Literature Review

Man killed elderly parents, partner and himself in murder-suicide at SW Miami-Dade home NBC 6 South Florida; by Laura Rodriguez; 6/3/24A man shot and killed his elderly parents and partner before turning the gun on himself in a murder-suicide at a home in southwest Miami-Dade Sunday, police and family members said. According to police, [Jesus] Regueira [Jr.] shot and killed his parents, 83-year-old Jesus Regueira Sr. and 84-year-old Mercedes Morato, 61-year-old Kyrsten Stahre, who police identified as his girlfriend but family members said was his wife, before turning the gun on himself. ... The bodies were first discovered by family friend Joanna Cruz, whose mother was bringing food to Morato, who was under hospice care. ... “I think the problem was his mom had a severe stroke and she was in hospice and his mom was his life. Because someone had said that he wasn’t handling it well. The mom was there, but she had hospice coming in. His mom was his favorite person in the world. I don't know about the dad but I just know that’s probably what happened," Carol Miloch said. Editor's Note: Workplace violence in healthcare settings continues to rise, and to be a leading cause for nurse unionization and strikes.

IntellaTriage and CommonSpirit Health at Home deepen partnership with Homecare Homebase integration KMLK; Press Release; 5/30/24 IntellaTriage, the nation's leading provider of nurse-first hospice and home health triage solutions, and CommonSpirit Health at Home (CSHaH), one of the nation's largest nonprofit healthcare systems, went live with a secure integration between Homecare Homebase and IntellaTriage's triage platform, IntellaHub. Partners since 2022, the companies recognized that a deeper integration of their systems could greatly enhance their shared mission of improving patient and caregiver experiences. Home health and hospice electronic medical records (EMR) often lack interoperability, hindering efficient information exchange and patient care in the field. By breaking down these silos, both companies anticipate improved workflows, eliminated redundancies, and enhanced experiences for patients and field nurses. Editor's Note: This description emphasizes "field nurses." What about field psychosocial team members? Many hospice EMR systems are replicated from medical-centric documentation systems, without relevant fields and practice standards that are user-friendly for your social workers, spiritual care/chaplains, grief counselors, expressive therapists, and more. This editor's statement is not a assessment of this article's deepened partnership and its technology; rather, it is simply an observation and question for hospice leaders, whatever your EMR system.

Transformative 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 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. 

Breaking down walls: The other care models marking their territory in home-based careHome Health News; by Joyce Famakinwa; 5/17/24Traditional home-based care companies aren’t the only ones serving seniors, while helping shift care away from brick-and-mortar settings. Adult day, PACE and continuing care retirement communities (CCRCs) without walls are a few of the care models working to meet the needs of seniors that want to age in place. In many ways, these care models are natural allies to home-based care providers.

PE Sponsors Of Comfort Keepers, New Day Healthcare Are In Home-Based Care For The Long HaulHome Health Care News; by Joyce Famakinwa; 5/13/24While some private equity investors have been sidelined by macro and micro headwinds, there are still plenty of PE firms invested in home-based care that like where they are.

Aveanna is looking to grow in its ‘rightsized’ home health segment again Home Health Care News; by Andrew Donlan; 5/14/24 Aveanna Healthcare Holdings leaders believe the company is back at a place where it can bank on near-term growth in its Medicare-certified home health business. It first entered into a business “transformation” in January 2023, and that transformation is already paying dividends, according to CEO Jeff Shaner. But much of the turnaround has been led by the private-duty services segment. Now, Shaner sees a path for the company to begin accelerating its home health and hospice lines. 

Hospital 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.]

House 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.

New dementia guide provides best Standards of Care from 100+ not-for-profit hospice, palliative and advanced illness organizations PR Newswire; by National Partnership for Healthcare and Hospice Innovation (NPHI); 5/9/24 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for not-for-profit hospice care, in collaboration with Aliviado Health and the Center to Advance Palliative Care (CAPC), announces today the release of the NPHI "Dementia Care Resources Provider Guide." The new guide aims to improve the quality of life for patients with dementia, reducing hospitalizations, and easing the burden of advanced illness for families and caregivers. A dementia diagnosis poses substantial challenges for both patients and their families, impacting millions of Americans nationwide. Shockingly, the Alzheimer's Association reports that an estimated 6.7 million individuals in the U.S. currently live with dementia. 

Palliative 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." 

How 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). 

Elder abuse is easy to missNextAvenue; by Leida Snow; 5/6/24 Here is what to look for if you suspect a caregiver--whether a relative or a professional--is mistreating a loved one. ... People are living longer in their own homes outside of nursing homes or other institutional settings, which means that at some point each of us is likely to be a caregiver or looking for continuing health care for a loved one or ourselves. ... "My husband was in home hospice for the last months of his life." ... [A bereaved caregiver describes incidents with her husband's care.]  Then I ... went to the other room and called the agency's 24-hour number. 'I want her out of here,' I said. 'Please send someone else as soon as you can.' Lou briefly rallied the next morning, but he died later that day. Did the aide hasten his death? I believe she did."