Literature Review
Too Much, Too Little, Just Right: Optimizing cancer care for older adults
09/11/24 at 03:15 AMToo Much, Too Little, Just Right: Optimizing cancer care for older adults The ASCO Post, American Society of Clinical Oncology; by Ramy Sedhom, MD; Bobby Green, MD; and Julia Frydman, MD, MS; 9/10/24 Imagine walking into a fancy restaurant only to find a menu consisting mostly of kids’ dishes. It would make no sense. Just 25% of restaurant diners are younger than age 12, and they rarely write Yelp reviews. But when it comes to cancer treatment, this is not very far from what we do. The median age for a new cancer diagnosis is 67, and among those who die of cancer each year, 73% are older adults. Yet just one in four clinical trial participants is aged 70 or older. Consequently, guidelines for most new cancer therapies are based on a median age that is significantly younger than the patient population who actually receives these therapies. That’s quite a conundrum. More than half of patients older than age 65 experience toxicity of grade 3 or worse while undergoing standard chemotherapy. ... Palliative Care—For a 40-year-old mother of two young children, the goal of cancer treatment is usually clear: complete remission and long-term survival. But when you ask older patients with cancer about their priorities, a majority regard symptom control, emotional coping, and other quality-of-life measures at least as much as longevity and sometimes more.
Today's Encouragement: Honoring 911 - If we learn nothing else from this tragedy, ...
09/11/24 at 03:00 AMIf we learn nothing else from this tragedy, we learn that life is short and there is no time for hate. ~ Sandy Dahl, wife of Flight 93 pilot Jason DahlEditor's note: Read this again, especially in today's context. And, I thank our 2001 hospice organizations for the immeasurable ways they supported communities through this uncharted public tragedy, grief, and fear that affected us all. Of note, Hospice of Lancaster County (now Hospice & Community Care, Lancaster, PA) supported the families and community of the Shanksville Flight 93 crash through their bereavement leader Patti Holman- Anewalt, PhD. She served as the founder and former director of their Pathways Center for Grief and Loss, and Bereavment section leader for NHPCO's Bereavement Professionals. From her trauma/grief expertise, Dr. Holman-Anewalt was also a disaster mental health specialist with the American Red Cross. Patti spent 2 weeks as an expert first responder in Shanksville supporting families at the crash site, with them at the morgue for body identification, and much more through that first year and those early annual remembrances. To my hospice colleague Patti, and to countless others, "Thank you!" To the heroes of Flight 93 and other 911 site, we offer a deeply reflective, profound "Thank you."
The 'great disruption' coming for Medicare Advantage
09/11/24 at 03:00 AMThe 'great disruption' coming for Medicare Advantage Becker's Payer Issues; by Jakob Emerson; 9/9/24 Come mid-October, the Medicare Advantage program will enter its annual enrollment period, marked by significant changes for older adults. Among these changes are increased government scrutiny, tighter CMS regulations, reduced base payments, and rising healthcare costs. ... "Taken together, some are calling these cuts 'the great disruption,'" wrote Sachin Jain, MD, CEO of SCAN Group, a nonprofit MA carrier with more than 285,000 members, in a LinkedIn post on Sept. 4. Dr. Jain outlined five key observations about the evolving landscape:
Mercy acquires Ascension hospital
09/11/24 at 03:00 AMMercy acquires Ascension hospital Becker's Hospital Review; by Alan Condon; 9/10/24 St. Louis-based Mercy has acquired Ascension's Via Christi Hospital in Pittsburg, Kan. The acquisition includes the hospital, its locations and related physician practices, but excludes Ascension Living Via Christi Village facilities and operations. The deal officially closed Sept. 1. Mercy, a 45-hospital system, now has three hospitals in Kansas: Mercy Hospital Pittsburg, Mercy Hospital Columbus and Mercy Specialty Hospital-Southeast Kansas in Galena. It also operates two primary care clinics in Pittsburg. "Whenever Mercy joins a new community, we want to hear from that community about what we can do to improve care and access for patients," Jeremy Drinkwitz, president of Mercy Joplin communities, said in a news release. "We want to ensure we are providing the right care where it's needed so patients can stay close to home. We'll be looking for the best ways to grow the already great services in place."
