Literature Review

Jimmy Carter’s long stay in hospice dispels myths about end-of-life care Miami Herald; by Brian Dunleavy; 6/24/24 Former President Jimmy Carter's being in hospice for 16 months makes him an "outlier," but it also highlights the multifaceted nature of end-of-life care and dispels myths about that care, experts told UPI. ... [Dr. Joan Teno, a former hospice provider and an expert in geriatric care said,] "President Carter is an outlier in that only a small percentage of hospice patients survive more than 15 months," she told UPI in an email. "The fact that he has lived so long on hospice is testament to his excellent medical care at home and, if I had to guess, his will to live." It also illustrates the core focus of hospice, which is typically geared toward people with an anticipated life expectancy of 6 months or less, for whom curing their underlying illness isn't an option, Teno added. Defying the odds: More than 90% of patients who enter hospice care die within the first six months, and nearly 40% die within the first week, according to the National Institutes of Health.Editor's Note: Too many hospice organizations and news outlets have used former President Jimmy Carter's longer-than-normal hospice stay to discount and ignore core "hospice" care. Rarely--if ever--have any of these news article been transparent to mention the CMS Hospice Face-to-Face Encounter Requirement. This article is more transparent by describing his hospice stay of 16 months as being as "outlier." Still, its headline can be misleading with its phrase "... dispels myths about end-of-life care."

Circle of Life Hospice opens guest house ABC KOLO 8 NewsNow, Reno, Nevada; by Emily Benito; 6/19/24The Circle of Life Hospice Foundation has just opened their first hospice care guest house for those that cannot afford room or board or end of life care. President of The Circle of Life Hospice Foundation Michelle Cagle says that if they had 10 to 15 beds in the house, they could help around 271 patients a year. The guest house currently has three beds for patients but with more land to build on, there are plans to build a second guest house on the property. “Whether they are homeless or just elderly or their wife can’t take care of them or they’re just not able to afford it or they don’t have any family or children, that’s what we do and opened this house to care for those people.” 

How Coastal Hospice improved clinical outcomes with AIHospice News; by Holly Vossel; 3/6/24Coastal Hospice & Palliative Care recently began exploring ways to improve clinical outcomes during the last days of life, an important quality measure in end-of-life care. The organization has found success utilizing an AI program that analyzes patient data using a palliative performance scale (PPS) indicator, according to Monica Escalante, president and CEO at Coastal Hospice. This window into a patient’s conditions has helped hospice teams better assess approaches to care delivery, Escalante said.Publisher's Note: I recently came across this article from a couple months ago and wanted to share it. An interesting article with impressive outcomes, I've also had positive experience with the PPS. Is your hospice using it?

Global digital health outlook and growth report 2024: Care at home and alternative sites will see a growing preference, focus will be on adoption across clinical and operational use cases Classic 96.7 FM; by Business Wire; 6/17/24The digital health industry has maintained a consistent growth trajectory. Investing in technologies that help organizations achieve the quintuple aim of healthcare is a constant priority. However, high inflation and tight monetary policy will impact the investment landscape as it shifts from top-line growth to profitability. ... Change management initiatives will require stakeholder education to understand the pros and cons of newer technology initiatives and work alongside these to improve clinical and operational processes. Top 2024 Digital Health Predictions:

Alive welcomes experienced hospice leader as new CEO: Middle Tennessee's only nonprofit hospice provider poised to build on industry-leading reputationAlive Hospice; 6/13/24Alive, Middle Tennessee’s only nonprofit provider of hospice and palliative care and end-of-life services, today announced Kerry Hamilton as the organization’s new president and chief executive officer. He will begin his new role on June 24. A highly accomplished health care leader, Hamilton joins Alive with more than 20 years of direct hospice management experience, including a decade as CEO of nonprofit Hospice of Central Ohio. ... Hamilton’s hiring comes one year after news broke that Alive was considering a sale to a for-profit entity. The news led to a tremendous outpouring of support from the community for Alive to remain nonprofit. Ultimately, the Board of Directors made the decision that Alive would remain an independent nonprofit organization. The Board then began the search for a new CEO who shared its vision for the future.

