Literature Review
All posts tagged with “Post-Acute Care News | Hospital at Home News.”
Chronic loneliness and the risk of incident stroke in middle and late adulthood: a longitudinal cohort study of U.S. older adults
06/29/24 at 03:20 AMChronic loneliness and the risk of incident stroke in middle and late adulthood: a longitudinal cohort study of U.S. older adults eClinical Medicine, Part of THE LANCET Discovery Science; by Yenee Soh, Ichiro Kawachi, Laura D. Kubzansky, Lisa F. Berkman, and Henning Tiemeier; 6/24/24 Loneliness has been implicated as a stroke risk factor, yet studies have examined loneliness at only one time point. The association of loneliness changes and risk of incident stroke remains understudied. Our aim was to examine the association of loneliness with incident stroke, particularly the role of loneliness chronicity. Chronic loneliness was associated with higher stroke risk independent of depressive symptoms or social isolation. Addressing loneliness may have an important role in stroke prevention, and repeated assessments of loneliness over time may help identify those particularly at risk.Editor's Note: This is the source research for an article we posted yesterday, 6/28/24, titled
HHS to impose penalties on providers that block patients’ health information
06/28/24 at 03:00 AMHHS to impose penalties on providers that block patients’ health information McKnights Home Care; by Adam Healy; 6/24/24In a bid to promote easier access and exchange of patients’ health records, the Department of Health and Human Services published a final rule Monday outlining penalties for providers that block access to electronic health information. ... Fragmented and inaccessible patient data can prevent long-term and post-acute care providers from seeing the full picture of a patients’ health. Hospitals, for example, are not required to share updates about a patient’s health with the patient’s post-acute care provider. As a result, home health and home care agencies frequently cannot access patients’ electronic health records to help assess and treat patients. Three disincentives: ... First, hospitals that commit information blocking can be subject to a reduction of three quarters of an annual market basket update. Second, clinicians eligible for the Merit-based Incentive Payment System will receive a zero score in the “promoting interoperability performance” MIPS category, which can be equivalent to roughly a quarter of the clinician’s MIPS score in a given year. Lastly, providers that participate in information blocking can have their Medicare Shared Savings Program or Accountable Care Organization eligibility revoked for at least one year. ...Editor's Note: Almost any solution raises additional challenges. How does HIPAA interface with this? How might a cyberattack at a hospital (or other healthcare agency) affect the patients' other agencies, putting them at risk as well?
Fixing the hospital-to-home health care transition
06/28/24 at 03:00 AMFixing the hospital-to-home health care transition Home Health Care News; by Andrew Donlan; 6/25/24 The transition between hospital discharge and home health care is often fraught with issues. Unfortunately, it also happens to be one of the most crucial parts of a patient’s care journey. With more sick and complex patients coming into home health care than ever, a swift start of home health care is also arguably more important than ever. ... The Discharge to Assess (D2A) Model was a response to this issue in England. The Supporting Older Adults at Risk (SOAR) program, following a similar framework to D2A, was also recently established in the U.S. A study of SOAR’s results within a pilot program in Pennsylvania was recently published in the Journal for Healthcare Quality.
48 health systems with strong finances
06/25/24 at 03:00 AM48 health systems with strong finances Becker's Hospital CFO Report; by Andrew Cass; 6/20/24 Here are 48 health systems with strong operational metrics and solid financial positions, according to reports from credit rating agencies Fitch Ratings and Moody's Investors Service released in 2024. Note: This is not an exhaustive list. Health systems were compiled from credit rating reports. [Click on the title's link for the list.] Editor's Note: This list is from larger "health systems," and does not reflect stand-alone hospice and palliative organizations.
Mass General Brigham union could shape hospital-at-home’s future
06/21/24 at 03:00 AMMass General Brigham union could shape hospital-at-home’s future Modern Healthcare; by Diane Eastabrook; 6/17/24 Nurses at one of the nation’s largest hospital-at-home programs have unionized, a move they hope could influence the future of in-home acute care and encourage more people working in home healthcare to join unions. The union vote at Boston’s Mass General Brigham comes as hospitals push aggressively to expand care outside of their walls, while a worker shortage and increased demand for healthcare contribute to rising labor strife among caregivers. Approximately 80 Mass General Brigham home hospital nurses voted overwhelmingly on May 16 to join the Massachusetts Nurse Association. The National Labor Relations Board certified the union to represent the nurses on May 24 and they are in the midst of selecting a bargaining team that will begin negotiating a contract with the hospital system within the next few months. ... The hospital system is set to expand the number of patients the program can accommodate from 50 patients a day to 200 over the next few years.
Acting now to sustain and improve America’s healthcare system: Advice from innovative physicians and health system leaders
06/13/24 at 03:00 AMActing 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: ...
