I am Speaking up!!!!!!

I am Speaking up!!!!!!
Me and My Knight

Sunday, December 31, 2017

When Physicians and Surrogates Disagree about Futility,

VM -- When Physicians and Surrogates Disagree about Futility, Dec 13 ... Virtual Mentor:
What is clearly not ethically acceptable is for physicians to withhold, withdraw, or in other ways modify their treatment of a hopelessly ill patient without the knowledge (and, except in Texas, consent) of the patient’s family. This is unacceptable deception. 

Medicare Will Not Pay For Hospital Mistakes And Infections, New Rule-Whistleblowers Needed

Medicare Will Not Pay For Hospital Mistakes And Infections, New Rule:
Starting in 2009, Medicare, the US government's health insurance program for elderly and disabled Americans, will not cover the costs of "preventable" conditions, mistakes and infections resulting from a hospital stay. 
So for instance, if you are on Medicare and you pick up a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Instead, the bill will be picked up by the hospital itself since the rules don't allow the hospital to charge it to you. 

 Is this the reason the Stats on Hospital acquired infections seems to be so low? Is this the reason patients are being left to die without treatment of Sepsis and other Hospital acquired infections, because the Hospitals don't want to lose Medicare money? Because they're afraid Medicare will find out the REAL numbers? Is there a special code Hospitals are supposed to use for Sepsis when billing Medicare? Are they using  fake codes? How are they getting away with NOT reporting Sepsis, etc. to Medicare? Family members need to step up and contact Medicare when your loved ones contract Sepsis and when they die of Sepsis, because Medicare doesn't have a clue unless you tell them!

Message to the So-Called Doctor's at the Nashua Hospital Responsible for the Murder of my Husband

On February 20th, 2017, Dr. T. the Oncologist gave my husband a prescription for CIPRO for infection. Shortly thereafter my husband became too weak to get out of bed and had to cancel Doctors appointments. He had pain in his right shoulder and arm and wasn't steady when he walked, so he started using a cane. I relayed all this to Dr. T. I had no clue all this could be related to my husband taking CIPRO. Thank's for nothing Dr. T. You should have known. You offered him Hospice instead which he refused, instead of even wondering if it could have been the CIPRO.
And then, according to your Lawyer, you're the one that called in Palliative Care, even after my husband refused Hospice. You do know you broke a Federal Law don't you?  You sent in Dr. M. AKA Dr. Death who proceeded to overdose him with Morphine, for pain and weakness that was more than likely caused by the CIPRO you put him on.  But you never even checked!
How did you not have a clue? Cancer was never proven and someone doesn't go down hill that fast. Your Cancer diagnosis was a guess and a very bad guess at that. And right after being put on CIPRO?
What kind of Doctor are you? My husband trusted you, even after you said he might not have Kidney Cancer, but you wouldn't know unless you removed his kidney. Who in their right mind would have a kidney removed after the Doctor made that statement? For your information, one of your head Doctor's told me my husband did NOT have Kidney Cancer. He had a negative lung biopsy and then a gluteus muscle biopsy. Your crony Palliative Care Nurse Practitioner tried to say he had LUNG Cancer in the Gluteus muscle. No, I don't think so. ALL the Cancer Doctors I spoke to told me if he didn't have any malignant cells in his lung, he did NOT have LUNG Cancer in his Gluteus muscle either! You better go back to school because as a Doctor you SUCK! You need to go into another line of work. One where you don't have to use your brain that you don't have!
The MURDER of my husband is on YOUR hands. Thanks for NOTHING! That's exactly what my poor husband got. NOTHING!
 Extremely  Pissed Off Wife!

Saturday, December 30, 2017

iMedicalApps: Sepsis App a Must-Have for Emergency Medicine

iMedicalApps: Sepsis App a Must-Have for Emergency Medicine | Medpage Today:

Sepsis Timer combines guidelines and evidence-based info

Sepsis remains the ninth leading cause of disease-related death and the primary cause of infection-related death in the ICU. It's a devastating disease that results in over 250,000 deaths and 1.3 million hospitalizations per year. In February 2016, the Third International Consensus on Sepsis published "Sepsis 3.0", the first new sepsis guidelines since 2003.

People and Professions: Reported Dec. 10, 2017 -Sepsis

People and Professions: Reported Dec. 10, 2017 - Herald-Whig -:

Gerri Buss and Tammie Verzino, both of Blessing Hospital, delivered a presentation, "Multidisciplinary Approaches to Successfully Beating Sepsis," at the 2017 Vizient Clinical Connections Summit in Denver. Sepsis is the result of an untreated infection that affects multiple organs and can be fatal. Buss and Verzino discussed Blessing Hospital's work since 2011 to reduce sepsis deaths by implementing national treatment guidelines. 

