Literature Review
Wellsboro's hospice home closes
07/16/24 at 03:00 AMWellsboro's hospice home closes Gazette, Wellsboro, Pennsylvania; 7/12/24 After 25 years of providing a home for the dying, The Samaritan House, a mission project of St. Peter’s Church in Wellsboro [PA], has closed. For the past two years, the steering committee has tried to increase its volunteer base, raise funds, complete clearances and maintain the house. Despite meeting many goals and continuing to receive referrals, Samaritan House can no longer welcome guests because it can’t sustain a schedule. The Samaritan House ministry has welcomed guests and families from diverse faiths and backgrounds and cared for them with compassion and dignity for 25 years. Many of the volunteers have made friends and memories that will last a lifetime.
Cherokee nation: Closing gap in health care disparities
07/16/24 at 03:00 AMCherokee nation: Closing gap in health care disparities Native News Online; by Churck Hoskin, Jr.; 7/14/24 ... American Indians in Oklahoma die on average 17 years earlier than their non-Indigenous neighbors. While this finding is alarming, it comes as no surprise to the Cherokee Nation or to the nearly 40 other tribal nations in Oklahoma. ... Even as we continue our advocacy efforts, we cannot afford to wait for the federal government to fulfill its responsibilities. That's why the Cherokee Nation, which operates the largest Native American health care system in the country, is taking unprecedented steps to address this crisis head-on. ... [We] are confident our historic investments in health care and wellness are improving health outcomes for our Cherokee citizens. Construction continues on the Cherokee Nation’s new $400 million, 400,000-square-foot state-of-the-art hospital being built in the capital city of Tahlequah. The new hospital will include an ER, surgery, ICU, imaging, pharmacy and lab, neo-natal ICU, hospice, dietary and acute care, and many other services.
The Medicare Post-Acute Care and Hospice Provider Public Use File (PAC PUF)
07/16/24 at 03:00 AMThe Medicare Post-Acute Care and Hospice Provider Public Use File (PAC PUF)CMS press release; 7/10/24[This file] provides information on services provided to Medicare beneficiaries by home health agencies (HHAs), hospices, skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs). It contains information on demographic and clinical characteristics of beneficiaries served, professional and paraprofessional service utilization, submitted charges, and payments at the provider, state, and national levels. Additionally, the PAC PUF includes payment information at the case-mix grouping level for HHAs, SNFs, and IRFs.
20 massive physician group deals shaping the industry
07/16/24 at 03:00 AM20 massive physician group deals shaping the industry Becker's ASC Review; by Patsy Newitt; 7/12/24 Facing increasing obstacles to access economies of scale, including rising practice costs and decreasing reimbursement, physician groups are increasingly consolidating. Here are [several of the] 20 physician group deals [listed that have been] shaping the industry since 2022:
Hospice CARES Act would update medical reviews, seek to reduce audits
07/16/24 at 03:00 AMHospice CARES Act would update medical reviews, seek to reduce audits Hospice News; by Jim Parker; 7/12/24 The forthcoming Hospice Care Accountability, Reform and Enforcement (Hospice CARE) Act from U.S. Rep. Earl Blumenaur (D-Oregon), if enacted, would implement a number of changes to medical review processes. ... Though the bill language is still in development, it will likely contain proposed updates to payment mechanisms for high-acuity palliative services, changes to the per-diem payment process and actions to improve quality and combat fraud. The bill would also implement a temporary, national moratorium on the enrollment of new hospices into Medicare, to help stem the tide of fraudulent activities among recently established providers concentrated primarily in California, Arizona, Texas and Nevada. ... Among the anticipated provisions of the bill would be an item requiring the U.S. Centers for Medicare & Medicaid Services (CMS) to use documentation in a patient’s medical record as supporting material. The documentation would include the reasons that an attending physician certified a patient for hospice and establish a six-month terminal prognosis.
Angela Hospice CEO to retire; successor named
07/16/24 at 02:45 AMAngela Hospice CEO to retire; successor named DBusiness; by Tim Keenan; 7/12/24 Angela Hospice President and CEO Marti Coplai has announced her plan to retire in December and Executive Director Jamie LaLonde has been named to succeed her in December. Coplai joined Angela Hospice in 2015 as executive director and assumed the position of president and CEO in March 2019. Over the course of Coplai’s tenure, she has led the Angela Hospice team to accomplish a number of initiatives, propelling the organization to where it is today, and ensuring sustainability for the future. The most recent initiative Coplai led is the expansion of Angela Hospice services to north Oakland County. In addition to the 15-bed hospice residence at Lourdes Senior Community, expanded services will benefit the community through grief support groups and educational outreach.
