Literature Review



Empathetic AI: How Genai virtual agents will be leveraged

06/05/24 at 03:00 AM

Empathetic AI: How Genai virtual agents will be leveraged Informa; by Josh Streets; 6/3/24 Imagine you're shopping online or in a store and have a question about a product. But you don’t want to find a store employee or call into their contact center to speak with a salesperson while you wait for answers. With a simple snapshot of a QR/UPC code on the product or a tap on your mobile device within an application, you're instantly connected to a virtual agent via video chat. This AI assistant not only understands your questions but can also pick up on your facial expressions and body language via your video discussion, to respond with empathy and some level of emotional intelligence. "I can see you're a bit frustrated," the virtual agent says with a warm, reassuring tone. "Let me walk you through the product details and address any concerns you might have."Editor's Note: This AI solution might be great for shopping, but is it ethical for hospice care, especially when the person calling might be elderly and assumes they are talking with a person? How would you feel, especially if you're calling when your loved is actively dying, or has just died moments before? 

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LeadingAge: CMS on right track with high-acuity hospice RFI

06/05/24 at 03:00 AM

LeadingAge: CMS on right track with high-acuity hospice RFIHospice News; by Jim Parker; 5/31/24 The senior care advocacy group LeadingAge has praised the U.S. Centers for Medicare & Medicaid Services (CMS) inquiries into high-acuity palliative care, but expressed concern over reimbursement and staffing issues. The agency’s 2025 proposed hospice rule featured a series of requests for information (RFI) on issues like health equity, social determinants of health and future quality measures. The RFIs contain further questions about the utilization of higher-cost palliative treatments under the Medicare Hospice Benefit. The agency posed similar queries in its proposed rule for 2024. The new proposal seeks greater clarity on the financial risks and costs that providers say represent barriers to providing those services, such as palliative chemotherapy, radiation blood transfusions or dialysis, among others.

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Lessons learned establishing the Palliative Care Research Cooperative's Qualitative Data Repository

06/05/24 at 03:00 AM

Lessons learned establishing the Palliative Care Research Cooperative's Qualitative Data Repository Journal of Pain and Symptom Management; Salimah H Meghani, Kim Mooney-Doyle, Amber Barnato, Kathryn Colborn, Riley Gillette, Krista L Harrison, Pamela S Hinds, Dessi Kirilova, Kathleen Knafl, Dena Schulman-Green, Kathryn I Pollak, Christine S Ritchie, Jean S Kutner, Sebastian Karcher; 5/31/24 ... The [Palliative Care Research Cooperative Group] PCRC Data Informatics and Statistics Core leadership partnered with the Qualitative Data Repository (QDR) to establish the first serious illness and palliative care qualitative data repository in the U.S. ... Specifically, we discuss how we co-designed the PCRC-QDR and created tailored guidelines for depositing and sharing qualitative data depending on the original research context, establishing uniform expectations for key components of relevant documentation, and the use of suitable access controls for sensitive data. ... This work advances the establishment of best practices in qualitative data sharing.

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Hawaiʻi is the first state to provide palliative care coverage

06/05/24 at 03:00 AM

Hawaiʻi is the first state to provide palliative care coverage EIN Presswire; by Governor JOsh Green, MD; 4/4/24 Governor Josh Green, M.D., and the Department of Human Services (DHS) Med-QUEST Division are pleased to announce that the Centers for Medicare and Medicaid Services (CMS) approved a new State Plan Amendment (SPA) to cover community palliative care services through Medicaid, making Hawaiʻi the first state in the nation to do so.  ... “After several years of hard work and collaboration with many community members and experts in the field, I am proud to announce that Med-QUEST is the first Medicaid program in the country to get this benefit approved,” said Governor Green. “This will greatly improve the quality of life and health outcomes for thousands of people who face serious medical conditions in our state. Hawaiʻi continues to lead the nation in innovations in health and health care.”  

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National aging framework outlines governmentwide initiatives promoting home-based care

06/05/24 at 03:00 AM

National aging framework outlines governmentwide initiatives promoting home-based careMcKnight's Home Care; by Adam Healy; 6/3/24The Department of Health and Human Services released a new framework for its National Plan on Aging on Thursday. The framework aims to guide a multifaceted, governmentwide approach to help caregivers and home- and community-based service providers enable older adults to age comfortably in place.

