Hospice News

OCTOBER 16, 2024

For the purposes of your program, what definition do you use for community-based palliative care? Oftentimes it’s either combination of home visits and telephonic services. Sometimes they might be doing consultations either inpatient or in the nursing home or in assisted living. It usually isn’t.

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GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Summary Transcript Summary Diabetes is common.

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Hospice News

SEPTEMBER 16, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. I definitely would not be where I’m at today without my family. Centers for Medicare & Medicaid Services (CMS).

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GeriPal

APRIL 27, 2023

Eric: Martha – breaking the definition for palliative care, no longer an extra layer of support. Alex: Nursing homes. We are actually the integrator. We deepen ourselves into the fabric of care and we make healthcare work for people who are seriously ill. Eric: Buying GeriPal podcasts. Eric: BlackRock.

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Hospice News

OCTOBER 28, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. I would love to see a palliative care Medicare benefit. The Future Leaders Awards program is brought to you in partnership with PointClickCare.

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GeriPal

NOVEMBER 7, 2024

As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursing home. Let it be (hint hint).

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Hospice News

FEBRUARY 20, 2024

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).

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GeriPal

FEBRUARY 29, 2024

Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Alex: Definitely not on amyloid drugs. Alex: That one’s easy. Why are they doing this?

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GeriPal

MARCH 10, 2022

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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GeriPal

MARCH 24, 2023

Lauren: Yeah, I think I can definitely see Joe’s point of view. Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. Yes, my hair is definitely on fire. billion in one year hospice saved Medicare, and that was by focusing on what matters to people, to patients and families.

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GeriPal

JUNE 30, 2022

And we know that a third of Medicare beneficiaries undergo surgery in the last year of life with 18% of those occurring in the last month of life. But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I.

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GeriPal

OCTOBER 26, 2023

Ann: I definitely do. Sarguni: Yeah, definitely. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Why do we not have more palliative care access in nursing homes? Home with a 75 year old mom who can’t really move them?

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GeriPal

AUGUST 25, 2022

By setting, so patients who are living in places like nursing homes and assisted living facilities, where it’s easier to visit very quickly patient to patient, as opposed to home-based care for people say in rural areas. Melissa: It’s definitely true that that’s the incentive under nonprofit and for-profit.

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GeriPal

JANUARY 18, 2024

We could look at cancer registry linked with… Like, I see here Medicare type big data sets, but then you have to rely on insurance claims and that’s going to underestimate SUD when most people aren’t getting treatment and it’s a tough nut to crack. And the nurse can’t dose it, they have to individually dose it.

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GeriPal

JUNE 22, 2023

Alex: … in other words, than you might be in a Medicare-regulated hospice facility? But if somebody wants to continue a medication, and that’s sort of the deciding factor for them, with the Medi-Cal, Medicare, there’s restrictions that don’t allow me that flexibility. Michele: Yeah, absolutely. Michele: Yeah.

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GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago. And I thought that was pretty striking.

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Hospice Nurse Hero

MARCH 2, 2022

Secondly, the scores from this survey are followed and recorded by Medicare. As a hospice nurse, you might not always understand how this relates to your work. Table based on data measures from the Medicare Compare website. WHAT DOES MEDICARE CAHPS REPORT? Of course, they’d pick the higher-rated agency.

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Home Care Pulse

SEPTEMBER 13, 2022

Before that healthcare was cooking along really growing and then this balanced budget act was passed in 1997 and it drastically slashed Medicare reimbursement amounts for services across the continuum. Suddenly people were realizing that, oh, you know, people wanted to stay home. You know, CMS was looking to save 1.6 Exactly, exactly.

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Hospice News

OCTOBER 11, 2024

Fraudulent operators in the hospice space have misspent millions of Medicare dollars in recent years. This not only undermines efforts to incentivize and improve care for beneficiaries with terminal or serious illnesses, but [it] also puts additional financial strain on the Medicare program.” Scope of fraud is uncertain The U.S.

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Hospice News

MAY 5, 2023

Some of it was definitely just trying to find new ideas in a way to be able to get into facilities and doctors’ offices. Hospitals and nursing homes don’t want to get dinged for readmissions. Centers for Medicare & Medicaid Services (CMS)] of illustrating whether they would rather pay high-cost hospitalizations or pay us.

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GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Rehab Realities by Renee Kinder

APRIL 28, 2022

April 2022, however, also brings us a renewed approach and initiatives from the Centers for Medicare & Medicaid Services regarding its National Quality Strategy. We all welcome the annual change in seasons, which also comes with a rush to review, digest and comment on multiple proposed rules. What is the CMS National Quality Strategy?

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GeriPal

JUNE 2, 2022

I read this Twitter thread by Andy Slavitt, who was a former head of Medicare, Medicaid under Obama, former Biden White House senior advisor, host of In the Bubble Podcast. Natural immunity definitely works. Let’s focus on outpatient management, nursing home management. That’s not where we are.”

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