Palliative care considerations in frail older adults
06/13/24 at 03:00 AMPalliative care considerations in frail older adults Annals of Palliative Medicine; by Andrew E Russell, Rachel Denny, Pearl G Lee, Marcos L Montagnini; 6/6/24, online ahead of print...This paper aims to guide clinicians in providing patientcentered care for older adults with frailty in the outpatient setting. Through a comprehensive literature review, we describe the leading models of frailty, frailty screening tools used in the clinical setting, and the assessment and management of palliative care needs in frail patients. We also describe emerging models of care focusing on palliative care for older adults with frailty and discuss issues related to access to palliative care for this population.
Transformative peer connections: Early experiences from the ASCO Palliative Care Community of Practice
05/27/24 at 02:00 AMTransformative peer connections: Early experiences from the ASCO Palliative Care Community of Practice American Society of Clinical Oncology; by Mazie Tsang, Cristiane Bergerot, Natasha Dhawan, Rushil Patel, Darcy Burbage, Tingting Zhang, Jafar Al-Mondhiry, Joseph McCollom, Ramy Sedhom; 5/22/24 online ahead of print in June 2024 ... there are barriers to implementing palliative oncology at many institutions for myriad reasons. ... In this article, we discuss an innovative strategy that ASCO implemented called the Communities of Practice (CoP). We share our experiences as the Palliative Care CoP and how our group seeks to develop processes and structures to collectively promote systemic change and enhance palliative care delivery for people with cancer. Our Palliative Care CoP engages with senior leaders, administrators, and those in power to achieve a shared vision of delivering holistic health care for people with serious illness. ... [We address] eight main domains:
Tuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leaders
05/24/24 at 03:00 AMTuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leadersInvestors Observier; by PR Newswire; 5/21/24Tuesday Health, a pioneer in value-based care dedicated to transforming serious illness, has launched its innovative supportive care solution in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures , and CareSource. This alliance brings a $60 million strategic investment to Tuesday Health, fueling its mission to redefine supportive care for patients and caregivers facing serious illnesses. "Leveraging clinical expertise, advanced data solutions, and cutting-edge technology, while partnering with Ohio's largest Medicaid plan, its largest hospice provider and the unmatched palliative care experience of Mass General, Tuesday Health is dedicated to tackling one of healthcare's biggest challenges-providing support and care in the right setting, at the right time, for those facing serious illness", said Jim Wieland, CEO of Tuesday Health.Editor's Note: What is the difference between supportive care and palliative care? Click here for a description from ASCO, the American Society of Clinical Oncology.
Hospital-at-home grows despite regulatory uncertainty
05/22/24 at 03:00 AMHospital-at-home grows despite regulatory uncertaintyModern Healthcare; by Diane Eastabrook; 5/17/24Health systems and technology companies are betting big on home-based hospital care, despite regulatory uncertainty about the program’s future. Hospitals are bullish on at-home acute care because it can save money and make more beds available in their facilities for sicker patients. Medicare also pays health systems the same rate as it would for an inpatient admission. Since January, two health systems and 16 hospitals launched hospital-at-home programs under the Centers for Medicare and Medicaid Services’ Acute Hospital Care at Home waiver, bringing the total number of programs to 336 across 37 states, according to the agency’s website. More programs are slated to launch this year as Congress considers whether to extend the waiver beyond its Dec. 31 expiration date. Hospital-at-home allows certain patients to receive acute-level care where they live through telehealth and in-person visits, supplemented with remote patient monitoring. The concept gained traction during the COVID-19 pandemic when CMS approved a waiver in 2020 to alleviate overcrowding in hospitals. Large health systems, including Mass General Brigham, Geisinger and the Cleveland Clinic have invested heavily in home-based acute care. Many smaller hospital systems are doing the same by leveraging in-home care technology.
NAHC hails legislation to extend Hospital at Home Waiver Program
05/22/24 at 03:00 AMNAHC hails legislation to extend Hospital at Home Waiver Program NAHC Newsroom - National Association for Home Care & Hospice; Press Release; 5/20/24 The National Association for Home Care & Hospice (NAHC) applauds the introduction in the United States Senate of the Hospital Inpatient Services Modernization Act of 2024, bipartisan legislation sponsored by Sen. Thomas Carper (D-De) and Sen. Tim Scott (R-SC) to extend the Centers for Medicare & Medicaid Services (CMS) Acute Hospital Care at Home waiver program for five years. The Acute Hospital Care at Home waiver program is due to expire on December 31, 2024, but this legislation would extend it for five additional years.
Hospital CEOs ask patients to receive care at home
05/15/24 at 03:00 AMHospital CEOs ask patients to receive care at home Becker's Hospital Review; by Madeline Ashley; 5/14/24 Hospital executives are making the push to move more care, specifically recovery rooms and exams, out of the hospital and into patient homes, to potentially save money and improve finances as the country continues to move out of the pandemic, Politico reported May 11. And Congress is supporting these efforts by introducing legislation that would expand at-home care and to allow Medicare to continue funding telehealth. Here are five findings from the report: ... [Click on the title's link to read more.]
