Literature Review



CMS to provide Hurricane Helene Public Health Emergency Accelerated and Advance Payments to Medicare Fee-for-Services providers and suppliers

10/04/24 at 03:00 AM

CMS to Provide Hurricane Helene Public Health Emergency Accelerated and Advance Payments to Medicare Fee-for-Services Providers and SuppliersCMS press release; 10/2/24The U.S. Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) is taking action to support providers and suppliers impacted by Hurricane Helene within the Federal Emergency Management Agency (FEMA) disaster zones, under the President’s major disaster declarations. These providers and suppliers may face significant cash flow issues from the unusual circumstances impacting facilities’ operations, preventing facilities from submitting claims and receiving Medicare claims payments. As a result of the presidential disaster declaration, and HHS public health emergencies declared in the wake of Hurricane Helene, CMS made available accelerated payments to Medicare Part A providers and advance payments to Medicare Part B suppliers affected by Hurricane Helene beginning October 2, 2024.

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Top News Stories of the Month, September 2024

10/04/24 at 02:00 AM

Top News Stories of the Month, September 2024

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Hurricane Helene Disaster Relief Fund for home care & hospice employees in the Carolinas

10/04/24 at 02:00 AM

Hurricane Helene Disaster Relief Fund for home care & hospice employees in the CarolinasAssociation for Home & Hospice Care of North Carolina (AHHC of NC); by Judy Penn, Executive Director; 10/3/24 Click here to DONATE. Click here to APPLY for Assistance. urricane Helene has severely impacted our community, with many lives already lost in the Carolinas, and countless missing with no means of communication.  The Carolinas Foundation for Hospice & Home Care is accepting donations to distribute directly to hospice and home care employees devastated by this storm. Agencies are facing tremendous challenges, including displacement and/or evacuation of staff and patients, collapsed roads, failing infrastructure, lack of water, and the inability to communicate with downed lines. There is a major need for gas to continue to power generators for oxygen dependent patients both in home settings and hospice inpatient facilities. The Association staff has been in contact with government agencies to us keep up-to-date on the situation as it unfolds. Our industry is comprised of caring, compassionate individuals who help those in need. Please consider donating to the Hurricane Helene Relief Fund to help home care and hospice employees hit the hardest. ... 100% of ALL ADMINISTRATIVE COSTS are being borne by the Association and the Foundation. 100% of your donation (tax-deductible) comes in, and 100% of your donation goes out.

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AccentCare sued by EEOC for pay discrimination, retaliation

10/03/24 at 03:50 AM

AccentCare sued by EEOC for pay discrimination, retaliationMcKnight's Home Care; by Adam Healy; 10/1/24The US Equal Employment Opportunity Commission disclosed last week that it filed a lawsuit against AccentCare, a national provider of home health, personal care and hospice services, alleging wage discrimination and retaliation against workers.

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Doctor explains hospice care misconceptions

10/03/24 at 03:30 AM

Doctor explains hospice care misconceptions[NBC Denver] 9News; 9/25/24Dr. Payal Kohli explains what hospice care is, what they do at the care facility and explains the misconceptions around hospice.Publisher's note: Nice 5-minute TV interview about hospice.

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Heartwarming video show calves bringing joy to hospice patients

10/03/24 at 03:25 AM

Heartwarming video show calves bringing joy to hospice patients[Augusta, GA] Fox54 News; by Talker News; 9/26/24Carol Harland had family visiting her when she was surprised by the calves visiting. A heartwarming video shows end of life patients meeting and cuddling two adorable calves. Residents at Ashgate Hospice in Chesterfield, Derbys., spent their day being entertained by four-week-old Brown Swiss cows Bonnie and Bella. Carol Harland, 75, was only admitted into the hospice's inpatient unit two days before the "gorgeous" cows came and visited her but said she had a "lovely day." Carol, who has bowel cancer, said: "The cows have been gorgeous.

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Heroes emerge as providers enter Hurricane Helene recovery mode

10/03/24 at 03:00 AM

Heroes emerge as providers enter Hurricane Helene recovery modeMcKnight's Senior Living; by Kimberly Bonvissuto;10/1/24Hurricane Helene made landfall on the Florida panhandle Thursday evening as a Category 4 hurricane with 140 mph winds. By Friday afternoon, the storm had been downgraded to a tropical depression, but the its heavy rain and wind caused damage across an 800-mile path in the southeastern United States. [Hero examples from the article:]

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Patient safety experts want progress on quality measure alignment

10/03/24 at 03:00 AM

Patient safety experts want progress on quality measure alignmentModern Healthcare; by Mari Devereaux; 9/30/24Patient safety leaders say standardization is needed to prevent overlapping, conflicting reporting requirements that don’t improve health outcomes. Some are hopeful the industry could see progress in the next few years. Until then, overburdened providers are choosing to report on a handful of quality measures they decide are the most important.Publisher's note: Thinking of Joanne Lynn's efforts to standardize publicly available quality measures at the turn of the century - we'll get there!

