Literature Review

Workers at two Essentia Health facilities file for union representation Minnesota Nurses Association (MNA); by Sam Fettig and Lauren Bloomquist; 5/2/24 Registered nurses at Essentia Miller Hill Surgery Center and nurses and other healthcare workers at Essentia Solvay Hospice House announced this week that they have filed for an election with the National Labor Relations Board to form a union represented by the Minnesota Nurses Association ... because they want a voice in their workplace to improve both working conditions and how care is provided to their patients. ... At Essentia Solvay Hospice House, workers across the board, including Registered Nurses, Licensed Practical Nurses, Nursing Assistants, Administrative Assistants, Environmental Services workers, and Cooks, filed for a union election.

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.

From aerospace manufacturing to health care, this hospice nurse found his true callingSt. Louis Post-Dispatch; by Dana Fouchia; 5/1/24 Kevin Ross didn’t start out in health care. Far from it. With a degree in computer science, Ross was using his talents working for an aerospace manufacturer. When a friend’s mother, who was a nurse, encouraged him to find a job that brought him joy, he not only listened to her, he also found his life’s calling. “I’ve come to conclude that eventually we need to take care of each other, and we’ve got to keep that in mind when we have our complaints every day,” Ross said. ...Editor's Note: We celebrate Kevin and the many hospice and palliative nurses who--like Kevin--find joy in their chosen work. Honoring Nurses Week, May 6-12, 2024!

Social Model Hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, UtahJournal of Hospice & Palliative Nursing; by Francine Bench Jensen, PhD, RN; Deborah Thorpe, PhD, APRN; 4/24Abstract:  Health care for the homeless population is a complex challenge and represents a significant gap in care, particularly for those at the end of life. Hospice care may be desired but is rarely an option for people without residences, social support, and payment sources. Social model hospice is a unique paradigm of care delivery that offers a viable solution to make hospice and palliative care possible for this population. ... Recommendations for establishing social model hospices are made: key strategies include identifying stakeholders dedicated to alleviating end-of-life homelessness needs, doing a formal needs assessment to identify community resource deficits, and forming mentoring relationships with established programs.

NHPCO's 2024 Pediatric Palliative and Hospice Care Needs Assessment NHPCO; via email; 5/1/24 The 2024 Pediatric Palliative and Hospice Care Needs Assessment is a product of the National Hospice and Palliative Care Organization’s (NHPCO) Pediatric Advisory Council. The goal of the needs assessment is to gain a better understanding of the organizations and providers caring for pediatric patients with serious illnesses throughout the United States. The needs assessment helps create resources and support advocacy. The survey should only be completed once by each organization so please coordinate with your team to complete the survey. For help gathering information, we have created a PDF version of the survey but you will need to input the information into this survey for the information to be used.

Judi Lund Person: UnleashedTCN Talks; by Chris Comeaux; 4/18/24Judi Lund Person, former vice president of regulatory and compliance at NHPCO, shares her journey into the hospice industry and her passion for ensuring patients and families receive the care they need and want. Judi emphasizes the importance of addressing bad hospice care and uncovering fraud and abuse in the industry.  She discusses the proposed changes in the 2025 Hospice Wage Index and Payment Conditions; ... the HOPE tool and the revised hospice survey;  ... the sunset of the VBID demonstration; and the need to focus on accountable care organizations and quality reporting. This is a great listen for staff, leaders, and boards of hospice and palliative care organizations. Here’s a great quote from the discussion: “You never know when something you do or somebody you talk to changes the course of your life."

Five lessons I have learned in my first year as a hospice CEO Sussex World, UK; by Jasmine Cotton; 4/29/24We spoke to Lois Howell, Chief Executive Officer at St Wilfrid's Hospice in Chichester, about the top five lessons she has learnt in her first year as a hospice CEO. ... "I started my role as Chief Executive Officer at St Wilfrid’s Hospice, Chichester on March 27, 2023. Prior to this, I worked as the Director of Governance and Risk at the NHS Trust on the Isle of Wight ... These are five things I have learnt in my first year as CEO of a local hospice, ..." 

