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. What drew you to this industry? What’s your biggest lesson learned since starting to work in this industry?

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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). What drew you to the hospice industry?

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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

MARCH 14, 2024

So, it’s definitely possible in sort of that oldest old category that there may be what we call silent aspiration, where someone aspirates, and then they don’t cough or clear their throat, so you actually wouldn’t even know that they’re aspirating. Raele: Yep, they definitely can be. Raele: Yes, definitely.

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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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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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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. Did I get that close? Michele: Yep.

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GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. 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. Alex: We have some wonderful guests.

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GeriPal

JANUARY 18, 2024

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Katie, welcome back to GeriPal. Bragging rights. That was from our what?

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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

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

AUGUST 25, 2022

Alex: We’re delighted to welcome back Lauren Hunt, who is a Hospice and Palliative Care Nurse Researcher, an Assistant Professor of Nursing at UCSF. I think in that way, what we see with more than half of Medicare beneficiaries dying under the care of a hospice, that expansion was potentially a good thing. Lauren: Hi.

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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. That will be the last one in his life.

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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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