Today is The 35 Month Anniversary of the MEDICAL MURDER of My Husband, Bill Knightly by St. Joseph Hospital in Nashua, NH

Today is The 35 Month Anniversary of the MEDICAL MURDER of My Husband and still no prosecutions by the State of NH or anyone else for that matter.
The NH Board of Medicine admitted the DNR put on my Husband was ILLEGAL, but still NO prosecutions. The Murderers still walk free to keep on killing. No-one is held accountable. No repercussions.
Life isn't any easier. In fact, it's harder. Just knowing that my Husband was Murdered by the Hospital we used to trust. The Hospital where our children and grandchildren were born. The only Hospital we trusted. Not anymore.
Maybe life wouldn't be so hard if the Murderers were prosecuted. I'd feel a little better knowing their lives were ruined as they've ruined mine. Their ZEN lives would be nothing but suck lives. But they don't have to worry about that. NH doesn't prosecute Medical Murderers. It doesn't matter how much proof you have, Medical Murder in NH goes unpunished. Big payoffs I imagine to kill off the sick and elderly. Death panels DO exist! They're called Hospital Ethics Committees. Funny how they didn't remember my Husband's name. Because peoples lives don't matter to them. All that matter's is the almighty dollar!
My Husband will NEVER be forgotten. Not by any of the Murderers because I'll make sure of it. I will keep on posting his story until SOMEONE holds the Murderers accountable!

I Love you My Knight and always will! 
Extremely Pissed Off Wife of Bill Knightly, Murdered by NON-consensual Hospice/Palliative care at St. Joseph Hospital in Nashua, NH

Three Years ago Today My Husband was Admitted to the Hospital That KILLED Him

Three Years ago Today My Husband was Admitted to the Hospital That KILLED Him. St. Joseph's.The Hospital of Death, Sepsis Central. The Hospital he went to to get treatment, but got nothing but overdosed with Morphine by The Circle of Life (Death) Palliative care Doctor from Canada, where Medical Murder of our Loved ones is practiced daily. Overdosed by a Doctor who was neither wanted nor consented to.
Refusal of Hospice/Palliative care by the patient at this Hospital means absolutely nothing. Non-consensual Hospice/Palliative care is forced on un-knowing patient's along with ILLEGAL, NON-consensual DNR's. My Husband was just one of many patient's this Hospital Medically Murdered. He asked for treatment and adamantly stated he did NOT want to die, but they killed him any way. He refused Hospice/Palliative care, but against his and our family's will he was put on it any way. We were never told. We were never told of the illnesses they found through almost daily lab work, nor was he treated for anything. He had a UTI that we were never told about which was left untreated. The UTI and ALL the pressure ulcers all the way down his back ultimately killed him as he ended up with Sepsis. Again, we were never told. He was started on antibiotics and then all of a sudden they were stopped. We had no clue why. The Palliative care Nurse Practitioner, who is now the Director of  Cancer Services was responsible. She denied everything including ordering ALL treatment stopped, but my Husband's Medical file told a different story. She wasn't even his Doctor and had no business giving any order's concerning my Husband. She is also the one who ordered the ILLEGAL DNR and the NH Medical Board refuses to do anything and neither does the State of NH. The Medical Board admitted the DNR was ILLEGAL, but they said it was due to miscommunication. So does that give them the right to Murder my Husband and NOT be held accountable? They ALL belong in jail. Let's see how they like their new sucky lives!

I Love you My Knight and always will! 
Extremely Pissed Off Wife of Bill Knightly, Murdered by NON-consensual Hospice/Palliative care at St. Joseph Hospital in Nashua, NH

WHAT DO I DO NOW THAT MY LOVED ONE WAS MURDERED BY HOSPICE?

WHAT DO I DO NOW THAT MY LOVED ONE WAS MURDERED BY HOSPICE?

All cases of hastening death need to be reported and tracked. If we do not report them, we will not have statistics at any point to prove that our loved ones are not dying with natural causes and in their own time. It is illegal to hasten people’s death and yet that is what is happening every day and we need to document and report all occurrences!  The steps listed below are provided to assist you in knowing what you can do now that you and your loved one lost the battle and they are gone.

Immediately notify the hospice provider (administrator) that you are not satisfied with the care your loved one received (Abuse, neglect or poor conditions.)  You may do this verbally, but follow up in writing and make sure you keep records of everything, even verbal conversations including who exactly you spoke with. 

If you hope that the local prosecutor will bring charges of a crime and want to preserve evidence, do not let anyone embalm or cremate your loved one until a toxicology report and/or autopsy are performed. Notify the hospice provider, funeral home and coroner verbally and in writing specifying what should happen to the deceased patient’s body. 

