Literature Review

DEA proposes special registrations for telehealth prescribing TechTarget - xtelligent Virtual Healthcare; by Anuja Vaidya; 1/15/25  The DEA is set to publish a proposal for a special registrations framework that would allow certain healthcare practitioners to prescribe controlled substances via telehealth without performing an in-person exam first. The unpublished proposal made available on the Federal Register details the special registrations framework, which includes three types of registrations:

Diana Franchitto named Board Chair as the National Partnership for Healthcare and Hospice Innovation celebrates 10 years National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; 1/14/25 The National Partnership for Healthcare and Hospice Innovation (NPHI) proudly announces Diana Franchitto, President & CEO of HopeHealth, as the new Chair of its Board of Directors. A visionary leader in hospice and advanced illness care, Diana steps into this role as NPHI celebrates a decade of driving high-quality nonprofit care and innovation. “As we celebrate a decade of impact, we are thrilled to welcome Diana as the new Chair of our Board of Directors,” said Tom Koutsoumpas, CEO of NPHI. “Her deep commitment to community-based, nonprofit care and her proven leadership make her uniquely qualified to help guide NPHI into this next phase of growth and innovation. I have tremendous respect for Tom and our members’ vision for NPHI, and I’m thrilled to work closely with Tom and our entire NPHI leadership team to bring that vision to life,” said Diana. “It’s an honor to serve as Board Chair during this pivotal moment as we celebrate our first decade of impact. I look forward to collaborating with our members and Board to advance the incredible work our nonprofit hospices deliver every day. Together, we will shape the next chapter of compassionate care and champion innovative, community-driven solutions that prioritize the needs of patients and families nationwide.”

California system, nonprofits pause lawsuit alleging $1B in misuse Becker's Hospital Review; by Kristin Kuchno; 1/6/25 The lawsuit alleging Fresno, Calif.-based Community Health System misused $1 billion in tax dollars has been paused until June while the health system and the nonprofit plaintiffs negotiate privately, Fresnoland reported Jan. 6. Community Health System, Cultiva La Salud and Fresno Building Healthy Communities jointly filed a stipulation on Dec. 23 requesting the court to stay the case, which Fresno County Superior Court Judge Kristi Culver Kapetan approved Dec. 30, according to Fresnoland. The stay halts legal proceedings. The two nonprofit organizations filed the lawsuit in August, alleging the health system misused $1 billion in tax dollars intended to serve low-income patients.

NPHI supports lawsuit to ensure proper implementation of Hospice Special Focus Program National Partnership for Healthcare and Hospice Innovation, Washington, DC; Press Release; 1/16/25Today, a lawsuit was filed by the Texas Association for Home Care & Hospice; Indiana Association for Home & Hospice Care; Association for Home & Hospice Care of North Carolina; South Carolina Home Care & Hospice Association; and Houston Hospice. The lawsuit challenges CMS’s implementation of the hospice Special Focus Program (SFP) as unlawful and arbitrary. We acknowledge that Houston Hospice, an NPHI member, is one of the plaintiffs in this legal action, and we are committed to supporting them and others impacted by the SFP or the accompanying excel files. The hospice Special Focus Program (SFP), conceived and passed on a bipartisan basis as a part of the HOSPICE Act in 2021, was designed to address poor-quality hospice providers by offering them additional support and technical assistance to ensure compliance with the Medicare Hospice Conditions of Participation. NPHI is extremely disappointed that CMS has departed from that Congressional intent, transforming the hospice SFP into a burden for many well-meaning hospices, with an algorithm for identifying providers based on inaccurate data and including elements that are not referenced in the statutory language. ... NPHI fully supports the litigation filed today, which aims to direct CMS to comply with the spirit and intent of the statute and regulations. [Click on the title's link to continue reading.]

Knoxville nurses bring wedding to UT Medical Center for bride’s dying mother WATE Knoxville, TN; by Molly O'Brien; 1/15/25 Nurses on the Progressive Care Unit at UT Medical Center planned a wedding for one of their patient’s daughter. Samantha Barry and her now husband, Phillip Bastelica, were supposed to get married in a few months. Barry, like most daughters, always planned on her mother being at her wedding day. Her mother, Lynn, is battling a terminal illness and was recently released from the Progressive Care Unit to hospice. ... It seemed unlikely that Lynn would be able to attend the wedding planned for August, so Barry and Bastelica decided to move the day up. ... The nurses who cared for Lynn jumped into action to plan a wedding for Barry.

CMS Call for Nominations: 2025 CMS Health Equity Award U.S. Centers for Medicare and Medicaid Services; by CMS Health Equity; via CMS email 1/13/25Nominations for the 2025 CMS Health Equity Award are now open to organizations working to advance health equity, showing others how to reduce disparities in health care access, quality, and outcomes. Nominations are due February 18 at 11:59 pm PT.  ... Health equity is defined by CMS as the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, and other factors that affect access to care and health outcomes. 

