Literature Review

Is your organization truly clinically integrated? TCNtalks podcast; host Chris Comeaux; 7/17/24 In this conversation, Chris Comeaux and Dr. Will Faber discuss the importance of clinically integrated networks (CINs) in the Hospice and Palliative Care industry.  They explore the challenges and benefits of creating a CIN, including reducing costs, improving quality of care, and competing with larger organizations. Dr. Faber explains that CINs are legal entities that allow independent providers to come together for group effectiveness, enabling them to negotiate with payers and improve quality while reducing healthcare costs.  They also touch on the concept of the triple aim and the evolving concept of the quintuple aim in healthcare. CINs are attractive to hospice and palliative care organizations because they provide a way to stay independent while being part of something larger. 

Kindred and related entities agree to pay $19.428M to settle federal and state false claims act lawsuits alleging ineligible claims for hospice patients U.S. Department of Justice - Office of Public Affairs; Press Release; 7/17/24 Gentiva, successor to Kindred at Home, has agreed to pay $19.428 million to resolve allegations that Kindred at Home and related entities (Kindred) knowingly submitted false claims and knowingly retained overpayments for hospice services provided to patients who were ineligible to receive hospice benefits under various federal health care programs. Gentiva’s hospice operations, headquartered in Atlanta, include entities that previously operated Kindred at Home hospice locations under the names Avalon, Kindred, SouthernCare and SouthernCare New Beacon. [Click on the title's link to continue reading.]

Deep summer is when laziness finds respectability. ~ Sam Keen

7 hospitals closing departments or ending services Becker's Healthcare; by Andrew Cass; 7/12/24 A number of healthcare organizations have recently closed medical departments or ended services at facilities to shore up finances, focus on more in-demand services or address staffing shortages. Here are seven department closures or services that are ending or have been announced, advanced or finalized that Becker's reported since June 1: 

County Commissioners question providing nonprofits with funding Times Union Online, Kosciusko County, IN; by David L. Slone; 7/16/24 The future of Kosciusko County government providing funding to local nonprofit organizations is uncertain. Tuesday, after some discussion on the appropriateness of the county giving taxpayer dollars to nonprofits, the Kosciusko County Commissioners approved recommending to the County Council that seven nonprofits receive the same amount of funds in 2025 as they did in 2024. [Among the organizations listed is] Stillwater Hospice, $50,000. ... [Commissioner Cary] Groninger said the county council would have the final say on the nonprofit funding. ... [Commissioner Brad] Jackson said the decision was a tough one and they didn’t just want to stop providing funding without giving the nonprofits notice. 

When you know you might forget everything: Living with the Alzheimer’s gene Intelligencer; by Amelia Schonbek; 7/16/24 In 2017, 23andMe began offering tests for the genetic risk of developing certain health conditions like celiac disease, Parkinson’s, and late-onset Alzheimer’s. The Alzheimer’s test will tell you if you have the gene variant APOE4, which means you have an increased likelihood of developing the disease. One in four people carry a single copy of the gene, but 2 to 3 percent of the population have two copies — one from each parent — and have a much higher probability. As with all of 23andMe’s upcharged “Health Predisposition Reports,” the sell on it was self-empowerment: Once you know, you can plan, allowing you to take charge of your well-being. 

A personal approach: Patient Care Coordination Inc. celebrates a decade of inclusive healthcare Classic 96.7 FM BWZ, Philadelphia, PA; 7/17/24Philadelphia-based Patient Care Coordination Inc. (PCC), led by Founder and Executive Director Paul S. Rimar, proudly commemorates its 10th anniversary. With a steadfast commitment to inclusivity, particularly within the LGBTQ community, PCC has grown to serve over 6,500 participants across 21 counties in Pennsylvania, delivering high-quality, value-based healthcare services. ... A cornerstone of PCC’s mission is its dedication to the LGBTQ community. Rimar’s personal experiences with LGBTQ-specific challenges have profoundly influenced PCC’s inclusive policies and practices. ... [Rimar's] comprehensive background, including roles in long-term care, hospice, managed care, and transplantation, has been instrumental in PCC’s evolution and success.

