Literature Review

Hospice remains a blind spot for Medicare Advantage Axios; by Maya Goldman; 5/6/24 As Medicare Advantage grows bigger and bigger, there's one area the industry and regulators haven't figured out how to make work yet: hospice. Why it matters: The end-of-life care option is the only Medicare service that can't be offered in the private-run alternative, which now covers over half of enrollees. ... Catch up quick: Usually, when a Medicare Advantage beneficiary decides to enter hospice after receiving a terminal diagnosis, traditional Medicare pays for this care while they remain enrolled in their private plan. ... Editor's Note: This practical, user-friendly article outlines the purposes, challenges, and outcomes of Medicare Advantage with hospice patients. Share this with your leaders and board members.

Fallon Health plans to expand inclusive care program into Southeastern Massachusetts SouthCoast Today, The Standard-Times; by Kathryn Gallerani; 5/3/24 Fallon Health, a not-for-profit healthcare services organization based in Worcester with more than 45 years of experience providing care, has plans to open a new Summit ElderCare PACE Center in Dartmouth by the end of this year. PACE, a Program of All-Inclusive Care for the Elderly, provides services to adults 55 and older, including adults with complex medical needs, so they can age with dignity in their home or community. It's the biggest PACE program in Massachusetts. ... The other Massachusetts Fallon PACE locations are in Webster, Lowell, Leominster and Springfield. Fallon also has a PACE in western New York.

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.” ...

Social Model Hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, UtahJournal of Hospice & Palliative Nursing; by Francine Bench Jensen, PhD, RN; Deborah Thorpe, PhD, APRN; 4/24Abstract:  Health care for the homeless population is a complex challenge and represents a significant gap in care, particularly for those at the end of life. Hospice care may be desired but is rarely an option for people without residences, social support, and payment sources. Social model hospice is a unique paradigm of care delivery that offers a viable solution to make hospice and palliative care possible for this population. ... Recommendations for establishing social model hospices are made: key strategies include identifying stakeholders dedicated to alleviating end-of-life homelessness needs, doing a formal needs assessment to identify community resource deficits, and forming mentoring relationships with established programs.

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.]

NHPCO's 2024 Pediatric Palliative and Hospice Care Needs Assessment NHPCO; via email; 5/1/24 The 2024 Pediatric Palliative and Hospice Care Needs Assessment is a product of the National Hospice and Palliative Care Organization’s (NHPCO) Pediatric Advisory Council. The goal of the needs assessment is to gain a better understanding of the organizations and providers caring for pediatric patients with serious illnesses throughout the United States. The needs assessment helps create resources and support advocacy. The survey should only be completed once by each organization so please coordinate with your team to complete the survey. For help gathering information, we have created a PDF version of the survey but you will need to input the information into this survey for the information to be used.

Generative AI: A roadmap for healthcare leaders Curate; 4/30/24 ... As the capabilities of generative AI continue to expand, healthcare leaders are tasked with harnessing its potential while navigating the ethical, regulatory, and operational challenges it brings. This article offers a comprehensive roadmap for healthcare C-suite and senior leaders to incrementally adopt generative AI, emphasizing the strategic approach and expertise provided by Curate in healthcare consulting and technology modernization.

Minnesota’s new labor board votes for nearly $23.50 an hour minimum wage for nursing home workers Minnesota Reformer; by Max Nesterak; 4/29/24 'Today has been a long time coming,’ said nursing home worker Nessa Higgins at a news conference after Minnesota’s first labor standards board voted on April 29, 2024, to raise the minimum wage for nursing home workers to $20.50 per hour by 2027. Minnesota’s new workforce standards board took its first significant vote on Monday, agreeing to raise the pay floor to $23.49 per hour on average in 2027 for nursing home workers, while guaranteeing 11 paid holidays. The worker and government representatives on the board approved the minimum wages without the support of the board’s nursing home industry representatives, who abstained.

How will AI affect care? Let us count the ways McKnights Senior Living; by John O'Connor; 4/25/24 A new report from the editors at Health IT Analytics describes a dozen leading areas where changes will take place. The top three are especially germane to the senior living and care sector. Leading the charge is clinical decision support. ... Following closely is the integration of AI in drug discovery and development. ... Rounding out the top three are electronic health records. ...

'Why we need to talk about dying': Thames Hospice and the reality of palliative careMaidenhead Advertiser; by Sam Leech; 4/27/24What is your understanding of what a hospice does?Many would suggest it is a place where people go to die – but there is much, much more to the journey of patients and loved ones at Thames Hospice [United Kingdom]. ... Catherine McLaughlin, the hospice’s chief executive, said: “This is a place where – yes, death is a big part – but it’s about how do you make memories? How do you give hope at a time when there might not be much of that? Those final days in somebody’s life is a very important time and the lasting memories are important to those who are left behind.”Editor's Note: Too often--in order to make hospice palatable to another's "sign-on-the-dotted-line-so-we-can-admit-you"--marketing professionals overtly deny that hospice is about "dying," "death," or "grief." Take note from this CEO who sensitively weaves in death, dying and bereavement for not only hospice, but also for "palliative care" with gentle, authentic conversation and questions to the public.

Kaiser notifies 13 million patients of breachBecker's Health IT; by Naomi Diaz; 4/25/24Oakland, CA-based Kaiser Foundation Health Plan is notifying current and former patients that it shared information with third-party advertisers. Kaiser Foundation Health Plan reported to the HHS' data breach portal that 13.4 million current and former patients were affcted by the breach. The cause of the breach, according to an April 25 report from TechCruch, was the use of online technologies on its websites and mobile applications that "may have transmitted personal information to third-party vendors."

Missoula's first end-of-life center taking shape amid fundraising MissoulaCurrent., by Martin Kidston; 4/24/24 ... Missoula's first dedicated hospice center broke ground last June and is well on its way to opening early next year. The 15,000 square-foot facility has been planned down to the finest detail, from the play of lighting and sound in each room to a reflection center, with end-of-life literature and bereavement support for families. “Missoula has one of the fastest aging and oldest populations in the country. Not only that, we have a vast expanse of area to cover,” said Amanda Melro [Executive Director, Partners of Hope Foundation] . “People live in rural areas and they also live alone. Having a place like this where a family knows they'll be well-taken care of is a huge asset for them. We expect there will be a large demand for the beds.”

Employing telehealth to ease the hospice transition for kids with cancer mHelathIntelligence, by Anuja Vaidya; 4/23/24 ... In a study published in the Journal of Pain and Symptom Management last month, Children's Healthcare of Atlanta researchers detailed a telehealth-based intervention the hospital has employed to ease the transition to hospice for young cancer patients and their families. ... The intervention includes a series of coordinated telehealth visits during the first month of hospice enrollment for children or young adults, 29 or younger, with cancer. ... Hospice nurses participating in the pilot received a tablet equipped with mobile WiFi cellular service that they would take to the family's home, which enabled the [hospital/pediatric specialty] nurses and families to join the call. ... The most important finding of the study was that coordinated telehealth visits between the hospital, hospice, and the families during the first month of hospice enrollment were feasible and acceptable to all participants.