Best Buy lands new health system partner
05/14/24 at 03:00 AMBest Buy lands new health system partnerBecker's Health IT; by Giles Bruce; 5/10/24The tech retailer said it joined forces with Bethlehem, Pa.-based St. Luke's University Health Network in the first quarter. The health system will use Best Buy's Current Health remote monitoring platform to treat post-discharge congestive heart failure patients. "We talk a lot about our big goal to enable care at home for everyone, and we're intentional about our role as the enabler," Best Buy Health said in a May 9 statement. "Partnering with providers, health plans and biopharma organizations is at the core of our strategy." Best Buy has been leaning into healthcare in recent years, acquiring Current Health in 2021 for $400 million and sending Geek Squad members into patients' homes to set up hospital-at-home technology.
House Committee vote gives hope to extending telehealth, hospital at home waivers
05/13/24 at 03:00 AMHouse Committee vote gives hope to extending telehealth, hospital at home waivers Health Leaders; by Eric Wicklund; 5/9/24 The House Ways and Means Committee has voted to advance the Preserving Telehealth, Hospital and Ambulance Access Act (HR 8261), which would, among other things, continue pandemic-era Medicare waivers enacted by the Centers for Medicare and Medicaid Services (CMS) for telehealth access and coverage through 2026 and extend the CMS Acute Hospital Care at Home waiver for an additional five years, to the end of 2029.
How Mass General Brigham provides emergency care at home
05/08/24 at 03:00 AMHow Mass General Brigham provides emergency care at home Becker's Health IT; by Giles Bruce; 5/6/24Somerville, MA-based Mass General Brigham now treats patients needing emergency or urgent care at home. The health system's patients can request referrals to the Home Hospital Emergency Care program through their primary care providers, who decide if patients are stable enough to be treated at home. If they are, a nurse talks to the provider and schedules a home visit, where a paramedic completes a physical exam joined virtually by an emergency medicine physician. Editor's Note: Pair this article with others in today's newsletter: "Stranded in the ER, seniors await hospital care and suffer avoidable harm" (in our Post-Acute Care section), and "[Australia] Palliative patients can die peacefully at home with paramedic support, claims proposed framework" (in our International section).
[Australia] Palliative patients can die peacefully at home with paramedic support, claims proposed framework
05/08/24 at 03:00 AMPalliative patients can die peacefully at home with paramedic support, claims proposed frameworkRiotack - Australia; by James Day; 5/6/24A proposed national framework suggests paramedics could help ease pressure on emergency departments by supporting palliative care patients who wish to die at home. Published in the leading international peer reviewed journal Palliative Medicine, the framework seeks to embed palliative care into paramedics’ core business and reduce needless transports to hospital. ... Lead author and trained paramedic Dr. Madeleine Juhrmann developed the framework in consultation with paramedics, palliative care doctors, GPs, carers with lived experience and others. The expert group – representing six countries and all the states of Australia – agreed on the framework’s 32 service changes to standardise best practice for paramedics delivering palliative care in community-based settings.Pair this with a USA article in today's newsletter, "Stranded in the ER, seniors await hospital care and suffer avoidable harm."
Terminal cancer: What matters to patients and caregivers
05/08/24 at 03:00 AMTerminal cancer: What matters to patients and caregivers Medscape Medical News; by Megan Brooks; 5/6/24 What's most important to patients with terminal cancer and their caregivers? New research found that patients and caregivers both tend to prioritize symptom control over life extension but often preferring a balance. Patients and caregivers, however, are less aligned on decisions about cost containment, with patients more likely to prioritize cost containment. ... As patients approached the end of life, neither patients nor caregivers shifted their priorities from life extension to symptom management.
Big Bend Hospice, Tallahassee Memorial HealthCare Partner on transformative approach to transitional care
05/06/24 at 03:00 AMBig Bend Hospice, Tallahassee Memorial HealthCare Partner on transformative approach to transitional careBusiness Wire; 5/2/24 Big Bend Hospice (BBH) and Tallahassee Memorial HealthCare (TMH) announced a partnership today to improve patient navigation within the healthcare system. This collaboration aims to streamline transitions between hospitals, doctor's offices, rehabilitation centers, and home care. The signing of the Affiliation Agreement creates a governance structure that will develop a transformative approach to improving transitions of care in the Big Bend community. Transitions of care involve a patient's movement between healthcare settings, such as doctor's offices, hospitals, rehabilitation centers, long-term care, home health, hospice, etc. This partnership establishes a network of connected healthcare services, creating a seamless patient journey regardless of specific needs.