Bereaved families face ‘devastating’ impacts of hospice fraud Hospice News; by Holly Vossel; 7/16/24 Fraudulent activity in the hospice space may be leaving some families without sufficient bereavement support. Fraudulent hospice schemes can take a tremendous toll on families that have lost loved ones who received poor or negligent end-of-life care, according to Cheryl Kraus, director of government affairs and policy at the Hospice & Palliative Care Association of New York State (HPCANYS). ... “It’s tragic if you’re already grieving the loss of a loved one to have your suspicions confirmed that they did not receive the level of care that they were entitled to because of bad actors in the hospice space,” Kraus said. “It just shocks the conscience what these fraudulent hospices are doing to people. It’s going to take a long time to restore not just the individuals’ trust who have experienced this firsthand, but also the public’s.” 

Heart to Heart Hospice House continues patient service despite power outages, adverse effects from Hurricane Beryl Cision PRWeb; by Heart to Heart Hospice; 7/16/24 Heart to Heart Hospice, which operates five locations in the Houston area, was among the many healthcare providers severely impacted when Hurricane Beryl made landfall along the Texas coast last week. All the Heart to Heart Hospice sites lost electrical power, as well as internet and cellular-based communications service. ... Immediately following the storm, the Heart to Heart and Proveer teams began working together to quickly restore emergency generator power, helping to ensure that patients and residents received care during the power outages and that all basic, needs-based functions continued uninterrupted. "It has been amazing to see the level of collaboration, compassion, and commitment from these teams that has allowed us to continue serving patients and families across the entire Houston area," said Nick Robinson, Heart to Heart Hospice's Regional Vice President of Operations.

Streamlining financial processes in end-of-life care: The crucial role of revenue cycle management for hospices United Business Journal - UBJ; by Rahul Kumar; 7/16/24In the increasingly complex healthcare landscape, hospices face unique challenges in managing their financial processes. One crucial aspect that significantly impacts their efficiency and sustainability is Revenue Cycle Management (RCM) for hospices. This blog post aims to shed light on the essential role of RCM for hospices in streamlining financial operations, ensuring they can continue to provide compassionate and high-quality end-of-life care.

Hospice heart appeal in memory of teenager BBC News, West Midlands, United Kingdom; by Andy Giddings; 7/16/24 A mother has shared the story of her "totally remarkable" daughter's final days in a hospice as she helps launch a fundraising campaign inspired by the 17-year-old. While Hannah Debney was cared for at Acorns Children's Hospice in Walsall, she made a heart shaped sculpture as a keepsake for her mother, Christine Debney. The hospice is appealing to the public to dedicate a metal heart to the memory of someone they have lost, which will form part of a display. Ms Debney said the hospice was "amazing" and added: "They allowed us as a family to be together during her final days. ... “Hannah said she wanted to tell the doctors to stop," Ms Debney said. "No-one should have to make decisions like that. It was Hannah who said she wanted to go to Acorns Children’s Hospice and to be transferred there.” Christine described her daughter as "the bravest person" she had ever known. Hannah died 15 days after she arrived, but while she was at Acorns she made keepsakes for her family. They included a cast of her hand in the shape of the heart for her mother, and that symbol inspired the Hannah’s Hearts Appeal.

Rural hospitals built during Baby Boom now face Baby Bust KFF Health News; by Tony Leys; 7/15/24 ... Many of the U.S. hospitals that are now dropping obstetrics units were built or expanded in the mid-1900s, when America went on a rural-hospital building spree, thanks to federal funding from the Hill-Burton Act. “It was an amazing program,” said Brock Slabach, chief operations officer for the National Rural Health Association. “Basically, if you were a county that wanted a hospital, they gave you the money.”Editor's Note: Mark Cohen has discussed the Hilburton Act with Chris Comeaux in their monthly TCN podcasts. Closures of rural hospital services continue to increase, impacting end-of-life care awareness, referrals, and utilization throughout our nation's rural areas. 

Senior CommUnity Care of NKY Program announces opening of PACE senior care program Northern Kentucky Tribune; 7/16/24 Senior CommUnity Care of Northern Kentucky is celebrating the opening of the Program of All-Inclusive Care for the Elderly (PACE) serving eligible participants residing in Northern Kentucky — including Boone, Campbell, Kenton, Gallatin, Carroll, Owen, Grant and Pendleton counties. ... Senior CommUnity Care of Northern Kentucky is a partnership of Volunteers of America National Services (VOANS) PACE Holding Company, a recognized PACE operator, and St. Elizabeth Healthcare.