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How Mass General Brigham built the largest 'hospital at home'

10/03/24 at 03:00 AM

How Mass General Brigham built the largest 'hospital at home'Becker's Health IT; by Giles Bruce; 10/1/24Somerville, Mass.-based Mass General Brigham has built the biggest hospital-at-home program in the country by getting buy-in from leadership and clinicians and through tech partnerships, executives said at a recent conference. The health system now has a capacity for acute hospital care at home of 70 patients, and is currently treating about 50 to 60 a day. The goal is to move to 10% of Mass General Brigham's overall capacity, or about 200 to 300 patients.Publisher's note: How might this be an opportunity for hospice? How might it be a threat?

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The HOPE assessment tool: What you need to know [free webinar from CHAP]

10/03/24 at 03:00 AM

The HOPE assessment tool: What you need to know [free webinar from CHAP]CHAP press release; 10/2/24The HOPE assessment tool kicks off in 2025 and will catalyze hospice care to a new level. CMS developed the HOPE tool to inform future quality measure development and payment reform, eventually moving hospice from pay-for-submission to pay-for-performance. This session will describe the implementation of the HOPE assessment tool, content highlights, and its impact on hospice program operations in the next several years.Publisher's note: Dr. Jennifer Kennedy and Kim Skehan from CHAP are presenting this free webinar 10/16/24 @ 1:00-2:00 PM ET. Please click the link above for addtional and registration information.

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Utah husband DeWayne McCulla admits to trying to kill his wife in front of her family to ‘ease her suffering’ in hospice

10/03/24 at 03:00 AM

Utah husband DeWayne McCulla admits to trying to kill his wife in front of her family to ‘ease her suffering’ in hospiceNew York Post; by Richard Pollina; 10/2/24A Utah man admitted that he tried to kill his terminally ill wife in hospice care in front of her family to “ease her suffering” during his battle with cancer. DeWayne McCulla, 46, pleaded guilty to attempted manslaughter on Thursday after he accepted a deal from prosecutors for choking his wife, Arenda McCulla, 47, according to court documents.

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Today's Encouragement: ... We're all family right now ...

10/03/24 at 03:00 AM

What I've what I've seen is, you know, sometimes you have friendly rivalries in the hospice and palliative care world. That's gone. We're all family right now and that--I just whew--that moves me to tears. That's the type of stuff that's like, you know what? Ok, that gives me hope that we are going to get beyond this. ~ Chris Comeaux, 10/2/24, near Asheville, NC, describing his hospice leadership experiences in the midst of Hurricane Helene's aftermath

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Nurses' top 10 AI concerns

10/03/24 at 03:00 AM

Nurses' top 10 AI concernsBecker's Health IT; by Giles Bruce; 10/1/24Nearly a quarter of nurses are uncomfortable with artificial intelligence's use in healthcare, according to an Oct. 1 McKinsey & Co. report. Here are nurses' top 10 concerns about AI, per the management consultant's joint survey with the American Nurses Foundation of 7,200 nurses:

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Maybe we should select leaders based on their character

10/03/24 at 03:00 AM

Maybe we should select leaders based on their characterForbes; by Joyce E. A. Russell; 10/1/24When we hire leaders for our organizations and communities, shouldn’t we pick them based on not only their expertise and ability to do the job, but also their character? Over two decades ago, prominent leadership researchers Kouzes and Posner published a book called Credibility. In their research, they noted that across the globe credibility was the most highly rated and important characteristic of leaders. They stated that, “most of us admire leaders who are honest, forward-looking, inspiring, and competent.” They followed that up with another book with even more evidence called The Truth about Leadership, where they noted that credibility is the foundation of leadership for organizations across the world, and this is based on international data across multiple generations.

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Hurricane Helene havoc: Major damage, evacuations, uncertainty at nursing homes

10/03/24 at 03:00 AM

Hurricane Helene havoc: Major damage, evacuations, uncertainty at nursing homesMcKnight's Long-Term Care News; by John Roszkowski; 10/1/24Many nursing homes and senior living communities in Florida and North Carolina are reeling in the aftermath of Hurricane Helene, which resulted in forced evacuations of residents, major property damage, power outages and other issues. The hurricane was being blamed for at least 132 deaths in six Southeastern states and federal officials said at least 600 people were still unaccounted for as of Monday evening. Many people lacked power and cellular service, making the job of accurately assessing personal and property damage all the more difficult.