Millions of American kids are caregivers Now: ‘The hardest part is that I’m only 17’The Wall Street Journal; by Clare Ansberry; 4/27/24An estimated 5.4 million children help care for relatives, as families can't afford or find other in-home care. ... Leo Remis gos to high school, plays videogames, and helps take care of his disabled mom. ... More than 70% of young caregivers are caring for a parent or grandparent, according to a caregiving report. Many miss school, feel more isolated and worry about the future. Juggling homework with cooking and giving injections can be overwhelming and lead to anxiety.Editor's Note: Access to this article might require a subscription. Click here for alternate access.

Letter: Volunteers make a difference in community The Meadville Tribune - Meadville, PA; by Melissa Swartwood; 4/27/24Our community is at its best when we come together to help others in a time of need. At Hospice of Crawford County, trained volunteers give their time, attention and compassion to help people and families facing the end of life to live as fully as possible. ... Our volunteers specialize in various areas of service, [many examples given]... As we wrap up Volunteer Month ... Hospice of Crawford County would like to show appreciation for our volunteer team. ... Across the United States, more than 430,000 hospice volunteers give over 19 million hours of service every year. Every single volunteer deserves our appreciation and grateful acknowledgement.Editor's Note: We highlight this example of both thanking hospice volunteers and raising community awareness about hospice volunteer opportunities. From Hospice & Palliative Care Today to your organization, we celebrate and thank your volunteers!

Drug discount program is exploiting poor patients while corporate giants profit Minnesota Reformer; by David Balto; 4/26/24 ... The federal 340B drug discount program was created three decades ago to help economically vulnerable Americans access affordable prescription medications and providers in underserved areas expand and improve services. Under the program, drug companies participating in Medicaid — known in Minnesota as Medical Assistance — provide sizeable discounts as high as 50% to these ‘safety net’ health care facilities. ... Unfortunately, over time, the tens of billions of dollars flowing through this program have proven irresistible to for-profit corporate entities, including giant health systems and big box chain pharmacies — and there is no guarantee those discounts are reaching patients. 

How to overcome the disruptive forces that can impede high-value innovation Healthcare Financial Management Association (hfma.org); by Liz DeForest; 4/28/24 ... Healthcare is full of what we call “missing innovations” — good ideas that never go beyond promising pilot tests or, like EHRs, are adopted so slowly that their progress is measured in decades, even though other industries were adopting digital solutions very rapidly. Switchover disruptions are among the reasons for these missing innovations. ... [The author interviewed authors of Why not better and cheaper? (Oxford University Press, June 2023), written by industry analysts and twin brothers James B. and Robert S. Rebitzer about their observations of health system action and inaction. James Rebitzer is the Peter and Deborah Wexler Professor at Boston University’s Questrom School of Business. Robert Rebitzer is a national adviser at the consulting firm Manatt Health.]

Missoula's first end-of-life center taking shape amid fundraising MissoulaCurrent., by Martin Kidston; 4/24/24 ... Missoula's first dedicated hospice center broke ground last June and is well on its way to opening early next year. The 15,000 square-foot facility has been planned down to the finest detail, from the play of lighting and sound in each room to a reflection center, with end-of-life literature and bereavement support for families. “Missoula has one of the fastest aging and oldest populations in the country. Not only that, we have a vast expanse of area to cover,” said Amanda Melro [Executive Director, Partners of Hope Foundation] . “People live in rural areas and they also live alone. Having a place like this where a family knows they'll be well-taken care of is a huge asset for them. We expect there will be a large demand for the beds.”

Commercial Capital Connect unveils $25M financing for home health care & hospice agencies nationwide – revolving credit lines & term loans up to $750K Consumer Infoline; 4/25/24Commercial Capital Connect, a leading marketplace for commercial finance solutions, today announced the launch of a $25 million financing program to provide revolving lines of credit and term loans to home health care and hospice agencies across the United States. ... “The home health care and hospice sectors play a vital role in our communities, providing essential services that enable people to receive quality care in the comfort of their homes,” said Cheryl Tibbs, President of Commercial Capital Connect.