June is Adult Protection Awareness MonthKREX Grand Junction (CO); by Jessica Livingstone; 6/8/24June is Adult Protection Awareness Month, and Mesa County kicked this month off by tying purple ribbons around their campus to show their support for the victims. WesternSlopeNow talked to HopeWest about the resources they have to protect the community. If you’d like to know more information about HopeWest’s resources, you can call or click here.Publisher's Note: How is your hospice participating in Adult Protection Awareness Month?

H.R.8278 - Hospice Recertification Flexibility Act: Introduced to Congress Congress.gov; introduced by Rep. Carol Miller [R-WV-1] on 5/7/24; text released 6/10/24To amend title XVIII of the Social Security Act to extend certain telehealth flexibilities with respect to hospice care under the Medicare program, and to establish a modifier for recertifications of hospice care eligibility conducted through telehealth.

New partnership aims to expand hospice services in EUP [Michigan]The Sault News; by Brendan Wiesner; 6/7/24 A new partnership between local and state organizations will help support hospice services for the Sault community. Several months ago, the Chippewa County Health Department decided to close its home health and hospice division. The division committed to providing hospice services until the end of 2024 or until a new program was made available for the community. The closing of the division did not affect the hospice services at the Hospice of the EUP, but it would have limited access to hospice services that are set up in people's homes. The division also provided some support to Hospice of the EUP through clinical support.Editor's Note: We posted a related article on 6/7/24, "Collaboration looks to fill void left by closure of Hiland Cottage Hospice." However, that article highlighted "Hiland Cottage Hospice" while this one focuses on "Hospice of the EUP."

NAHC, NHPCO comment on revision of Hospice Certifying Physician Enrollment RequirementHomeCare; 6/7/24 The National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) responded to the Centers for Medicare & Medicaid Services (CMS) recently revised guidance regarding the implementation of the hospice certifying physician enrollment requirement. NAHC and NHPCO identified that some instruction provided by CMS was inconsistent with established law and regulations regarding the certification of a patient’s terminal illness for new hospice elections after the first benefit period. That instruction, if implemented, could have resulted in major negative impacts on hospices and the patients and families they serve. Both organizations requested that CMS retract the guidance to remain consistent with regulation and statute. On June 6, CMS rescinded its guidance in order to align with current regulations, offering clarity for providers. 

3 keys to hospice oversight preparation Hospice News; by Jack Silverstein; 6/4/24 When hospice providers are being investigated not just by CMS but the FBI, the stakes for compliance are higher than ever. In May of 2024, the federal law enforcement agency placed its spotlight on the rising number of complaints about hospice fraud, in which hospices participate in signing up seniors for care without the seniors’ knowledge. Integrity concerns are in four states: Arizona, California, Nevada and Texas. The mechanics vary but the end result is the same: hospices getting paid for services they either did not provide, provided at a substandard level or had no authority to provide at all. ...

Hospice Certifying Physician edit in effectAAPC - American Academy of Professional Coders; by Rebecca Johnson; 6/3/24 The Centers for Medicare & Medicaid Services (CMS) and its Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) are all systems go for the new — and potentially troublesome — claims system edit. The edit went into effect June 3. ... In the 2024 Hospice Payment Rate Update final rule, CMS adopted a requirement that two categories of physicians must be enrolled in or validly opted out of Medicare for hospice services to be paid: the hospice medical director or the physician member of the hospice interdisciplinary group; and the attending physician that certifies the patient for hospice. CMS did at least grant hospices’ requests for an implementation delay at that time, moving the deadline from the proposed Oct. 1, 2023, to May 1, 2024. Then, on the eve of that start date, CMS bumped the edit for one more month. ...

BetterRX and Hospice Dynamix announce strategic partnership to reduce pharmacy costs for hospice agencies NBC News Channel 8, Salt Lake City, UT; by EIN Presswire; 5/31/24 BetterRX, a leading hospice pharmacy services and technology provider, and Hospice Dynamix, a revolutionary time-on-service predictive analytics platform, today announced a strategic integration partnership. This collaboration will leverage Hospice Dynamix's proprietary Predicted Length of Stay (PLOS) technology to enhance BetterRX's proprietary medication ordering and management platform, enabling hospice providers to make ordering decisions based on the individual patient, creating immediate savings for the hospice.

Hospice CAHPS scores updated 5/22/24CMS CAHPS® website; multiple updates posted 5/22/24 CMS has posted numerous CAHPS® Hospice Survey updates. Click on the title's link to access the CMS site. Click on "Care Compare Reporting Updates" or the following 5/22/24 updates: