Literature Review

Evolving medical licensing laws could affect hospice workforce, diversity challenges Hospice News; by Holly Vossel; 5/1/24 A rash of states are restructuring their medical licensing requirements to allow more trained clinicians from other countries to find employment in the United States. The trend is an aim to address prolific workforce shortages, including in hospice, but could also have impacts on improving diversity, equity and inclusion. Some states have restructured medical licensing requirements for certain international medical graduates (IMGs) to allow more clinical professionals to work in the United States.

What Hospice VBID’s ending means for palliative care Hospice News; by Markisan Naso; 5/1/24 The impending demise of the hospice component of U.S. Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. ... The program, which initially contained promising components designed to give patients better access to palliative care, instead became an increasing source of frustration for organizations. ... With the end date for the hospice component of the VBID model approaching, many palliative care providers are left with concern for their patients and questions about the coming transition, as they shift focus to what happens next.  Editor's Note: This article includes perspectives from Rory Farrand, Vice President of Palliative and Advanced Medicine at NHPCO, and Mollie Gurian, Vice President of Home-Based and HCBS Policy at LeadingAge.

Executive Personnel Changes - 5/3/24

May 6-12, 2024 National Nurses Week: Nurses Make a DifferenceNursing World; by the American Nurses Association; 4/30/24 The American Nurses Association is celebrating National Nurses Week 2024 May 6 - May 12, and throughout May. This year's theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Join us in recognizing the invaluable contributions of nurses worldwide. Whether you're a health care professional, a patient, or simply someone who appreciates nurses' dedication, this is your chance to express gratitude and support for their capability and fortitude. Let’s come together to celebrate Nurses Week 2024 and show our appreciation for these extraordinary professionals!

More legislation in Illinois deals with ending a person’s life The Center Square - Illinois; by Kevin Bessler; 5/1/24 Another bill has been introduced in Springfield dealing with end of life options for the terminally ill. Illinois state Sen. Julie Morrison’s Senate Bill 2644 would establish a statewide electronic registry that would contain Physician Orders for Life Sustaining Treatment (POLST) forms, which detail what type of medical treatment a critically ill patient does and does not want. “How much or how little treatment a person receives at the end of their life should be up to each individual instead of the one-size-fits-all approach,” said Morrison, D-Lake Forest, during a news conference Wednesday. “This measure will enable physicians to access forms detailing patients wishes in a single, accessible location.” 

[FL] Attorney General Moody announces arrest of two Seminole County residents for Medicaid fraud Office of Attorney General Ashley Moody [Florida]; by Kylie Mason; 4/23/24 Attorney General Ashley Moody’s Medicaid Fraud Control Unit, ... announced the arrest of Debora Behnke and Suman Bhattacharjee ...  [They] ran Pioneer Medical Transportation LLC and submitted fraudulent claims for nonemergency medical transportation for Medicaid recipients, stealing more than $250,000 from the Medicaid program.  "Instead of transporting vulnerable Medicaid recipients, these individuals falsely billed the taxpayer-funded program for services never completed. In some instances, they even convinced patients to move across the state—with no regard for the best interest of the patients—and still charged Medicaid for transporting them from the original, longer distance. ..."

Why health systems should embrace advanced in-home care models McKnights Home Care; by Marcy Carty, MD, MPH; 4/25/24Over the next two decades, the adult demographic over 50 years of age will increase by 25 million, and with over 75% expressing a strong desire to age in place, it’s imperative to champion care models that support safe, high-quality care within the home. Despite proactive care models to support aging in the home, acute needs still arise. Health systems stand to gain manifold by embracing the paradigm shift to care in the home. By moving more advanced care delivery into peoples’ homes, systems can effectively curb acute healthcare utilization, decreasing hospital-acquired conditions and drastically improving patient and family experience.

Southern states fare worst in USA Today’s searchable staffing level database McKnights Long-Term Care News; by Josh Henreckson; 4/26/24 Many US skilled nursing facilities currently meet some provisions of the new federal staffing rule at least some of the time, but only 160 — slightly more than 1% — consistently meet all requirements, according to a new analysis. Facilities located in southern states had the most ground to make up on staffing, based on a review of summer 2023 Centers for Medicare & Medicaid Services data by USA Today. The analysis, published Wednesday, includes a searchable database with information on individual facilities — including the facility’s name, address and the average hours of care per resident per day compared to the new national standard of 3.48.

You never know when something you do or somebody you talk to changes the course of your life. - Judi Lund PersonEditor's Note: This quote is from today's post, "Judi Lund Person: Unleashed," from a pivotal, spontaneous life moment that called her to a brand new movement called "hospice."

Hospice care scam has FBI issuing warning after 'huge increase in complaints'ABC TV 13, Houston, TX; by Samica Knight; 4/29/24The Federal Bureau of Investigations is warning about a scam in which crooks sign people up for hospice care without their knowledge. The FBI has received numerous reports from victims in the Houston area about this costly scam. "It's a little bit more egregious and distasteful than some of the other Medicare frauds we typically deal with," FBI Supervisory Special Agent Shannon Brady said. "We've had a huge increase in complaints." Fraudsters are actually signing mostly elderly victims up for end-of-life hospice care when they don't need it and without the victim even knowing about it.

TRU Community Care and St. Paul’s Senior Services explore strategic partnership to transform senior care landscape My Prime Time News, Lafayette, CO; 4/29/24TRU Community Care and St. Paul’s Senior Services are exploring affiliation as two well-established nonprofit healthcare providers in Colorado and California, respectively. Under the leadership of Scott Gresser, President and CEO of TRU Community Care and Michael McHale, President and CEO of St. Paul’s Senior Services, organizational integration would allow TRU and St. Paul’s to expand the serious illness continuum of care that each currently provides, including senior services from independent living to memory care, PACE (Program of All-Inclusive Care for the Elderly), palliative and hospice care, and community support programs such as bereavement services. 

Medical marijuana may be sold in pharmacies, but it is not a medicine Psychiatric Times; by Yi-Lang Tang, MD, PhD and Elizabeth McCord, MD; 4/29/24Commentary: Georgia will soon be the first state in the nation to allow independent pharmacies to sell medical marijuana products, with more than 100 pharmacies already applying to participate. This raises serious health concerns. The public should be aware that medical marijuana is not a medicine and that it differs from US Food and Drug Administration (FDA)-approved medications in several key ways. ... Editor's Note: This article contains a list of what is approved (or not) in each state (with Washington D.C. and Puerto Rico); a brief history of medical marijuana; and differences between medical marijuana and FDA-approved medications.