Every NHS trust told to bring in early warning checks in war on sepsis

Every NHS trust told to bring in early warning checks in war on sepsis:

Every NHS hospital should adopt an early warning system to prevent almost 2,000 needless deaths a year, including cases of sepsis, officials say. All trusts have been asked to introduce consistent checks, amid warnings that the safety of millions of patients is at stake.

NHS England to adopt standard tests to stem sepsis deaths

NHS England to adopt standard tests to stem sepsis deaths:

19th December 2017 – Every NHS hospital trust in England will be asked to adopt a new clinical system for assessing acutely ill patients.
Almost 2,000 deaths each year could be prevented if consistent checks are made, according to the NHS.
The National Early Warning Score (NEWS), developed by the Royal College of Physicians (RCP) in 2012, has now been formally endorsed by NHS England.
It is set to become the early warning system for identifying patients who are becoming seriously ill, including those with sepsis.

Sepsis Early Warning Score Adopted in UK

Sepsis Early Warning Score Adopted in UK:

Every NHS hospital trust in England will be asked to adopt a new clinical system for assessing acutely ill patients. Almost 2,000 deaths each year could be prevented if consistent checks are made, according to the NHS. The National Early Warning Score (NEWS), developed by the Royal College of Physicians (RCP) in 2012, has now been formally endorsed by NHS England. It is set to become the early warning system for identifying patients who are becoming seriously ill, including those with sepsis.

Improving the quality, outcomes and economics for sepsis management

Improving the quality, outcomes and economics for sepsis management:

Sepsis — one of the most deadly and costly conditions at hospitals — remains a widespread problem, but hospitals and health systems across the nation are improving sepsis management through earlier detection and more rapid treatment.

This content is sponsored by T2 Biosystems 
Sepsis is the body's extreme response to an infection characterized by systemic inflammatory response. It is a life-threatening condition that affects more than 1 million U.S. patients each year. The incidence of sepsis is high because almost any infection can lead to sepsis, and anyone can get an infection. Sepsis was present in 6 percent of hospitalizations from 2009 to 2014, according to a study published in JAMA in 2017.

Four groups get Longitude funds for point-of-care tests including Sepsis

Four groups get Longitude funds for point-of-care tests | CIDRAP:

The Longitude Prize has named the latest winners of funding for the development of point-of-care diagnostic tests that will conserve antibiotics.

Three teams focus on sepsis

Three of the newly awarded teams are developing tests that could help reduce morbidity and mortality due to sepsis, a condition that occurs when the body's reaction to infection triggers an inflammatory response throughout the body. IDI Group is developing an ultrasensitive magnetic biosensor to rapidly detect and identify endotoxins in the blood, an innovation that could help clinicians treat sepsis in its early stages and choose the right antibiotic therapy.

Four risks healthcare executives should monitor in 2018

Four risks healthcare executives should monitor in 2018 | Managed Healthcare Executive:

The healthcare industry saw big changes in 2017. While the debate over the ACA dominated the headlines, it was just the tip of the iceberg as consolidation continued at rapid speed, prescription practices came under scrutiny and the country embarked on a discussion about healthcare costs.......................................

Here’s four things you should know. 
 1.     The opioid crisis isn’t going away.
2.     Missed and/or delayed infection diagnoses can lead to catastrophic injuries.      An infection, if caught early, can usually be treated with antibiotics. In some cases, however, an undiagnosed infection can lead to sepsis and devastating consequences, including amputations, organ damage, paralysis and even death. Such as in my husbands case)

Thursday, December 28, 2017

From Euthanasia Society of America to the National Hospice & Palliative Care Organization 1938-2004

Becky Goddard‎-Pizzagate Exposed
Another widespread conspiracy that is happening right under our noses, and has been for generations. The stealth euthanasia of our elderly, terminally ill, and disabled.

Please, research this for yourself, so that you can protect yourself and your loved ones. Many have witnessed these murders, including myself.

Did you know that The Euthanasia Society of America owns (or IS) The National Hospice and Palliative Care Organization? Here is the time line of how the two merged.

Hospices favorite way to kill is to put the patient in a drug induced coma. Then, let them dehydrate to death. This is what they did to my aunt. They sedated her on day one. Then, let her lay there for 8 days with no way to eat or drink and she died of dehydration.

