Tuesday, April 26, 2016

Engaging New Audiences, Collaborations, Partnerships... in NewsLine

The Spring 2016 edition of NHPCO's NewsLine contains a number of articles that ask the question, "Are you serving all who might need your services?" 

Readers are invited to read the latest issue of NHPCO's digital quarterly NewsLine (Spring 2016), where we take a look at issues involved in reaching communities under-utilizing hospice care, particularly Latinos and African Americans. We also share efforts of the NHPCO Diversity Advisory Council and some useful resources.

Additional articles of interest:

  • Collaboration with Morgan State University
    Learn about a new innovative partnership to help raise awareness among new audiences.
  • Engaging Millennials, Too
    Samaritan Healthcare & Hospice found a unique way to get the community talking.
  • Strategic Opportunities for Hospice
    The first in a 2-part series looking at opportunities providers should be aware of.

Plus: Short Takes, Member News, News From NHF, Global Partners in Care... and more.

Read NewsLine online. 

Wednesday, April 20, 2016

Program for the Love of Pets

Sharon Shinkle’s dogs, miniature Yorkshire Terriers named Shelby and Yogi, meant the world to her; they were a constant presence in her life.  In the beginning of 2016, Sharon began receiving hospice care and her illness left her unable to care for her beloved dogs leaving her feeling extremely distressed.  Her illness took a turn for the worse and she was admitted to the North Pinellas Care Center, part of Suncoast Hospice in Palm Harbor, Florida.  It was there that she expressed her concern for her dogs –temporarily staying with close friends- to her care team.  They were part of Sharon’s family. Luckily the organization has a Pet Peace of Mind program and was able to help Sharon, Shelby and Yogi.

Sharon shared her concern that the dogs hadn’t been groomed in some time.  Alicia Lawler, Senior Volunteer Coordinator and Pet Peace of Mind Program Coordinator assured Sharon  that PPoM would be able to get the dogs groomed.  She also took this opportunity to find out if Sharon had a plan for Shelby and Yogi after she died.

“Part of the Pet Peace of Mind program is to determine what happens next when a patient either can no longer take care of their animals or if they pass away,” says Alicia.

Sharon was very realistic about the time she had left and had arranged for her sister Diana to take the dogs after she died.  She was comforted knowing that Diana, who also has a miniature Yorkie, would be there for the dogs and give them the same love and care that she provided.

Sharon’s family arranged to have Shelby and Yogi visit her at the care center as often as possible. Her final visit with the dogs was filled with joy, laughter, and love.

A new video, "Program for the Love of Pets," is part of the Moments of Life: Made Possible by Hospice campaign which was created to help people understand the many things that hospice and palliative care can do.

Sharon with one of her beloved miniature Yorkshire Terriers. 

Monday, April 11, 2016

Leading a Hospice Volunteer Team

Leading hospice volunteers is not just our job; it is our passion.  For me, it is essential to approach this very important work with passion – both for the reasons for which volunteers are needed, and especially for the gift that volunteers bring.  Thankfully, this is a very easy task, because undoubtedly we find – over and over again – that our lives are enriched by working with an awesome teams of volunteers.  Secondly, I’m encouraged to remember that those who commit to being a hospice volunteer are stating that they are willing to serve, without pay, to improve the quality of life for others.  And it is our privilege and responsibility, as leaders of volunteers, to come alongside these willing individuals with the passion and commitment they deserve.

Think about the gift!  Hospice volunteers have said – either to themselves or to us – that they are willing to walk with others on their end-of-life journey.  They are friendly visitors, holding the hand of a patient in a skilled nursing facility. They are envelope stuffers, assuring that those who are grieving receive valuable resources and support.  They are errand runners, picking up groceries for family members who just don’t have time to get away.  They are support group assistants, sharing their own walk of grief with others in a healthy way which helps them to navigate their own journey.  They are phone connections, assuring families that needed services and supplies are available exactly when and how needed.  They are fundraisers, championing your organization to have funds available to meet benevolent needs of patients and families.  They are vigil keepers, believing that no one should die alone and being there, day or night, simply to be a presence. They are Veterans, committed to honoring those at end of life who have served our country and protected our freedoms. They are teenagers.  They are retired. They are working people with very busy lives. They are all of this and more. They are givers – of time, of passion, of self.

