Literature Review

Column: Hospice offers redirection of care The Andalusia Star News; by Vickie Wacaster; 6/22/24 Watching someone you love grow weaker and weaker with each passing day is challenging. Yet, sadly, many of us experience this. In my own life, when my late husband was diagnosed with a terminal, non-curable, yet treatable disease, I felt we were living on a roller coaster of emotions, appointments, and treatment options. ... Every day was a journey into uncharted territory for both of us. ... It was only during the last few days that we found the strength to say “no more treatments” and asked for hospice. ... Physicians recognize that hospice is not a withdrawal of care but a redirection of care to meet the needs of patients with an advanced terminal illness/disease. ...Editor's Note: The word "redirection" powerfully, easily shifts the course of care. The person remains at the center, with the focus being the person, not the disease. This is not a denial of dying and death, but rather a signpost, a gentle way to open the difficult conversation for providing information and asking "what matters most to you, now?" 

From C-suite to scrubs, CEO takes a walk in employees' shoes Becker's Hospital Review - Leadership & Management; by Madeline Ashley; 6/20/24 Todd Forkel, CEO of Altru Health System in Grand Forks, N.D., quite literally knows what it's like to walk in his colleagues shoes, and it's all because of a program called "Shadow Me, Todd." Mr. Forkel has been CEO of Altru for more than two years, but has been in healthcare for 32 years with 13 years of CEO experience. A nonprofit health system, Altru comprises around 3,400 employees, including more than 300 providers across 65 care specialties. ... In the program, Mr. Forkel will shadow a different colleague two to four times a month, typically in the morning or afternoon. 

The 9 biggest challenges physicians face in daily practice: Survey Becker's Hospital Review; by Ashleigh Hollowell; 6/20/24 ... The following challenges are the ones physicians most often ranked as very or somewhat significant as they relate to their day-to-day work:

Circle of Life Hospice opens guest house ABC KOLO 8 NewsNow, Reno, Nevada; by Emily Benito; 6/19/24The Circle of Life Hospice Foundation has just opened their first hospice care guest house for those that cannot afford room or board or end of life care. President of The Circle of Life Hospice Foundation Michelle Cagle says that if they had 10 to 15 beds in the house, they could help around 271 patients a year. The guest house currently has three beds for patients but with more land to build on, there are plans to build a second guest house on the property. “Whether they are homeless or just elderly or their wife can’t take care of them or they’re just not able to afford it or they don’t have any family or children, that’s what we do and opened this house to care for those people.” 

Mt. Hood Hospice honors women veterans with event NewsBreak; by Brit Allen; 6/15/24 On Wednesday, June 12, Jolie Phanton, community outreach director for the organization took Mt. Hood’s veterans services a step further with a National Women Veterans Recognition Day celebration at Clackamas County Bank. The event featured a presentation on the history of women’s involvement in American-involved conflicts, as far back as the Revolutionary War up to current day. She spoke about how women have for a long time served as nurses, supply distributers, informants, and before they were allowed to fight alongside men, some disguised themselves as men and risked their lives on the battlefield. Women have also played many other roles in the military over the past 200 years. [Click on the title's link to read more.]Editor's Note: While we have highlighted various hospice veterans' stories, this brings fresh insights, information, and ideas. Thank you, Mt. Hood Hospice!

Advocates rally in DC for the future of hospice: NHPCO and HAN amplify provider voices on Capitol Hill NHPCO; Press Release; 6/13/24 More than 100 hospice and palliative care advocates from across the country met with over 150 congressional offices this week to discuss key legislative and regulatory priorities for ensuring and expanding access to hospice and palliative care. The meetings were part of Hospice Action Week, hosted in Washington, DC by the National Hospice and Palliative Care Organization (NHPCO) and its advocacy affiliate, the Hospice Action Network (HAN). “The cornerstone of effective advocacy is storytelling. It’s about sharing why hospice holds personal significance and why serious illness and end-of-life care policy should resonate with our lawmakers,” said Logan Hoover, NHPCO’s VP of Policy & Government Relations. “From Hawaii to Rhode Island, advocates from 35 diverse states came to DC this year. The relationships they’re building with Members of Congress hold the potential to shape the future of the healthcare landscape.” 

Acting now to sustain and improve America’s healthcare system: Advice from innovative physicians and health system leadersSheppardMullin Healthcare Law Blog; by Kathleen O'Neill, John Golembesky, Jeralin Cardoso, Chi Huynh & Carolyn Young; 6/6/24 At [the recent] America’s Physician Groups Spring conference in San Diego, California, we listened as physicians and health system leaders described the ways in which they are responding to short and long term challenges to the sustainability of America’s healthcare system in its current form. It now stands at a critical juncture, facing challenges such as provider shortages and burnout, increasing concerns around access and cost for pharmaceutical products and other supplies, the increasing burden of managing chronic diseases, rising demand for services across the spectrum from an aging population, and balancing the transition to value-based care models in a predominantly fee-for-service environment. ... Here, we outline the key areas of focus described by leaders at the conference: ... 