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Breast cancer rising among younger women and Asian Americans, report finds

10/03/24 at 03:00 AM

Breast cancer rising among younger women and Asian Americans, report findsNBC News; by Kaitlin Sullivan; 10/1/24Even as death rates from breast cancer have fallen, rates of new diagnoses continue to tick upwards, according to an American Cancer Society report. Americans have benefited from huge leaps in breast cancer treatment over the last two decades, but diagnoses are becoming more common, especially among younger women, according to a report published Tuesday by the American Cancer Society. The new report shows that breast cancer mortality has decreased by 44% since the late 1980s. Rates of breast cancer, however, have increased by 1% every year since 2012. In younger women, rates have increased at a faster clip — by about 1.4% every year since 2021.

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Introducing the Hospice Outcomes and Patient Evaluation (HOPE) tool [CMS webinar]

10/03/24 at 03:00 AM

Introducing the Hospice Outcomes and Patient Evaluation (HOPE) tool [CMS webinar]CMS press release; 10/2/24The Centers for Medicare & Medicaid Services (CMS) is offering a web-based training course that provides an overview of the Hospice Outcomes and Patient Evaluation (HOPE) tool and how it relates to the Hospice Quality Reporting Program (HQRP) as described in the fiscal year (FY) 2025 Hospice Final Rule. This training is intended for all hospice providers. The 30-minute course can be viewed on demand and includes interactive exercises to help you understand and apply the content presented. While it is intended that these eight lessons be completed in sequential order, you may also jump directly to any topic of interest.

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Leading causes of death by age group

10/03/24 at 03:00 AM

Leading causes of death by age groupBecker's Clinical Leadership; by Mariah Taylor; 10/1/24Motor vehicle accidents were the leading cause of death for children, while accidental poisoning, cancer and heart attack were the leading causes of death for adults, according to a report from USAFacts, a nonprofit organization that conducts data analysis. The "America in Facts 2024" report, published in July, used CDC data to calculate the leading causes of death by age from 2020 to 2021. Heart disease and cancer have been the leading causes of death since 1950. COVID-19 became one of the leading causes of death at the onset of the pandemic but has since fallen to the fourth leading cause of death. The top five leading causes of death account for 58% of all deaths in 2022. Twenty-one percent of all deaths were from heart disease, 19% were from cancer and 7% were from accidents in 2022.Publisher's note: Please click the link above for leading causes of death by age group.

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Governor vetoes private equity bill that would have affected healthcare transactions

10/03/24 at 03:00 AM

Governor vetoes private equity bill that would have affected healthcare transactionsMcKnight's Senior Living; by Kathleen Steele Gaivin; 10/1/24California Gov. Gavin Newsom (D) on Saturday vetoed a bill that would have required private equity firms and hedge fund organizations in the state to provide advance notice to the state’s attorney general of acquisitions or changes in control. The bill would have given the attorney general authority to grant, deny or impose conditions on a proposed transaction, after determining the likelihood of anticompetitive effects, “including a substantial risk of lessening competition or of tending to create a monopoly, or may create a significant effect on the access or availability of healthcare services to the affected community.” The governor’s veto “was a surprise to many in the healthcare industry,” Arent Fox Schiff attorneys wrote for the National Law Review.

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Helene and Hospice: "We're seeing such personal sacrifices ... It's heartwarming and heartbreaking ..."

10/03/24 at 02:00 AM

Helene and Hospice: "We're seeing such personal sacrifices ... It's heartwarming and heartbreaking ..."Hospice & Palliative Care Today; Zoom meeting with Teleios Collaborative Network (TCN), Chris Comeaux and Tina Gentry; 10/2/24[These excerpts are from a Zoom meeting between TCN's leaders Chris Comeaux (Hendersonville, NC just outside of Asheville, NC) and Tina Gentry (Fort Mill, SC) and this newsletter's leaders Cordt Kassner and Joy Berger. Click here for the longer transcription. Continue reading for ways you can help.] Chris Comeaux: There's great tragedy, great devastation, and there are beautiful miracles occurring at the same time. … I know I'm going to keep using words like historic, unprecedented, devastating. There are not even words to describe what we’re seeing. ... Tina Gentry: It's just heart wrenching. You want to be able to go and fix things and you just can't do it, right? You don't feel like you can do enough. And knowing that there are certain limitations and that we have to rely on other resources to help support our teams. We have to do what we can and then trust that others will do what they can to help.  ...Chris Comeaux: All of our all staff is accounted for. Some are still without water, electricity. [Some] staff compared at Four Seasons [Hospice], CCWNC [Community Care of Western North Carolina], Amorem staff … have completely lost their homes. They’re gone. We have a wonderful partner that serves many of our hospices. Yesterday, they found the body of their dear neighbor. They can't even get to their house. It would be a 10-mile hike through things that today--in modern days--you would go, “How is that possible?” … I've always heard the word, “aftermath.” I now understand what people mean by “aftermath.” ...Tina Gentry: … We’re seeing such personal sacrifices from those team members on the ground. It’s really heartwarming and heartbreaking all at the same time. ...Chris Comeaux: … What I've seen is, sometimes you have friendly rivalries in the hospice and palliative care world. That's gone. We're all family right now and that--I just, whew--that moves me to tears. That's the type of stuff that's like, you know what? Ok, that gives me hope that we are going to get beyond this. ... [See this in Today's Encouragement.]Key Themes:

