with a “Willful-Serious” citation. Elara Caring faces up to $163,627 in penalties resulting from the citation. ...

Updated guidance on workplace harassment covers misgendering pronouns, bias over bathroom use, more McKnights Senior Living; by Kathleen Steele Gaivin; 5/2/24 Final guidance published last week by the Equal Opportunity Employment Commission aims to clarify for employers, employees and others their obligations related to harassment in the workplace. ... This is the first update to the guidance in 25 years, aimed at enforcing more recent changes in federal law. EEOC clarified that harassment by any person — including employers, coworkers, customers and clients — can violate federal law. ... According to the EEOC, the new guidance “updates, consolidates and replaces the agency’s five guidance documents issued between 1987 and 1999 and serves as a single, unified agency resource on EEOC-enforced workplace harassment law.” Among other guidance, the EEOC calls out asking intrusive questions about a person’s sexual orientation, gender identity, gender transition or intimate body parts as forms of harassment. ...

Doing the right thing for hospice patients Journal of Emergency Mediscal Services; by Abe Tolkoff, EMT, Daniel Tauber, NRP, and Amelia E. Breyre, MD, NRP; 5/2/24 Here is a novel solution in practice at the Yale New Haven Hospital Center for EMS; a paramedic hospice rotation. After being dispatched to a lift assist call, two novice EMTs proceeded to the address without lights or sirens. They grabbed their gear bag and walked up the stairs to the home. Knocking on the door, they announced “EMS!” and heard a frantic “Come in!” followed by, “he has a DNR.” ...

Evolving medical licensing laws could affect hospice workforce, diversity challenges Hospice News; by Holly Vossel; 5/1/24 A rash of states are restructuring their medical licensing requirements to allow more trained clinicians from other countries to find employment in the United States. The trend is an aim to address prolific workforce shortages, including in hospice, but could also have impacts on improving diversity, equity and inclusion. Some states have restructured medical licensing requirements for certain international medical graduates (IMGs) to allow more clinical professionals to work in the United States.

Nurses have reservations about use of AI on the job: survey McKnights Senior Living; by Kathleen Steele Gaivin; 4/29/24More than half of the nurses responding to a new survey by Cross Country Healthcare said they have reservations about the potential benefits of artificial intelligence in the nursing field. The online survey of 1,127 nursing professionals and students at hospitals and other healthcare facilities was conducted Jan. 18 to March 11. Respondents who said they are uncomfortable using AI expressed concerns about the potential absence of empathy and diminished patient connection. Those who said that they are comfortable with using AI on the job expressed a belief that the technology enhances efficiency, documentation, data analysis and research, upskilling opportunities and automated monitoring systems.

Southern states fare worst in USA Today’s searchable staffing level database McKnights Long-Term Care News; by Josh Henreckson; 4/26/24 Many US skilled nursing facilities currently meet some provisions of the new federal staffing rule at least some of the time, but only 160 — slightly more than 1% — consistently meet all requirements, according to a new analysis. Facilities located in southern states had the most ground to make up on staffing, based on a review of summer 2023 Centers for Medicare & Medicaid Services data by USA Today. The analysis, published Wednesday, includes a searchable database with information on individual facilities — including the facility’s name, address and the average hours of care per resident per day compared to the new national standard of 3.48.

Minnesota’s new labor board votes for nearly $23.50 an hour minimum wage for nursing home workers Minnesota Reformer; by Max Nesterak; 4/29/24 'Today has been a long time coming,’ said nursing home worker Nessa Higgins at a news conference after Minnesota’s first labor standards board voted on April 29, 2024, to raise the minimum wage for nursing home workers to $20.50 per hour by 2027. Minnesota’s new workforce standards board took its first significant vote on Monday, agreeing to raise the pay floor to $23.49 per hour on average in 2027 for nursing home workers, while guaranteeing 11 paid holidays. The worker and government representatives on the board approved the minimum wages without the support of the board’s nursing home industry representatives, who abstained.

Letter: Volunteers make a difference in community The Meadville Tribune - Meadville, PA; by Melissa Swartwood; 4/27/24Our community is at its best when we come together to help others in a time of need. At Hospice of Crawford County, trained volunteers give their time, attention and compassion to help people and families facing the end of life to live as fully as possible. ... Our volunteers specialize in various areas of service, [many examples given]... As we wrap up Volunteer Month ... Hospice of Crawford County would like to show appreciation for our volunteer team. ... Across the United States, more than 430,000 hospice volunteers give over 19 million hours of service every year. Every single volunteer deserves our appreciation and grateful acknowledgement.Editor's Note: We highlight this example of both thanking hospice volunteers and raising community awareness about hospice volunteer opportunities. From Hospice & Palliative Care Today to your organization, we celebrate and thank your volunteers!

Congresswoman 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.

Understanding the scope of aggressive incidents in hospitals | Safer Hospitals Chief Healthcare Executive; by Ron Southwick; 4/26/24 Researchers found healthcare workers are facing a verbal or physical incident at least once for every 40 hours worked. Joanne De Santo lennaco of Yale University talks about protecting staff. Even with more attention being placed on violence in hospitals and health systems, healthcare leaders say many incidents don’t come to light. ... Much attention has been focused on incidents involving healthcare workers that have resulted in physical injuries, but she says that fails to capture the hostility healthcare workers routinely encounter, she says.