(Alexandria, Va) – Over the past weeks, Keith Olbermann has shared his personal experience regarding his father’s health crisis on his MSNBC program “Countdown.” On yesterday’s broadcast (03/11/10) Olbermann spoke about the necessity of loved ones talking about the care they would want and completing a living will and appointing a health care proxy.
“Talking with families about health care wishes and completing living wills while you are healthy is about living fully,” said J. Donald Schumacher, president and CEO of the National Hospice and Palliative Care Organization. “Planning ahead and understanding the choices you and your loved ones might have to decide during a medical crisis has nothing to do with the infamous ‘death panels’ that have caused such confusion and distraction about an issue important to every single one of us.”
NHPCO’s Caring Connections initiative offers a range of materials and information free of charge—including state specific advance directive forms—at caringinfo.org/planningahead.
Planning ahead is about preparing for the future today. Communicating your end-of-life wishes to your loved ones, appointing a health care power of attorney, and addressing financial issues such as wills and paying for long-term care are just a few of the issues you can address today to plan ahead.
What are Advance Directives?
An advance directive—often called a living will—allows you to document your wishes concerning medical treatments and care when facing a medical crisis or at the end of life.
A medical power of attorney—also known as a health care proxy—is part of advance care planning. This allows you to appoint a person you trust as your health care agent (or surrogate decision maker), who is authorized to make medical decisions on your behalf. Before a medical power of attorney goes into effect a person’s physician must conclude that they are unable to make their own medical decisions.
Advance directives are legally valid throughout the United States. It is important to complete and sign advance directives that comply with your state's law. However, you do not need a lawyer to complete and execute a living will or health care power of attorney. Each Caring Connections, state-specific advance care planning packet comes with complete step-by-step instructions. The documents are free of charge.
Visit caringinfo.org to learn more about planning for the unthinkable before a crisis. Information is also available from the HelpLine at 1-800-658-8898. Providers are encouraged to share these resources with their community.
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Caring Connections offers resources to help providers reach out and educate communities about advance care planning. Here are some of the resources that can be found on the Caring
Connections website:
· How to Talk with Your Loved Ones
· What to do if Family Members Disagree
· How to Talk with Your Healthcare Providers
· Talking with Others about Their End-of-Life Wishes
· Are You Traveling Without a Map? A Layperson’s Guide to Advance Care Planning
· Advance Care Planning Awareness Ribbon
Contact:
Kathy Brandt
Vice President, Innovation and Access
Ph: 703-837-3125
Jon Radulovic
NHPCO Vice President, Communications
Ph: 703-837-3139
Friday, March 12, 2010
Thursday, March 4, 2010
The wait is over...
Are you waiting on your MLC Brochure?...
The wait is over - view the digital brochure today. In an effort to be "green," NHPCO printed a limited number of MLC brochures and mailed one to each hospice. Worried you won't be able to review the educational offerings? The digital brochure makes it easier than ever. Check it out today and make your plans to join the more than 950 people already registered for the MLC.
For more information visit, http://www.nhpco.org
Wednesday, February 24, 2010
Tune In and Tweet Tomorrow for the Health Reform Summit
Tomorrow's Health Reform Summit convened by President Obama will once again bring Health Care Reform to the political forefront and could possibly pave the path forward for the reform effort for the rest of the year. As Hospice Advocates know, the legislative effort toward national health reform has slowed significantly since the political dynamics in the Senate changed with the election of Scott Brown (R-MA).
If health reform regains momentum, the hospice community faces monumental changes in the current reform drafts passed by the House and Senate. While we can't expect the President's Summit to get into the details of how reform would impact end-of-life care, it is important that we understand where the political dynamics are driving the process and what the President and Congress put forth as guiding principles for the effort.
You can witness the bipartisan summit from your television or computer on Thursday, February 25 at 10 a.m. Eastern.
Just tune in to C-SPAN 3 or visit http://www.whitehouse.gov/live to watch Members of Congress and the President have a dialogue on health reform and see how the summit will influence the issue in the coming months. As you watch, share your thoughts with us on Twitter @hospiceaction. Your tweets help us shape our advocacy efforts here in Washington.
For more information on hospice and health reform, visit NHPCO's Health Reform Resource Center.
New to twitter? Email han@nhpco.org for help.
For more information visit, http://www.nhpco.org
If health reform regains momentum, the hospice community faces monumental changes in the current reform drafts passed by the House and Senate. While we can't expect the President's Summit to get into the details of how reform would impact end-of-life care, it is important that we understand where the political dynamics are driving the process and what the President and Congress put forth as guiding principles for the effort.
You can witness the bipartisan summit from your television or computer on Thursday, February 25 at 10 a.m. Eastern.
Just tune in to C-SPAN 3 or visit http://www.whitehouse.gov/live to watch Members of Congress and the President have a dialogue on health reform and see how the summit will influence the issue in the coming months. As you watch, share your thoughts with us on Twitter @hospiceaction. Your tweets help us shape our advocacy efforts here in Washington.
For more information on hospice and health reform, visit NHPCO's Health Reform Resource Center.
New to twitter? Email han@nhpco.org for help.