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Today's Encouragement: There is a crack in everything ...

06/05/24 at 03:00 AM

There is a crack in everything, that’s how the light gets in. – Leonard Cohen

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Hospice of Santa Barbara celebrates 50 years with its Legacy of Compassion Campaign and a strong commitment to the future

06/05/24 at 03:00 AM

Hospice of Santa Barbara celebrates 50 years with its Legacy of Compassion Campaign and a strong commitment to the futureSanta Barbara Independent; by Hospice of Santa Barbara; 6/3/24 When Hospice of Santa Barbara (HSB) officially opened its doors in 1974, it was at the forefront of a visionary movement. Only one other hospice existed in the United States at the time and a local group of Santa Barbara leaders committed to meeting the needs of people and families struggling with life-threatening illness or grieving the death of a loved one. Over the past 50 years, HSB has served tens of thousands of people. ... During this time, HSB has repeatedly adapted and grown to meet the changing needs of our community including the many community crises and disasters our community has faced. ... [As] HSB looks to their next 50 years, they see a changing landscape that greatly impacts their mission.

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What health system CEOs need to tackle conflict, change

06/05/24 at 03:00 AM

What health system CEOs need to tackle conflict, change Becker's Hospital Review; by Laura Dyrda; 5/31/24  Health system CEOs are leaving behind ego-driven, top down leadership in favor of a trusting and a supportive culture to guide their organizations and transform healthcare delivery. Change is hard, but necessary, to grow. "One of my greatest realizations is the importance of fostering a culture where every individual genuinely feels valued and supported," K. Craig Kent, MD, CEO of Charlottesville, VA.-based UVA Health and executive vice president of health affairs at the University of Virginia told Becker's. ... Change is happening on many fronts. More care is exiting the hospital to be delivered at outpatient sites, in the home and through virtual connections. Patients are more actively participating in decision-making about their care, and digital technology makes it possible to personalize care more than ever before. ...

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Community Hospice & Palliative Care setting sights on Florida, Georgia expansion

06/05/24 at 03:00 AM

Community Hospice & Palliative Care setting sights on Florida, Georgia expansionHospice News; by Holly Vossel; 6/3/24Florida-based Community Hospice & Palliative Care recently opened a new location in its home state that will serve as an office for interdisciplinary staff and a community center. The new center is a key part of the hospice and palliative care provider’s overall strategic growth plans to improve access among underserved populations, according to Community CEO Phillip Ward. ... One aim of launching the center is to improve care collaboration and access among African Americans in the community, according to Ward.

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Hospice Certifying Physician edit in effect

06/05/24 at 03:00 AM

Hospice Certifying Physician edit in effectAAPC - American Academy of Professional Coders; by Rebecca Johnson; 6/3/24 The Centers for Medicare & Medicaid Services (CMS) and its Home Health and Hospice (HHH) Medicare Administrative Contractors (MACs) are all systems go for the new — and potentially troublesome — claims system edit. The edit went into effect June 3. ... In the 2024 Hospice Payment Rate Update final rule, CMS adopted a requirement that two categories of physicians must be enrolled in or validly opted out of Medicare for hospice services to be paid: the hospice medical director or the physician member of the hospice interdisciplinary group; and the attending physician that certifies the patient for hospice. CMS did at least grant hospices’ requests for an implementation delay at that time, moving the deadline from the proposed Oct. 1, 2023, to May 1, 2024. Then, on the eve of that start date, CMS bumped the edit for one more month. ...

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Should all healthcare workers take the Hippocratic Oath?

06/05/24 at 03:00 AM

Should all healthcare workers take the Hippocratic Oath? Becker's Hospital Review; Madeline Ashley; 5/29/24 As private equity expands across the healthcare industry and proper patient care is brought into question, Don Berwick, MD, a Harvard Medical School health policy lecturer in Boston and former CMS administrator during the Obama administration, called for an extended Hippocratic Oath for all who work in healthcare. During an April 3 senate hearing in Boston, titled, "When Health Care Becomes Wealth Care: How Corporate Greed Puts Patient Care and Health Workers at Risk," Dr. Berwick spoke passionately about how patient needs have been put on the backburner, but should be the No. 1 priority in healthcare.