This book was written by Ron Panzer, a former hospice nurse turned whistleblower. "Stealth Euthanasia Health Care Tyranny in America. Please look into this. Hospice kills.
http://www.hospicepatients.org/this-thing-called-hospice.html#Euthanasia%20Society:%20Covert%20Operations%20in%20the%20Health%20Care%20&%20Hospice%20Industry

Wednesday, December 27, 2017

Doctors Have Followed the Hippocratic Oath to Help Patients, But Euthanasia Turns Them Into Killers

Doctors Have Followed the Hippocratic Oath to Help Patients, But Euthanasia Turns Them Into Killers | LifeNews.com:

One of the most powerful reasons why people oppose euthanasia concerns the enormous significance of taking a human life. Doctors have historically made a solemn and specific professional commitment to respect the lives of those entrusted to them. But the Hippocratic Oath is in fact somewhat redundant, because the universal code of civilized human conduct, from the beginning of history — written and oral — is founded upon a general prohibition against killing. Whether in the religious formulation, “Thou shalt not kill” or in the first written codes of Mesopotamia (Hammurabi) 4000 years ago, this theme serves as a constant backdrop to the evolution of human social behaviour, culminating in our modern concept of physical security as an essential Human Right.

Killing Us Softly - The Pro-euthanasia Ideology Of American Hospice Founder Florence Wald - Freedom Outpost

Killing Us Softly - The Pro-euthanasia Ideology Of American Hospice Founder Florence Wald - Freedom Outpost:
"... we must be wary of those who are too willing to end the lives of the elderly and the ill. If we ever decide that a poor quality of life justifies ending that life, we have taken a step down a slippery slope that places all of us in danger. There is a difference between allowing nature to take its course and actively assisting death. The call for euthanasia surfaces in our society periodically, as it is doing now under the guise of "death with dignity" or assisted suicide. Euthanasia is a concept, it seems to me, that is in direct conflict with a religious and ethical tradition in which the human race is presented with " a blessing and a curse, life and death," and we are instructed '...therefore, to choose life." I believe 'euthanasia' lies outside the commonly held life-centered values of the West and cannot be allowed without incurring great social and personal tragedy. This is not merely an intellectual conundrum. This issue involves actual human beings at risk..."

-- C. Everett Koop, M.D. * *taken from the book KOOP, The Memoirs of America's Family Doctor by C. Everett Koop, M.D., Random House, 1991
Florence Wald and American Hospice

Canada finds cure for cancer but Big Pharma says no!

https://www.youtube.com/watch?v=c_fLZmSaP_U

Italian Doctor Shocked The World: Cancer Is A Fungus That Can Be Treated With Baking Soda | worldtruth.tv

Italian Doctor Shocked The World: Cancer Is A Fungus That Can Be Treated With Baking Soda | worldtruth.tv:
Dr. Tulio Simoncini-

Cancer is a Fungus-Sodium Bicarbonate

Tuesday, December 26, 2017

Today is the Eight Month Anniversary of the Murder of My Husband William Knightly by Circle of Life (ILLEGAL) Palliative Care in Nashua, NH

Today is the eight month Anniversary of my loving husbands Murder by ILLEGAL, unknowingly FORCED Palliative Care at a Hospital in Nashua that we trusted with his life. The Hospital we always trusted with our lives, our children's lives and our grandchildren's lives.
Admitted for weakness and a short stay according to the Oncologist, just to get his strength back. He was instead overdosed with Morphine by a Palliative Care Dr. We were never told who he was. My husband never walked again and never got his strength back.Though the Hospital records show a Hospitalist sent a Palliative Care Dr. in to treat my husband, I was told recently it was the Oncologist himself. The Oncologist who offered Hospice to my husband which he refused, as a woman looked on and also heard my husband and I both refuse. A woman, which I found out after my husbands death was in fact a Palliative Care Nurse Practitioner. Never hired by us and we were never consulted or told who she was. Little did we know, she was sent in to kill my husband. She didn't want him on an IV, even though he was dehydrated.She wanted him on a morphine drip to just die, which we refused and after the ER Doctor put him on antibiotics for an infection, which I found out from the Undertaker was SEPSIS, but of course I was never told, SHE took the antibiotics away and denied she did. SHE is responsible for the death of my husband.
For people who want to live, steer clear of the Nashua Hospital that has the  Circle of Life Palliative Care Program, because whether you elect Hospice/Palliative Care or you don't,you have no say at this Hospital! My husband was ILLEGALLY put on Hospice/Palliative Care which is a Federal offense! Palliative Care which ultimately KILLED him.
And no, life isn't any easier. It gets harder and harder every day. I just can't fathom how Dr.s who took an oath to save lives are no longer saving lives but killing their patients instead. Stealth Euthanasia?????  Depopulation???? Is that what this is all about?
My husband IS the Love of My Life and he will NEVER be forgotten and I WILL make sure these Murderers NEVER forget his name or the wife they never should have screwed over.
To you six Death Mongers, I hope you New Year SUCKS. KARMA!