Hospice of North Idaho receives $30K donation
07/16/24 at 02:30 AMHospice of North Idaho receives $30K donation Coeur d'Alene / Post Falls Press, St. Coeru D'Alene, Idaho; 7/13/24 Coldwell Banker Schneidmiller Realty recently donated $30,000 to Hospice of North Idaho to support the Schneidmiller House Inpatient Hospice Unit. The donation will help ensure the continued provision of world-class end-of-life care to the community, a press release said. "The gift of our Hospice House and our exemplary care for those we serve is actually a gift from all those in our community that support our mission as Coldwell Banker has today," said Eric Ladwig, executive director of Hospice of North Idaho. Robert Brickett, vice-president of Coldwell Banker Schneidmiller Realty, said they were honored to contribute to Hospice of North Idaho and support the exceptional care they provide. "Our company believes in giving back to the community that has supported us for so many years," he said.
Amorem receives $100,000 grant from The Cannon Foundation
07/16/24 at 02:15 AMAmorem receives $100,000 grant from The Cannon Foundation Ashe Post & Times, Boone, North Carolina; by Staff Reporter; 7/12/24 Amorem received a $100,000 grant from The Cannon Foundation for its Quality. Compassion. Support: A Patient Care Unit for the High Country campaign. The Cannon Foundation has joined Amorem’s vision to provide more quality, more compassion and more support to residents of the High Country with a $100k grant to assist with the purchase of non-medical equipment needed to operate the patient care unit and meet the needs of patients and their families while in Amorem’s care. “Amorem is honored that The Cannon Foundation has joined our vision,” says Director of Development, Ashley Edwards. “Through this partnership, Amorem is empowered to create a homelike environment for our patients who are facing the end of life and their families at the High Country patient care unit.”
[CHAP] Understanding the Certificate of Need (CON)
07/16/24 at 02:00 AM[CHAP] Understanding the Certificate of Need (CON) CHAP - From the CHAP Boardroom; by Michael Rovinsky, CHAP BoD & VP of Strategic Planning; email 7/12/24Navigating regulatory frameworks is crucial for community-based healthcare organizations looking to initiate or expand their services. The Certificate of Need (CON) stands as a pivotal regulatory tool in this endeavor, playing a significant role in the planning and delivery of healthcare services. In today’s discussion from the CHAP Boardroom, we delve into the Certificate of Need, exploring its implications and its influence on the landscape of community-based care.
Hospice Action Network: MyHospice Ambassadors Roster
07/15/24 at 03:00 AMHospice Action Network: MyHospice Ambassadors Roster Hospice Action Network - NHPCO; 7/12/24 MyHospice Ambassadors are volunteers who have the capacity and initiative to lead, network, and take action on hospice and palliative care advocacy efforts. Participants play a very important role in advancing our policy priorities by building relationships with legislative offices, educating fellow hospice and palliative care advocates about priority issues, and mobilizing our advocacy efforts within their communities and networks. Our program has representation from across the nation and from every form of hospice, big or small, nonprofit or for profit.
Program of all inclusive care for the elderly expanding in the Triad
07/15/24 at 03:00 AMProgram of all inclusive care for the elderly expanding in the Triad Spectrum News 1, Greensboro, NC; by Kaye Paddyfote; 7/12/24 Program of all inclusive care for the elderly, or PACE, is expanding in North Carolina. PACE provides all inclusive care to those who are 55 and older, and a new facility will serve Forsyth, Surry and Stokes counties. ... PACE’S medical director, Dr. Tiffany Reed, says the new facility will provide those in rural North Carolina the care and socialization that’s necessary. “We have transportation services as part of PACE, we're able to pick them up and bring them to the center so they can come to appointments and receive therapy and their medical care on site,” Reed said. “So that would could make a big difference out there.”
Erin and Travis Jean’s son, Felix, died in infancy from a rare skin disorder. Here’s what they’d like other families to know about losing a child.
