Literature Review

Health Equity Data Definitions, Standards, and Stratification: New resource available Centers for Medicare and Medicaid Services; by CMS; May 2024Resource of health equity-related data definitions, standards, and stratification practices ... This document serves as a technical resource that can be used by organizations and entities, such as providers, states, community organizations, and others, that wish to harmonize with CMS when collecting, stratifying, and/or analyzing health equity-related data. It may also clarify differences in results that may arise when different data standards and definitions are used. This document includes suggested definitions, standards, and stratification practices for the following sociodemographic elements:

How Mass General Brigham provides emergency care at home Becker's Health IT; by Giles Bruce; 5/6/24Somerville, MA-based Mass General Brigham now treats patients needing emergency or urgent care at home. The health system's patients can request referrals to the Home Hospital Emergency Care program through their primary care providers, who decide if patients are stable enough to be treated at home. If they are, a nurse talks to the provider and schedules a home visit, where a paramedic completes a physical exam joined virtually by an emergency medicine physician. Editor's Note: Pair this article with others in today's newsletter: "Stranded in the ER, seniors await hospital care and suffer avoidable harm" (in our Post-Acute Care section), and "[Australia] Palliative patients can die peacefully at home with paramedic support, claims proposed framework" (in our International section). 

Keys to addressing ethical, moral distress in pediatric hospice Hospice News; by Holly Vossel; 5/6/24 Hospices may be under-prepared to navigate the complexities in end-of-life decisions among terminally ill children, as the ethical and moral considerations related to patient autonomy are vastly different for pediatric populations compared to adults. Ethical principles of autonomy vary in pediatric populations due to a number of factors, including a child’s age, developmental stage, cognitive capacity and their spiritual background and beliefs, according to Christy Torkildson, director at the Children’s Hospice and Palliative Care Coalition of California. 

Hospice patient airlifted to safety during East Texas floods The Gilmer Mirror; by Emily Foxhall, Carlos Nogueras Ramos and Alejandra Martinez, The Texas Tribune; 5/3/24[Scroll down on this webpage to "East Texasn try to reach their homes, save pets"] Willie Rawls woke up to water at the steps of his home Thursday in the river bottoms of Coldspring – one of the first towns hit by the several hundred thousand gallons of water released from the Lake Livingston Dam. The dam was releasing water in an effort to maintain its levels as merciless rain storms drenched East Texas this week. Rawls, 73 and in hospice care, was evacuated by the San Jacinto Sheriff’s Office, who arrived in an airboat and lifted him to safety. 

National Nurses Week 2024: RN reflects on the state of the profession, calls for change USA Today / Columbia Daily Tribune; by Julia Gomez, USA Today; 5/6/24 Monday, May 6 kicks off National Nurses Week, and it gives folks an opportunity to show their love and appreciation for the people who take care of the sick, injured and dying. From neonatal nurses who help welcome newborns into the world to hospice nurses that provide peace and comfort to their dying patients, nurses play a crucial role in the medical industry. ... Catherine Kennedy, a registered nurse and the Vice President of National Nurses United, told USA TODAY that there needs to be systemic change on the federal level to give nurses the best chance to care for their patients. A study published by the National Library of Medicine states that in 2021, nurses would work an average of "8.2 hours of paid overtime and 5.8 hours of unpaid overtime per week that year — making up the equivalent of more than 9000 full-time jobs." ... 

AI governance and cybersecurity certifications: Are they worth it? CSO; by Maria Korolov; 5/6/24The International Association of Privacy Professionals (IAPP), SANS Institute, and other organizations are releasing new AI certifications in the areas of governance and cybersecurity or adding new AI modules to existing programs. These may help professionals find employment, but with the area being relatively new, experts warn certifications could be out of date almost immediately. ... On the other hand, the new AI governance and cybersecurity certifications cover the basics needed to get up to speed, create a foundation layer on which people can build later, create a common language for practitioners to use, and will typically include ongoing training requirements to help people stay current. Here, in alphabetical order by organization are all the AI governance training and certificates known at the time of publishing. ...

Hospice remains a blind spot for Medicare Advantage Axios; by Maya Goldman; 5/6/24 As Medicare Advantage grows bigger and bigger, there's one area the industry and regulators haven't figured out how to make work yet: hospice. Why it matters: The end-of-life care option is the only Medicare service that can't be offered in the private-run alternative, which now covers over half of enrollees. ... Catch up quick: Usually, when a Medicare Advantage beneficiary decides to enter hospice after receiving a terminal diagnosis, traditional Medicare pays for this care while they remain enrolled in their private plan. ... Editor's Note: This practical, user-friendly article outlines the purposes, challenges, and outcomes of Medicare Advantage with hospice patients. Share this with your leaders and board members.

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.

FTC makes changes to healthcare breach reporting Becker's Health IT; by Naomi Diza; 4/26/24... The changes clarify the rule's scope regarding health apps and similar technologies while expanding the information covered entities must provide to consumers in the event of a breach of their health data, according to an April 26 FTC news release. Under the new rule, vendors of personal health records and related entities not governed by HIPAA are mandated to notify individuals, the FTC and, when applicable, the media, in case of a breach of unsecured personally identifiable health data. [Click on the title's link for more revisions to the rule.]

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.

OSF launches new tools to help make end-of-life planning easier News25, Peoria, IL; by Liz Lape; 4/26/24 OSF Healthcare reports that thousands of patients are dying in medical facilities without end-of-life care plans. ... Sarah Overton, Chief Officer of Nursing, describes that studies show that over 70% of patients would prefer a setting other than a hospital to spend their last moments, like at home hospice or palliative care. OSF has launched self-service resources such as an Advanced Careplanning page and Patient Questionnaire on their app MyChart. Overton says the goal is to make end-of-life care planning more available to the public.

The value of hospice-emergency department collaboration Hospice News; by Jim Parker; 4/29/24 Fostering greater collaboration between hospices and hospice emergency departments can help reduce health care costs, generate revenue and improve patient outcomes. Reducing hospitalizations and emergency department (ED) visits are key goals for many health care stakeholders, particularly those that operate within a value-based environment. ... Nearly 40 million seniors visit the ED annually, according to the Institute for Healthcare Policy and Innovation at the University of Michigan. For patients, however, the ED may not always be the best option, Rebeka Malloy, director of clinical engagement for Compassion and Choices, said at the National Hospice and Palliative Care Organization’s (NHPCO) Virtual Interdisciplinary Conference. ...