To those of us who are leaders of volunteers – may we enjoy each and every day of our work, and recognize our work as the valued profession that it is.  Let us take time every day to thank a volunteer, to encourage them in their work. There is great joy in the successful leadership of volunteers. There is great joy in paving the way for others to be able to give from their hearts to those who are at end of life.  I am blessed… we are blessed!

By Leanne Porterfield, CVA
Coordinator of Volunteers, Homeland Hospice 

National Volunteer Week is April 10 - 16, 2016.

Monday, April 4, 2016

Thoughts on OIG Report on Hospice Inpatient Care

On Thursday March 31, 2016, the HHS Office of Inspector General issued a report on the use and misuse of hospice inpatient care in the Medicare Hospice Benefit. The study was undertaken as part of an ongoing effort at OIG to prevent inappropriate claims for hospice general inpatient care (GIP), including care being billed but not provided and beneficiaries receiving care they do not need.

As the oldest and largest leadership organization representing hospice and palliative care providers and professionals, NHPCO continues to welcome appropriate oversight of the field and works continually with its members to ensure their awareness of and compliance with all hospice related rules and regulations. NHPCO has also worked closely with Congress and CMS to promote policy changes that stem the abuses referenced in the report, and ensure a high quality hospice experience for consumers. 

Specifically, NHPCO recommends that hospices:
  • Have a process and procedure for determining eligibility for the GIP level of care, that they document the reasons that GIP is appropriate for each patient, and evaluate continued eligibility for GIP EVERY DAY with documentation in the medical record that can be easily reviewed.
  • Obtain a written physician order for a change in level of care. 
  • Review use of GIP and the length of stay for each patient at the GIP level of care on a monthly basis, with documentation about the review in each patient’s medical record. 
  • Review the development of plans of care for patients admitted to and continuing in the GIP level of care.
  •  Develop a process for reviewing all medications, check and double check how medications are paid for and ensure that contract providers are billing appropriately.
  • Review and update your processes at inpatient facilities to ensure daily evaluation of eligibility, detailed documentation to prove continued eligibility and accurate and complete care plans. 
NHPCO will continue to work with member organizations, policymakers, and other stakeholders to ensure that hospice claims are billed appropriately, and that beneficiaries experience high quality, compassionate care at the end-of-life.

See NHPCO's Regulatory Alert on the new OIG report for additional analysis and summary of the report.

Tuesday, March 29, 2016

2016 Virtual Conference: Call for Poster Presentations

The National Hospice and Palliative Care Organization, American Academy of Hospice and Palliative Medicine, and Hospice and Palliative Nurses Association will host the 2016 Virtual Conference, Complex Challenges on the Front Lines: Effective Approaches to Complex Cases, from August 9 – 11, 2016. 

NHPCO, AAHPM and HPNA are seeking poster submissions for the Virtual Poster Gallery to be part of this year’s Virtual Conference. Posters will outline approaches and solutions to clinical challenges that hospice and palliative care professionals face in their work with patients and families.

Submissions for poster presentations will be accepted through April 29, 2016. Hospice and palliative care practitioners and researchers are encouraged to be a part of the conference’s expert and distinguished faculty by submitting a poster presentation. Presenters are not required to be present. A sample of one of the poster presentations from the 2015 Virtual Conference is available online.

Learn more about the Virtual Conference Call for Posters online, including the conference learning objectives.

Registration for the 2016 Virtual Conference is now open. 

Friday, March 18, 2016

Building Physician/Executive Leadership

Building an Exceptional Physician/Executive Leadership Team is a special one day workshop offered by NHPCO in collaboration with the American Academy of Hospice and Palliative Physicians that will help hospice and palliative care physicians and executive leaders build an effective working relationship. Building an Exceptional Physician/Executive Leadership Team will be held Wednesday, April 20, 2016, from 8:30am to 5:00pm.