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Kennebunk Savings Bank Foundation awards grants to support older adults in York County

10/02/24 at 03:30 AM

Kennebunk Savings Bank Foundation awards grants to support older adults in York County Seacoastonline, Kennebunk, ME; 10/1/24 The Kennebunk Savings Bank Foundation’s Huntington Common Charitable Fund is dedicated to enriching the lives of older adults in York County by funding various project proposals from local nonprofits. ... Another grant of $15,000 was awarded to Hospice of Southern Maine, which provides compassionate end-of-life care in York and Cumberland Counties, as well as surrounding areas. The funds will support improvements to the Gosnell Memorial Hospice House, including new carpeting and flooring, hallway handrails, updated wayfinding signs, and enhanced Wi-Fi.

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Bringing Penelope home

10/02/24 at 03:00 AM

Bringing Penelope home The Chronicle of The Horse; by Sarah K. Susa; 10/1/2024 Angie was 35 when she, her husband, and son moved into their first home. It was red brick with a big picture window and a pasture out front where their horses could graze. It was almost a dream come true. Almost, because Angie was dying. The lump she’d found just two years earlier had metastasized, multiple times. In the beginning doctors cut off both breasts, hoping to take the cancer with them. But the disease was stealthy, hiding somewhere inside, then popping up here and there: liver, lymph nodes, spine, brain. She was pumped full of chemo. Blasted with radiation. Time and again, surgeons opened her up, removing any fragments of the disease that they could. Then they’d stitch her back together, hoping to buy her more time. But eventually, Angie was told, there was nothing more to do. Hospice was called. A hospital bed in Angie’s new living room allowed her to watch the horses graze from the picture window, her favorite feature of the house. Her son, just 5, would perch on the window’s deep sill, quietly building Legos and trying to process what was happening around him. And it was all happening so fast. 

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Research suggests AI could enhance patient safety, but raises questions

10/02/24 at 03:00 AM

Research suggests AI could enhance patient safety, but raises questions The American Journal of Managed Care (AJMC); by Hayden E. Klein; 9/26/24 A new study from Boston University highlighted the potential of generative artificial intelligence (AI) to improve patient safety in health care. Published in The Joint Commission Journal on Quality and Patient Safety, the study tested the widely used AI model GPT-4 on the Certified Professional in Patient Safety (CPPS) exam, where it answered 88% of questions correctly. Researchers believe AI could help reduce medical errors, estimated to cause 400,000 deaths annually, by assisting clinicians in identifying and addressing safety risks in hospitals and clinics. ... The study authors suggested that AI has promise in helping doctors better recognize, address, and prevent mistakes or accidental harm in hospitals and clinics. ... However, the study also highlighted critical limitations of current AI technologies, including the risk of bias, fabricated data, and false confidence in responses. 

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EEOC sues AccentCare Home Health Care company for pay discrimination and retaliation

10/02/24 at 03:00 AM

EEOC sues AccentCare Home Health Care company for pay discrimination and retaliation U.S. Equal Employment Opportunity Commission; Press Release; 9/27/24 AccentCare, a nationwide home health care service company headquartered in Dallas, Texas, violated federal civil rights laws by paying female employees less than a male colleague because of their sex and retaliating against a female employee who repeatedly complained, the U.S. Equal Employment Opportunity Commission (EEOC) charged in a lawsuit filed today. According to the EEOC’s lawsuit, female Licensed Practical Nurses (LPNs) working out of AccentCare’s Pottsville, Pennsylvania, location were paid less than their male colleague for performing equal work, despite their superior qualifications. After a female LPN repeatedly complained about the gender-based pay disparity and requested a raise, AccentCare retaliated against her, and ultimately fired her. Such alleged conduct violates Title VII of the Civil Rights Act of 1964 and the Equal Pay Act of 1963, which prohibits pay discrimination based on sex and retaliation for opposing sex discrimination.

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Today's Encouragement: Living a self-conscious life, under the pressure of time ...

10/02/24 at 03:00 AM

Living a self-conscious life, under the pressure of time, I work with the consciousness of death at my shoulder, not constantly, but often enough to leave a mark upon all my life’s decisions and actions. ~ Poet Audre Lorde, who went through a fourteen-year cancer journey before meeting death at fifty-eight. Celebrating Hispanic Heritage Month (Sep 15 to Oct 15), Audre's parents had immigrated from the Caribbean to New York before her birth in 1934.

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