Why health systems should embrace advanced in-home care models
05/02/24 at 03:00 AMWhy health systems should embrace advanced in-home care models McKnights Home Care; by Marcy Carty, MD, MPH; 4/25/24Over the next two decades, the adult demographic over 50 years of age will increase by 25 million, and with over 75% expressing a strong desire to age in place, it’s imperative to champion care models that support safe, high-quality care within the home. Despite proactive care models to support aging in the home, acute needs still arise. Health systems stand to gain manifold by embracing the paradigm shift to care in the home. By moving more advanced care delivery into peoples’ homes, systems can effectively curb acute healthcare utilization, decreasing hospital-acquired conditions and drastically improving patient and family experience.
Novant Health launches 'hospital at home' with $2.7M donation
04/29/24 at 03:00 AMNovant Health launches 'hospital at home' with $2.7M donation Becker's Health IT; by Giles Bruce; 4/24/24 Winston-Salem, N.C.-based Novant Health launched a hospital-at-home program thanks to a $2.7 million donation. The health system rolled out the program in March at its coastal North Carolina region, and said the ideal patient is one likely to need four days or fewer of inpatient care. ... atients, who are monitored by technology around the clock, have 24/7 access to a remotely located registered nurse, receive at least two visits a day from paramedics, and meet virtually with a physician once daily. ... The New Hanover Regional Medical Center Foundation provided $2.7 million to help with operational startup costs. Novant Health received a waiver from CMS for the program in 2021.
Change in long-term care: Nursing homes across U.S. closing
04/23/24 at 03:00 AMChange in long-term care: Nursing homes across U.S. closing limaohio.com, by Precious Grundy; 4/19/24... According to the American Health Care Association website, more than 1,000 nursing homes have closed in the United States since 2015. ... According to the Population Reference Bureau website, in 2050 the population older than 65 will increase from 58 million (in 2022) to 82 million in just a few decades. The topic of long-term care will remain in questions. The American Health Care Association also said nursing homes across the United States have closed due to staffing shortages. ... Older adults now have the option of a home health aide, assisted living facilities and family caregivers.Editor's Note: How is this trend playing out in your service area? How do these closures impact your referral sources? Your hospice patients in skilled nursing facilities and memory care units? Accuity of patient care needs in the home, assisted living? Hospital-in-the-home? The palliative care services you provide?
Valley Health and Blue Ridge Hospice collaborate to offer hospice in the hospital program at Shenandoah Memorial Hospital in Woodstock, VA
04/18/24 at 03:15 AMValley Health and Blue Ridge Hospice collaborate to offer hospice in the hospital program at Shenandoah Memorial Hospital in Woodstock, VA Valley Health Press Release; 4/15/24 Valley Health and Blue Ridge Hospice have expanded their collaborative Hospice in the Hospital program to Shenandoah Memorial Hospital in Woodstock, VA. On April 1, the two signed an agreement for Blue Ridge Hospice to work alongside the hospital’s care team to provide supplemental comfort care services to ensure eligible patients and families receive the most complete and comprehensive care during and after their stay at the hospital.
CMMI’s proposed TEAM Model offers another risk-based opportunity for home health providers
04/17/24 at 03:00 AMCMMI’s proposed TEAM Model offers another risk-based opportunity for home health providers Home Helath Care News, by Andrew Donlan; 4/15/24Last week, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced a new proposed model that will undoubtedly affect home health providers, and also allow them the opportunity to get more involved in value-based care initiatives. The Transforming Episode Accountability Model (TEAM), which would eventually be mandatory if finalized, would have selected acute care hospitals put under full responsibility for the cost – and quality – of care from surgery up until the first 30 days after hospital discharge.
[Maine] Senate backs safe staffing bill with aim to increase patient safety, decrease nurse burnout
04/03/24 at 03:00 AM[Maine] Senate backs safe staffing bill with aim to increase patient safety, decrease nurse burnout Main Morning Star, by Lauren McCauley; 3/27/24 If passed, Maine would be the second state in the country to institute nurse-to-patient ratios. ... Sen. Stacy Brenner (D-Cumberland), who sponsored the bill, shared with the chamber her experience as a nurse and how the stress of being understaffed can contribute to burnout and what she described as “moral distress.” ... Brenner said the bill accomplishes two goals: increasing patient safety and increasing nurse retention.
Palliative Care Movement achieves significant progress in California
03/20/24 at 03:00 AMPalliative Care Movement achieves significant progress in California California Health Care Foundation, by Claudia Boyd-Barrett; 3/19/24 ... Palliative care has taken root in California over the past 15 years, driven by hundreds of leaders within health plans, hospitals, clinics, home care agencies, advocacy and education organizations, and state government. ... Some of California’s greatest palliative care progress has been accomplished in programs serving people at the lowest income levels through the state’s Medi-Cal program and through public health care systems.