As always, thanks for your Hospice Advocacy!
For more information visit, http://www.nhpco.org
Wednesday, January 27, 2010
Los Angeles Times Series on End-of-Life Care
There is a great series of three articles on end-of-life care that appears in the Los Angeles Times. I was interviewed for the article, “Hospice care helps patients and loved ones” that ran in print January 25. The writers for the pieces spoke with many well known names in the field. There are some very poignant photographs that accompany the series as well.
Media attention to the range of issues involving care at the end-of-life are always important and this series, which is available on the LA Times website, will certainly provide a great deal of helpful information to those not familiar with some of the issues involved in care at the end of life.
“Hospice care helps patients and loved ones: More patients use the service for end-of-life care. But what is it? “
January 25, 2010
“Study: Doctors delay communicating end-of-life care issues with terminally ill patients “
January 25, 2010
“Choices at the end of life”
January 22, 2010
I was pleased to see that NHPCO's Caring Connections website, www.caringinfo.org, was offered as a resource for those looking for advance directives and information on advance care planning.
Media attention to the range of issues involving care at the end-of-life are always important and this series, which is available on the LA Times website, will certainly provide a great deal of helpful information to those not familiar with some of the issues involved in care at the end of life.
“Hospice care helps patients and loved ones: More patients use the service for end-of-life care. But what is it? “
January 25, 2010
“Study: Doctors delay communicating end-of-life care issues with terminally ill patients “
January 25, 2010
“Choices at the end of life”
January 22, 2010
I was pleased to see that NHPCO's Caring Connections website, www.caringinfo.org, was offered as a resource for those looking for advance directives and information on advance care planning.
Friday, January 22, 2010
NHF Donates $15,000 for Haitian Earthquake Relief
$15,000 for Haitian Earthquake Relief
Usings funds from our Disaster Relief Fund, we were able to donate an initial $15,000 to Haitian earthquake relief. Three organizations doing on-the-ground work in Haiti have each received $5,000: Holy Angels Hospice, Partners in Health, and the Hôpital Albert Schweitzer (Albert Schweitzer Hospital). We invite you to donate directly to these organizatons or make a contribution to NHF's Disaster Relief Fund.
Just like everybody who has been watching the heartbreaking images from Haiti, NHF’s board and staff have reacted with horror and sadness to the tragedy unfolding in that nation,” said J. Donald Schumacher, President & CEO. “We were so grateful that past donations to the NHF Disaster Relief Fund allowed us to respond quickly with cash to these three fine organizations. It feels good to know we are doing something tangible to help in the wake of such devastation.”
Holy Angels Hospice & Orphanage is located in Port-au-Prince. Although much of the capital city has been destroyed, their facility is still standing. Holy Angels is in dire need of financial resources to ramp up service provision. Prior to the earthquake, they focused exclusively on caring for children. With the enormous need created by the earthquake, Holy Angels plans to expand their services.
Partners in Health (PIH) is a Boston-based international health agency that has been working in Haiti for more than 20 years. PIH works to bring modern medical care to poor communities in nine countries around the world. The work of PIH has three goals: to care for patients, to alleviate the root causes of disease in their communities, and to share lessons learned around the world. Right now in Haiti, one of PIH’s main goals is to help with pain relief. PIH has deep roots and a major presence in Haiti, particularly in the Central Plateau region that sits northeast of Port-au-Prince.
The Hôpital Albert Schweitzer (HAS) is located 42 miles outside of Port-au-Prince and escaped damage, although buildings even further away from the capital city were destroyed. According to the hospital director, the 120-bed hospital went over capacity within minutes following the earthquake and the staff of 200 immediately shifted into a mass casualty protocol. With so many of the injured arriving with broken or crushed bones, the x-ray machines and operating rooms are in constant use.
Knowing that the need for assistance is both immediate and long-term, NHF will monitor the situation in Haiti and make additional donations during the long period of rebuilding.
Thursday, January 21, 2010
What Does the Future Care Continuum Look Like?
Create the future care continuum for those facing the end-of-life by lending your expertise to a conference devoted to creating a seamless system of care. Serve as faculty for the National Conference on Developing the Care Continuum: Innovative Models to Meet the Unique Care Needs of Patients/Families, in Boston, MA from August 5 – 7, 2010. National experts and local providers will gather in Boston to explore best practices and innovative models and your voice is needed. Submit a proposal for a 30, 60 or 90 minute session that demonstrates significant work and achievement in meeting one or more of the conference objectives and that features innovative program models, methods, strategies and approaches to care for children, adults and seniors in the last phase of life. The Call for Proposals is open through February 8 and will not be extended.
For more information visit, http://www.nhpco.org
For more information visit, http://www.nhpco.org
Thursday, January 14, 2010
Hospice Objects to MedPAC Margin Projections and Reductions
(Alexandria, VA)—The National Hospice and Palliative Care Organization today urged the Medicare Payment Advisory Commission to adjust the community’s 2010 projected profit margins from 4.6 to 2.6 percent in order to more accurately reflect hospice’s unique, mandatory program costs of volunteer and bereavement services.
