Literature Review
New York Department of Health previews proposed PACE regulations
07/23/24 at 03:00 AMNew York Department of Health previews proposed PACE regulations Lexology; by Greenberg Traurig, LLP; 7/16/24 In December 2022, New York Gov. Hochul signed legislation establishing a new streamlined licensure process for the Program of All-Inclusive Care for the Elderly (PACE) under Article 29-EE of the New York Public Health Law. The Department of Health (DOH) previewed the Commissioner of Health’s proposed implementing regulations at a June 2024 meeting of the Public Health and Health Planning Council (PHHPC). The proposed regulations will be subject to the procedures of the State Administrative Procedure Act, which requires that they be published in the State Register and that the public be given a comment period. [Click on the title's link for details.]
Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson
07/23/24 at 03:00 AMScreening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo BorsonGeriPal Podcast; Eric Widera, Alex Smith, Anna Chodos, Joseph Gaugler, Soo Borson; 7/19/24The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it? If so, how do we screen and who do we screen? On this week’s podcast we talk with three experts in the field about screening for dementia.
5 takeaways from CEO and CFO compensation report
07/23/24 at 03:00 AM5 takeaways from CEO and CFO compensation report Becker's Hospital Review; by Kristin Kuchno; 7/17/24 Compensation Advisory Partners' July 12 report highlighted compensation trends for CFOs and CEOs in 2023, based on data from 132 companies, including those in the healthcare sector, with a median revenue of $14.6 billion. Here are the key takeaways:
Today's Encouragement: We all have dreams ...
07/23/24 at 03:00 AMWe all have dreams. But in order to make dreams come into reality, it takes an awful lot of determination, dedication, self-discipline and effort. ~ Jesse Owens, 1936 American track and field athlete and nine-time gold medalist Editor's Note: As Olympians gather from all over the world for the 2024 Summer Games in Paris, we celebrate the "determination, dedication, self-discipline and effort" of each athlete!
The Hospice of Davidson County hold annual 'Ride for Angels' event
07/23/24 at 03:00 AMThe Hospice of Davidson County hold annual 'Ride for Angels' event NBC WXII-12, Davidson County, NC; by Kara Peters; 7/21/24 The Hospice of Davidson County held its 17th annual 'Ride for Angels' event today. The purpose of the event is to raise money to help the community have access to quality end-of life care. The 75 mile ride led by the Davidson County Sherriff's Office started and ended at Denton Farm park. "I had a son that was in a near drowning accident and at the end of his life, the hospice team had to come out and minister to him." attendee Lahoma Workman said. "Just helped us through the hardest time that a family could go through. They were there for us and it was just an awesome experience." ... This year alone, the Hospice of Davidson County has given over $350,000 worth of charity care to families that couldn't afford to access their services.
Texas pharmaceutical marketer sentenced for $59 million medications fraud conspiracy
07/23/24 at 03:00 AMTexas pharmaceutical marketer sentenced for $59 million medications fraud conspiracy ArentFox Schiff; by D. Jacques Smith, Randall A. Brater, Michael F. Dearington, Nadia Patel, Hillary M. Stemple, Mattie Bowden, Elizabeth Satarov; 7/19/24 On July 12, Quintan Cockerell, a Texas pharmaceutical marketer, was sentenced to over two years in prison and ordered to pay more than $59 million for receiving illegal kickbacks in exchange for prescription referrals for compounded medications intended to be made specific for individual patient needs. ... Court documents and evidence presented at trial demonstrated that Cockerell used preloaded prescription pads and “standing orders” for doctors to easily select expensive compounded medications. The pharmacy could then switch ingredients in the medications actually prescribed by doctors to maximum insurance reimbursements.
Exhausted by prior auth, many patients abandon care: AMA survey
07/23/24 at 03:00 AMExhausted by prior auth, many patients abandon care: AMA survey AMA News Wire - American Medical Association; by Tanya Albert Henry; 7/18/24 Among America’s physicians, more than nine in 10 surveyed say that prior authorization has a negative impact on patient clinical outcomes. Most telling is that 78% of physicians reported that prior authorization often or sometimes results in their patients abandoning a recommended course of treatment, according to the results of the AMA’s annual nationwide prior authorization survey (PDF) of 1,000 practicing physicians. In addition to patients forgoing care, physicians also see the burdensome insurance company practice known as prior authorization leading to care delays and serious adverse events. [Click on the title's link for more specific stats.]