Extremely Pissed off Wife of William Knightly Jr.
I Love you my Knight and always will,
Until we meet again XOXOXOXOXOXOXOXOXO

Monday, December 25, 2017

Hoping Everyone, Except The 4 "So-called" Dr.s and 2 Palliative Care APRN's From Nashua Had a Nice Christmas

I'm hoping everyone, EXCEPT the 4 Dr.s and 2 Palliative Care APRN's responsible for my husbands death had a nice Christmas. For the six of you I with nothing but heartache and pain.
My husband went to the Hospital we always trusted for help. Instead of help, he was murdered. Do Law's mean anything to any of you? Evidently not, or you wouldn't have broken FEDERAL LAW and ILLEGALLY put him on Hospice/Palliative Care when he told ALL of you he wanted treatment for his weakness. Instead of treating him, Dr. Death overdosed him with Morphine and treated him for absolutely NOTHING.
So I hope your Christmas SUCKED and I hope your New Year Sucks as well. How would you like to live knowing your LOVED one was murdered and and the scum that did it weren't being held accountable? What happened to the Hippocratic oath Doctors used pledge? Is that just something of the past that isn't included in licensure any more? Whats your new oath? Only money matters so kill off the patient?You six give Doctors and Nurses a bad name. Who in the world would ever trust a Doctor or Nurse Practitioner again knowing you kill your patients?
I hope you suffer the way I've been suffering. You took my soulmate from me. We trusted you, something I'll never do again. When you killed him, you killed me also. Two lives for the price of one. Your Hospital sucks even worse than the other one in Nashua. You need to be shut down and Palliative/Hospice Care need to be abolished. All they are is Population Control and your Ethics Committee is nothing but a Death Panel, run ILLEGALLY! So sucky New Year to all of you. If I have to live in pain, so should you!

Extremely Pissed Off Wife of Bill Knightly

Saturday, December 23, 2017

Twas the Night Before Christmas-2017 version

Twas the Night before Christmas,
Only sadness abound,
No sign of my husband,
Nowhere to be found.
The stockings aren’t hung by the chimney this year,
No reason to celebrate,
My Knight is no longer here.
His life was taken from us,
By ILLEGAL Hospice/Palliative Care.
No decorations as in previous years,
Who feels like decorating,
 Trying to hold back tears.
My husband always decorated as his smile lit up the room,
Now all I feel, is sadness, anger and gloom.
My husband always loved Christmas,
The Grandchildren gave him such joy.
He loved to watch them open,
Each and every toy.
So Christmas won’t be celebrated in our house anymore,
Not without my husband,
The man that I adore.
The happiness he gave me,
The good times we shared,
The Love of my life,
The only person that cared.
I’m so lost without him,
How do I go on,
I think about him every day,
From dusk until dawn.
So no more Christmases for me,
No Holiday cheer,
Not until I’m back,
With the man I hold dear.

I Love and Miss you My Knight and always will,
I can’t wait to be with you again.
Love always, Dot

XOXOXOXOXOXOXOXOXOXOXOXOXOXOXO

Friday, December 22, 2017

Nothing to Celebrate this Year

It's almost Christmas, but I have nothing to celebrate this year. The loss of my husband has made me so sad and angry. No more hugs. No more kisses. No more holding hands. No more Christmases.This will be the first Christmas in 43 years that we won't spend together. He loved Christmas so much. He helped decorate the house and put lights up all over the living room. Last year he made a flag out of lights and red, silver and blue garland outside the door. He always hung all the kids and grandkids stockings up on the closet doors in the living room and always had plenty of candy canes hung up all over the house.
There are no decorations this year. No stockings hung. No nothing. I finally put up a tree, only because my 7 year old granddaughter begged me to. I want no part of Christmas or anything else. If it weren't for my grandchildren I would have already thrown in the towel. My husband loved the grandchildren so much. His biggest worry was our two granddaughters that live with us. If it weren't for them, I wouldn't even get out of bed in the morning. He wanted me to make sure they were always well taken care of. I guess he figured I was strong enough to get through losing him. Well he was wrong. Every day is worse than the day before. My strength is dwindling. Everything keeps going wrong. If it isn't one thing, its another. Something is always breaking and I don't like asking for help. I'm used to me and Billy doing things together. I feel so lost. We were one, now I'm nothing without him.
His death was the beginning of a horrible life of nothingness. No Holiday celebrations. No nothing. I feel like a zombie, just trying to get through each day. I hate going to the store. I hate going anywhere. All I see is sadness in my eyes when I look in the mirror.
Billy want's me to take care of the kids, so far now I will while I  fight for the justice he deserves. Death is one thing, but when your loved one is MURDERED, it's a whole different story. And by Doctors and Nurse Practitioners who shouldn't even have a license to practice medicine. It's so sad knowing what has become of today's healthcare. Everything these day's is all about money. Not about people and not about whats right or wrong. One day they will get theirs. I hope they burn in Hell.

Have a Nice Christmas everyone, except the 6 Murderers responsible for my husband's death. I know I won't.
Extremely Pissed off Wife of Bill Knightly

OIG Cracks Down on Hospice Provider Fraud

OIG Cracks Down on Hospice Provider Fraud – The Health Law Offices of Anthony C. Vitale, P.A.:

Last year, the HHS Office of the Inspector General stated the hospice fraud was rampant and that it would be an enforcement priority for the agency. The OIG found that some hospice operators, doctors and staff were recruiting patients to maximize profits, even when in some cases the patients didn’t need hospice care. Their illegal activities amounted to hundreds of millions of dollars.

HHS rolls out antibiotic stewardship phase of program targeting healthcare-associated infections

HHS rolls out antibiotic stewardship phase of program targeting healthcare-associated infections | FierceHealthcare:

The U.S. Department of Health and Human Services targets antibiotic resistance in the fourth phase of its Action Plan to Prevent Health Care-Associated Infections (HAIs). The agency is seeking public comment on its proposal until Dec. 26, 2017.
HHS launched its HAI Action Plan in 2009 and complemented it with the National Action Plan for Combating Antibiotic-Resistant Bacteria in 2015. In antibiotic stewardship, the aims of the two programs overlap.

751 Hospitals Hit With Safety Penalties For 2018: Data Table

751 Hospitals Hit With Safety Penalties For 2018: Data Table | Kaiser Health News:

The federal government has cut payments to hospitals with high rates of patient injuries this year. Those hospitals will lose 1 percent of Medicare payments over the federal fiscal year, which runs from October through September. Maryland hospitals are exempted from penalties because that state has a separate payment arrangement with Medicare. Below are the hospitals being penalized and a notation if they were penalized last year:

Medicare penalizes group of 751 hospitals for patient injuries

Medicare penalizes group of 751 hospitals for patient injuries | FierceHealthcare:

The federal government Thursday lowered a year’s worth of Medicare payments to 751 hospitals to penalize them for having the highest rates of patient injuries.
More than half also were punished last year through the penalty, which was created by the Affordable Care Act and began four years ago. The program is designed as a financial incentive for hospitals to avoid infections and other mishaps, such as blood clots and bedsores.

Healthcare-Associated Infections (HAI) data

Healthcare-Associated Infections (HAI) data:

The healthcare-associated infection (HAI) measures show how often patients in a particular hospital contract certain infections during the course of their medical treatment, when compared to like hospitals. These infections can often be prevented when healthcare facilities follow guidelines for safe care. To get payment from Medicare, hospitals are required to report data about some infections to the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN)- Opens in a new window. Hospitals currently submit information on central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), surgical site infections (SSIs), MRSA Bacteremia, and C.difficile laboratory-identified events. The public reporting of these data on Hospital Compare is part of a movement by the Department of Health and Human Services to make healthcare safer.

42 CFR 418.24 - Election of hospice care. | US Law | LII / Legal Information Institute

42 CFR 418.24 - Election of hospice care. | US Law | LII / Legal Information Institute:

42 CFR 418.24 - Election of hospice care.



§ 418.24 Election of hospice care.
(a)Filing an election statement.
(1)General. An individual who meets the eligibility requirement of § 418.20 may file an election statement with a particular hospice. If the individual is physically or mentally incapacitated, his or herrepresentative (as defined in § 418.3) may file the election statement.
(2)Notice of election. The hospice chosen by the eligible individual (or his or her representative) must file the Notice of Election (NOE) with its Medicare contractor within 5 calendar days after the effective date of the election statement.
(3)Consequences of failure to submit a timely notice of election. When a hospice does not file the required Notice of Election for its Medicare patients within 5 calendar days after the effective date of election, Medicare will not cover and pay for days of hospice care from the effective date of election to the date of filing of the notice of election. These days are a provider liability, and the provider may not bill thebeneficiary for them.

Thursday, December 21, 2017

I Miss My Knight

Image may contain: text

https://sharesomething.leadpages.co/my-husband-in-heaven-fan-club/


56 Year Old Man Enters Hospital with Shoulder Pain – Dies 6 Weeks Later After Developing Infection in Hospital

56 Year Old Man Enters Hospital with Shoulder Pain – Dies 6 Weeks Later After Developing Infection in Hospital:

The following is a true story that is, unfortunately, typical of the dangers in being admitted into hospitals today in the U.S.The identity and location of the victim, as well as the hospital and medical personnel, are being withheld for now.Medical records show that hospital errors today are the 3rd leading cause of death in the U.S., just after heart disease and cancer. See:

Hospital Errors are the Third Leading Cause of Death in U.S.

Drug-induced murder: If only we had known

Drug-induced murder: If only we had known:

In-home hospice care is extremely common today; yet this form of end-of-life care is often dangerous and deadly.
 Unknowingly forced Hospital Hospice/Palliative Care is just as dangerous and deadly if not more so. Pure Fact!!!

Euthanasia and Hospice articles ... Hospice Patients Alliance

Euthanasia and Hospice articles ... Hospice Patients Alliance:
Articles Worth Reading about Euthanasia, Asst'd Suicide and End-of-Life Issues

Assisted-Suicide: Not Legal in Montana; A Recipe for Elder Abuse and More 
Assisted-Suicide: Not Legal in Montana; A Recipe for Elder Abuse and More 
by Margaret Dore, Esq., July, 2011 

Articles by Jane St. Clair against Assisted-Suicide


Stealth Euthanasia: Health Care Tyranny in America (Hospice, Palliative Care and Health Care Reform
by Ron Panzer, May, 2011: detailing how, why and when stealth euthanasia began to be practiced in the United States, how hospice has been infiltrated by those who do not respect the sanctity of life and casually kill for many reasons. With extensive references throughout the book, Stealth Euthanasiareveals how health care reforms already being put in place threaten the lives of the vulnerable disabled, elderly, chronically ill and others. This book reveals the most-censored story in America and how the changes being made will affect every family in America. Read it online here and let others know about this book so they can get the answers they are seeking.

And MANY More

ADMISSION TO HOSPICE - ELECTION OF THE MEDICARE and/or MEDICAID HOSPICE BENEFIT

ADMISSION TO HOSPICE - ELECTION OF THE
MEDICARE and/or MEDICAID HOSPICE BENEFIT
ADMISSION TO HOSPICE - ELECTION OF THE
MEDICARE and/or MEDICAID HOSPICE BENEFIT
Policy Number: PC.A30
NHPCO Standard(s):
Regulatory Citation / Other: 42 CFR 418.24, DHS 131.17

POLICY STATEMENT: Medicare and/or Medicaid beneficiaries are required to
sign an election statement
regarding their intent to receive hospice services from
Hope Hospice and Palliative Care, Inc. (HHPC) and to utilize their hospice
Medicare and/or Medicaid hospice benefit. HHPC is qualified to bill Medicare
and/or Medicaid by meeting Medicare’s Hospice Conditions of Participation.

AGAIN, It is ILLEGAL to force people onto Hospice/Palliative Care if they DON'T sign an election statement!!!

https://www.nhpco.org/sites/default/files/public/regulatory/Election_of_HospiceTS.pdf




Hospice Election Requirements

Hospice Election Requirements:
To receive hospice services under the Medicare Hospice Benefit, the patient (or his/her authorized representative) must elect hospice care by signing an election statement. Each hospice designs and prints their own election statement.
As you develop your own Hospice election statements and certifications of terminal illness, please review the MLN Matters Special Edition Articles SE1631External PDF and SE1628External PDF for specific requirements you must include for valid documentation as well as example text.

At a certain Nashua Hospital, patients are UNKNOWINGLY Forced into Hospice/Palliative Care against their will, without consultation and without signing ANY consent forms! So why is Medicare paying these Bills when its illegal?

Is Sepsis Incidence and Mortality Changing in U.S. Hospitals?

Is Sepsis Incidence and Mortality Changing in U.S. Hospitals?:

Recent studies of claims data suggest that the incidence of sepsis in hospitals is increasing and sepsis-related mortality is declining. However, such data might be affected by incentivized coding practices — a “sepsis” diagnosis code might raise a hospital's reimbursement amount — which would overestimate the incidence of sepsis in hospitals. Study authors used electronic health records and administrative data (on >7 million hospitalized adults in >400 U.S. hospitals from 2009 to 2014) from a diverse group of healthcare systems to determine annual sepsis incidence and mortality burden (based on Sepsis-3 definitions; NEJM JW Gen Med Mar 15 2016 and JAMA 2016; 315:775).

