Literature Review

3 strategies for hospice GIP compliance Hospice News; by Jim Parker; 10/21/24 Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. Audits are becoming more frequent in the hospice space, and GIP is an increasing focus, including ​for the most common types — Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE). In a survey earlier this year, more than half of hospice providers reported having undergone multiple types of audits within a six-month period. ... In addition to these routine MAC audits, the U.S. Department of Health and Human Services Office of the Inspector General (GIP) has been performing a national audit of GIP utilization, as well as an additional investigation into management of the associated payment cap. The inpatient cap limits the number of days of inpatient care for which Medicare will pay to 20% of a hospice’s total Medicare patient care days, according to OIG. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.

Heartless activist who took selfie with woman’s dying father in hospice shows no emotion upon learning of her fate following sick harassment campaign What'sNew2Day; written by "Jack," with another author listed "Bethan Sexton for Dailymail.com"; 10/5/24 An activist who snuck into a hospice and took a selfie with a woman’s dying father because he opposed her support for LGBTQ rights showed no emotion as he was sentenced for his sickening campaign of harassment. Bubba Pollock, 35, was sentenced to two months in prison after pleading guilty to criminally harassing Britt Leroux, 38. Pollock, from London, Ontario, openly protested the drag queen stories and was seen on video promising to pay people up to $500 to sabotage events. He had a fierce debate with Leroux, which culminated in him driving 120 miles to the Windsor hospice where Leroux’s father, Andre Leroux, was receiving palliative care and taking the photograph in an attempt to mock his victim.

Longview hospice adds handmade quilt donations under new management The Daily News; by Minka Atkinson; 9/27/24 At PeaceHealth Ray Hickey Hospice House in Vancouver, patients receive handmade quilts to drape their beds that are then donated to their family as a memento after their passing. PeaceHealth is now looking to bring this tradition to Richard Nau Hospice House, which it took over in November. “It gives the home, cozy feeling to those patients,” Hospice Volunteer Program supervisor Jennifer Linde said. The quilts are sourced through donations from local community groups, like the Kalama Quilters and Calvary Community Church, Linde said. Individual quilters are also welcome to contribute. ...

Woman explains viral video of brother with hospice nurses before he died ABC News - GMA; Shafiq Najib; 9/20/24 Marcella Brown's little brother, Omar Mamoe, died of appendix cancer at 34. A woman explained the story behind the viral video of her brother going on a walk and having fun with the nurses during his final days in hospice before his death. In an Instagram video shared by Marcella Brown of Austin, Texas, recently, her late brother Omar Mamoe can be seen sitting in a wheelchair as he was about to exit his room accompanied by the nurses who entertained him by rapping to a song, "It Was a Good Day," by Ice Cube. The clip, which has garnered over 5 million views, was taken eight days before Mamoe died, showing how he kept his spirits high and brought smiles to those around him. Speaking to "Good Morning America," Brown said she shared the video last month because she was feeling sad at the time, thinking about her late brother. "The video came up, and it just made me feel happy, and it just reminded me that towards the end of his life, like there were these little moments that were good," she said. [Click on the title's link to view the video and read more.]Editor's note: Omar's care was provided by Hospice Austin's Christopher House. Click here (and scroll down) for a different, beautiful video story about Omar and his family. 

Church group fashions 'dignity quilts' for palliative care unitCanada - Local Journalism Initiative; by Wayne Doyle; 5/22/24It’s such a simple thing. But the volume of respect it signifies is unimaginable. The impact it has on surviving family members, equally so. It’s called ‘code dove’ and it’s a special paging phrase; ... staff and residents join the family of the deceased as they gather at the front entrance to say goodbye as the resident leaves the home for the last time. “When our residents are leaving, they exit through the front lobby, the same way they came in,” said Peggy Sauve, assistant director of resident care at the IOOF on Brooks Street in Barrie. “It’s all about respect for the individual and their family. “We hold flameless candles, play their favourite music and take one last chance to say goodbye,” she added. ... As the resident leaves the home for the last time, their body is covered with a dignity quilt, designed and handmade by members of the Elmvale Presbyterian Church Craft group.

Life support decisions are usually made within 72 hours. Is that too soon? Advisory Board; by Daily Briefing; 5/21/24After a patient suffers a traumatic brain injury (TBI) and is on a ventilator, when is the right time to withdraw life support? A new study published in the Journal of Neurotrauma suggests that doctors and patient family members should wait a bit longer than usual. ... The researchers found that the majority of patients whose life support wasn't withdrawn ended up dying in the hospital anyways within about six days. However, 42% of patients who continued life support recovered enough within the following year to have some level of independence, and a few even returned to their former lives.

Georgia system reopens hospital to inpatient services Hospital CFO Report; by Mariah Taylor; 5/2/24 Piedmont Augusta (GA) is reopening the emergency department and inpatient services at its Summerville campus after converting the location into an outpatient campus over a year ago. Effective May 16, the hospital will open 15 beds in the emergency department, 12 inpatient unit beds, and new imaging services. Outpatient services will continue as normal, according to a May 1 system news release. "What we heard pretty quickly from our community is that they missed the efficiency of that campus," Lily Henson, MD, CEO of Piedmont's Augusta clinical hub, said in the release.

Shocked at end-of-life: An educational video for hospice workers about Implantable Cardioverter-Defibrillators Journal of Pain and Symptom Management; by Sarah Godfrey, MD, MPH; Christine L. Chen, MD; Melanie S. Sulistio, MD; Sharika Kumar, MD; and Kelley Newcomer, MD; 2/24 Introduction: Hundreds of thousands of patients with implantable cardioverter-defibrillators (ICDs) die yearly. Though ICD shocks can be lifesaving, they can also be severely painful. One third of ICD patients are shocked in the last day of life irrespective of DNR status. Over 97% of hospice programs admit patients with ICDs, yet only 10% have deactivation policies and less than 50% of hospice patients have their ICD deactivated. ...  Conclusion: Hospice personnel have limited knowledge about ICDs, prohibiting best care of patients with these devices at EOL. A short educational video increased knowledge and may serve as a helpful tool. Improving ICD knowledge amongst hospice personnel is essential to ensuring the unique needs of hospice patients with ICDs are met.