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Most people don’t get the end-of-life care they really want. Here’s what you can do to change that.

06/04/24 at 03:00 AM

Most people don’t get the end-of-life care they really want. Here’s what you can do to change that.[Maria Shriver's] Sunday Paper; by Karen Spencer; 6/1/24My mother died of cancer in 2011, when I was in my 30s. My father had died a decade earlier, and most of our family lived far away. So even though I lived in Boston and my mom was in Denver, we had to figure out how I could help care for her from a distance. ... Here are 3 lessons I’ve learned along the way that I hope will help you, too.

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Pacs Group CEO calls for caution when dealing with private equity

06/04/24 at 03:00 AM

Pacs Group CEO calls for caution when dealing with private equityModern Healthcare; by Diane Eastabrook; 5/30/24Do you think private equity is becoming a problem for nursing homes? [Pacs Group Chair and CEO Jason Murray replies] I’m not saying that all private equity is inherently bad, but I do think that if providers are not careful about how the capital is aligned with their mission as a company, then you can get into some dangerous situations. As the company tries to perform, they might not be at the level where the capital partner would like them to be, so the business plan changes. Whenever that business plan changes from patient care to a return on capital, it’s a losing scenario.

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How hospice valuations are shaping up in 2024

06/04/24 at 03:00 AM

How hospice valuations are shaping up in 2024Hospice News; by Jim Parker; 5/30/24When it comes to hospice acquisitions, buyers’ and sellers’ expectations on price tags are becoming more aligned. A surge of deals in 2021 and 2022 led to record-high valuations in the space with multiples reaching in excess of 30x in some instances. While many buyers were willing to pay that premium, some stepped out of the market due to the high valuations. But deal volume has largely declined in late 2023 and early 2024, and valuations are starting to come down.

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UnitedHealth Group continues to leverage home-based care to drive value-based strategy

06/04/24 at 03:00 AM

UnitedHealth Group continues to leverage home-based care to drive value-based strategy Home Health Care News; by Robert Holly; 5/30/24 Value-based care has long been a core focus for UnitedHealth Group and its Optum arm. Recently, however, the health care giant has started to view value-based care as a sustainable business model that it can lean into to drive growth across its operations. ... “Although it’s a topic that has been talked about for probably 30 years as a theme, I would say, really, only within UnitedHealth Group and Optum are you seeing value-based care now on a scale and presence [that] allows it to operate truly as a business model,” UnitedHealth Group CEO Andrew Witty said Wednesday, speaking at an investor conference.

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CU researchers analyze prevalence, impact of ethical or religious barriers to providing Medical Aid in Dying

06/04/24 at 03:00 AM

CU researchers analyze prevalence, impact of ethical or religious barriers to providing Medical Aid in DyingUniversity of Colorado Anschutz press release; by Tayler Shaw; 5/31/24The recently published paper finds that 26% of physician respondents reported large ethical or religious barriers to participating in medical aid in dying, but many of these physicians were still willing to engage in discussions with patients and provide referrals for care.

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Dr. Marc Boom confronts the new dynamics of CEO burnout

06/04/24 at 03:00 AM

Dr. Marc Boom confronts the new dynamics of CEO burnoutBecker's Hospital Review; by Kelly Gooch; 5/23/24While the topic of burnout among hospital CEOs is not new, there are new dynamics in play to consider as part of the discussion. Those in the role today encounter increased pressures ranging from financial to operational. "There are new pressures that have emerged in the healthcare delivery world - everything from reimbursement cuts and escalating drug and supply costs, and labor expenses - that have created a lot of financial headwinds for organizations," said Scott Sette, a partner with Chicago-based executive search firm Heidrick & Struggles. "Plus, regulatory changes have forced CEOs to spend more resources on compliance, cybersecurity, EMR administration." Additionally, "there have just been so many workforce challenges. ... Then you have the impact of the remote and hybrid workforce and the impact of that on organizational culture. Plus, you've got many social issues going on. Clearly, [diversity, equity and inclusion] continues to be top of mind, but also you've got political unrest. You have mass shootings. You have gender-affirming care and other social issues that organizations have to address. And all of these topics [have] created even more pressures for hospitals and health systems to deal with, in addition to delivering high-quality care and delivering customer-centric experiences. There is a lot for CEOs to deal with on a daily basis." Marc Boom, MD, has served as president and CEO of Houston Methodist, an eight-hospital system with more than 32,000 employees, since 2012. He acknowledged these pressures in a recent interview with Becker's. He also discussed the prevalence of burnout and shared advice for how leaders can reduce the potential for it.

