Literature Review

Why home health deserts are spreading across rural states Modern Healthcare; by Diane Eastabrook; 11/1/24 Home health deserts are increasing at an alarming rate across some rural states as home health companies close or reduce services due to financial challenges. Home health companies in Maine, Nebraska and Minnesota say a proposed Medicare rate cut, low Medicare Advantage reimbursements and workforce shortages are forcing them to make difficult business decisions — leaving many communities with limited access or no access to post-acute care in the home. ...  Approximately 800 home health providers have closed over the past five years, according to the National Alliance for Care at Home, a trade group that represents the industry. Alliance CEO Dr. Steve Landers mostly blames a Medicare home health payment model that went into effect in 2020 for reducing Medicare reimbursements and causing financial stress for providers. “While closures are significant, we are also getting reports that providers are restricting the territory they serve as a first step to addressing their financial stresses,” Landers said in an email. “This appears to be especially concerning in rural areas where no other provider is available to step in.”

How Zoom is expanding its role in healthcare Modern Healthcare; by Hayley Desilva; 11/1/24 Zoom, a company that rose to prominence during the COVID-19 pandemic, is looking to expand its presence in healthcare through artificial intelligence.  The company recently announced plans to incorporate ambient AI documentation technology from digital health company Suki in its clinical platform. Zoom plans to use the ambient AI technology, which turns a recording of a doctor-patient conversation into usable clinical notes in the electronic health record, for virtual and in-person visits.  ... Here's a closer look at Zoom's history in healthcare and where it plans to go next.

Local hospice care offers services The Tribune, Seymour, IN; by Chey Smith; 11/1/24 St. Croix Hospice has recently expanded its reach locally to those in the community who need the resources they provide, ... The firm provides hospice care throughout the Midwest including three other branches in Indiana — Jeffersonville, Newburgh and Indianapolis. While in Seymour, they are able to serve Jackson County as well as those residents from Bartholomew, Brown, Jennings, Lawrence, Monroe, Scott and Washington counties. Caregivers at each hospice location live in the communities they serve, allowing in-person care for patients whenever they need it. Services are available nights, weekends and holidays. Chris Thomas, regional director of clinical operations at St. Croix’s Indiana locations, talked about the importance of this closeness and flexibility. “We wanted to move to this location because we wanted to service the local community,” Thomas said. “Try to stay closer to the community for faster response time.” This phase of someone’s life can be scary, but Thomas says that it doesn’t have to be that way. “People are scared when they hear the word hospice. We just want to let the community know that it’s okay. It doesn’t mean you’re giving up,” he said. “We really want to focus on the time they have left.”

How to use the 7Cs of compassionate leadership to ease post-election tension Forbes; by Laurel Donnellan; 10/31/24 As of this post being published, less than a week away from November 5, 2024, the presidential election is a toss-up. Once the ballots are tallied, about 50% of the electorate will be disappointed. Some will be broken-hearted, others outraged, and others will move on quickly. As a compassionate leader, you must prevent and alleviate the suffering of others. So, it would be best if you were prepared to address this disappointment, regardless of the outcome and your political views. ... Over the last 5 years, while writing these posts at Forbes, my team and I have researched the attributes of successful, compassionate leaders. We have identified seven common characteristics that can be applied to being the best leader after this election. ...

Microsoft update warning—400 million Windows PCs now at risk Forbes; by Zak Doffman; 10/30/24 Here we go again. Previously fixed Windows vulnerabilities are back to haunt users. And with perfect timing, there’s also a serious new warning for at least 400 million users, all of whom need to act to keep their PCs and data safe from attack. This is all about timing. The public interest advocacy group PIRG is now campaigning for Microsoft to extend the Windows 10 support extension now available to schools to other users. “In one year, Microsoft plans to end support for Windows 10,” they warn, “potentially rendering up to 400 million computers obsolete overnight. This decision could trigger the single largest surge in junked computers in history, with dire consequences for both consumers and the environment.” 

How today’s hospice fraud could warp tomorrow’s reimbursement outlook Hospice News; by Holly Vossel; 10/28/24 This is the second of a two-part Hospice News series that explores how fraud, waste and abuse in the hospice space could create headwinds for the industry at large. Fraudsters misspend millions of Medicare dollars annually, though the actual hospice-specific amounts are difficult to determine, regulators previously told Hospice News. Industry stakeholders have questioned whether the malfeasance will stymie the U.S. Centers for Medicare & Medicaid Services’ (CMS) ability to justify future reimbursement rate increases, which many hospice providers already consider insufficient to support the full range of their interdisciplinary services in today’s economic climate.

CIOs must prepare their organizations today for quantum-safe cryptography IBM; by Mark Hughes, Joachim Schäfer and Arfan Sabar; 10/24/24Quantum computers are emerging from the pure research phase and becoming useful tools. They are used across industries and organizations to explore the frontiers of challenges in healthcare and life sciences, high energy physics, materials development, optimization and sustainability. However, as quantum computers scale, they will also be able to solve certain hard mathematical problems on which today’s public key cryptography relies. A future cryptographically relevant quantum computer (CRQC) might break globally used asymmetric cryptography algorithms that currently help ensure the confidentiality and integrity of data and the authenticity of systems access.The risks imposed by a CRQC are far-reaching: possible data breaches, digital infrastructure disruptions and even widescale global manipulation. These future quantum computers will be among the biggest risks to the digital economy and pose a significant cyber risk to businesses. ... [Click on the title's link to continue reading.]