07/15/24 at 03:00 AMErin and Travis Jean’s son, Felix, died in infancy from a rare skin disorder. Here’s what they’d like other families to know about losing a child. The Boston Globe; by Kara Baskin; 7/12/24 In March 2022, Erin and Travis Jean’s son, Felix, died at two-and-a-half months old from complications associated with epidermolysis bullosa (EB), a rare genetic skin disorder that causes severe peeling and blisters. He was cared for in the NICU at Mass General Hospital before spending his final days at home. ...
Nathan Adelson Hospice receives $160,000 donation from The Robert Thomas Bigelow Medical Foundation, Inc.
07/15/24 at 03:00 AMNathan Adelson Hospice receives $160,000 donation from The Robert Thomas Bigelow Medical Foundation, Inc.Nevada Business; by Nathan Adelson Hospice; 7/11/24 Nathan Adelson Hospice, the leader in hospice and palliative care in southern Nevada, has been selected to receive a $160,000 donation from the Robert Thomas Bigelow Medical Foundation, Inc. through its grant program. The monetary donation will be used to purchase 38 new hospital beds for the hospice’s two in-patient facilities. Each bed has a state-of-the-art mattress that uses a self-adjusting system of synchronized air cylinders and pressure relief valves, which provide the most comfort for hospice patients. Two bariatric beds will be added, one for each in-patient unit. The bariatric beds expand in both length and width and have heavy-duty frames, to provide comfort and dignity to persons of size.Notable mentions: Karen Rubel, Nathan Adelson Hospice President & CEO; Robert T. Bigelow, President of the Robert Thomas Bigelow Medical Foundation, Inc.
Keeping staff members safe and sound by optimizing security technology
07/15/24 at 03:00 AMKeeping staff members safe and sound by optimizing security technology Security; by Paul Sarnese; 7/12/24 Nobody wants to invest in technology, only to have it go the way of the stationary bike that sits unused in the corner of a room. That holds true for healthcare organization leaders who are looking to invest in staff safety alarm systems that can help avert potentially dangerous situations. With workplace violence against caregivers increasing 115% since 2021, many healthcare organizations are, indeed, looking to protect workers from harm — and to shield their organizations from resultant financial distress.Editor's Note: Workplace violence and staff safety continues to trend as a root cause for nursing and other healthcare strikes across the nation. Examine your organization's Incident Reports and QAPI initiatives. What needs to be addressed?
What is palliative care, and can you get it at home?
07/15/24 at 03:00 AMWhat is palliative care, and can you get it at home?
C-TAC: CMS’ ‘Palliative’ Definition in 2025 Proposed Hospice Rule ‘Misaligned, Problematic’
07/15/24 at 03:00 AMC-TAC: CMS’ ‘Palliative’ Definition in 2025 Proposed Hospice Rule ‘Misaligned, Problematic’ Hospice News; by Holly Vossel; 7/12/24 Efforts to establish potential payment mechanisms for high-acuity palliative services within the Medicare Hospice Benefit will require greater clarity from regulators, according to the Coalition to Transform Advanced Care (C-TAC). The U.S. Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice payment rule contained a request for information (RFI) on the potential implementation of reimbursement pathways for “high intensity palliative care services,” such as chemotherapy, blood transfusion and dialysis. CMS in its proposed rule indicated that, “Hospice care changes the focus of a patient’s illness to comfort care (palliative care) for pain relief and symptom management from a curative type of care.” C-TAC’s recommendations are as follows: [Click on the title's link to read more.]
Jim Jenkins: The long, strong, spectacular life of Robert McMillan ends with grace
07/15/24 at 03:00 AMJim Jenkins: The long, strong, spectacular life of Robert McMillan ends with grace WRAL News, Raleigh, North Carolina; by Jim Jenkins; 7/14/24 Robert McMillan long ago had been decorated with every honor his city and his state could bestow. But it was his private acts of kindness, his advice and the wisdom he offered so privately and the judgment everyone trusted profoundly. ... McMillan maintained his dignity most recently as he knew his time was coming, and he made the decision himself to enter hospice care, saying, “I need to rest.” Over 36 hours, there was time for his children and their children and friends to come to his bedside. Some whispered, some spoke to him strongly and recalled his kindnesses, and again and again, said, “I appreciate all you did for me and I’ll never forget it.”