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The state of the hospice nursing workforce

06/04/24 at 03:00 AM

The state of the hospice nursing workforceHospice News; by Holly Vossel; 5/28/24Honing clinical scheduling and onboarding models is key to sustaining the hospice nurse workforce as demand for these clinicians rises and wages lag compared to those in other settings. Future generations of health care clinicians may be woefully unprepared to address both the quantity and and the complexity of emotional, physical and spiritual needs among a swelling aging population nearing the end of life.

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Reminders for the new Hospice Certifying Physician Claim Edit: Effective June 3, 2024

06/04/24 at 03:00 AM

Reminders for the new Hospice Certifying Physician Claim Edit: Effective June 3, 2024

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More older adults becoming comfortable with using technology to help them age in place

06/04/24 at 03:00 AM

More older adults becoming comfortable with using technology to help them age in placeMcKnight's Senior Living; by Kimberly Bonvissuto; 5/28/24Although fewer older adults say their homes are equipped to allow them to age in place in 2024 compared with 2023, more of them are getting comfortable with the idea of using assistive or health-related technologies to keep them living where they are, according to the results of a US News & World Report survey. ... The majority of survey participants (95%) agreed that aging in place was an important goal, up from 93% in 2023. The 2024 report took a deeper look at why older adults are — or are not — using assistive and health-related technologies, which technologies they use the most and their experiences with that technology.

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4 CEOs share their uncommon - or unpopular - opinions

06/04/24 at 03:00 AM

4 CEOs share their uncommon - or unpopular - opinionsBecker's Hospital Review; by Kelly Gooch; 5/29/24CEOs shared an unpopular (or uncommon) leadership or healthcare opinion they have. Here are answers collected by Becker's this year.

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Improving nursing home care goes beyond helping nurses

06/04/24 at 03:00 AM

Improving nursing home care goes beyond helping nursesMcKnight's Long-Term Care News; by Kristen Fischer; 5/30/24An editorial published Monday in the Journal of the American Geriatrics Society [Quality of care for older adults in nursing homes: It begins with registered nurses but does not end there!] points out flaws in moves to improve nursing home care outlined in a report published in March. Authors of the March report [RNs in nursing homes—It is not always about the numbers] shared a method to move beyond staffing numbers and optimize the workload of registered nurses. The model detailed nurse accountability, decision making, continuity of information and continuity of care. The authors shared the differences between RN work in the nursing home compared with acute care hospitals, and they also emphasized the importance of geriatric nursing knowledge.

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Today's Encouragement: Great things ...

06/04/24 at 03:00 AM

Great things are not done by impulse, but by a series of small things brought together. - George Eliot

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The lonely Americans paying $3,000 for 'death doulas' to hold their hand while they die

06/04/24 at 03:00 AM

The lonely Americans paying $3,000 for 'death doulas' to hold their hand while they dieDailyMail; by Alexa Lardieri; 6/1/24When it became clear that 88 year-old John Binder was dying, his daughter started making preparations to quit her job and travel nearly 1,000 miles across the country to take care of her elderly dad. The retired mechanic, who suffered kidney failure as a result of diabetes, couldn't be looked after by his wife, as she was also elderly and had recently undergone cancer treatment, and he refused to go to a hospice center. But then, a church leader recommended the family contact a death doula.Publisher's Note: Opportunities (missed opportunities?) hospices might consider.

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EPCSO, Hospice of El Paso make dream come true for teen facing terminal illness

06/04/24 at 03:00 AM

EPCSO, Hospice of El Paso make dream come true for teen facing terminal illnessABC KVIA; by Tyaun Marshburn; 5/29/24Evan Molina was sworn in Wednesday by El Paso County Sheriff Richard Wiles to be honorary Sheriff of El Paso for the day. Molina is a pediatric patient at Hospice of El Paso. He said he has always wanted to be a sheriff, and today the El Paso County Sheriff's Office and Hospice of El Paso made that wish come true.

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