Literature Review

Androscoggin Home Healthcare + Hospice rebrands to ‘Andwell Health Partners’ Home Health Care News; by Andrew Donlan; 5/21/24 The Maine-based Androscoggin Home Healthcare + Hospice is rebranding to “better reflect its evolutions and future,” and will be operating under the name Andwell Health Partners moving forward. ... Andwell – formerly Androscoggin – is a nonprofit operator that employs more than 500 workers across all 16 counties in Maine. The company ... has expanded past just home health care over the years to provide hospice, palliative, behavioral health and pediatric care services to patients. Its president and CEO, Ken Albert, has served on the board of the National Association for Home Care & Hospice (NAHC) ... including as chairperson of the board. ... The word Andwell is “an amalgamation of the organization’s history, mission and services,” the company said. Specifically, the “And” makes reference to Androscoggin, the “Well” emphasizes the focus on health and wellbeing and “Dwell” evokes its home-based care focus.

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.

Home care providers need to step up worker safety initiatives, experts sayMcKnight's Home Care; by Adam Healy; 5/14/24In the aftermath of the Occupational Safety and Health Administration’s citing of Elara Caring for failing to protect a worker killed on the job, safety and legal experts are urging providers to be proactive about implementing worker safety practices. “We have been seeing a rather significant uptick in workplace violence issues in the home-based care industry,” Angelo Spinola, an attorney at Polsinelli, told McKnight’s Home Care Daily Pulse, in a statement. “We highly recommend that providers take proactive steps to implement home-based care specific policies and procedures and conduct workplace trainings that address common issues such as what to do if a client is acting erratically, how to report unsafe conditions in the home [such as an unsecured firearm], de-escalation techniques, etc.”

Medicaid 80/20 rule could drive surge in home care deals Modern Healthcare; by Diane Eastabrook; 4/10/24 Private equity firms and large home care companies could soon be going head to head to buy smaller personal care operators expected to exit the industry because of a new regulation. The potential for industry consolidation stems from the Centers for Medicare and Medicaid Services’ Ensuring Access to Medicaid Services rule that will require home care companies to spend 80% of Medicaid reimbursements on caregiver wages. Mergers and acquisitions advisers predict the so-called 80/20 rule, finalized April 22, could prompt many smaller operators to sell.

Best 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.

[Honoring Nurses Week] Too many nurses are being assaulted. Some say they are being blamed for the attacks. Chief Healthcare Executive; by Ron Southwick; 5/9/24 With disturbing regularity, nurses in hospitals and other healthcare settings are being physically assaulted and verbally harassed. More than half of emergency nurses say they’ve been assaulted or threatened within the past 30 days, according to the Emergency Nurses Association. In a separate study, researchers found that healthcare workers faced at least one violent or aggressive incident for every 40 hours worked, according to findings published by The Joint Commission Journal on Quality and Patient Safety. With the observance of National Nursing Week, the increased violence in healthcare can’t be ignored. Nursing leaders say the regular exposure to violence or threatening behavior is one factor adding to stress and burnout of nurses and, in some cases, spurring them to seek new jobs.

Caring for the Caregiver: A Guide for Home Care Providers Forbes; by Joan Ekobena; 5/8/24This article proposes that nurturing the psychological and physical well-being of caregivers [employees] is essential. It’s not just a matter of ethical responsibility but a fundamental factor for maintaining quality care, promoting continuity of care and boosting employee retention. This can create a positive ripple effect, which can not only increase customer satisfaction but also boost business revenue. ... A recent decision by the Office of Inspector General (OIG) underscores the increasing awareness of the need to invest in caregiver wellness. Guides are listed as "Strategies for Supporting Caregiver Wellness and Mindset": ... [Note: "Caregiver" denotes employees who provide home care, not the family "caregiver" in the home.] 

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). 

Terminal 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.

Elara Caring, cited in death of visiting nurse Joyce Grayson, vows to contest violation McKnights Home Care; by Adam Healy; 5/3/24 The Department of Labor’s Occupational Safety and Health Administration (OSHA) has cited home health, hospice and personal care provider Elara Caring for failing to provide adequate safeguards to protect visiting nurse Joyce Grayson from workplace violence. Grayson, a licensed practical nurse, was killed last Oct. 28 while providing a home health visit for a client living in a halfway house in Willimantic, CT.  The DOL disclosed this week that its OSHA division cited New England Home Care, where Grayson worked, and Jordan Health Care Inc., which both do business as Elara Caring, with a “Willful-Serious” citation. Elara Caring faces up to $163,627 in penalties resulting from the citation. ...

Optum layoffs affect teams in Medicare Advantage I-SNP, IE-SNP business Skilled Nursing News; by Zahida Siddiqu; 5/2/24 Optum is paring back its workforce, including in the parts of the business related to Medicare Advantage plans for nursing home and assisted living residents. ... The recent layoffs at Optum number hundreds of people across various parts of the company, according to multiple news reports. The company is discontinuing its virtual care business, as Endpoints first confirmed. ... Multiple sources have shared that out of a roughly 20% to 30% of a 400-person workforce [in IE-SNP business] has been laid off in this part of Optum. ... The reduction in staff was across the board from senior leaders on the clinical end to low-level employees, industry sources said.

Doing the right thing for hospice patients Journal of Emergency Mediscal Services; by Abe Tolkoff, EMT, Daniel Tauber, NRP, and Amelia E. Breyre, MD, NRP; 5/2/24 Here is a novel solution in practice at the Yale New Haven Hospital Center for EMS; a paramedic hospice rotation. After being dispatched to a lift assist call, two novice EMTs proceeded to the address without lights or sirens. They grabbed their gear bag and walked up the stairs to the home. Knocking on the door, they announced “EMS!” and heard a frantic “Come in!” followed by, “he has a DNR.” ...

43 health systems ranked by long-term debt Becker's Hospital CFO Report; by Alan Condon; 4/29/24 Long-term debt has long been a staple in healthcare, but many hospitals and health systems are responding to the increasing cost of debt and debt service in the rising rates environment. Highly levered health systems are looking to sell hospitals, facilities or business lines to reduce their debt leverage and secure long-term sustainability, which creates significant growth opportunities for systems with balance sheets on a more solid financial footing. Forty-three health systems ranked by their long-term debt: ... [Click on the title's link for the list.]