Literature Review

Between the hospital and the street: Addressing a crucial gap in care healthleaders.com; by Eric Wisklund; 8/23/24 A unique program in Salt Lake City is managing care for underserved patients who live on the street or in an unsafe location, and helping hospitals reduce ED crowding, improve care coordination and reduce costs in the process. The INN Between is a nine-year-old program that began as a 16-bed Catholic convent and is now an 80-bed “assisted living facility” of sorts, offering everything from hospice care to rehabilitation and care management services. The organization addresses a significant care gap for health systems and hospitals who see these patients in their Emergency Departments and ICUs—and who often discharge them to an uncertain care landscape. ... The INN Between, which operates year-to-year on a budget of $1.6 million (recently cut down from $2 million), exists on a mishmash of charitable donations, grants, and the occasional federal or state subsidy. Editor's Note: Pair this compassionate solution with the scathing article about hospice fraud and abuse of homeless persons, Fraudulent hospices reportedly target homeless people, methadone patients to pad census, by Jim Parker at Hospice News.

Sophisticated caregiver training remains an underutilized retention, ROI tool Home Health Care News; by Audrie Martin; 8/22/24 ... [Only] 43.8% of home-based care staff and 55% of home health and hospice staff feel prepared to care for new clients, according to the 2024 Activated Insights Benchmarking Report. As a possible result, the annual care staff turnover rate has climbed 14% in the last two years to almost 80%. Organizations demonstrating a commitment to continuing education improve employee satisfaction by allowing caregivers to hone their skills and grow in their careers. Investing in employees’ long-term success will impart a sense of purpose and possibility within a role known for turnover and burnout. “The average home-based care provider offers five hours of orientation and eight hours of ongoing training,” the report read. “Those who offer at least eight orientation hours and 12 hours of ongoing training see an increase of $1,103,291 in revenue. However, while establishing a clear path is one of the top strategies to retaining long-term employees, only 39% of providers have one.”

Granite VNA launches virtual nurse program Eagle Times, Concord, NH; by Eagle Times Staff; 8/22/24 Granite VNA recently introduced a virtual nurse program, connecting patients with skilled home and hospice care nurses through telephone and video calls. The virtual nurses complement the agency’s field nursing team by conducting regular check-ins with their patients, reinforcing education, addressing patients’ physical and mental health needs, supporting case management and more. Granite VNA currently has three virtual visiting nurses, two who specialize in home care and one who specializes in hospice care. Similar to the agency’s field nurses, the virtual visiting nurses see multiple patients each day. “Virtual visiting nurses play a crucial role in enhancing community health and providing support to Granite VNA’s home and hospice care field nurses,” said Granite VNA Vice President of Education and Quality Tammi Mozier, MBA, PT, ATC, COS-C. 

Molina Healthcare of Ohio donates $125,000 to address shortage of home care and hospice nurses Business Wire; by Ben Jackey; 8/21/24 Molina Healthcare of Ohio ("Molina") awarded a $125,000 grant to the Center for Community Based Care (CCBC), the nonprofit foundation arm of the Ohio Council for Home Care & Hospice (OCHCH). The investment will fund efforts to address the shortage of nurses in home care and hospice settings and support a new hotline aiding Ohioans managing serious illnesses from home. ... "Molina believes all individuals should have access to high-quality care and our support of CCBC will help create greater capacity for Ohioans to receive care from home," said Ami Cole, plan president for Molina Healthcare of Ohio. "CCBC is reducing gaps in health equity and we are proud to invest in their work."

17 ways nonprofits can bolster their DEI efforts Forbes; by Dr. Ara J. Baghdasarian; 8/20/24 Nonprofits that hope to make a meaningful, lasting and widespread impact must take an intentional approach to diversity, equity and inclusion (DEI). Doing so can help organizations better support the communities they serve while allowing diverse viewpoints to be heard and implemented. To that end, 17 members of Forbes Nonprofit Council share their top strategies for nonprofits looking to transform their DEI efforts. From understanding your target audience to emphasizing accountability, these approaches can ensure your organization's programs are accessible, inclusive and culturally sensitive.

Hospice CARE Act would create reimbursement for high-acuity hospice services Hospice News; by Holly Vossel; 8/19/24 If enacted, the Hospice Care Accountability, Reform and Enforcement (Hospice CARE) Act could open up reimbursement pathways for high-acuity palliative services during a time when demand and costs are rising. Developed by U.S. Rep. Earl Blumenaur (D-Oregon) and announced in June at the Hospice News Elevate conference, the bill proposed massive reimbursement and regulatory changes to the Medicare Hospice Benefit. Currently in a discussion draft phase, the bill includes ways for hospice providers to have clearer definitions and improved payment for more intensive forms of palliation, such as radiation therapy, blood transfusions or dialysis, among others.