‘I never thought I’d live to see it’: Veterans honored at WTRC’s Hospice of the Big Country thank you dinner
07/23/24 at 03:00 AM‘I never thought I’d live to see it’: Veterans honored at WTRC’s Hospice of the Big Country thank you dinnerKTAB/KRBC Abilene, TX; by Noah McKinney; 7/19/24 Fellowship and reverence filled the West Texas Rehab’s Hospice of the Big Country boardroom Thursday evening. The organization opened its doors once more to local Veterans for its annual ‘We Honor Veterans’ thank-you dinner. ... Veterans of every branch spanning the decades showed up to sit with each other and break bread. The evening started with the Dyess Honor Guard presenting the flag and the singing of the national anthem. Following that, a POW/MIA or “Missing Man table” was set as a tribute to those who never returned. The attendees were then served dinner, and lively conversations filled the room. Notable Mention: Angie Lane, Director of Hospice Services, Hospice of the Big Country
How well does Medicare cover end-of-life care? It depends on what type
07/23/24 at 03:00 AMHow well does Medicare cover end-of-life care? It depends on what type Medical Xpress; by Mark Harden, CU Anschutz Medical Campus; 7/19/24 Not all versions of Medicare are created equal—and when it comes to end-of-life care, some versions may serve a patient's needs better than others. That's the focus of newly published research by Lauren Hersch Nicholas, Ph.D., MPP, a University of Colorado Department of Medicine and CU Cancer Center health economist, and her colleagues. The researchers analyzed the experiences of more than a million people receiving Medicare-funded services in the last six months of their lives. ... Their paper was published July 19 in JAMA Health Forum. What Nicholas and her colleagues found is that the kind of Medicare a patient is enrolled in can make a difference in whether that patient gets certain treatments, and whether the patient dies in a hospital or in hospice care.
What does "palliative care" represent in research using secondary data?
07/23/24 at 03:00 AMWhat does "palliative care" represent in research using secondary data? Journal of Pain and Symptom Management; by J. Brian Cassel; 7/18/24 While much research has been done regarding "palliative care" using retrospective cohort studies of large datasets, the data sources may not be capturing specialty palliative care services. This article aims to clarify what source data are used in such studies, how specialty palliative care services are determined to have been provided or not, and mismatches between the nature of the data and the interpretation of researchers.
‘Bad apples in a barrel’: How fraudsters in home health care impact the entire space
07/23/24 at 02:00 AM‘Bad apples in a barrel’: How fraudsters in home health care impact the entire space Home Health Care News; by Joyce Famakinwa; 7/19/24 The home health industry has its very own boogeyman--the bad actor. However, there's a difference between providers that had made errors in claims ... [Subscription required to continue reading]
Palliative pharmacotherapy for cardiovascular disease: A scientific statement from the American Heart Association
07/23/24 at 02:00 AMPalliative pharmacotherapy for cardiovascular disease: A scientific statement from the American Heart Association Circulation: Cardiovascular Quality and Outcomes - American Heart Association (AHA) / American Stroke Association (ASA); by Katherine E. Di Palo, PharmD, MBA, MS, FAHA, Shelli Feder, PhD, APRN, ACHPN, FPCN, FAHA, Yleana T. Baggenstos, PharmD, Cyrille K. Cornelio, PharmD, Daniel E. Forman, MD, Parag Goyal, MD, MSc, Min Ji Kwak, MD, MS, DrPH, and Colleen K. McIlvennan, PhD, DNP, FAHA on behalf of the American Heart Association Clinical Pharmacology Committee of the Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing; 7/24 ... Compared with other serious illnesses, medication management that incorporates a palliative approach is underused among individuals with cardiovascular disease. This scientific statement describes palliative pharmacotherapy inclusive of cardiovascular drugs and essential palliative medicines that work synergistically to control symptoms and enhance quality of life. We also summarize and clarify available evidence on the utility of guideline-directed and evidence-based medical therapies in individuals with end-stage heart failure, pulmonary arterial hypertension, coronary heart disease, and other cardiomyopathies while providing clinical considerations for de-escalating or deprescribing. Shared decision-making and goal-oriented care are emphasized and considered quintessential ... across the spectrum of cardiovascular disease.
Tips to secure hospice volunteers through engagement, education
07/22/24 at 03:30 AMTips to secure hospice volunteers through engagement, education Home Health Line; by Mary Kent Wolff; 7/18/24 Many hospice providers are struggling to find volunteers and maintain Medicare compliance after the pandemic. Providers that strengthen training programs and consider participant and patient needs and interests could see an increase in long-term volunteers. [Additional subscription may be required.]
