Literature Review

Waverly nursing home put on probation, nurse suspended in connection to death of a resident, documents show ABC KETV-7, Omaha, NE; by Jake Anderson and Aaron Hegarty; 7/17/24 A nursing facility has been placed on probation by the Nebraska Department of Health and Human Services in connection to the death of a resident. Constance Glantz, 74, was mistakenly declared dead at The Mulberry at Waverly, a nursing home, in June. Glantz was then taken to a funeral home in Lincoln, which realized that she was still breathing. The 74-year-old, who was in hospice care, was declared dead hours later at a Lincoln hospital. A public records request by KETV Investigates shows that a state investigation into the facility in Waverly found the registered nurse on duty failed to take Glantz's blood pressure after it was believed she had died. That nurse was suspended, according to the state investigation. Documents show that the state also found a second case where a patient was not evaluated correctly. ... [Nebraska AARP Director Todd Stubbendieck] points to Medicare.gov's tool, which rates nursing homes, as a resource. He also points to a similar tool from ProPublica.

Risky business: Home sweet home or nursing home? American Nurse - Perspectives; by Christopher Hirschler, PhD, MCHES; 7/18/24 In 2018, “Nursing homes: Good intentions, sad realities” chronicled Rita Hirschler’s experience in a nursing home after decades of being a private care nurse. In response to the ideas espoused in the article, namely that a person has a right to live and die in their home and risks are unavoidable whether one lives at home or in a nursing home, a commentator asked, “What is the solution?” ... According to the Center for Medicare Advocacy and Lu and Lu, ownership and sponsorship type have been shown to significantly impact the quality of care in nursing homes, with for-profits generally having lower staffing levels and poorer patient outcomes. The Centers for Disease Control and Prevention, Meyer, and KFF Health News say for-profit nursing homes now account for approximately 72% of the more than 15,000 U.S. nursing homes, and they provide varying levels of care to 1.3 million residents. 

A personal approach: Patient Care Coordination Inc. celebrates a decade of inclusive healthcare Classic 96.7 FM BWZ, Philadelphia, PA; 7/17/24Philadelphia-based Patient Care Coordination Inc. (PCC), led by Founder and Executive Director Paul S. Rimar, proudly commemorates its 10th anniversary. With a steadfast commitment to inclusivity, particularly within the LGBTQ community, PCC has grown to serve over 6,500 participants across 21 counties in Pennsylvania, delivering high-quality, value-based healthcare services. ... A cornerstone of PCC’s mission is its dedication to the LGBTQ community. Rimar’s personal experiences with LGBTQ-specific challenges have profoundly influenced PCC’s inclusive policies and practices. ... [Rimar's] comprehensive background, including roles in long-term care, hospice, managed care, and transplantation, has been instrumental in PCC’s evolution and success.

7 hospitals closing departments or ending services Becker's Healthcare; by Andrew Cass; 7/12/24 A number of healthcare organizations have recently closed medical departments or ended services at facilities to shore up finances, focus on more in-demand services or address staffing shortages. Here are seven department closures or services that are ending or have been announced, advanced or finalized that Becker's reported since June 1: 

Cherokee nation: Closing gap in health care disparities Native News Online; by Churck Hoskin, Jr.; 7/14/24 ... American Indians in Oklahoma die on average 17 years earlier than their non-Indigenous neighbors. While this finding is alarming, it comes as no surprise to the Cherokee Nation or to the nearly 40 other tribal nations in Oklahoma. ... Even as we continue our advocacy efforts, we cannot afford to wait for the federal government to fulfill its responsibilities. That's why the Cherokee Nation, which operates the largest Native American health care system in the country, is taking unprecedented steps to address this crisis head-on. ... [We] are confident our historic investments in health care and wellness are improving health outcomes for our Cherokee citizens. Construction continues on the Cherokee Nation’s new $400 million, 400,000-square-foot state-of-the-art hospital being built in the capital city of Tahlequah. The new hospital will include an ER, surgery, ICU, imaging, pharmacy and lab, neo-natal ICU, hospice, dietary and acute care, and many other services. 

Program of all inclusive care for the elderly expanding in the Triad Spectrum News 1, Greensboro, NC; by Kaye Paddyfote; 7/12/24 Program of all inclusive care for the elderly, or PACE, is expanding in North Carolina. PACE provides all inclusive care to those who are 55 and older, and a new facility will serve Forsyth, Surry and Stokes counties. ...  PACE’S medical director, Dr. Tiffany Reed, says the new facility will provide those in rural North Carolina the care and socialization that’s necessary. “We have transportation services as part of PACE, we're able to pick them up and bring them to the center so they can come to appointments and receive therapy and their medical care on site,” Reed said. “So that would could make a big difference out there.”