2024 NHPCO Facts and Figures Report now available
09/11/24 at 03:00 AM2024 NHPCO Facts and Figures Report now available National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/10/242022 Data Show First Increase in Hospice Utilization Rates Since COVID The National Alliance for Care at Home (the Alliance) published the 2024 edition of National Hospice and Palliative Care Organization (NHPCO) Facts and Figures, an annual report on key data points related to the delivery of hospice care, including information on patient characteristics, location and level of care, Medicare hospice spending, and hospice providers. Facts and Figures – the leading resource for hospice providers and others interested in understanding the work of the community – has been published annually for over two decades by NHPCO. ... The findings in this report reflect patients who received care in Calendar Year (CY) 2022, or Fiscal Year (FY) 2022, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. This year COVID-19 continued to impact patient care as COVID-19 waivers were still in place through May 2023. These waivers included increased telehealth services. With 49.1% of all Medicare decedents in 2022 choosing hospice care, utilization of hospice increased in 2022 for the first time since 2019. The increase hints at a normalization of the utilization rates back to pre-COVID data. Hospice utilization rates increased across all race and ethnicity groups, with the largest increase among Hispanic Medicare beneficiaries seeing. The total number of beneficiaries enrolled in hospice care in 2022 was 1.72 million. Due to the unique impact of COVID-19 on 2020 data, those data are not included in many of the charts this year.
Home health care company operators sentenced to prison in $5.5 million kickback scheme and tax evasion
09/11/24 at 03:00 AMHome health care company operators sentenced to prison in $5.5 million kickback scheme and tax evasionDOJ press release; 9/5/24A married Macomb County [MI] couple, Noli and Isabel Tcruz, both 68, were sentenced today to 6 years in prison and 38 months in prison, respectively, on health care fraud kickback conspiracy, tax evasion, and fraud charges, announced U.S. Attorney Dawn N. Ison. This follows the sentencings earlier this year of two doctors who had pled guilty to receiving kickbacks and bribes from the Tcruzes... The Tcruzes engaged in an approximately $5 million conspiracy to illegally pay kickbacks and bribes to acquire referrals for home health care for Medicare beneficiaries and refused to pay their income tax obligations for both -personal and business taxes. After their last home health company was shut down in February 2020, Noli Tcruz began engaging in Covid-19 program fraud, and used a family member’s identity and company to steal from and defraud the Small Business Administration and Health and Human Services out of more than $250,000 from pandemic assistance funds.
Blue Ridge Hospice expanding mission to serve people better, sooner
09/11/24 at 03:00 AMBlue Ridge Hospice expanding mission to serve people better, sooner The Winchester Star, Winchester, VA; by Brian Brehm; 9/9/24 “We’re calling this a year of transformation,” said Jason Parsons, who was named CEO of the Winchester-based nonprofit in December. “Blue Ridge has been around for 43 years and this year, 2024, we’re transforming ourselves into Blue Ridge Care, which includes Blue Ridge Hospice, Blue Ridge Independence at Home — which is our PACE (Program of All-Inclusive Care for the Elderly) program — Blue Ridge Palliative Care Services and our eight thrift shops.” It’s a sweeping change for an organization that most people only associate with end-of-life care. Parsons ... said Blue Ridge Care will continue to provide graceful exits for patients in the final chapter of their lives, but it will also expand its focus to improve the quality of life for seniors who still have a lot of stories to tell.
Leadership in the age of AI: At the crossroads of humanity and technology
09/11/24 at 03:00 AMLeadership in the age of AI: At the crossroads of humanity and technology Forbes; by Dr. Adil Dalal, DBA; 9/9/24 It has only been 200 years since the First Industrial Revolution and the mass adoption of what we now call technology... The Second Industrial Revolution in the late 19th and early 20th centuries, marked by great progress in mass production, ... emphasizing the importance of machines over humans and managers over employees. ... Today, the world stands on the precipice of the Fourth Industrial Revolution with artificial intelligence, which is not just reshaping industries but also redefining the very essence of leadership and decision-making. ... A technology-driven leader [TDL] who prioritizes novelty over humanity can pose significant risks, potentially leading to societal downfall. ... A human-centric leader [HCL] prioritizes the well-being, growth and empowerment of people, steering humanity toward greatness. ... So is there an ideal Technology Age leader who can lead humanity through this historical moment? Yes! ... They must embody and demonstrate the following three qualities:
Heart to Heart Hospice expanding services into Oklahoma
09/11/24 at 03:00 AMHeart to Heart Hospice expanding services into Oklahoma PR Newswire; by Kim Dellinger; 9/10/24 Heart to Heart Hospice, one of the country's largest private providers of hospice care, is adding a new location in Durant, Okla., expanding its service offerings into the state for the first time. The new Durant site will serve Southeast Oklahoma, which includes the counties of Atoka, Bryan, Choctaw, Coal, Hughes, Johnston, Marshall, McCurtain, Pittsburg, Pontotoc, and Pushmataha. "It's exciting to be able to offer our care services in Oklahoma, which happens to be my home state," said Kelly Mitchell, Chief Executive Officer and Founder of Heart to Heart Hospice, who is from Sallisaw. Heart to Heart Hospice, based in Plano, Texas, has been serving patients with life-limiting illnesses, as well as their loved ones, since 2003. The company currently provides a broad range of hospice services across 63 locations in Indiana, Michigan, Oklahoma, and Texas.
