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Cover Story: Individual APP Policies
                    VITAS® Healthcare Says
                                                                                  Can Result in Costly Surprises
               ‘Xin Chào’ and ‘Kumusta’ with


            Its Latest VITAS.com Translations                                     Continued from page 1               the doctor has, and has a separate policy,
                                                                                    According to the new law, advanced
                                                                                  nurse practitioners with at least 3,000   the case can get focused on them instead
                into Tagalog and Vietnamese                                       hours of experience under the supervi-  of the doctor or practice, which is never an
                                                                                  sion of a physician can qualify to provide   enviable position to be in.”
            VITAS Healthcare announces the addition of Vietnamese and Tagalog languages   services including family medicine, gen-  If the policies are with different insur-
          to its recently redesigned website, joining existing versions in English, Spanish   eral pediatrics and general internal med-  ance agencies, then the claims representa-
          and Mandarin                                                            icine.  The law does not currently cover   tive that the APP’s insurance company
            VITAS, which has seen steady growth in multiple markets across the nation,   other APPs.                  appoints starts handling the case, and the
          also saw an increase in non-English users of its website (38,000 new users in   “From an insurance angle, many prac-  doctor’s malpractice company can find
          2018). This growing demand for non-English content led VITAS to add two of the   tices are not aware of the repercussions,”   itself involved in the defense of the APP
          highest in-demand languages, Vietnamese and Tagalog, to meet the needs of   he continued. “Most practices that have   provider.
          patients and healthcare professionals with unique and diverse backgrounds. “Xin   APPs have them listed on their malprac-  “Unity of defense is a sacred principle
          chào” and “kumusta” mean “hello,” respectively, in Vietnamese and Tagalog, the   tice insurance as either shared limit of lia-  that you don’t want to violate, and the
          national language of the Philippines.                                   bility or separate limit of liability for each   claims defense can be considerably weak-
            “Providing the highest quality of care means giving patients, families and   APP. This is good because the coverage is   ened in this scenario,” said Gracey. “It’s
          healthcare providers easy access to information in their preferred language and to   all in one place. The problem comes when   better to have the same insurance compa-
          hospice providers who understand their cultures and values,” said Drew   an APP decides to go out and purchase   ny and the same representation presenting
          Landmeier, senior vice president and chief marketing officer of VITAS Healthcare.    their own policy, often without knowledge   a unified front for the defense.”
            “By extending our website’s reach through careful translations, more people can   of the practice.”         Gracey warned that because the APP’s
          easily access end-of-life-care resources from any device, resulting in an overall   According to Gracey, APP insurance   limits of liability can be much higher, it
          enhanced patient experience,” Landmeier explained. “This initiative also rein-  most often has a higher limit for a relative-  can also result in higher judgements.
          forces our longstanding investments in resources that meet the needs of our   ly small amount of money. “This is attrac-  “This can also result in ‘finger-pointing’
          diverse communities, including patient and caregiver hospice training materials   tive to a lot of APPs, especially if they are   between defendants, and when you’ve got
          in Spanish, Mandarin, Creole and several other languages.”              concerned about the law that limits what   co-defendants pointing fingers, the out-
            Diane Deese, vice president of community affairs for VITAS, said an earlier   doctors need to carry, or if they’re moon-  comes are usually compromised,” he
          translation of the website into Mandarin involved cooperation from Mandarin-  lighting,” he explained. “The coverage that   added.
          fluent clinicians and religious leaders who continue to use it as a valuable educa-  the practice has would most likely not   To avoid this type of situation, practices
          tional resource.                                                        extend to those activities, so buying a sep-  should ask their APPs if they have such
            “We want to remove language barriers and knowledge gaps that keep eligible   arate policy might seem like the right solu-  policies. “If they do, we recommend get-
          patients from experiencing the benefits of compassionate, end-of-life care. Adding   tion.                  ting individual policies or a separate limits
          Vietnamese and Tagalog supports our goal of expanding access to hospice care in   “We’re finding this happening much   policy through the same insurance compa-
          minority communities by providing information in their own languages,” Deese   more often than anyone realizes, because   ny that the doctor has,” said Gracey,
          explained. “Further, by translating our resources that support health care profes-  APPs want more protection than what   adding that that can even be less expensive
          sionals, clinicians have the necessary information to care for these communities.”  they have with the doctor,” he added. “It’s   than a policy at another insurer. “Some
                                                                                  a flaw in the design of insurance cover-  insurance companies even allow moon-
                                                                                  age.”                               lighting as long as the doctor approves it.
                                                                                    The drawback is that in a bad claim sit-  “They may not need to have a separate
                                                                                  uation, APPs might find themselves get-  policy, but they do need to discuss this
                                                                                  ting a lot more attention than they want.   issue with their employer to make sure
                                                                                    “In this type of situation, the doctor gets   that they have their coverage properly
                                                                                  sued along with the practice or corpora-  aligned,” he added.
                                                                                  tion, and any provider on the patient chart
                                                                                  gets sued, including the APPs,” Gracey     For more information, contact Matt
                                                                                  explained. “In discovery, if it comes out   Gracey or Tom Murphy at (800) 966-2120
                                                                                  that the APP has much higher limits than       or visit www.dannagracey.com.





                                                                                      Snapshots





                                                                                                26th Annual Conine All-Star

                                                                                                Golf Classic Raises $262,000
                                     The Right DDirection
                                           Brighteer Future.
                                 for a                                                      to Assist Families of Sick Children

                                                                                     The Conine All-Star Golf Classic, now
                                                                                    in its 26th year, raised $262,000 to
                                                               Visit us at          underwrite expenses at the Conine
                               soouthuniversity.edu/wwestpalmbeach                  Clubhouse at Joe DiMaggio Children’s
                                            Call us at  1..866.242.1840             Hospital in Hollywood. The clubhouse is
                                                                                    a hotel-like facility that provides free
                                                                                    lodging to parents and siblings during a
                                                                                    child’s hospital stay.
                                                                                     Since 1995, fundraising done at this
                                                                                    tournament by former major league
                                                                                    ballplayer Jeff and Cindy Conine has
                                                                                    raised nearly $7 million to underwrite
                                                                                    the facility’s operating expenses. To date,
                                                                                    more than 12,000 families have stayed
                                                                                    there to remain close to sick kids during
                                                                                    critical times in their lives.
                                                                                     Celebrity attendees included: Pudge
                                                                                    Rodriguez (pictured), Ki-Jana Carter, Tony Nathan, Gaby Sanchez, Bob
                                    r P  og r ams , cr eden tial lev els , t echnology , and scheduling opttions v ar  y b y school and ar e subjec tt o change .  Brudzinski, Luis Alicea, and many others.
                    S outh Univ ersit  ,  y  W est P alm B eachh, Univ ersit y C en tr e , 9801 B elv eder e R d ., R  y o  al P alm B each, FL 334111. © 2020 S outh Univ ersit y . A ll r igh ts r eser v ed .
                                            Lic ensed b y the F lor ida C ommission or Ionf  ndependen tE duca tion, Lic ense No . 2987.


         6                         April 2020                                                               southfloridahospitalnews.com                                                                       South Florida Hospital News
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