Literature Review

New DOJ rules for online healthcare content make sure seniors aren’t taken offline McKnights Senior Living, by Aaron Dorman; 4/11/24The Department of Justice took steps earlier this week to help make sure old adults have appropriate access to valuable web content they need for understanding important healthcare and coverage decisions. State and government agencies, such as the Centers for Medicare & Medicaid Services, must abide by new technical standards, according to a new DOJ rule signed Monday [4/1/24]. “Just as stairs can exclude people who use wheelchairs from accessing government buildings,” the official rule states, “inaccessible web content and mobile apps can exclude people with a range of disabilities from accessing government services.” The technical requirements of the rule are extensive — the updated document is almost 300 pages long — but the overall purpose is to instruct agencies on their obligations to account for possible disabilities.

Private Equity: Proposed Health Over Wealth Act - What this means for you JD Supra, by Roger Strode; 4/11/24 On April 3, 2024, Senators Edward Markey ... and Elizabeth Warren ... chaired a Senate Health, Education, Labor, and Pensions (HELP) Subcommittee ... titled, When Health Care Becomes Wealth Care: How Corporate Greed Puts Patient Care and Health Workers at Risk. As part of the hearing process, Senator Markey released his new legislative agenda that calls for transparency and accountability for private equity (PE) in health care. ... The bill would require PE-backed or other for-profit owned providers (those providing services covered by Medicare under 42 U.S.C. Section 1395d) such as hospitals, hospice, nursing homes, and certain other facilities[1], to annually report to HHS on all manner of things including, but not limited to ... [click on the title to link to the list].

Valley Health and Blue Ridge Hospice expand partnership to offer hospice care at Shenandoah Memorial HospitalABC WHSV Fox TV 3, by Colby Johnson; 4/10/24 Valley Health and Blue Ridge Hospice are expanding their partnership to be able to offer their collaborative ‘Hospice in the Hospital’ program at Shenandoah Memorial Hospital in Woodstock. The program will allow patients at Shenandoah Memorial to receive end-of-life hospice care. 

City-country mortality gap widens amid persistent holes in rural health care access KFF Health News, by Jazmin Orozco Rodriquez; 4/9/24 The health disparities between rural and urban Americans have long been documented, but a recent report from the Department of Agriculture’s Economic Research Service found the chasm has grown in recent decades. In their examination, USDA researchers found rural Americans from the ages of 25 to 54 die from natural causes, like chronic diseases and cancer, at wildly higher rates than the same age group living in urban areas. ... In 1999, the natural-cause mortality rate for people ages 25 to 54 in rural areas was only 6% higher than for city dwellers in the same age bracket. By 2019, the gap widened to 43%.

Hospice of Redmond expands Camp Sunrise, yearly grief camp, to include teens 13-17KTVZ.com News Channel 21, Redmond, OR; 4/9/24 An estimated 6 million children, or 1 in 12 kids in the United States, will experience the death of a parent or sibling by age 18. ... Substance abuse and behavioral issues are closely intertwined with grief. Untreated grief may impact high-risk behavior, trouble in school, and substance abuse. Hospice of Redmond’s annual children’s grief camp, Camp Sunrise, which occurs every June, has expanded its offerings to include helping teens ages 13 to 17 this year.

Healthcare on the brink: navigating the challenges of an aging society in the United States  npj Aging, by Charles H. Jones and Mikael Dolsten; 4/6/24 The US healthcare system is at a crossroads. With an aging population requiring more care and a strained system facing workforce shortages, capacity issues, and fragmentation, innovative solutions and policy reforms are needed. ... Through a comprehensive analysis of the impact of an aging society, this work highlights the urgency of addressing this issue and the importance of restructuring the healthcare system to be more efficient, equitable, and responsive. 

