Literature Review

Managing the hospice payment cap by balancing Length of Stay Hospice News; by Jim Parker; 10/15/24 Careful management of the hospice aggregate cap is key to providers’ sustainability as regulatory scrutiny continues to heat up. The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. For Fiscal Year 2024, the U.S. Centers for Medicare & Medicaid Services set the cap at $33,394. In 2025, this will rise to $34,465. “While the cap is a beneficiary driven cap, meaning the reimbursement allowed per Medicare beneficiary, it is not assessed at the beneficiary level, but rather in the aggregate at the agency provider number level for all beneficiaries served by the agency in the cap,” Rochelle Salinas, vice president of operations for CommonSpirit Health at Home, said. “This allows for greater flexibility in providing care to those in need.” ... [Click on the title's link to continue reading.]

Hospice fraud casts lengthening shadow over future of industryHospice News; by Holly Vossel; 10/11/24Fraudulent operators in the hospice space have misspent millions of Medicare dollars in recent years. This problem has become so severe that it is one of the defining issues facing the hospice industry, with providers and other industry stakeholders expressing concern about significant impacts to future payment, access, sustainability and utilization. This is the first of a two-part Hospice News series that examines the financial and operational pressures weighing on the minds of hospice providers amid instances of fraud, waste and abuse occurring in the industry.Notable mentions: Patrick Harrison, Senator Elizabeth Warren, MedPAC, Lauren Hunt.

Hospices seek creative hiring, retention solutions as labor costs rise Hospice News; by Holly Vossel; 10/11/24 Fierce competition for clinical resources amid widespread workforce shortages has hospices taking nimble approaches to their recruitment strategies, including pivoting financial investments and building stronger educational partnerships. Competition in the health care market has been driving up salaries, particularly among nurses, according to Jennifer Lemere, vice president of clinical operations at St. Croix Hospice, a portfolio company of the private equity firm H.I.G. Capital. But rising compensation trends are also occurring across the interdisciplinary spectrum, Lemere added. ...

7 reasons leadership soft skills are imperative for growth Forbes; by Brent Gleeson; 10/11/24 In high-performance organizations, leaders often prioritize technical know-how and measurable metrics. But dismissing soft skills as unimportant is a critical mistake that can lead to team breakdowns, missed opportunities, and poor results. According to a 2023 Harvard Business report, 76% of respondents identified empathy, communication, and the ability to manage conflict as essential leadership skills for driving team effectiveness, especially in diverse and remote work environments. Leaders who lack these soft skills may struggle to build trust and create psychologically safe workplaces, which are essential for team cohesion and innovation in high-performance settings​. But organizations must adopt a deliberate, strategic, and deeply integrated approach to developing soft skills in order to maximize ROI, ensuring that these efforts are aligned with the company’s culture, core values, and business objectives. ... [Click on the title's link for its list.]

Pa. nonprofit to close; more than 100 people to be laid off Penn Live Patriot News; by Daniel Urie; 10/14/24More than 100 people will be laid off at a Philadelphia nonprofit. The Visiting Nurse Association of Greater Philadelphia has filed a Worker Adjustment and Retraining Notification notice with the Pennsylvania Department of Labor & Industry informing the state it will close, and that 114 people will be laid off at 4601 Market St. The nonprofit is expected to close on Oct. 28 but is subject to change based on client needs and operational issues. The Visiting Nurses Association of Greater Philadelphia is closing after 138 years, according to WHYY. The VNA’s home health care program had about 239 patients as of last month, and another 54 patients were being cared for in hospice and palliative care, the WHYY report said. The following employees will be laid off: [Click on the title's link for the list of roles and number of employees.]

Top questions people ask about hospiceThe Star News, Medford, WI; 10/9/24

Pathway to leadership and self-mastery with Mike Harbour Teleios Collaborative Network (TCN); podcast by Chris Comeaux; 10/9/24 Mike Harbour and Chris Comeaux dive deep into the transformative power of self-mastery and all things leadership.  Mike shares about his personal journey of overcoming trauma and learning how to observe himself while navigating life’s challenges. Mike highlights a key insight: leaders must first address their own internal battles before they can effectively lead and care for others.  The conversation explores the relevance of stoicism, urging leaders to confront unresolved issues that could otherwise undermine their leadership. Self-mastery isn’t just a tool—it’s the foundation of strong leadership. ... 

Hospice care home provides peaceful place for low-income or homeless to die Indiana Capital Chronicle; by Elise Shrock; 10/10/24 My neighborhood is full of wonderful places. Lovely places where people go to worship, to meet for meals, to do their errands, and, a lovely place to die. Let me explain. Tucked behind the busy near-north Keystone corridor is the Abbie Hunt Bryce Home, a no-cost home for terminally ill individuals who are low-income or homeless and would have no other home to go to during their last days or months of life. Operated by Morning Light, LLC, Abbie Hunt Bryce Home offers critical and compassionate services to Hoosiers in their final days. As the second largest residential hospice in the nation, our state is positioned to be a leader in providing compassionate end-of-life care. Not only is the Home a leader in size and scope, but all hospice residents stay free of charge, with no payment or insurance required. The Home is supported solely by community support and qualifies for Medicaid Waiver. ... [A case study follows with "Systemic challenges in Indiana." ...]

Hospice of Central PA President Gil Brown to retire Abel Personnel; by Rochelle Shenk; 10/9/24 After more than a decade of service at Hospice of Central PA, president Gil Brown will retire Dec. 31. According to a news release, Brown has been a driving force behind the organization’s growth, steering it through significant achievements and fostering strong relationships with health care partners and the community. Since joining Hospice of Central PA in 2014, Brown has led the organization through numerous milestones, including earning Joint Commission accreditation and securing a 5-star status in the We Honor Veterans program offered by the National Hospice and Palliative Care Organization. ... “Working with Gil has been a truly inspiring experience,” said Hank Straub, HCP Board Member. “His unwavering commitment to compassionate care and his visionary leadership have not only shaped Hospice of Central PA, but also set a high standard for excellence. Gil’s ability to lead with both heart and strategic focus has made a lasting impact, and it has been an honor to collaborate with him in serving our community.” 

Community making strides to reopen Owatonna's Hospice House Owatonna People's Press, Faribault, MN; by Annie Harman; 10/8/24 ... Allan and Randee Radel smiled as they remembered the days they relied on the Homestead Hospice House to care for Randee’s mother, Kaye Mahlman, during the final days of her life. “It was wonderful. It was good for her, and it was good for the family,” Randee said, looking at the house as visitors strolled inside. ... It has been more than a year since the Hospice House has cared for a patient, but there is movement being made to open the doors once again as a full-service residential hospice care facility. And thanks to the Radels, that dreaming has taken a significant step toward reality. The couple handed over a check this week to the HHH Board to put toward the $850,000 fundraising goal to reopen the house. While the couple has decided they’d rather just call it a “very generous donation,” in lieu of sharing the actual number, those involved in the fundraising efforts are not shy to say with confidence that, thanks to the Radels and others like them, they are making “significant progress” in reaching that goal. ...

SBL Hospice Binga raises record amount for endowment Cromwell Media; by SBL Hospice; 10/8/24 Sarah Bush Lincoln’s Hospice Binga event raised a record amount on September 3, netting more than $33,000 to support the Willow Breeze Hospice House Endowment. Since opening in January, Willow Breeze offers a beautiful home-like atmosphere where skilled care is provided to people in East Central and Southern Illinois to stay during their final days while also offering amenities for their families who visit. Earnings from the endowment help those with limited resources pay for their stay. 

Ellen McGirt on supporting caregivers at work Great Place to Work; by Roula Amire with Ellen McGirt; 10/8/24 This episode of Better features journalist, speaker, and podcast host Ellen McGirt. In this deeply personal conversation, we dive into the challenges of caregiving while balancing a career.  ...On how managers can better support caregivers at work: Flexible time off, no questions asked. A flexible schedule can change everything for people. ...On the impact a senior leader can have by talking about caregiving and grief: If a very senior person triggers this conversation in the workplace with a disclosure or concern, you're going to see new training, new conversations, new talking points, and new volunteers, and maybe even new staff positions around this. ...On how colleagues can support coworkers who are caretakers, or members of the sandwich generation: Kindness and compassion go a long way. ...

It’s official: How to be a Servant Leader comes down to 6 behaviors, Says Research The best leadership philosophy in the world, simplified to its most basic tenets. Inc.com; by Marcel Schwantes; 10/4/24 Workplace culture became a critical business topic a decade ago, with more executives and HR leaders recognizing that shared values and behaviors drive engagement, innovation, and performance. Building a strong culture, however, requires visionary leadership. One framework I’ve been using to develop leaders in my coaching and training practice is based on the seminal research of organizational leadership scholar Dr. Jim Laub. Laub identified six key leadership behaviors essential to fostering a thriving culture. These behaviors are rooted in the principles of Servant Leadership, a people-centric approach where leaders prioritize serving others, creating environments of trust, engagement, and productivity. ...