Literature Review

The process of dealing with death is experiencing rebirth in a less-religious Pittsburgh Digital Daily; by Med St-Esprit, PublicSource; 3/24/24 Tanisha Bowman, of the North Side, a palliative care social worker for Butler Health System and a “death walker,” walks amongst the old graves in St. Mary’s Cemetery. ... From green burial to glass orbs containing ashes, the norms of funerals and burials are broadening as religious affiliation declines. ... According to a 2021 survey by Pew Research, 3 in 10 American adults are religiously unaffiliated. Data compiled by Pew Research about the Pittsburgh metro region found that 50% of adults in the region describe religion as “very important” and nearly 20% consider themselves not religious. Shifts in faith and worship mean families as well as businesses related to death and dying have had to alter their approaches.

Researchers advocate for more home-based options for end-of-life care McKnights Home Care, by Adam Healy; 3/25/24 As older adults increasingly prefer to receive end-of-life care in their homes, new, community-based options will be critical to help patients achieve a home death, according to a new research review published in Palliative Care and Social Practice. ... The researchers analyzed 28 studies conducted between 2002 and 2023 related to factors that affect patients’ abilities to achieve a home death. One persistent issue, they found, was a lack of available home palliative care services. 

Maryland health officials have applied for new federal ‘AHEAD model.’ Here’s what it means. Maryland Matters, by Danielle J. Brown; 3/20/24State health officials have placed their bid for Maryland to be among the first participants in a federal program that will help fund state initiatives to improve patient outcomes and bridge inequities, while constraining hospital and medical costs. The U.S. Centers for Medicare and Medicaid Services (CMS) is rolling out the new States Advancing All-Payer Health Equity Approaches and Development Model, called the AHEAD Model, and states are invited to apply for funding. 

Lawmakers threaten harsher penalties for negligent providers, CEOs in wake of crippling cyberattack McKnights Home Care; by Adam Healy; 3/20/24 Roughly a month after Change Healthcare fell victim to a cyberattack that debilitated a large section of the healthcare system, Sen. Ron Wyden (D-OR) and Xavier Becerra, secretary of the Department of Health and Human Services, devised a plan to penalize providers that fail to protect their patients’ data. 

Medi-Cal Update - Hospice Care Program BulletinMedi-Cal, March Bulletin[Topics include:]

Care coordination, quality data crucial to hospice referral growthHospice News, by Holly Vossel; 3/18/24Care coordination and quality data will be engines for hospice referral growth. Hospices saw census volumes drop during the COVID-19 public health emergency as facilities nationwide restricted access to patients amid mandated state closures. Providers often turned to electronic communications to reach patients in facility- and community-based settings alike. Adaptability has been among the keys to coping with the pandemic’s lingering punches in referral streams, according to Craig Dresang, CEO of California-based YoloCares. As end-of-life care received a spotlight during a global pandemic, the historical viewpoints around hospice care delivery have been undergoing a “fundamental shift,” Dresang said.

Hospices stepping up performance on visits-in-last-days-of-life measure Hospice News, by Jim Parker; 3/14/24 Hospices, in aggregate, are showing improvement on the quality measure for visits in the last days of life. The number of registered nurse and social worker visits during a patient’s final week is one of the seven quality measures that CMS uses to evaluate providers. In Calendar Year 2021, the share of hospice care days with nurse visits in the last seven days of life rose to 63%, up from 62% year over year, according to the National Hospice and Palliative Care Organization (NHPCO). 

Telehealth study investigates reimbursements for rural health care deliveryMedical Xpress, by Vincent Jacobbi, Mayo Clinic; 3/15/24A recent Mayo Clinic study published in the American Journal of Hospice and Palliative Medicine investigated how telehealth in palliative care may provide value for rural caregivers, health care teams and their patients. Researchers were particularly interested in determining what billing models were most cost-effective and sustainable for health care teams and caregivers transitioning patients from hospital to home care

How home care companies can optimize operationsMcKnights Home Care, by Lance A. Slatton; 3/12/24To meet the evolving needs of this growing industry without placing additional stress on employed caregivers, it’s crucial that home care companies optimize their operations. This may involve streamlining their processes, adopting innovative technologies, and prioritizing efficiency to ensure high-quality care and sustainable growth.

Workplace Violence Prevention Plan Implementation: Answers to Frequently Asked QuestionsLCW, California Public Agency Labor & Employment Bolg; 3/13/24With the enactment of [California] Senate Bill (“SB”) 553, the legislature amended Labor Code section 6401.7 and added Labor Code section 6401.9, requiring employers to adopt and implement a Workplace Violence Prevention Plan (“WVPP”) and corresponding training for their employees by July 1, 2024. ... Since the enactment of the bill, employers have had questions regarding the WVPP and the training requirements. Below are some common questions and the responses to them: ... [Click on the article's title to view]

CMS hears you, hospice providersMcKnights Home Care, by Liza Berger; 3/8/24 Rarely does the Centers for Medicare & Medicaid Services succeed in shocking us. The large bureaucracy, which is not exactly known for its nimbleness, managed to do so this week when it abruptly cancelled the hospice component of the Value-Based Insurance Design Model. ... For those who wonder whether advocacy works, I’d chalk this up to a win for providers — and a clear example of advocacy in action. 

Hospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act. 

The Joint Commission, Kaiser Permanente announce application period for 2024 Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity GlobeNewswire, by The Joint Commission; 3/5/24 The Joint Commission and Kaiser Permanente are now accepting applications for the 2024 Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity. The award program will recognize a healthcare organization that led an initiative that achieved a measurable, sustained reduction in one or more disparities. Bernard J. Tyson, the late CEO and chairman of Kaiser Permanente, worked tirelessly to address the disparities that plague the U.S. healthcare system. Now in its fourth year, the award honors Tyson’s legacy by presenting organizations the opportunity to earn national recognition for their efforts to improve healthcare equity, as well as share best practices and lessons learned with thousands of organizations across the country.