Reminder: April 16 is National Healthcare Decisions Day The Conversation Project, Institute for Healthcare Improvement; ongoing until 4/16/24[Read for] specific ideas and suggestions for ways to implement National Healthcare Decisions Day (NHDD) activities in your community and at your facility. First and foremost, lead by example…be sure you have thoughtfully considered and made your own healthcare decisions known. Editor's Note: from The Conversation Project's "About Us": "The Conversation Project began 2010, when Pulitzer Prize-winning writer Ellen Goodman and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of 'good deaths' and 'hard deaths' within their own circle of loved ones."

Dane County Board approves funding for hospice care program for homeless individualsABC TV 27 WKOW, Madison, WI; by Chloe Morrissey; 4/6/24Multiple organizations aiming to combat homelessness received approval for funding after Thursday night's Dane County Board meeting. One organization, Solace Friends, will be receiving $100,000 for the creation of Solace Home. It's a hospice program for housing insecure individuals given less than 6 months to live. The home can serve up to four people at one time who are currently living on the street, in a shelter or an unstable housing situation. 

Navigating new requirements in the 2025 proposed Hospice Rule Hospice News, by Jim Parker; 3/5/24 If the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. MS late last month issued its proposed hospice rule for 2025. The proposal called for a 2.6% increase in hospice per diem base rates, a number that many stakeholders say is insufficient in today’s economic climate.

It’s past time for an upgrade to the Medicare Hospice BenefitHealth Affairs, by Cara L. Wallace and Stephanie P. Wladkowski; 4/5/24When most people think about hospice care, they imagine someone such as the late Rosalynn Carter, who enrolled onto hospice and died within a few days. Jimmy Carter’s long hospice stay, now more than a year, has shown a different model for hospice—one that supports its mission to help people live well, with dignity and quality of life, for whatever time remains. However, current policy restrictions to enroll and remain on hospice make it difficult for many hospice recipients to receive hospice care for “whatever time remains,” as 17.2 percent of Medicare hospice patients are discharged alive. Editor's Note: Many hospices used Jimmy Carter's one-year anniversary as a marketing tool that hospice is not really for the "dying." Many--if not most--of these articles were not transparent in identifying any type of recertification, decertification, or revocation processes. Yes, while it may be past time for CMS to upgrade the Hospice Benefit, it's also past time for hospice marketing to be more transparent with the public.

Community Hospice & Palliative Care recognizes National Volunteer MonthJAX Chamber, Press Release; 4/3/24 As April marks National Volunteer Month, Community Hospice & Palliative Care reaffirms its dedication to promoting and celebrating the invaluable contributions of volunteers. Volunteers are the heart and soul of our organization, providing companionship and a compassionate presence to patients and their families during challenging times. Throughout the month, Community Hospice & Palliative Care will spotlight individual volunteers and their inspiring stories through various social media platforms. These narratives will highlight the profound impact that volunteers have on the lives of those they serve and showcase the diverse ways in which they enrich our community. Editor's Note: Use this spark your own planning and recognition for your all-important hospice and palliative care volunteers!

Mortality, hospice use rates differ in assisted living communities depending on whether memory care is offeredMcKnights Senior Living, by Kimberly Bonvissuto; 4/4/24Assisted living communities that provide memory care services may attract residents closer to the end of life or promote hospice use at the end of life compared with assisted living communities without such services, according to the findings of a new study. ... Researchers from the Brown University School of Public Health, the University of Melbourne and the Johns Hopkins University School of Nursing examined whether end-of-life outcomes — mortality and hospice use — differed between assisted living facilities with and without memory care services among 15,152 residents who moved into larger communities between 2016 and 2018.Editor's Note: Click here for the source article, "Do end-of-life outcomes differ by assisted living memory-care designation?"

Hospice, home health provider Charter Healthcare files for Chapter 7 Bankruptcy Hospice News, by Jim Parker; 4/2/24 Hospice and home health provider Charter Healthcare, a portfolio company of Pharos Capital, recently filed for Chapter 7 bankruptcy. No public announcement was made. The petition for bankruptcy was filed in the Federal District Court of Delaware in late January, according to documents obtained by Hospice News. A public record search showed Chapter 7 filings for Charter locations in at least eight states, which span the company’s entire footprint.