Acquire a copy of all of the medical records to include all drugs given to your loved one.  If you are named as the Personal Representative of the Estate of the deceased, then and only then are they required by law to give you a copy of the medical records. If nobody is named as Personal Rep. of the Estate, then you can seek to be named at the County Clerk’s office.  You must request the records by Certified, Return Receipt U.S. Mail so you have a paper trail documenting your request.

Go through the medical records line by line and take notes on what drugs were given, what doses, the combinations and amount of time between the administration of any medications.

Write down any conversations between any staff, patient or family that you feel are pertinent or contradictory to what occurred.

If they will not give you a copy. Go here for information on acquiring. https://www.hospicepatients.org/chart-denied.html
Once you have this information, it is best to put your complaint in writing where you can go over it to make sure you have added all pertinent data. Use the medical records to point out specifics with dates and names and mail certified/return receipt via U.S. Postal Service.  You can use a complaint form on the www.hospicepatients.org website complaint form
Report any instances of abuse, neglect or poor care to your State’s Department of Health hospice certification and inspections department  www.hospicepatients.org/stadrss.html

Report the incident to 1-800-MEDICARE (1-800-633-4227)

Report the incident to the Police, if you believe a crime has been committed

If you believe your loved one did not qualify for hospice or was not enrolled in an “early admission” program to hospice, or if the hospice did not provide required services to the patient, report the hospice fraud to the Office of Inspector General Fraud Hotline 1-800-447-8477 (800-HHS-TIPS) or  https://oig.hhs.gov/fraud/report-fraud/

If you have documentation of a pattern of major hospice fraud, you can alternatively report this to your local U.S. Attorney’s Office.
           U.S. ATTORNEY'S OFFICE  https://www.justice.gov/usao.
           Main office address:    U.S. Department of Justice, Washington D.C. 20530-0001

Use your influence to give reviews on the facility on their Facebook page and on Yelp and any other area where you can warn others about your experience.  Do not use bad language or name specific individuals. This will help you avoid threats of legal action due to (false) claims of defamation or libel.

Tell your story to others verbally; and to www.hospicepatients.org, www.halovoice.org and/or on TSRadio with Betrayed by Hospice by contacting Marsha at marshajoiner2018@gmail.com

Watching a loved one be murdered is extremely stressful and you may need to find a support group where you feel safe to talk about what happened with people who understand. You need to understand that you did everything you could to save your loved one and are not guilty. There was no way you could have known and in many cases, if you didn’t have power of attorney, there was nothing you could have done.  One group on Facebook - Murdered by Hospice members understand and are a good support group. You will need to request to join and respond to all questions as all members are vetted to try to keep others from disparaging its members.
Side Note - If a hospice bills you directly for hospice services related to the terminal illness, even though the patient has coverage under Medicare, Medicaid or private insurance, fraudulent double-billing may be occurring. Don't be exploited. Report it. Help stop hospice fraud!

Marsha Joiner

Caring, Not Killing: No to Assisted Suicide-Please Contact the NH Legislature to Oppose this Bill

Caring, Not Killing: No to Assisted Suicide

Once again, an assisted suicide bill is being introduced in Concord. Cornerstone Action will be there to say that New Hampshire can do better. Caring, not killing, is the right approach when we’re faced with terminal illness.

Unlike last year’s “study” bill, this year’s HB 1659-FN would directly legalize assisted suicide. The sponsors of the bill use all kinds of words to avoid saying suicide: “death with dignity,” “patient directed care,” “autonomy,” “end of life decisions.” 

We find more clarity in the bill’s Statement of Purpose, which contains a legislative finding clearly stating that everything the bill would authorize is to be considered a type of medical care. 

This is not authentic compassion for anyone suffering from a terminal illness. Furthermore, a pro-suicide agenda will affect everyone in New Hampshire. Here are some of the unintended consequences of assisted suicide legalization.

• Exploits medically vulnerable individuals. Once assisted suicide becomes a form of medical care, there is no telling how many medically, psychologically, and financially vulnerable Granite Staters would get the message that suicide is cheaper than supportive services.
• Undermines suicide prevention efforts. Suicide in New Hampshire, especially among veterans and teens, is rightly recognized as a public health problem to be solved. Passing an assisted suicide law sends a confounding and false message to anyone considering suicide: your life is only as valuable as you think it is.
• Opens the door to broader availability. Regardless of the so-called protections that  to limit assisted suicide’s use to people with terminal illnesses, “mission creep” is inevitable. Oregon’s assisted suicide law has been in effect since 1997. The 2018 annual report on the law’s effect, published by the state of Oregon, lists diabetes and arthritis among the “terminal conditions” that made patients eligible for assisted suicide. (See footnote 3 of the Oregon report, page 13.)
• Pain is often not why individuals request assisted suicide. You only need to look to this Oregon study to see that most individuals sought assisted suicide because they feared “being a burden.” This puts individuals with chronic illness or disability who need support at risk and further marginalizes and devalues them. 
• No one can accurately predict end of life — not even a physician. This opens the door to death under a wrong assumption or even unintended tragedy because of an inaccurate diagnosis.
• Assisted suicide creates a culture of death rather than one of help-seeking.  The purpose of medical care is to treat illness and improve life, not to facilitate death. By making assisted suicide part of the discussion and a treatment “option,” especially when someone has a chronic illness, it’s only a matter of time before personal choice becomes a “duty to die.” 

New Hampshire is stronger when assisted suicide isn’t part of the culture. We will stand with other New Hampshire advocates for the dignity of human life in opposition to HB 1659-FN.

Jimmo Settlement-CMS.Gov-Why is this NOT Enforced???

Home - Centers for Medicare

Important Message About the Jimmo Settlement

The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under Medicare’s skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care in order to maintain function or to prevent or slow decline or deterioration (provided all other coverage criteria are met).  Specifically, the Jimmo Settlement Agreement required manual revisions to restate a “maintenance coverage standard” for both skilled nursing and therapy services under these benefits:

Skilled nursing services would be covered where such skilled nursing services are necessary to maintain the patient's current condition or prevent or slow further deterioration so long as the beneficiary requires skilled care for the services to be safely and effectively provided.

Skilled therapy services are covered when an individualized assessment of the patient's clinical condition demonstrates that the specialized judgment, knowledge, and skills of a qualified therapist (“skilled care”) are necessary for the performance of a safe and effective maintenance program.  Such a maintenance program to maintain the patient's current condition or to prevent or slow further deterioration is covered so long as the beneficiary requires skilled care for the safe and effective performance of the program. 

The Jimmo Settlement Agreement may reflect a change in practice for those providers, adjudicators, and contractors who may have erroneously believed that the Medicare program covers nursing and therapy services under these benefits only when a beneficiary is expected to improve.  The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and nursing and therapy in inpatient rehabilitation hospitals for beneficiaries who need the level of care that such hospitals provide.

Important Links

Additional Information

In essence, the Jimmo Settlement Agreement clarifies
Medicare’s longstanding policy that coverage of skilled nursing
and skilled therapy services in the Skilled Nursing Facility
(SNF), Home Health (HH), and Outpatient Therapy (OPT)
settings does not turn on the presence or absence of a
beneficiary’s potential for improvement, but rather on the
beneficiary’s need for skilled care.

For ready reference, this CMS web page serves to provide
access, in one location, to various public documents related to
the Jimmo Settlement Agreement. Included in those public
documents is an FAQ document for easy access. The
Jimmo Settlement Agreement does not alter or supersede any
other applicable coverage requirements beyond those
involving the need for skilled care, such as Medicare’s overall
requirement that covered services must be reasonable and
necessary to diagnose or treat the beneficiary’s condition, or
existing statutory limitations on the amount or duration of
Medicare benefits.

Jimmo Settlement Agreement approved by the court on January 24, 2013 (PDF)  

Jimmo v. Sebelius Settlement Agreement – Program Manual Clarifications (Fact Sheet) - Updated 2/3/2014 (PDF)

Jimmo v. Sebelius Settlement Agreement (Fact Sheet) - 4/4/2013 (PDF)

MLN Matters® Article MM8458 (PDF) : Manual Updates to Clarify SNF, HH, and OPT Coverage Pursuant to Jimmo v. Sebelius Settlement Agreement

CR 8458 (PDF): Manual Updates to Clarify SNF, HH, and OPT Coverage Pursuant to Jimmo v. Sebelius Settlement Agreement

CR 8644 (PDF): Manual Updates to Clarify Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) Requirements Pursuant to Jimmo v. Sebelius Settlement Agreement

MLN Connects® Call materials - December 2013

Medicare Benefit Policy Manual - Chapters 1, 7, 8, 15

Additional Questions

Providers and Suppliers:  Contact your Medicare Administrative Contractor

Beneficiaries:  Please call 1-800-Medicare

Frequently Asked Questions

FAQs (August 2017)