Literature Review

Top 5 workforce priorities for leaders in 2025 Forbes; by Brent Gleeson; 10/26/24 As organizations evolve and face new challenges, leaders and managers are preparing to tackle pressing workforce priorities that will shape the future of work. Based on our data and experience at EXCELR8, and supported by extensive research conducted by Gartner, these priorities reflect the most significant areas HR leaders (and all leaders in the organization) need to focus on to remain competitive, retain top talent, and drive business outcomes. Below are the top five workforce priorities leaders must incorporate into their strategic imperatives for 2025. We highlight the key trends that will influence human resources strategies moving forward.

Palliative care in the ED reduces costs, improves patient outcomes Hospice News; by Jim Parker; 10/28/24 The presence of an embedded palliative care practitioner in the emergency department can significantly improve patient outcomes and reduce costs. A pilot program at the Michigan-based Corewell Health system in which a palliative physician was embedded in the ED effectively reduced inpatient mortality, readmissions, intensive care unit utilization and the total cost of care, while also boosting staff satisfaction, Lisa VanderWel, senior director for Corewell Health Hospice and Palliative Care, said during a presentation at the National Hospice and Palliative Care Organization (NHPCO) Annual Leadership Conference in Denver. ... “When you do really good palliative care, what happens?” she said during the presentation. “You have those [goals-of-care] conversations in a more timely manner. You have an earlier conversion to hospice. You avoid all the stress and crisis that’s involved if you wait until the last minute.”

Is compassion a strategic or soft leadership style? HRZone; by Victoria Brookbank; 10/28/24 Compassionate leadership is an emerging management style that offers strategic benefits to numerous businesses. But is it truly worthwhile? ... More recent approaches to leadership – placing compassion at the forefront of expected management skills – have also been making inroads in complementing workplace culture shifts. But they’ve not been universally accepted. Some have labelled new leadership approaches as “soft” or even a “woke”, seeing such changes as an inconvenience to getting on with the rigorous demands of driving business success. But more and more studies are proving that both are possible. Compassionate leadership is turning out not to be just a feel-good, optional practice. It’s becoming a strategic imperative – significantly enhancing organisational performance, psychological safety, employee engagement and wellbeing, as well as overall business outcomes. [Click on the title's link to continue reading.]

How today’s hospice fraud could warp tomorrow’s reimbursement outlook Hospice News; by Holly Vossel; 10/28/24 This is the second of a two-part Hospice News series that explores how fraud, waste and abuse in the hospice space could create headwinds for the industry at large. Fraudsters misspend millions of Medicare dollars annually, though the actual hospice-specific amounts are difficult to determine, regulators previously told Hospice News. Industry stakeholders have questioned whether the malfeasance will stymie the U.S. Centers for Medicare & Medicaid Services’ (CMS) ability to justify future reimbursement rate increases, which many hospice providers already consider insufficient to support the full range of their interdisciplinary services in today’s economic climate.

Cigna considers Humana acquisition – What it means for the stocks MarketBeat; by Jea Yu; 10/29/24 There has been speculation of a massive merger in the medical sector between two massive health insurers. Specifically, the rumor is The Cigna Group NYSE: CI is interested in acquiring Humana Inc. NYSE: HUM. The conjecture caused both stocks to react, as Cigna stock fell 10% as the rumored surfaced on Oct. 18, 2024, and Humana stock remained relatively flat. Based on the reactions, the market doesn't see this as a favorable merger, and for good reason. While there are many potential synergies in a merger, assuming it passes the regulatory antitrust sniff test (which is a big "if"), there is also a major sticking point that sinks any possibility of it coming to fruition called Medicare Advantage (MA). 

Terminally ill patients from other states can’t come to N.J. to end their lives, court rules NJ.com; by Chris Sheldon; 10/29/24 A federal judge ruled Wednesday that the residency requirement in New Jersey’s medical aid in dying law does not violate the U.S. Constitution, meaning the state can continue to keep its right to die law exclusively for residents. The ruling was in response to a lawsuit filed in August 2023 by Compassion & Choices on behalf of terminally-ill cancer patients in Delaware and Pennsylvania and two New Jersey doctors, according to a statement from the non-profit, which works to expand choice for the end of life.

Providence Alaska Medical Center tests virtual care model, announces hospice partner Alaska Business - Healthcare, News; 10/28/24 Providence Alaska Medical Center (PAMC) recently launched a new way of caring for patients that combines bedside nursing with a virtual or remote nurse and a dedicated patient care technician or certified nursing assistant. Known as co-caring or virtual nursing, the bedside nurse manages direct patient-care duties while the virtual nurse coordinates other support tasks. Also this month, the Washington-based not-for-profit healthcare system that operates PAMC announced it will partner with Compassus...Co-Caring Model Leverages Skilled Nurses: Virtual nursing is a response to a strained labor market. A study by the National Center for Health Workforce Analysis shows Alaska is projected to lead the nation in nursing vacancies, with as many as 23 percent of openings unfilled, by 2030. The co-caring model helps address the impending shortage while providing added patient care, Providence officials say.

Hurricane Helene: NC recovery update after one monthHospice & Palliative Care Today; Chris Comeaux with Cordt Kassner; 10/29/24This is an ongoing series of interviews with Chris Comeaux, President / CEO of Teleios Collaborative Network, who lives and works in Western North Carolina – the area most impacted by Hurricane Helene. Chris framed today’s discussion as the good, the bad, and the ugly:

Pinnacle home care CEO: Home health margins will increase ‘significantly’ with AIHome Health Care News; by Andrew Donlan; 10/22/24If you don’t like change, you’re going to hate extinction. That’s a phrase that should be hung up on home health providers’ walls across the country, according to Pinnacle Home Care CEO Shane Donaldson. There’s traditional Medicare rate cuts, Medicare Advantage (MA) penetration, staffing shortages and regulatory challenges in the home health market. But Donaldson sees solutions to most of those problems on the horizon. Emerging technologies – and in particular, artificial intelligence – will alleviate some of the contemporary pressures in the space, he believes. And when those pressures are alleviated, margins will skyrocket.

Hospices: Boost quality assurance, training amid switch to HOPE, compliance experts sayMcKnight's Home Care; by Adam Healy; 10/22/24The new Hospice Outcomes and Patient Evaluation (HOPE) tool officially launches in less than a year, so now is the time to begin modifying operations and training staff to adapt to the new quality reporting framework, according to Jennifer Kennedy, vice president of quality, standards and compliance, and Kimberly Skehan, vice president of accreditation at Community Health Accreditation Partner. On Oct. 1, 2025, the HOPE tool will replace the Hospice Item Set for hospice quality reporting. For providers, HOPE demands more critical thinking than the legacy Hospice Item Set, Kennedy said Monday during the 2024 National Association for Home Care & Hospice conference in Tampa, FL. HOPE’s quality measures include hospice’s health outcomes, sociodemographic impacts, administrative performance and more. For some, adapting to HOPE might require internal Quality Assurance and Performance Improvement (QAPI) program upgrades.

Palm Harbor family suffers flood after Milton, less than month after mother dies from breast cancer ABC WFTS Tampa Bay, FL; by Jessica De Leon; 10/26/24 One Palm Harbor family is gutting the first floor of their home, destroyed by flood waters after Hurricane Milton. Cali Gignac’s childhood home is not in a flood zone or near any large bodies of water, yet more than two feet of water entered her parents' townhome and destroyed everything just a month after her mother died. “We haven’t had a chance to sort her mementos. We haven’t had a chance to grieve her or anything. And now it’s like... everything is garbage.” Now, they are trying to save what they can, sometimes stopping to take a snapshot of notes or photos that they find. But as tears come, they quickly move on, knowing they have so much to do.“Our photo albums are just, like, melting.”Editor's note: Click here for a public service educational video, "Community Crisis and Grief," with a significant section devoted to coping with "normal" bereavement in the midst of a community crisis. Disclosure, provided by Composing Life Out of Loss, a sponsor of this newsletter.

Divorce rates among older adults have almost tripled since 1990McKnight's Senior Living; by Lois A. Bowers; 10/23/24New research finds an almost threefold increase in the percentage of divorced older adults compared with three decades ago. And an increasing number of older adults never have married. The investigators at the National Center for Family and Marriage Research at the Bowling Green, OH, educational institution found that the divorce rate among people aged 65 or more years increased from 5.2% in 1990 to 15.2% in 2022. Or, put another way, one in every 10 people divorcing in the United States today is aged 65 or more years. Although reasons for the increase in divorce were beyond the scope of the study, Brown theorized that contributing factors could include increased life expectancy and the fragility of remarriages.Publisher's note: Interesting implications for hospice care and caregivers.