On a culture of physician leadership development
09/11/24 at 03:00 AMOn a culture of physician leadership development Forbes; by Leon E. Moores, MD, DSc, FACS; 9/9/24 ... How do we create a culture of continuing physician leadership development? Over a decade ago, I was tasked with answering this very question. As a senior army surgeon, I approached the two-star general in the Army Medical Corps. I asked if I could put together a comprehensive program for physician leadership development for the 4200+ doctors in the US Army. ... We concluded that four distinct LOEs (lines of effort) needed development and implementation to create a culture of physician leadership. These LOEs, it turns out, are just as applicable in civilian healthcare as they were in the armed forces.
CHCF unveils palliative care mural
09/11/24 at 03:00 AMCHCF unveils palliative care mural California Department of Corrections and Rehabilitation (CHCF); by Lt. M. Orozco; 9/9/24 California Health Care Facility (CHCF) staff joined the incarcerated population and outside stakeholders to unveil the palliative care mural Aug. 23. Warden Gena Jones had a vision to normalize CHCF’s environment, making it more appealing for the incarcerated population and staff to enjoy while working. The vision consists of murals being painted throughout the institution with this mural setting the path for many more to come. In April 2024, incarcerated artists Issac Sinsun, Antiono Garcia, Loreto Arizpe, and Francsico Olivares started the palliative care mural. Little did they know it was the start to a new beginning. With the combined efforts of the four artists, the mural took 81 days and about 2,268 hours to complete. The ideas for the artwork were a combined effort from custody and medical staff as well incarcerated population within the housing unit. [Click on the title's link to see photos.]
Mental health jobs to grow 3X more than the rate of all US jobs
09/11/24 at 03:00 AMMental health jobs to grow 3X more than the rate of all US jobs Becker's Hospital Review; by Erica Carbajal; 9/9/24 By 2033, employment growth in mental health professions is expected to triple that of average job growth in the U.S., according to a CNN analysis of data from the Bureau of Labor Statistics. While the median projected employment growth for all occupations across the next decade is 4%, the rate for mental health-related jobs is 12%. This includes psychiatrists, psychologists, therapists, counselors, psychiatric aids and social workers, according to CNN's report published Sept. 7. Editor's note: Too often, mental health health jobs in hospice and palliative care are relegated to low status on priorities for staffing, instead of the regulatory high priority for "whole-person" care defined throughout the CMS Hospice Conditions of Participation. As significant changes continue to unfold for hospice and palliative services, we will continue to report trends and shifts that emerge in the healthcare landscape for mental health jobs.
Hospice of the Foothills announces umbrella name, Foothills Compassionate Care
09/11/24 at 03:00 AMHospice of the Foothills announces umbrella name, Foothills Compassionate Care YubaNet.com; by Hospice of the Foothills; 9/10/24 As we celebrate 45 years as this community’s only nonprofit hospice, Hospice of the Foothills is excited to announce that we are formalizing our structure a bit to fit all of our programs under one all-encompassing organizational name. Going forward, Hospice of the Foothills, Sierra Community Palliative Care, Foothills Gift & Thrift Stores, and our Bereavement Programs will operate under the unified umbrella of Foothills Compassionate Care. Each program/service will maintain its name and identity but will be united under one umbrella. We feel his strategic alignment will highlight all that we do more clearly and reinforce our commitment to providing compassionate, community-centered care without changing the ownership, staff, or core mission that our community has trusted for years. ... This is not about changing what works; it’s about creating a formal structure that reflects the comprehensive care we’ve always provided.
CMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states
09/11/24 at 03:00 AMCMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states Hospice News; by Jim Parker; 9/10/24 The U.S. Centers for Medicare & Medicaid Services (CMS) is expanding its enhanced oversight for new hospices in fraud-ridden states, including California, Nevada, Arizona and Texas. The agency in July 2023 first announced a “provisional period of enhanced oversight” for new hospices in those states. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. “To combat fraud, waste, and abuse under the hospice benefit, CMS will expand prepayment medical review this September in Arizona, California, Nevada and Texas,” the agency indicated in a statement. “To help reduce burden on compliant providers, initial review volumes will be low and adjusted based on results. If you’re noncompliant, we may implement extended review or take additional administrative actions.”