Sepsis Data Reports

Data Reports | Sepsis | CDC:

A CDC evaluation found 7 in 10 patients with sepsis had recently used healthcare services or had chronic diseases requiring frequent medical care.
In adults, these common infections can lead to sepsis.
  • Lung infection such as pneumonia (35%)
  • Kidney or urinary tract infection (25%)
  • Gut, stomach, or intestine infection (11%)
  • Skin infection (11%)

Sepsis Statistics

  • More than 1.5 million people get sepsis each year in the U.S
  • About 250,000 Americans die from sepsis each year
  • One in three patients who die in a hospital have sepsis

Sepsis | CDC

Sepsis | CDC:

Sepsis is the body’s extreme response to an infection. It is life-threatening and without timely treatment can rapidly cause tissue damage, organ failure, and death.
Sepsis is a medical emergency. Time matters.
For new healthcare professional and patient resources, visit Get Ahead of Sepsis.

Sepsis Early Warning Score Adopted in UK

Sepsis Early Warning Score Adopted in UK:

Every NHS hospital trust in England will be asked to adopt a new clinical system for assessing acutely ill patients.
Almost 2,000 deaths each year could be prevented if consistent checks are made, according to the NHS.

AHA Opposes Medicare Reimbursement Cut for Early Hospice Care

AHA Opposes Medicare Reimbursement Cut for Early Hospice Care:
A proposal to reduce Medicare reimbursement to hospitals discharging patients to hospice care early does not align with best palliative care practices, the AHA argued.

My Comment: The Murderers shouldn't be getting paid at all!

Wednesday, December 20, 2017

Message to The So-called Dr's. and APRN's Responsible for My Husband's Murder

To the so-called Drs. and APRN's responsible for the Murder of My Husband, I hope your Christmas and New Year                            SUCKS!

Why is Medicare Paying For ILLEGAL Hospice/Palliative Care????

My big question is WHY is Medicare Paying for ILLEGAL Hospice/Palliative Care?


                             My Knight, whom I will fight for til the day I die
                                                      1/16/51-4/26/2017

My husband was just one patient out of thousands I'm told, that  refused Hospice/Palliative Care, but were unknowingly forced onto it anyway without their or their families knowledge or consent. No consultation and no plans of treatment, even though it's a fact my husband TOLD them he wanted treatment. He was overdosed on Morphine instead by a man in a wheelchair that he wasn't even told who he was. When I asked I was told his name. Nothing else.
My husband was being woken every four hours, more morphine pushed into him, until he finally refused, telling me, "I have to get out of here. They're trying to kill me." He was right and unfortunately they DID kill him.
I want to know WHY Medicare is paying these Death mongers to kill off our loved ones? Loved ones who NEVER consented to be put to death. Death mongers whose secret was kept as to who they really are, never letting on our loved ones weren't being treated for their illnesses. All we were told is he's dying of cancer. Cancer never proven. Illnesses that cause the same symptoms as the ones he had. Infections from biopsy's NEVER treated. Only overdosed with morphine so he could never walk again. Too weak to do anything including eating. Only sleeping. What kind of quality of life is that? He walked in to the Hospital and then never walked again. We were never told anything. The morphine was pushed down his throat along with laxatives. Laxatives they kept pushing on him even while he had diarrhea, which we put a stop to. Diarrhea is one of the first signs of Sepsis, which he died of because a Palliative Care APRN walked to to the ER and took it upon herself to stop the antibiotics he was just put on. A woman who we were never told who she was. A Palliative Care APRN who lied in the Medical file and said I and my family didn't want treatment. I have another thing coming for that Death Monger. I have all the proof I need which proves we DID want treatment, we never told them to stop and that we REFUSED Hospice/Palliative Care. My husbands own Primary Care Dr. wasn't even contacted. Now she doesn't want to get involved with the illegal practices used against my husband and I surmise the reason is Dr. Death's wife works in her facility as an RN. She know's I'm fighting and I won't stop. My husband was MURDERED by Hospice/Palliative Care, just as so many other's are. I want Medicare to wake up and stop paying these Murderers!!! Hospice/Palliative Care is LEGALIZED Euthanasia. It's time to put an end to the Murder of our loved ones!!!!!

Unhappy Grammy 
AKA Extremely Pissed off Wife of William F. Knightly Jr.

My Husband died from an Infection he contracted at a Nashua Hospital

My husband died of an infection, contracted at a Nashua Hospital. He also had a Heart attack.  My family and I were never told. They kept telling us he was dying of Cancer.