Senior living providers embrace role in CMS dementia care pilot program McKnights Senior Living; by Kimberly Bonvissuto; 7/11/24 Senior living providers named participants in the federal government’s new dementia care pilot program said they are excited to be part of a new effort to support people living with dementia and their family caregivers. The Center for Medicare and Medicaid Innovation, CMMI, announced the Guiding an Improved Dementia Experience, or GUIDE, model last summer. The Centers for Medicare & Medicaid Services launched the eight-year GUIDE model on July 1 and published the program participant list on Monday [7/8]. Eligible model participants are Medicare Part B-enrolled providers eligible to bill for Medicare services and that provide, or will provide, ongoing care to people living with dementia. Eligible organizations include accountable care organizations, home health and hospice agencies, Programs of All-Inclusive Care for the Elderly, and physician practices. Additional long-term care providers and other healthcare providers, however, can participate as partner organizations by contract with another Medicare provider/supplier to meet the program care delivery requirements. Assisted living residents who are Medicare beneficiaries may be part of the model. Editor's Note: Adding to our previously published posts about the new CMS GUIDE Program (7/10/24 and 7/11/24) and its use by hospice organizations, this article describes its use by senior living care providers. 

Judge Realty partners with Hospice Savannah to offer home modification to support aging in placeSavannah Business Journal Staff Report; 7/8/24Judge Realty recently announced a partnership with Hospice Savannah to encourage and support aging in place. Judge Property Management, a division of Judge Realty, is working in conjunction with Hospice Savannah’s CAPABLE+ program to help older adults live independently with strategic support in the privacy of their home environment. ... Hospice Savannah’s CAPABLE program provides a support team, including a Registered Nurse, an Occupational Therapist and a Handyworker who offer home visits and provide limited care for older adults, which can decrease hospitalization and reduce healthcare costs. The standard CAPABLE program is available as a free service for low-income adults age 62 or older in Chatham, Bryan Effingham or Liberty County who are cognitively intact, but experiencing some difficulty bathing, dressing, grooming, eating or walking.

CMS to post more nursing home ownership data, facility health data for first time when it unfreezes star ratings this monthMcKnight's Long-term Care News; by James M. Berklan; 7/1/24The Centers for Medicare & Medicaid Services announced Monday that it will begin posting certain nursing home ownership information, as well as aggregated MDS data for all residents at a facility, both for the first time, and issue new guides for consumers, on the Nursing Home Compare website.Publisher's Note: Ownership data is a recurring theme - when will hospices experience more impact?

Former Kentucky hospital nurse charged with patient credit card fraud Becker's Hospital Review; by Alan Condon; 7/2/24 A nurse previously employed by Baptist Hospital East in Louisville, Ky., was arrested July 1 for allegedly using patients' stolen credit cards, according to ABC affiliate WHAS. Kentucky State Police charged Lauren Miller with stealing two or more patients' credit cards and fraudulently using those cards, according to the report. Ms. Miller allegedly used the credit cards for purchases totaling more than $1,000 between Nov. 27 and Dec. 7. ... "She is not employed by Baptist Health. In accordance with federal privacy laws, we are unable to share any additional information," a spokesperson for the hospital told Becker's. 

DME Service Solutions joins the National Association for Home Care & Hospice (NAHC) OpenPR - Worldwide Public Relations; Press release from DEM Service Solutions; 7/4/24DME Service Solutions, a provider of B2B outsourcing solutions specializing in healthcare, is pleased to announce its partnership with the National Association for Home Care & Hospice (NAHC). This partnership allows DME Service Solutions to engage with a community dedicated to advancing quality care and operational efficiency in the home care and hospice industry. NAHC represents the home care and hospice community, advocating for accessible and affordable care. By partnering with NAHC, DME Service Solutions connects with a network of professionals focused on effective home care solutions. This partnership provides access to the latest information and in-depth analysis of industry trends, which is essential for staying aligned with current industry needs. NAHC also offers educational programs that will help DME Service Solutions enhance staff expertise and continuously improve service quality.

Senior care experts detail how to build a coveted ‘destination workplace’ McKnights Home Care; by Josh Henreckson; 6/27/24 Faced with today’s complex array of financial, staffing and regulatory challenges, senior care operators need to rely on a broad range of workplace solutions, a panel of experts said. ... Providers should be actively listening to their employees’ needs and trying to meet the evolving desires of the labor market, they emphasized at McKnight’s “Meeting of the Minds” thought-leader discussion. This must take place whether they’re pursuing recruiting strategies, trying to improve staff retention, integrating new technological advances or investing in new benefits and professional development. “The one area that’s going to undergird everything for your success is paying attention to the most important capital, which is human capital,” said Navin Gupta, CEO at software provider Viventium. “Pay attention to the caregiver experience from recruitment … to retention to recognition and development — the entire journey."

Grief care efforts should include settings outside of hospice, provider group say McKnights Senior Living; by Kimberly Bonvissuto; 7/3/24 If standards are developed for high-quality bereavement and grief care, they must apply to settings outside of traditional hospice care, such as affordable senior housing, where there is a “critical lack” of mental health services. That’s according to LeadingAge, which submitted comments last week to the Agency for Healthcare Research and Quality on a draft report from a research project that will inform an independent panel that will develop standards for high-quality bereavement and grief care. Katy Barnett, LeadingAge director of home care and hospice operations and policy, highlighted the need for cross-continuum grief and bereavement assessments, interventions and resources, including in settings outside of traditional hospice care, such as affordable senior housing.