CCH, foundation working together again to look at possibility of reopening Hospice House Gillette News Record, Gillette, WY; by News Record Staff; 10/24/24 Campbell County Health and the Northeast Wyoming Community Health Foundation are back at the table again to explore the feasibility of reopening the Close to Home Hospice House. According to press releases sent out Wednesday from both groups, this initiative aims to enhance inpatient hospice services by reopening a home that facilitates end-of-life support, providing a compassionate space for individuals to receive care with dignity. “We are considering this in partnership with a third-party operator,  which will be discussed and decided upon collaboratively,” the press releases read. “Our primary focus is the well-being of our community, and we are committed to transparency as we engage in these preliminary discussions." 

What hospices need to know about whistleblower lawsuits Hospice News; by Holly Vossel; 10/22/24 Hospices need to understand the range of risks involved in qui tam cases and how best to navigate whistleblower concerns amid an evolving regulatory landscape. Qui tam actions occur when a whistleblower, called a “relator” by the courts, files a False Claims Act suit on behalf of the government. The relator has the potential to receive a portion of any funds recovered by the government via the lawsuit, with amounts typically ranging from 15% to 25%. A federal judge recently found the qui tam clause unconstitutional, ruling that the relator’s role in sparking enforcement actions effectively makes them an executive branch officer appointed without due process.

Who gets to access a “good death"? Adelphi University, New York; by Zainab Toteh Osakew and Jennifer McIntosh; 10/23/24Socioeconomically disadvantaged neighborhoods have fewer home hospice agencies, study shows. ... “We know that poorer neighborhoods have continued to lag behind in utilization of hospice care. For decades, scientists have attributed it to cultural values or preferences about care,” said Zainab Toteh Osakwe ’06, PhD, associate professor in the Adelphi University College of Nursing and Public Health and an expert in home healthcare. ... Dr. Osakwe partnered with a geospatial analyst at the University of North Dakota to uncover patterns in the locations of hospice offices. Drawing on information made publicly available by the Centers for Medicare and Medicaid Services, they culled data related to 3,447 hospice providers and 4,584 Medicare-certified hospices nationwide. Next, they geocoded hospice agency addresses to the social vulnerability index (SVI), a measure developed by the Centers for Disease Control and Prevention that geographically ranks at-risk communities. ... Dr. Osakwe and her team found that hospice agency offices were far more likely to be clustered in neighborhoods with greater socioeconomic advantage. Predominantly Black and Hispanic neighborhoods also contained significantly fewer hospice agency offices. While the results align with prior studies on hospice supply and community-level wealth, theirs is one of the first to investigate hospice agency availability by neighborhood.

Kaiser Permanente mental health workers go on strike in Southern California Fox 5 - KUSI, San Diego, CA; by Danielle Dawson; 10/21/24 Thousands of mental health workers at Kaiser Permanente locations across Southern California hit the picket lines on Monday for the first day of an open-ended strike, calling for measures to reduce employee turnover and better patient care. ... The unionized mental health professionals — encompassing therapists, psychologists, social workers and psychiatric nurses — have been demanding Kaiser address issues in their next contract that have contributed to “substandard” care in Southern California. ... Last year, California behavioral health regulators flagged several of these problems when it hit Kaiser with a $50 million fine — the largest-ever penalty issued by the department — for failing to provide timely care to its patients as part of a wider $200 million settlement agreement. “Our agency could lose its Medicare license because we have five days to see our patients and, because our unsustainable caseloads, patient care is being delayed,” Elizabeth Meza, a San Diego-area hospice worker, told KUSI Monday morning. “We are only able to provide the minimum amount of care that they need.”

How quality, compliance, technology factor into hospice recruitment Hospice News; by Holly Vossel; 10/17/24 Quality, compliance and technology investments are becoming increasingly crucial when it comes to hospices’ recruitment and retention strategies as they seek to gain an advantage in the health care labor market. Finding and keeping quality employees who are able to keep up with the fast pace of today’s hospice compliance landscape has become a challenging feat, according to SilverStone Health CEO Alfonso Montiel. The Dallas, Texas-based health system provides palliative, home health and hospice, among other services. ... More than half of hospices nationwide underwent multiple audits simultaneously during 2023, according to survey findings from LeadingAge, the National Alliance for Care at Home and the National Partnership for Healthcare and Hospice Innovation (NPHI). ...

The future of healthcare systems with Richard Church Podcast by Teleios Collaborative Network; by Chris Comeaux; 10/15/24 In this conversation, Chris Comeaux interviews Rich Church, the Chief Growth and Strategy Officer of Parkview Health in Ft. Wayne, Indiana.  Chris and Rich discuss the future of nonprofit healthcare systems.  Rich explains that nonprofit systems need to think like for-profit organizations in the future in terms of managing their finances, but the difference lies in how they use their margins to invest back into their communities. Nonprofits use their margins to provide care to those who may not have access otherwise, while for-profits distribute their margins to stockholders.  Rich also emphasizes the importance of innovation and simplification in healthcare, as well as the need for a cultural shift that encourages risk-taking and learning from mistakes.  The conversation explores the importance of preventing high acuity care and keeping patients healthier to bend the cost curve in the long run.