Top Projects of 2023: Our Lady of Peace
07/22/24 at 03:15 AMTop Projects of 2023: Our Lady of Peace Finance & Commerce, Minnesota Business; by Kate Leibsle; 7/19/24 Jamey Flannery and her team at Flannery Construction took seriously their obligation not just to their client, Our Lady of Peace, but to the patients, their families, and staff to make the construction project at the hospice center as smooth and transparent as possible. Limiting disruptions when you are renovating or adding on to an existing, occupied building is always important, but when the facility you are working on is a hospice center, it becomes paramount. ... The project turned the facility’s 21 double-occupancy rooms into private suites. Each room now is big enough for family and friends to gather in a living area, have a TV and offer more privacy, Flannery said.
Celebrating growth: NPHI welcomes new members to its mission-driven family
07/22/24 at 03:00 AMCelebrating growth: NPHI welcomes new members to its mission-driven family NPHI, Washington, DC; 7/15/24 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for not-for-profit hospice and palliative care providers, is thrilled to announce the addition of several not-for-profit hospice organizations to its ever-growing community. Over the past year, the organization has experienced remarkable growth, underscoring its collective commitment and mission to providing the highest quality end-of-life care. ... [These include:] Byt The Bay Health; Blue Ridge Hospice; Center For Hospice Care; Community Nursing Services; Harry Hynes Memorial Hospice; Hospice Austin; Hospice of Northwest Ohio; Hospice & Palliative Care Association of New York State (HPCANYS); Hudson Valley Hospice; Hudson Valley Hospice; Kaua'i Hospice; Midland Care Connection; Navian Hawaii (formerly Hospice Hawaii); Sutter Care at Home; Tillery Compassionate Care. Notable Mentions: Tom Koutsoumpas, CEO of NPHI and Carole Fisher, President of NPHI
7 arrested in Arizona on hospice, behavioral health fraud charges
07/22/24 at 03:00 AM7 arrested in Arizona on hospice, behavioral health fraud charges Hospice News; by Jim Parker; 7/19/24 Seven individuals in Arizona face federal charges for their alleged roles in defrauding Medicare out of hundreds of millions of dollars in total. The charges for the most part stem from submitting Medicare claims for patients who were not eligible for hospice care, as well as fraud related to behavioral health services. The arrests were the result of a two-week nationwide federal law enforcement action that resulted in criminal charges for 193 individuals for a total of more than $2.75 billion in alleged false claims, as well as opioid abuse schemes. ... “These cases involve not just massive fraud to steal public funds, but also exploitation of vulnerable victims and the misappropriation of resources earmarked for Native American communities,” said U.S. Attorney Restaino, in a statement. “The U.S. Attorney’s Office and our investigative partners will pursue justice against those who perpetrate these sorts of schemes with the utmost vigor.”
Innovative program for veterans aims to combat dementia and feelings of social isolation and loneliness by distributing animatronic pets nationwide
07/22/24 at 03:00 AMInnovative program for veterans aims to combat dementia and feelings of social isolation and loneliness by distributing animatronic pets nationwide Cision PRWeb; by Capital Caring Health; 7/18/24 Capital Caring Health, part of the nation's largest not-for-profit advanced illness care and hospice provider—Chapters Health System, and Ageless Innovation, the makers of the award-winning Joy for All™ Companion Pets, are distributing companion pets to Veterans with dementia, and those suffering from feelings of social isolation and loneliness as part of their innovative "Pets for Vets" program. ... To date, Capital Caring Health's "Pets for Vets" program has distributed more than 3,000 robotic companion pets – which provide joy, companionship, emotional support, and more to Veterans, will expand to deliver 1,000+ companion pets to Veterans living in Long-Term Care Centers across the nation.
Pain patients aren’t 'drug users': Exposing a dangerous myth
07/22/24 at 03:00 AMPain patients aren’t 'drug users': Exposing a dangerous myth American Council on Science and Health; by Cameron English; 7/18/24 Chronic pain patients who take opioids under medical supervision are fundamentally different from recreational users who take drugs to get high. In their bid to destigmatize and legalize drugs, some drug policy reformers have attempted to blur this clear distinction. [Read case study of a hospice patient who was denied pain meds for longterm conditions, and was put on an opioid for which she had informed the hospice that she could not tolerate. Access to talking with her physician was denied. Result: She changed to a different hospice.]
Hospice El Paso celebrates new center for care with ribbon cutting ceremony
07/22/24 at 03:00 AMHospice El Paso celebrates new center for care with ribbon cutting ceremony ABC KVIA TV-7, El Paso, TX; by Valeria Medina; 7/18/24 Hospice El Paso has announced its new Center for Compassionate Care (CCC). Hospice El Paso celebrated the new center with a ribbon cutting ceremony held July 18th. Hospice El Paso says the new center is state-of-the-art and includes pain and anxiety management care. The facility offers 24-hour short-term hospitalized care for the needs of their patients. The CCC is also opening a pediatric unit that will be utilized to care for terminally-ill children and their families.