A year from now you may wish you had started today. ~ Karen Lamb

I’m moving forward and facing the uncertainty of aging California Healthline; by Judith Graham; 1/15/25 It takes a lot of courage to grow old. I’ve come to appreciate this after conversations with hundreds of older adults over the past eight years for nearly 200 “Navigating Aging” columns. Time and again, people have described what it’s like to let go of certainties they once lived with and adjust to new circumstances. These older adults’ lives are filled with change. They don’t know what the future holds except that the end is nearer than it’s ever been. And yet, they find ways to adapt. To move forward. To find meaning in their lives. And I find myself resolving to follow this path as I ready myself for retirement. Patricia Estess, 85, of the Brooklyn borough of New York City spoke eloquently about the unpredictability of later life when I reached out to her as I reported a series of columns on older adults who live alone, sometimes known as “solo agers.” ...

 6 behaviors you must unlearn to be a relevant leader in 2025 Forbes; by Glenn Llopis; 1/7/25 Leadership today isn’t what it used to be. Gone are the days when a title or a corner office automatically commanded respect. Today, business leaders need more than authority, they need relevance. But being a relevant leader is not just about adopting new behaviors; it’s about unlearning bad habits. Especially those that do more harm than good. ... Here are six behaviors you must unlearn that once felt relevant and now may be holding you back. I’ve also included the six behaviors you must relearn.

New Hampshire woman’s father dies in hospice care when California fires broke out CBS News WBZ, Boston, MA / YouTube; 1/15/25 Just two hours before the fire evacuation--Merle Fetter--Barbara's husband of 64 years died in Royal Oaks Hospice Care, with Barbara holding his hand until the end . … As the fire moved through Altadena towards Monrovia Barbara was forced to leave Merrill's body, unable to be evacuated. ... [Daughter in New Hampshire:]  “I didn't know where my mother was. I didn't know what happened to my father's body.” Barbara's daughter—Joy—thousands thousands of miles away in New Hampshire couldn't fly to Los Angeles until Friday. When she finally landed she received a reassuring call from Royal Oaks her mom was OK and her father's remains taken to the coroner's office. Staff feel like residents here are their family.

VITAS eyeing expansion in 12 states Hospice News; by Jim Parker; 1/14/25 Historically, VITAS Healthcare has relied heavily on organic growth, a strategy the company is not turning away from. However, it may add more acquisitions to the mix. VITAS is a subsidiary of Chemed Corp. (NYSE: CHE). The company this year made its return to the M&A market after a hiatus of several years. In April, VITAS acquired Covenant Health and Community Services’ hospice operations as well as one assisted living facility in an $85 million deal. Now, the company is seeking out other targets, with an emphasis on Certificate of Need states. “There are at a minimum 12 states we don’t operate in that we think are very attractive to us, and we are out actively sourcing deals, and we expect some of that deal flow to continue to come through here in 2025 and beyond …” VITAS CEO and Chairman Nick Westfall said during the JP Morgan Healthcare conference. “We think we’re in the early roads of really an ongoing consolidation inside of the space.”

How poor communication is killing patients and burning out doctors Medpage Today's KevinMD.com; by Pamela Buchanan; 1/14/25 This week alone, I had two particularly heart-wrenching encounters [as an Emergency Room physician]: A 65-year-old man with metastatic lung cancer, convinced his shortness of breath was just pneumonia. When I explained the progression of his disease, he was shocked. No one had told him that his cancer was likely incurable. A 97-year-old woman brought in for “failure to thrive.” She was frail, pale, and not eating—classic signs of the final stages of metastatic cancer. When I suggested hospice care, she seemed blindsided, as if this reality was completely new to her. Both cases highlight a troubling trend: Patients often come to the ER not just for care, but for clarity. They don’t understand their diagnosis, prognosis, or treatment plan. ...

Weekly US map: Influenza summary update U.s. Centers for Disease Control and Prevention (CDC); retrieved 1/15/25 A Weekly Influenza Surveillance Report Prepared by the Influenza Division utpatient Respiratory Illness Activity Map Determined by Data Reported to ILINet. This system monitors visits for respiratory illness that includes fever plus a cough or sore throat, also referred to as ILI, not laboratory confirmed influenza and may capture patient visits due to other respiratory pathogens that cause similar symptoms. Editor's note: Throughout the nation, local and regional reports of increased flu, respiratory diseases, and COVID are emerging. Click here to monitor information for your service areas. Scroll down to the bottom of the page for its map.