Grievers Probably Won't Reach Out To You

By Barbara Karnes

As I travel this grief path I am seeing that many people don't know what to do or say to grievers. There can be awkwardness, even avoidance from people.

I remember when a friend’s son died and Jack and I were on the way to the visitation, husband Jack asked me what he could say to our friends. He didn’t know what to say and he knew there was really nothing he could do for them. I suggested he say just that, “I don’t know what to say. I’m sorry.”

There seem to be so many cliches that offer condolences. “I’m sorry for your loss,” “He is at peace now,” “He is with God,” I found no comfort there.

What I’ve learned in my grief is that words are just words. It is the intent of offering support, concern, affection that rides behind the words that matters. There was my comfort - people taking time to touch me.

Writing a note says more than the words in the note. It says I thought enough about you to take the time to send this correspondence. I have a friend that simply sent me a picture text each day for more than a month. I actually looked forward to those pictures - flowers, pets, the universe. Those texts said without words “I’m thinking of you.”

When do you call and say “can I come over with McDonald’s” or “let’s go to lunch”? How soon is too soon? I suppose that depends on the closeness of the relationship. A very close friend, anytime; a social friend, perhaps in a few weeks - a “get out of the house, I’m here if you need anything” kind of lunch.

I’ve noticed people are hesitant to talk about the person that died or use their name. By all means talk about our special person. Talk about “remember when,” about how they touched your life, and how much you cared about them.

Another thing to be aware of is we, grievers, will probably not reach out to you. We will not say “I need to talk with someone” or “I’m lonely and need a friend today.” We may even say “I can’t today.” But don’t give up on us. Keep reaching out. Keep being there.

These are just a few of my thoughts as I travel this new road of grief. I figure if I’m having these thoughts then so are others. Again, just something to think about. 

 

CHAP Hospice Operations Certification Workshop (Earn your CHPO(c) Certification)

March 12-14, 2024 in San Diego, CA

Take your career in the hospice industry to new heights with our certification workshop. Discover valuable insights into compliance, quality enhancement, effective leadership, strategic fiscal and workforce management, and ethical business development. Upon successful completion of this comprehensive course and examination, you will earn the prestigious CHAP Certified Hospice Professional Operator© (CHPO©) credential and receive 18.5 Nursing CEs, symbolizing a remarkable milestone in your career advancement.

With HHAC’s CHAP Partner code, members can save an additional 10% off the registration.

 Pricing

  • CHAP Partner: (Reg. $2099) Early Bird Partner price $1899! (ends 02/16)

Enter partner discount code HHAC21

  • Non-CHAP Partner: (Reg. $2499) Early Bird price $2199! (ends 02/16)

Click Here to learn more or to register. 

 

House Bill Could ‘Fast Track’ Medicare, Medicaid Cuts, Senator Warns

McKnight’s Home Care | By Adm Healy
 
A bill advancing through the House would create a process to expedite major fiscal policy changes, including cuts to the Medicare, Medicaid and the Social Security program, according to Sen. Ron Wyden (D-OR), Senate Finance Committee chair.
 
The Fiscal Commission Act would create a commission of experts tasked with identifying strategies for the United States to “improve the fiscal situation in the medium term and to achieve a sustainable debt-to-GDP ratio of the long term,” according to the bill’s text. The group, made up of both legislators and “outside experts,” would recommend ways that federal programs such as Medicare or Medicaid could improve their solvency over the next 75 years.
 
“The term ‘fiscal commission’ is the ultimate Washington buzzword, and it translates to trading away Americans’ earned benefits in a secretive, closed-door process,” Wyden said in a Jan. 18 statement.
 
Rep. Bill Huizenga (R-MI) and 13 others, a mix of Republicans and Democrats, introduced the bill last Sept. 28, and the number of cosponsors has since grown to 24. The House Budget Committee approved the bill on Thursday, moving it further towards official passage by the House. 
 
Wyden argued that the creation of such a fiscal commission would allow program cuts to be rushed through the legislative process. 
 
“The proposals … would fast-track cuts to Social Security and Medicare,” he warned in a statement, “and allow a handful of legislators and unelected political insiders to trade away Americans’ earned benefits in a secretive, closed-door process.”
 
He also requested that certain federal benefits, including Medicare and Medicaid, be barred from consideration by any fiscal commission. However, the House Budget Committee approved the legislation without such a provision.
 
“No one should be trying to claw back Americans’ earned Social Security and Medicare benefits,” he said. “I urge Speaker [Mike] Johnson to take Social Security, Medicare and Medicaid off the table as part of any proposed fiscal commission.”

 

Another ‘Doomy, Gloomy’ Home Health Landscape Awaits Providers In 2024

Home Health Care News | By Andrew Donlan
 
Home health providers could be facing a “doomy, gloomy” landscape in 2024, fresh off of two years that could be characterized as, well, doomy and gloomy. 
 
On Monday at the Home Care 100 conference in Scottsdale, Arizona, Partnership for Quality Home Healthcare CEO Joanne Cunningham tried to emphasize the positives, while also recognizing the realities. 
 
In particular, she harped on the need for the Preserving Access to Home Health Act to pass. The bill was introduced in the Senate in June, and in the House in August. A similar bill was also put forth in 2022, but failed to gain traction. 
 
“If things don’t change with regard to payment policy, we will see a very doomy, gloomy future of the PDGM payment stream,” Cunningham said. “I don’t think I’ve ever said it this emphatically, but we must see this legislation pass.”
 
The legislation would mitigate further cuts to fee-for-service home health payment cuts and any future payment “clawbacks” from the Centers for Medicare & Medicaid Services (CMS).
 
In addition, it would force the Medicare Payment Advisory Commission (MedPAC) – which regularly recommends additional cuts to home health payments – to view home health margins more holistically. 
 
“All of those [cuts] need to be wiped away,” Cunningham said. “This is also really important. In the legislation, we require MedPAC to do a better analysis of the financial condition of home health agencies right now. They take a very skewed look at the fiscal picture and financial stability picture of home health agencies.”
 
Part of the reason that view is skewed is because MedPAC does not include Medicare Advantage (MA) reimbursement for home health services, which tends to be considerably lower than fee-for-service reimbursement from CMS. 
 
On that note, MA remains one of the hot-button issues in the home health industry. 
Ironically, MedPAC also could finally be directing some of its scrutiny toward MA plans as well, Cunningham said. 
 
“The MedPAC staff recently presented a report that essentially said that, [according to their calculations], in 2024, CMS will be overpaying MA plans to the tune of $88 billion,” she said…

Read Full Article

 

Hospice Benefit Policy Manual Updates Related to the Addition of Marriage and Family Therapists or Mental Health Counselors to the Hospice Interdisciplinary Team

Palmetto GBA

Change Request 13437 (PDF) purpose is to manualize changes to the hospice interdisciplinary group (IDG) to include Marriage and Family Therapists (MFTs) or Mental Health Counselors (MHCs). In the CY 2024 Physician Fee Schedule Final Rule, CMS finalized modifications to the hospice conditions of participation to permit MFTs or MHCs to serve as members of the hospice IDG (§§ 418.56 and 418.114).

On November 29, 2023, CMS hosted a Hospice Open Door Forum call. On that call, several questions were asked regarding the new requirements for MFTs and MHCs that became effective January 1, 2024. Due to the number of questions, CMS developed and posted the below Questions and Answers Document. Please share this with your staff.

 
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