Caring with compassion: VNA Health’s commitment to holistic home health care
07/15/24 at 03:00 AMCaring with compassion: VNA Health’s commitment to holistic home health care VNA Health Live Well; by VNA Health; 7/10/24 Santa Barbara County has a unique home health care organization that is focused on serving its patients and their families without worrying about turning a profit. “As a nonprofit, VNA Health is more invested in the overall care of the patient,” said registered nurse Jadona Collier, the director of home health. “We provide programs and services that cannot be billed to Medicare or insurance.” The organization offers holistic care, meaning that, regardless of the service being used — including home health care, palliative care, hospice, and bereavement care — its medical professionals care about patients.
[CMS CAHPS Hospice Survey] Agency Information Collection Activities: Submission for OMB Review; Comment Request
07/15/24 at 03:00 AM[CMS CAHPS Hospice Survey] Agency Information Collection Activities: Submission for OMB Review; Comment Request Federal Register; A Notice by the Centers for Mediare & Medicaid Services; 7/9/24 Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: CAHPS Hospice Survevy; Use: CMS launched the development of the CAHPS Hospice Survey in 2012. Public reporting of the results on Hospice Compare started in 2018. The goal of the survey is to measure the experiences of patients and their caregivers with hospice care.
Chevron deference derailed
07/15/24 at 03:00 AMChevron deference derailed The Rowan Report; by Kristin Rowan; 7/12/24 ... Chevron Deference in Home Health: Since the advent of the PDGM model, CMS has calculated payment rates based on its interpretation of budget neutrality. The National Association for Home Care and Hospice [NAHC] has disputed the validity of both the interpretation of budget neutrality and the formulas used to calculate it. Last year’s 2024 CMS Proposed Rule cut payment rates even further with a 2.890% Budget Neutrality permanent payment rate adjustment and a temporary rate adjustment to account for alleged overpayments from 2020-2022. The lawsuit filed against CMS in response to the 2024 Final Rule was dismissed. NAHC began pursuing an administrative review with CMS. [Click on the title's link to continue reading the discourse between CMS and NAHC, specific to home health.]
A ‘Culture of Caring’: Calvary Hospital’s 125 year legacy in hospice and palliative care
07/15/24 at 03:00 AMA ‘Culture of Caring’: Calvary Hospital’s 125 year legacy in hospice and palliative care Hospice News; by Jim Parker; 7/11/24 Calvary Hospital in New York City is a progenitor of the hospice and palliative care models, but it has its eyes on the future nevertheless. The only hospital in the nation that is specifically devoted to hospice and palliative care, Calvary is celebrating the 125th anniversary of its founding this year. The faith-based organization was established in 1899 by a group of Catholic widows who called themselves the Women of Calvary. Its initial mission was to care for dying women who had been abandoned by the health care system, often with nowhere to live and no one to care for them.
Employment protection for assisted dying medics
07/15/24 at 03:00 AMEmployment protection for assisted dying medics BBC, Isle of Man; by Ashlea Tracey; 7/9/24 The employment rights of healthcare staff on the Isle of Man[] who choose to be part of any potential assisted dying service will be protected under new proposed laws. Members of the House of Keys previously ensured similar rights for conscientious objectors during a previous debate on the Assisted Dying Bill 2023. The Isle of Man is a self-governing British Corwn Dependency in the Iris Sea, between Great Briatin and Ireland.
Today's Encouragement: Ah, summer ...
07/15/24 at 03:00 AMAh, summer, what power you have to make us suffer and like it. ~ AnonymousHappy mid-July!
Fewer deaths after serious illness in veterans treated with PARC Care Model
07/15/24 at 03:00 AMFewer deaths after serious illness in veterans treated with PARC Care Model U.S. Medicine; by LaTina Emerson; 7/11/24 After a serious illness, veterans who received medical care via the Post-Acute Recovery Center (PARC) model experienced fewer deaths and more days outside of the hospital compared to those not treated with PARC, according to a recent study. ... Using telehealth, PARC is administered by nurse practitioners to address the complex needs of intensive care unit (ICU) survivors as they transition from hospital to home and improve access to post-ICU care for high-risk veterans, ... Each year, “more than 100,000 veterans transition from ICUs to their home after treatment for life-threatening illnesses, but this transition presents many challenges, including unresolved acute medical issues and the lingering effects of acute organ dysfunction,” according to the study authors. ...