Rita and Alex Hillman Foundation announces $500,000 in funding for nine projects to improve serious illness and end of life care
09/11/24 at 03:00 AMRita and Alex Hillman Foundation announces $500,000 in funding for nine projects to improve serious illness and end of life care Globe Newswire; by Rita & Alex Hillman Foundation; 9/10/24 The Rita and Alex Hillman Foundation ... announced nine grants to support innovative, early-stage interventions that address the serious illness and end of life needs of marginalized populations. The $500,000 in funding, part of a collaborative effort with The Arthur Vining Davis Foundations, will advance nursing-driven initiatives that improve care for diverse populations and expand access to high-quality end of life services. ... This year’s grants demonstrate a commitment to the design, development, and delivery of better and more equitable care. The 2024 HSEI grant recipients are:
One healthcare job poised for the greatest shortage
09/11/24 at 02:00 AMOne healthcare job poised for the greatest shortage Becker's Hospital Review; by Molly Gamble; 9/6/24 Nursing assistants face the greatest projected deficit over any other analyzed healthcare occupation, with a projected shortage of more than 73,000 assistants nationwide by 2028. The forecast comes from Mercer, which projects a nationwide shortage of more than 100,000 healthcare workers by 2028. The need for nursing assistants is expected to be greatest, with only 13 states expected to meet or exceed future demand. "The projected supply of nursing assistants — an occupation that constitutes 8% of the total US healthcare workforce and 40% of healthcare support occupations in 2023 — is discouraging," Mercer consultants wrote in their Aug. 29 report, "Future of the U.S. Healthcare Industry: Labor Market Projections by 2028."
BrightSpring projects ‘robust, accretive’ hospice, home health M&A pipeline
09/10/24 at 03:00 AMBrightSpring projects ‘robust, cccretive’ hospice, home health M&A pipeline Hospice News; by Holly Vossel; 9/6/24 BrightSpring Health Services Inc. is poised for growth in the home health and hospice landscape. The company anticipates ramping up merger and acquisition (M&A) activity in coming years, with an emphasis on long-term return on investment, according to BrightSpring President and CEO Jon Rousseau. The company is focusing on significant expansion in the next two years, he indicated. Tuck-in deals and de novos have been key to BrightSpring’s strategic growth. Acquisitions have increasingly become a larger part of its game plan — though with a cautious and diligent mindset, Rousseau said ...
When rounding sparked improvements, per 4 chief nursing officers
09/10/24 at 03:00 AMWhen rounding sparked improvements, per 4 chief nursing officers Becker's Hospital Review; by Erica Carbajal; 9/5/24 Rounding the floor with front-line nurses and staff is more than just a management practice for leaders to show face — it is a vital tool for connecting with employees and driving meaningful change. In conversations with hospital leaders, they often echo the sentiment of how routinely spending time with front-line staff uncovers opportunities to address pain points in their daily workflow. With nurses often pointing to lack of resources and support as drivers of job dissatisfaction and burnout, rounding represents a key strategy to positively affect staff engagement and retention, and thus, patient care. Becker's recently asked four chief nursing officers to share a recent example of a time when rounding sparked a process change or improvement at their hospital. Here are their responses: ... Editor's note: "Rounding" best practices and outcomes apply to hospice and palliative care multidisciplinary teams.
20 leadership skills that are still relevant in the AI age
09/10/24 at 03:00 AM20 leadership skills that are still relevant in the AI age Forbes; by Forbes Expert Panel / Business Development Council; 9/6/24 Artificial intelligence has the power to automate and streamline countless business processes and improve efficiency across just about every sector. However, AI tools (and the humans using them) need guidance and training to perform to their full potential, which makes strong leadership more important than ever. Members of Forbes Business Development Council discuss the leadership skills that are still relevant in the age of AI. From strong critical thinking skills to communication and empathy, these traits are crucial to leading any organization through the transitions that come with new technology. [ These leadership skills include the following:] 1. Emotional Intelligence ... 2. Empathy ... 3. Transparency ... 4. The Ability to Identify Areas for Improvement ... 5. A Commitment to Continuous Learning ... 6. Adaptability ... 7. High-Level Communication Skills ... 8. Humility ... 9. Mental Agility ... 10. Knowledge of When to Apply AI ... 11. Prioritization Skills ... 12. Authenticity ... 13. Compassion and Understanding ... 14. An Understanding of How AI Can Complement Human Skills ... 15. Timely, Action-Oriented Decision-Making ... 16. Relationship Building ... 17. Resiliency ... Editor's note: Especially when recruiting and hiring AI leadership and setting up AI strategies for hospice and palliative care, use these qualities (1) within yourself in how you approach AI and (2) leadership skills you seek out from AI high-tech candidates.