Destitute and dying: Interventions and models of palliative and end of life care for homeless adults – a systematic review BMJ Supportive & Palliative Care; United Kingdom; by Megan Rose Coverdale and Fliss Murtagh; 8/24 We identified key components of care to optimise the support for homeless adults needing palliative and end of life care: advocacy; multidisciplinary working; professional education; and care in the community. Future research must include the perspectives of those who are homeless. 

How Texas healthcare facilities can prepare for new workplace violence prevention standards for healthcare workers JW News; by Jeffrey H. Frost; 8/14/24 ... On May 15, 2023, Governor Abbott signed SB 240, relating to workplace violence prevention in certain healthcare facilities. ... Texas healthcare facilities must meet Chapter 331 workplace violence prevention requirements by September 1, 2024. ... Covered facilities [which includes hospice] must establish a workplace violence prevention committee, prevention plan, and policy. ... At a minimum, the prevention plan must: (i) be tailored to the practice setting; (ii) define “workplace violence”; (iii) provide for annual training; (iv) review physical security and safety; (v) create a reporting system; and (vi) adjust the care assignments (if possible) of employees and providers who have been assaulted or threatened. Editor's Note: For non-Texas hospice and palliative providers, what Workplace Violence Prevention Plan do you have in place, or not? This article provides excellent information and action plans for you to use.

Staff education an anchor amid widespread hospice audits Hospice News; by Holly Vossel; 8/14/24 ... More than half of hospice providers reported having multiple types of audits within a six-month span in a survey earlier this year. ... Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE) audits are among the most common types of audits that hospices undergo simultaneously alongside others. ... Staff need a firm understanding around the potential red flags on regulators’ radars and how to avoid common compliance errors in their roles, ... Compliance training should be focused on staff’s overall responsibilities alongside the larger bottom line of quality, she said. ... Notable mentions: Jason Bring, co-chair of post-acute and long-term care at the law firm Arnall Golden Gregory LLP (AGG)l; Megan Turby, vice president of quality and compliance at Gulfside Healthcare Services; Dr. Lisa Barker, chief medical officer at Gulfside Healthcare Services

Hospice of Greater Cleveland: A new partnership between Judson and McGregor Senior Living Communities Morningstar, Cleveland, OH; by PR Newswire; 8/15/24 For Judson and McGregor Senior Living Communities, organizational aspirations have always been to provide continuity of care and quality service through our dedicated teams. ... We are pleased to announce that the two organizations have embarked on a new joint venture. ... This strategic partnership, built on the strengths of both organizations, is designed to provide the utmost comfort, dignity, and support to our hospice residents during their end-of-life journey, ensuring a seamless and enhanced experience for all. ... Hospice of Greater Cleveland will begin its work on August 15, 2024. This partnership reflects the ongoing support of our collective organization and the missions that drive our commitment to seniors in Northeast Ohio.

8-year-old boy's dream of skydiving finally comes true after lazy eye led to terminal cancer diagnosis (exclusive) People; by Angela Andaloro; 8/14/24 "In those moments, he's not a cancer kid," mom Amanda tells PEOPLE of Paxton's big adventures. ... Faced with limited time, Paxton's family are helping make his bucket list dreams, like skydiving, come true and tell PEOPLE about what it means to be able to do so. ... [Click on the title's link to see photos and read more.]

Free CHAP Webinar: CMS Posts Final Hospice Rule - Quality changes and regulatory requirement Community Health Accreditation Partner (CHAP); taught by Dr. Jennifer Kennedy; posted 8/13/24, webinar will be 8/21/24, 1:00-2:00 pm EDTCMS posted the final rule for hospice providers which drives big changes into motion for 2025.  [Click here for the] Final FY 2025 Hospice Wage Index and Payment Rate Update/Quality Reporting Rule  (CMS-1810-F), posted on the Federal Register on August 7, 2024. This free webinar will be taught by Jennifer Kennedy, Vice President, Quality, Compliance and Standards, CHAP. She spent many years as a leader and nurse in diverse healthcare settings with the past 25 years in hospice and palliative care. Dr. Kennedy came to CHAP in 2021 with a vision of moving the organization’s quality forward as “the” accreditation partner of choice for the majority of community-based providers. She believes no matter what type of care a patient receives or how many times they receive care, every experience should be of the highest quality. Webinar Objectives:

Which parts of healthcare are off limits to AI? Becker's Health IT; by Giles Bruce; 8/9/24 The AI physician will not see you now — or ever, for that matter. As artificial intelligence proliferates in healthcare, health system leaders told Becker's that human providers will always be part of the medical field, with their — AI-aided — treatment recommendations being discussed with patients and family members. "Any patient care decisions ... should be made by patients and their caregivers or family members, obviously in consultation with their physician or provider," said Joe Depa, chief data and AI officer of Atlanta-based Emory Healthcare. ... Robots — or AI — will simply never take the place of that human touch, health system leaders say.