End-of-life care is a profound and essential aspect of medical practice
07/22/24 at 03:00 AMEnd-of-life care is a profound and essential aspect of medical practice Market.US Media, New York; by Samruddhi Yardi; 7/19/24 According to End-of-Life Care Statistics, End-of-life care, also known as palliative care, refers to the comprehensive medical, emotional, and psychological support provided to individuals who are nearing the end of their lives, often due to terminal illnesses or conditions. [This article includes data on the following:]
Hospice care provider embroiled in federal health care fraud allegations
07/22/24 at 03:00 AMHospice care provider embroiled in federal health care fraud allegationsMarketBeat; by Due.com; 7/18/24A hospice care provider has been at the center of allegations that it may have defrauded federal health care programs. According to court documents, Kindred at Home was accused of knowingly defrauding the U.S. government. The umbrella organization operated out of Atlanta and had multiple splinter branches, including Avalon, Kindred, SouthernCare, and SouthernCare New Beacon. Kindred at Home has now agreed to quash the allegations. The federal watchdogs’ grilling resulted in a financial penalty and closed nine separate lawsuits. ... Kindred has agreed to pay $19.428 million to resolve allegations. The federal government will receive $18,956,151.32, the State of Tennessee will receive $448,800 and the State of Ohio will receive $23,618.68. Editor's Note: This Kindred news story is flooding news circuits, due to the scope and significance of its impact. While we reported this on 7/19/24, we will provide occasional variations, keeping it in your awareness.
Does Medicare pay for dementia care? Here’s what coverage you can expect for treatments and therapies
07/22/24 at 03:00 AMDoes Medicare pay for dementia care? Here’s what coverage you can expect for treatments and therapies Aol - Fortune; by Margie Zable Fisher; 7/18/24 Age-related memory loss is common, but more serious memory problems may be a sign of dementia, which is not a normal part of aging. ... Dementia patients have a variety of medical issues. “In addition to symptoms related to dementia, the overwhelming majority of dementia patients have one or more chronic health conditions,” says Matthew Baumgart, Vice President of Health Policy, at the Alzheimer's Association. Medicare (and Medicare Advantage) provide some coverage for dementia, beginning with the diagnosis, says Baumgart. [Click on the title's link for practical, user-friendly information about what Medicare provides arose the trajectory of dementia's progression. CMS's new GUIDE pilot program is described.]
Data-backed talent management: How 1 health system is streamlining operations + reducing costs
07/22/24 at 03:00 AMData-backed talent management: How 1 health system is streamlining operations + reducing costsBecker's Hospital Review; by Becker's in collaboration with AMN Healthcare; 7/17/24Healthcare talent acquisition and management face persistent challenges in today's labor market. How organizations confront these barriers, however, can serve as a key differentiator and lever for improvements in costs and recruits. Springfield, Ill.-based Hospital Sisters Health System (HSHS), a multi-institutional healthcare system that cares for patients across 15 communities in Illinois and Wisconsin, partnered with AMN Healthcare and successfully implemented a new contingent labor strategy to stabilize rates and improve the quality of candidates. Here are four underpinnings that form the foundation of HSHS' and AMN Healthcare's partnership:
Today's Encouragement: You don't need ...
07/22/24 at 03:00 AMYou don't need a New Year to make a change. You only need a Monday. ~ Anonymous
More people are dying at home. Is that a good thing?
07/22/24 at 02:15 AMMore people are dying at home. Is that a good thing? The Wall Street Journal; by Suniat Puri; 7/11/24 New research classifies the rise in home deaths as progress, but we need to look closely at what these death look like. In photos taken a year before we met, my patient smiled widely, flashing a peace sign, her feet planted in the damp sand of a local beach. “Mom was a firecracker,” her daughter told me. My patient, who now slurred her sentences, was dying of cirrhosis. Her jaundiced skin was golden, the corners of her pale lips crusted with dried blood. She wanted to die at home, according to her daughter, who had been estranged but re-entered her mother’s life to care for her. I was still in my training in palliative medicine and, like my patient’s daughter, I believed that a “good death” took place at home, surrounded by family. I shared her view that a hospital death was a failure, painful and undignified. I was glad to help her leave behind uncomfortable tubes and noisy machines for a death I presumed would be more peaceful. [Subscription may be required to continue reading.]