3 keys to hospice oversight preparation Hospice News; by Jack Silverstein; 6/4/24 When hospice providers are being investigated not just by CMS but the FBI, the stakes for compliance are higher than ever. In May of 2024, the federal law enforcement agency placed its spotlight on the rising number of complaints about hospice fraud, in which hospices participate in signing up seniors for care without the seniors’ knowledge. Integrity concerns are in four states: Arizona, California, Nevada and Texas. The mechanics vary but the end result is the same: hospices getting paid for services they either did not provide, provided at a substandard level or had no authority to provide at all. ...

LeadingAge: CMS on right track with high-acuity hospice RFIHospice News; by Jim Parker; 5/31/24 The senior care advocacy group LeadingAge has praised the U.S. Centers for Medicare & Medicaid Services (CMS) inquiries into high-acuity palliative care, but expressed concern over reimbursement and staffing issues. The agency’s 2025 proposed hospice rule featured a series of requests for information (RFI) on issues like health equity, social determinants of health and future quality measures. The RFIs contain further questions about the utilization of higher-cost palliative treatments under the Medicare Hospice Benefit. The agency posed similar queries in its proposed rule for 2024. The new proposal seeks greater clarity on the financial risks and costs that providers say represent barriers to providing those services, such as palliative chemotherapy, radiation blood transfusions or dialysis, among others.

How businesses should (and should not) use AI: A strategic blueprint Forbes; by Bernard Marr; 5/31/24 Businesses often find themselves at a crossroads in the race to leverage artificial intelligence (AI). The lure of AI's promise is undeniable—from enhancing customer experiences to automating routine tasks. Yet, how a company approaches AI can spell the difference between mere technological flirtation and achieving real, transformative outcomes. Here, I offer a strategic blueprint for businesses keen on not just piloting AI but also scaling it effectively.

Manassas Park teens complete inaugural nurse aide course while earning high school diploma ABC News 7 Washington DC; by Victoria Sanchez; 5/30/24 Ten Manassas Park seniors completed their high school nurse aide program and are on their way to being certified by the Virginia Board of Nursing, all while earning their diploma. The inaugural Nurse Aide Pathway class is a competitive, five-day-a-week program that teaches the teens 22 skills they need to become a CNA. They also learned outside the classroom during 40 hours of clinical rotations at a local hospice center. ... “This is the best opportunity I could ever have in high school and will forever be one of the best opportunities I ever have in my life,” said student Javi Sedeno Cisneros. He has an eye on earning an MD after becoming a CNA. ... During their time at the hospice center, the 17-year-olds experienced life lessons most of their peers won’t learn for years.... [Read more for this inspiring, innovative solution.]

What AccentCare’s clinicians wanted from the company’s AI implementationHome Health Care News; by Joyce Famakinwa; 5/23/24Like many others, AccentCare has embraced artificial intelligence. However, the company wasn’t satisfied with implementing generative AI and looping in its clinicians afterwards. Instead, the company made its nurses a part of this process from the start. “It’s our philosophy at AccentCare that we don’t make changes to clinical practice without having a conversation with the people who are delivering clinical care,” Tracy Dent, vice president of clinical operations at AccentCare, told Home Health Care News. “They’re the people who are delivering care at the bedside. We want to make sure they have a voice in decisions that are going to impact their ability to do so.”Editor's Note: Pair this with another article in today's newsletter, "Three ways to communicate with Gen-Z—and why it’s important."

Legacy society honors ardent supporters of Blue Ridge HospiceThe Winchester Star; by Brian Brehm; 5/21/24 Blue Ridge Hospice holds its cofounder in such high esteem, it has created a legacy society and named it in her honor. The new Helen Zebarth Legacy Society aims to honor Zebarth’s vision, inspire philanthropy and ensure the continuity of compassionate end-of-life care for generations to come, according to a media release from Blue Ridge Hospice in Winchester. Blue Ridge Hospice was formed after Zebarth visited England while her husband, Roger, was stationed in Europe on a military assignment in the 1970s. When the Zebarths returned to the United States in the late 1970s, Helen Zebarth, a former nurse at Winchester Memorial Hospital, got in touch with the hospital’s CEO, George Caley, and told him they needed to start a local hospice. Editor's Note: May we learn from Blue Ridge Hospice. On this day of remembering, we thank those whose vision and perseverance for "hospice care" carved out new paths for better living, dying, moments of death, and bereavement. Who were those pioneers for your hospice? How do you remember their legacies?