Today's Encouragement: To fly ...
09/10/24 at 03:00 AMTo fly, we have to have resistance. ~ Maya Lin
Prepping for the hospice HOPE tool: Starting the journey
09/10/24 at 03:00 AMPrepping for the hospice HOPE tool: Starting the journeyCHAP email; by Jennifer Kennedy; 9/6/24The Centers for Medicare and Medicaid Services (CMS) recently finalized the implementation date of the hospice HOPE assessment tool in the FY 2025 Hospice Payment Update final rule. This quality requirement signals a new beginning for hospice providers related to quality measurement and future payment reform. Implementation is scheduled for October 1, 2025, so the clock is ticking, and the interval is short for provider and software vendor preparation for compliance.Publisher's note: Excellent article with helpful resource links.
Nursing students learning to respect culture, tradition at the end of life
09/10/24 at 03:00 AMNursing students learning to respect culture, tradition at the end of life St. Cloud Live, St. Joseph, MN; by Stephanie Dickrell; 9/6/24 It is called the golden hour — the hour before someone’s death. It’s a time of grief, but it’s also a sacred space. Two nursing instructors at the College of St. Benedict and St. John’s University are trying to make that time better for patients and their loved ones by better preparing their students who will be with them in their final moments. While the rituals surrounding death may vary by time, geography and culture, the program wants to make sure all cultures are respected. ... Julie Keller Dornbusch and Mary Pesch, both trained as Advanced Practice Registered Nurses ... received a prestigious grant from the Morgan Family Foundation of nearly $100,000 to create and test nursing simulations using culturally specific care for the Catholic community, Somali Muslims and Ojibwe people.Editor's note: This article indicates that "training material on culturally specific end-of-life care" is non-existent. This statement is misleading. Examine:
Seven pillars to put healthcare consumers at the heart of the digital transformation
09/10/24 at 03:00 AMSeven pillars to put healthcare consumers at the heart of the digital transformation Forbes; by Hélène Musikas, Géraldine Maouchi, Lorenzo Mandelli, Daniel Brown; 9/6/24 The digital age has seen many industries undergo a profound transformation, evolving into agile "Hybrid Organizations" that blend traditional and digital business models. ... The healthcare sector, however, faces a unique set of challenges on its journey toward this transformation. ... One of the most significant shifts in healthcare is the rising concept of "Self-Care". Seven Ways To Harmonize The Digital Landscape In Healthcare ...
Hospice patient’s final life wish comes true at Colts game
09/10/24 at 03:00 AMHospice patient’s final life wish comes true at Colts game WISHTV.com-8, Indianapolis, IN; by Kyla Russell; 9/8/24 Indianapolis hospice patient Calvin Simmons is terminally ill and had one final life wish: to attend a Colts game. “It was one of those things that you say, ‘I gotta do this, I gotta do this,’” Simmons said Saturday morning. “My dad used to tell a story about me being about three years old, running back and forth in the house wearing a Colts helmet.” The Marine veteran lives at the Abbie Hunt Bryce Home on the northeast side of the city. The home is run by nonprofit Morning Light, Inc. and offers end of life care for free to those in need. The lifelong Colts fan started his day out in his decked out Colts hospice room. Soon enough, his dream came true when he traveled to Lucas Oil Stadium to see the Colts face the Texans for their season opener.
Fundraiser raises $30k for hospice services
09/10/24 at 03:00 AMFundraiser raise $30k for hospice services The Meadville Tribune, Meadville, PA; by Chloe Forbes; 9/7/24 There’s no place like home, and at the end of life, familiarity can make all the difference. Not everyone can just click their heels, but a donation to Hospice of Crawford County might help get them close. Following the kayaking fundraiser “Tammy’s Yellow Brick Row,” over $30,000 is going toward the hospice organization to create an endowment fund for individuals who need support the most — those at the end of life and who cannot afford it. The fundraiser and endowment fund are in the name of the late Tammy Young-Eckenrode, who was diagnosed with brain cancer in 2014 and survived just short of two years.