My husband walked into the Hospital on March 16th,2017. The first week, he walked around with a walker, he ate, he drank, he talked and joked around, he took his pills.The second week he was put on 220 mgs. of Morphine by a Pallative Doctor. And NO, we did NOT opt for Hospice care or Pallative care. In fact, we refused.  He stopped walking, eating,talking, everything. All he did now was sleep.
 The Hospitalist came in to see him while the Pallative Dr. was in the room. The Hospitalist tried to wake my husband and asked him if he was in pain. My husband answered, "I don't know." The Hospital got angry.  He said, "If he doesn't know if he's in pain, he isn't. He's being overmedicated. I'm taking over his medication right now."
My husband went home that day on a stretcher,by ambulance in worse condition than when he was admitted.The Oncologist told my husband they weren't sure if he had kidney cancer and they wouldn't know unless they took out his kidney. My husband refused, saying what if there was nothing wrong with it and they took it out for nothing.
His second day home he started eating again. He was doing good.The only thing he couldn't do was walk, still to weak from all the Morphine.
We opted for home care from AIM, which is part of Home Health and Hospice.   His Nurse was supposed to be the only Nurse he would see, but for some reason they sent a Hospice Pallative Nurse Practitioner after we already told them we didn't want Hospice Nurses because all they talk about his death. My husband didn't want to die and hearing her death rant for three days straight put him over the edge. I thought he had a stroke on April 18th but it was a heart attack when the NP agitated him so badly. She mentioned the Pallative Dr.s  name  and he threw up his arms and tried to yell. She witnessed the Heart attack and did nothing. When she left, he just lay there with his mouth wide open and his eyes half shut. I called his Primary Care Doctor and told her what happened.
My husbands Nurse called that night and said the NP was no longer allowed at my house and that she would be there the next day. She said he was dehydrated and called 911. An ambulance came and took him back to the Hospital on April 19th.
In the emergency room we were told he only a couple hours to live. Still no-one ever mentioned Stroke or Heart attack. They just kept saying he was dying of Cancer. They didn't want to put him on an IV, but I insisted. After doing blood work, they said he had an infection, but said they didn't know what it was or where it was, so they put him on a little IV bag of antibiotics. (In the Medical records it shows he had an infection the first time he was in the Hospital, which he got while he was there.)They were stopped that evening. His hemoglobin was 7.5 and we were told if it went down to 7 he could get a blood transfusion. His white blood cells were extremely high also,24,000, so they took him off the Saline and gave him Dextrose. Once they did he became responsive.
He started doing better and was moved from ICU to a room back on the fifth floor. He still wasn't drinking or talking. He just lay there with his mouth wide open and his eyes half shut. Still Stroke was never mentioned.
That day I requested a cat scan to see if he had a stroke. I also requested more blood tests because he hadn't had any since April 20th. I figured if his hemaglobin went down to a 7 he could have a transfusion. I was denied by the Hospitalist. He stated, "Why waste the blood on him when someone bleeding to death could use it more." I tried transferring him to another Hospital. The Hospitalist refused to give him a referral. I told him he would be better off in a Cancer facility. It didn't happen. They wanted put him on a morphine drip. I refused. My husband was responsive enough to shake his head no.He was afraid they were going to kill him. And they did.
I staid at the Hospital with him 24/7 holding his hand, as I knew he feared for his life. I watched the monitors as his heart rate was usually 90 or more and his breathing rate was always past 20 and his blood pressure always low, along with the white blood cells being extremely high,24,000, ALL signs of Sepsis, but we were never told.
On Wednesday, April 26th, my husband finally gave up and died, with his family present and me still holding his hand.
We still don't know what the infection was, or if he had kidney cancer.  I am fighting for an autopsy because there are too many unanswered questions. 
Yesterday I got his Medical records from the Hospital. They state "Possible" Sepsis. I also found paperwork which shows he had a heart attack. Again, we were never told. 
Hospitals need to be held accountable. Just because a person has Cancer doesn't mean they shouldn't be treated for other medical problems. But he Did NOT have Cancer!

UNTREATED SEPSIS KILLED MY HUSBAND AND ILLEGALLY, UNKNOWINGLY FORCED PALLIATIVE CARE!

UNTREATED SEPSIS KILLED MY HUSBAND AND ILLEGALLY, UNKNOWINGLY FORCED PALLIATIVE CARE!

Untreated Sepsis Killed my Husband AND ILLEGALLY, UNKNOWINGLY Forced Palliative Care!
My husband, the Love of my Life, died of UNtreated Sepsis at a Nashua, NH Hospital on 4/26/2017. Don't let Palliative Care NEAR your Loved ones. We refused. It did no good. We were never told they were Palliative Care. THEY are responsible for the NEEDLESS death of my loving husband!