Regardless of whether a professional has “chief” in his or her title or not, every hospice program has a physician and executive leader. This new program is designed by national hospice leaders to assist senior executives in developing and strengthening this key relationship. The esteemed faculty offers thoughts on the importance of this vital relationship and why it is crucial to a highly functioning hospice organization. 

As the hospice industry increasingly demands measureable clinical excellence and sound business management, synergy and mutual support between the CEO and CMO are essential. This conference will provide a shared foundation from which these key leaders can join forces to ensure a successful, viable organization. 
Barbara Ivanko, LCSW CHPCA
President and CEO
Family Hospice and Palliative Care, Pittsburgh PA

Everything rises and falls on leadership and the two top leaders in most hospice organizations are the CEO and the CMO.  Their competency as leaders and their chemistry as a team will make or break most organizations.  That is why this conference is a must attend.  Get the tools and techniques you need to ensure your organization is successful in that realm.
Chris Comeaux
Four Seasons Compassion for Life, Flat Rock NC

"The CMO just doesn’t understand the pressing financial situation we’re in," states the CEO. "The CEO doesn’t get the fact that we’re overworked and understaffed," says the CMO. These are the type of comments I hear all the time. To have an effectively run hospice organization it is critical to have these two positions working together to enhance overall operations, hence the creation of the CEO and CMO Intensive.
Janet H. Bull, MD FAAHPM
Chief Medical Officer
Four Seasons Compassion for Life, Flat Rock NC

A right decision today may not be right tomorrow. In the new health care economy, CEO-CMO functionality is the equivalent of the oil pipe in an industrial economy. Developing, nurturing, and building a strong, agile, and skilled CEO-CMO leadership team should be a key organizational priority. Attending this course could be the best investment your hospice could ever make.
James A. Avery, MD FACP FAAHPM
Hospice of the Piedmont, Charlottesville VA

Learn how to leverage effective leadership within the “white water rapids” of today’s hospice environment. Online registration for the CEO-CMO intensive is open until March 31; after that date, on-site registration will be available. This intensive is being offering in conjunction with NHPCO’s annual Management and Leadership Conference, April 21 – 23, 2016, at the Gaylord National Harbor Resort and Convention Center in National Harbor, Maryland. 

Monday, March 14, 2016

New Strategic Opportunities for Hospice

On Tuesday, March 8, Medicare announced a new five-year initiative that has the potential to radically change the way it pays for outpatient drugs. This is just another part of CMS’ ongoing migration of provider incentives from volume to value. These changes are already altering the landscape for hospices and their relationships with professional referral sources, including hospitals, health systems, physicians and ACOs.
Healthcare payment reform is creating a new set of challenges and opportunities for hospitals and health systems. This seminar will help the hospice administrator evaluate opportunities to become an active partner with hospitals, Accountable Care Organizations (ACOs) and other at-risk organizations in your market. In this session, you’ll gain clarity and a sense of direction for your organization’s strategies by learning from the perspective of three speakers: a hospice strategist, a hospice provider, and an ACO physician and owner.
Are you comfortable that you understand all the implications for your hospice?
In April, at the NHPCO Management and Leadership Conference, Sue Lyn Schramm, M.A., Director of NHPCO Edge, will be leading a half-day preconference session on the topic of hospice strategies for working with ACOs. Taking Hospice Skills Upstream: New Ways Hospice Can Partner with Health Systems and ACO’s is being presented on Wednesday, April 20, 9:00am - 12:00pm and online registration is open until March 31, 2016.
Of additional interest, attendees may want to consider combining attendance at this cutting-edge preconference session with the 2nd Annual Executive Business Summit, Beyond the Benefit: Delivering on the triple aim in healthcare through palliative care, happening April 20 from 5:00 - 6:00pm (separate registration is required.)

Sue Lynn Schramm, MA
NHPCO Director, Consulting Services

See Sue Lyn Schramm's article in Spring 2016 NewsLine on ACOs and Alternative Payment Models.