Today’s Blog Content:

News

Groundbreaking innovation in addressing HPM specialist shortage

Massive Caregiver Shortage will be a Major Challenge for Home Health and Hospice

NHPCO’s 2-7-2019 NewsBriefs

Events

Register now for the Central Utah UHPCO Conference March 15

Podcast: Know Your Deficiencies

UHPCO’s Central Utah Conference

Hospice Length of Stay–Supporting Longer Stays

Avoiding Reason Code 37402: Hospice Sequential Billing Tips & Resources

CERT Most Common Denials and How to Avoid Them — Home Health & Hospice

Interest Items

Industry News Articles


News

Groundbreaking innovation in addressing HPM specialist shortage

Via CAPC: “By Laura Dingfield, MD, MSEd, Assistant Professor, Palliative Care Service Program Director, Hospice and Palliative Medicine Fellowship, Hospital of the University of Pennsylvania To enable mid-career physicians to enter the HPM specialist workforce, we created a novel training program specifically geared towards mid-career physicians. In partnership with the ACGME and ABIM, [The University of Pennsylvania] received approval to pilot a part-time, competency-based, time-variable fellowship training program for mid-career physicians. Graduates of the program will be eligible to sit for the HPM board exam.  Read more…”

Massive Caregiver Shortage will be a Major Challenge for Home Health and Hospice

Via NAHC: “Readers of NAHC Report are well aware that home health and hospice face a critical shortage of caregivers in the years to come. (See HERE and HERE and HERE and HERE and HERE for examples of previous coverage of this issue.) However, new information indicates this looming shortage could be even worse than previously believed – to the tune of millions of workers.

A new report from the Paraprofessional Healthcare Institute (PHI) notes data from the Bureau of Labor Statistics (BLS) indicating that the direct care workforce will grow more than any single occupation in the country, adding the greatest number of new jobs in 38 of the 50 states, from 2016 to 2026.

In fact, the direct care workforce will be larger than any single occupation in 21 states in 2026, growing faster than registered nurses and fast food workers combined – the two jobs ranked second and third for net job growth, according to the BLS.

California alone is poised to add almost 275,000 direct care workers by 2026, with New York adding over 190,000 and Texas over 126,000 in that time.

However, the BLS also calculates that 3.6 million workers will leave the direct care workforce, 2.8 million will leave the direct care workforce for other jobs, and 1.4 million new positions will be created to meet rising demand. Adding that up means the BLS is projecting 7.8 million direct care job openings in the decade from 2016 to 2026.

Among other recommendations, PHI suggests health care employers “consider expanding the labor pool for this workforce through education campaigns that elevate the profile of direct care workers; through targeted recruitment of new populations (including men, younger workers, and older workers, among others); and through partnerships with community institutions such as schools, churches, and workforce development agencies.”

The home care workforce is overwhelmingly female and may need to attract far more male workers in the near future in order to keep up with demand.

PHI concludes that ‘these BLS projections confirm that we need a large-scale investment to recruit new workers and reduce turnover within this workforce to ensure that older adults and people with disabilities can access proper supports in the coming years.'”

NHPCO’s 2-7-2019 NewsBriefs

Access NHPCO’s most recent NewsBriefs here…

Events

Podcast: Know Your Deficiencies

Via NHPCO:Episode 57: CMS has just released it’s 2018 top ten hospice survey deficiencies. Once again there are many repeat citations we’ve seen in previous years. Judi and Jennifer discuss their concerns over these most common deficiencies and why providers should be focusing their attention on them. And it’s JR’s favorite time of the year…awards season.” Listen in here…

UHPCO’s Central Utah Conference

Friday, March 15, 2019 at Provo City Library at Academy Square. Find out more here…

Hospice Length of Stay–Supporting Longer Stays

Via CMS: “Longer length of stays with hospice patients can draw the attention of medical review and have a higher risk of denials. How can your documentation support these longer stays? Let’s discuss the details to show when your patient is still appropriate for your services and when to tell if it’s time to have a graduation party and discharge your patient. Bring your questions!”

Date: 2-27-2019

Time: 10:30am – 11:30am MST

Find out more here…

Avoiding Reason Code 37402: Hospice Sequential Billing Tips & Resources

Via CMS: “Reason code 37402 continues to plague hospice providers as their top claim submission error (CSE). Join us on February 28, 2019, as we take a look at recent data regarding this top CSE and discuss ways to avoid it going forward.”

Date: 2-28-2019

Time: 11:00am-12:00pm MST 

Find out more here…

CERT Most Common Denials and How to Avoid Them — Home Health & Hospice

Via CMS: “The Comprehensive Error Rate Testing (CERT) program reviews both home health and hospice documentation.  Let’s get together and learn what those denials are and how they can be avoided.  This course will provide details on each of the most common denials and what you can do to keeps those denials from happening. We encourage you to submit questions prior to the call in addition to asking questions during the call.”

– Falls Prevention for Older Adults Webinar — February 13

– New Part D Opioid Overutilization Policies Call — February 14

Date: 2-14-2019

Time: 12:00pm – 1:00pm MST

Find out more here…

Interest Items

Industry News Articles

Shared via The Carolinas Center’s News of Note 2-4-2019:

Nursing Shortage Expected to Continue Through 2024: How CMS Is Easing the Burden on Hospice Agencies  National Law Review 01.31.2019

Clearing Up Misconceptions about Hospice Volunteering  Ricochet 02.03.2019

Ethically Speaking: The Nurse’s Role in Advanced Directives  advance healthcare network 01.30.2019

Feeding tubes shouldn’t be on POLST forms: JAGS opinion paper– (opinion)  EurekAlert! 01.31.2019

From insidehealthpolicy.com 2-7-2019:

E&C To Hold Hearing On Leg Fixes To Trump’s Changes to ACA

House Hearing On Texas Case Devolves Into Medicare For All Battle

Idaho’s Highest Court Rejects Challenge To Medicaid Expansion Plan

Pew, Drug Makers Urge Senators To Pass Antibiotic Incentives Package

CMS Plans To Open Duals Demo To New States After Positive Results

Rural Advocate Hopes CMS Won’t Approve TN Work Requirement Waiver

Experts Anticipate Swift Return To Normal For Post-Shutdown FDA

Senate Health Committee Considers Using Telehealth To Lower Costs

FDA Finalizes Buprenorphine Guide To Spur Development, Coverage