The Medicare (and Medicaid) hospice benefit includes all care related to the terminal illness, as well as requires programs to provide up to 13 months of bereavement services to the families and loved ones of the beneficiary after he or she dies. In addition, the Medicare hospice benefit requires that trained volunteers provide at least 5 percent of the patient care hours. These services are mandatory as detailed in the hospice conditions of participation, and this is unique to the hospice benefit.
“While other providers also may establish volunteer programs, and perhaps the cost of those programs are considered non-reimbursable costs on the Medicare cost report, we know of no other provider that is federally required to establish and maintain a volunteer program and to track and document the cost savings achieved,“ said NHPCO Vice President of Public Policy Jonathon Keyserling. “The costs of both volunteer and bereavement services must be included in the margin computation.Any other approach would ignore the financial reality of hospice programs bearing these mandatory costs.”
MedPAC staff projected hospice margins of 4.6 percent for 2010. NHPCO contends this figure overstates the actual margin being experienced by most hospice programs.
“The MedPAC staff previously noted that they estimated bereavement costs to be about 1.5 percent. Another cost for every hospice program is the cost of administering and tracking volunteer services, but these also are not considered in margin calculations. We estimate that the cost of volunteer services would be 0.5 percent. Therefore, the “true” margins of hospice programs, providing the range of required services under Medicare, would then be 4.6 percent minus 1.5 percent minus 0.5 percent yielding a ‘real’ margin of 2.6 percent,” Keyserling said.
The 2008 MedPAC projection for hospice margins was 3.4 percent. NHPCO argues that a 4.6 percent projection for 2010 indicates, mistakenly, that hospice margins are growing.
“The discrepancy in the numbers is an indication of a change in the calculation methodology, by excluding the costs of delivering statutorily mandated services, rather than pointing to the fact that hospice margins are actually shrinking. For MedPAC to recommend countering an erroneous growth in hospice margins by reducing the annual inflationary adjustment is absurd and potentially devastating to the hospice community,” Keyserling concluded.
NHPCO is committed to working with the MedPAC staff and Commissioners to address and resolve issues, both perceived and real, within the hospice community.
“We look forward to working with MedPAC staff and Commissioners to fully explore the available data before payment reform is implemented,” said NHPCO President and CEO J. Donald Schumacher. “NHPCO is also committed to a full discussion of the costs of care and a detailed analysis of the data elements that will be necessary for comprehensive data collection.”
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Media Contact:
Michele Matthews
Manager, Public Policy Communications
Direct: 703-837-3135
mmatthews@nhpco.org
For more information visit, http://www.nhpco.org
The Medicare (and Medicaid) hospice benefit includes all care related to the terminal illness, as well as requires programs to provide up to 13 months of bereavement services to the families and loved ones of the beneficiary after he or she dies. In addition, the Medicare hospice benefit requires that trained volunteers provide at least 5 percent of the patient care hours. These services are mandatory as detailed in the hospice conditions of participation, and this is unique to the hospice benefit.
“While other providers also may establish volunteer programs, and perhaps the cost of those programs are considered non-reimbursable costs on the Medicare cost report, we know of no other provider that is federally required to establish and maintain a volunteer program and to track and document the cost savings achieved,“ said NHPCO Vice President of Public Policy Jonathon Keyserling. “The costs of both volunteer and bereavement services must be included in the margin computation.Any other approach would ignore the financial reality of hospice programs bearing these mandatory costs.”
MedPAC staff projected hospice margins of 4.6 percent for 2010. NHPCO contends this figure overstates the actual margin being experienced by most hospice programs.
“The MedPAC staff previously noted that they estimated bereavement costs to be about 1.5 percent. Another cost for every hospice program is the cost of administering and tracking volunteer services, but these also are not considered in margin calculations. We estimate that the cost of volunteer services would be 0.5 percent. Therefore, the “true” margins of hospice programs, providing the range of required services under Medicare, would then be 4.6 percent minus 1.5 percent minus 0.5 percent yielding a ‘real’ margin of 2.6 percent,” Keyserling said.
The 2008 MedPAC projection for hospice margins was 3.4 percent. NHPCO argues that a 4.6 percent projection for 2010 indicates, mistakenly, that hospice margins are growing.
“The discrepancy in the numbers is an indication of a change in the calculation methodology, by excluding the costs of delivering statutorily mandated services, rather than pointing to the fact that hospice margins are actually shrinking. For MedPAC to recommend countering an erroneous growth in hospice margins by reducing the annual inflationary adjustment is absurd and potentially devastating to the hospice community,” Keyserling concluded.
NHPCO is committed to working with the MedPAC staff and Commissioners to address and resolve issues, both perceived and real, within the hospice community.
“We look forward to working with MedPAC staff and Commissioners to fully explore the available data before payment reform is implemented,” said NHPCO President and CEO J. Donald Schumacher. “NHPCO is also committed to a full discussion of the costs of care and a detailed analysis of the data elements that will be necessary for comprehensive data collection.”
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Media Contact:
Michele Matthews
Manager, Public Policy Communications
Direct: 703-837-3135
mmatthews@nhpco.org
For more information visit, http://www.nhpco.org
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