Sign in

Joan Teno

@joanteno.bsky.social
50 followers 28 following 29 posts

Physician scientist doing a flex retirement, Adjunct Professor at Brown University School of Public Health, photographer, dog lover, and now a hospice volunteer. All tweets are my own

PostsRepliesMedia
Joan Teno @joanteno.bsky.social · 20/07/2026
open.substack.com/pub/joanteno... #hospice
open.substack.com
SOS: Is There Hope for the Hospice Outcome and Patient Evaluation?
Part 1
000
Joan Teno @joanteno.bsky.social · 13/07/2026
open.substack.com/pub/joanteno... #hospice
open.substack.com
What Hospice Can Learn from Home Health Value-Based Purchasing
We are not even close to P4P for Hospice, rather program integrity is our future..
000
Joan Teno @joanteno.bsky.social · 06/07/2026
P4P and quality measurement - open.substack.com/pub/joanteno...
open.substack.com
SOS: P4P and Quality Measurement –Time now is to think about measurement?
Lay summary: This document explains why quality measurement needs to be built into any new hospice payment model from the start, not added later.
000
Joan Teno @joanteno.bsky.social · 22/06/2026
#hospice - Non Hospice Spending - not ready for prime time, if ever open.substack.com/pub/joanteno...
000
Joan Teno @joanteno.bsky.social · 15/06/2026
#hospice A case for Certificate of Need - why too much and too little competition is bad! open.substack.com/pub/joanteno...
open.substack.com
SOS: Certificate of Need, PPEO, and Percent of State Hospice Reporting Star Ratings
Both too little and too much competition can be harmful.
000
Joan Teno @joanteno.bsky.social · 08/06/2026
#Hospice so what does Claude AI think of my idea to report small hospices on Medicare Compare Website open.substack.com/pub/joanteno...
010
Joan Teno @joanteno.bsky.social · 05/06/2026
#hospice part2 - Hospice Quality and Fraud youtu.be/bYaFh2xlJyI?...
youtu.be
Part Two - Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores
YouTube video by TCNtalks
000
Joan Teno @joanteno.bsky.social · 01/06/2026
#hospice - Why are people frustrated with—or not using—Medicare Care Compare to select a hospice program? open.substack.com/pub/joanteno...
000
Joan Teno @joanteno.bsky.social · 26/05/2026
#hospice Should there be hospice moratorium? open.substack.com/pub/joanteno...
000
Joan Teno @joanteno.bsky.social · 18/05/2026
#hospice So how many "real" hospices are there? Counting a CCN as hospice based on one claim is suspect. The fraud from California and Texas are highlighting important concerns that hospices use CCN for gaming and flying under the public reporting thresholds. open.substack.com/pub/joanteno...
open.substack.com
SOS Hospice: How Many Hospice Providers Are There in the United States?
Lay summary:
000
Joan Teno @joanteno.bsky.social · 11/05/2026
substack.com/@joanteno/no... #hospice
substack.com
SOS Hospice: Let’s Ask ChatGPT to Select a Hospice Program
Lay summary:
000
Joan Teno @joanteno.bsky.social · 04/05/2026
#hospice Choice of hospice program - Fraud, expert opinion, and should I let AI select my hospice? Two part series - week 1 posted open.substack.com/pub/joanteno...
021
Joan Teno @joanteno.bsky.social · 27/04/2026
#hospice joanteno.substack.com/p/sos-part-1...
joanteno.substack.com
SOS – Part 10: What can we learn from hospice quality measures when a Hospice provider is charged with fraud?
Public summary: Can publicly reported hospice quality measures show any patterns when a hospice has been convicted or charge with fraud?
000
Joan Teno @joanteno.bsky.social · 20/04/2026
SOS Hospice Part 9 #hospice open.substack.com/pub/joanteno...
121
Joan Teno @joanteno.bsky.social · 13/04/2026
SOS part 8: When being in the top 1% .. #hospice joanteno.substack.com/p/sos-hospic...
joanteno.substack.com
SOS Hospice, Part 8: When Being in the Top 1% Is Not Good…
Public Summary
000
Joan Teno @joanteno.bsky.social · 07/04/2026
#hospice SSVI in your future? open.substack.com/pub/joanteno...
010
Joan Teno @joanteno.bsky.social · 03/04/2026
To live and Die in LA and Houston, we have a problem #hospice #palliativecare open.substack.com/pub/joanteno...
open.substack.com
SOS Hospice, Part 6: To Live and Die in LA or Houston we have a problem
Does RI have too many or too few hospice programs?
000
Joan Teno @joanteno.bsky.social · 30/03/2026
SOS Hospice - Part 5 - Defining NEED.. #hospice open.substack.com/pub/joanteno...
open.substack.com
SOS Hospice, Part 5: Measuring Hospice Need in Population Benefit/Risk approach
How should we assess whether RI has too many or too few hospice programs?
010
Joan Teno @joanteno.bsky.social · 26/03/2026
While LA county with one hospice for every 38 deaths deserves scrutiny. This IS NOT JUST CA problem —What about Harris County (Houston) in Texas. There are 225 hospices -185 (82.2%) do not report ADC or ADC <=5. Only 14 hospices report CAHPS stars ratings - see joanteno.substack.com #hospice
000
Joan Teno @joanteno.bsky.social · 23/03/2026
Part 4 - isn't more hospices better? Part 4 - does RI have too many or too few hospices? #hospice link open.substack.com/pub/joanteno...
010
Joan Teno @joanteno.bsky.social · 16/03/2026
The RI story: too many or too few hospices? What about the quality? see joanteno.substack.com/p/sos-hospic... #hospice #certificateofneed
joanteno.substack.com
SOS Hospice: The Rhode Island Story (Part 3)
Does Rhode Island Have Too Many or Too Few Hospice Programs?
032
Joan Teno @joanteno.bsky.social · 09/03/2026
joanteno.substack.com
021
Joan Teno @joanteno.bsky.social · 27/02/2025
With FDA cancelling the Flu Vaccine meeting to select strains for next year flu season and that 33 million American got the flu, 430000 hospitalization, and 19000 deaths. I need a puppy picture today.
010
Joan Teno @joanteno.bsky.social · 19/02/2025
@waytooearly.bsky.social Why I am up at 5 am?
000
Joan Teno @joanteno.bsky.social · 18/02/2025
in these chaotic times, don’t forget the simple joys
000
Joan Teno @joanteno.bsky.social · 12/01/2025
The most cited JAMA Health Forum essay for not hospice or end of life care. This was total surprise to me jamanetwork.com/journals/jam...
jamanetwork.com
Garbage in, Garbage out—Words of Caution on Big Data and Machine Learning in Medical Practice
This JAMA Forum discusses developments with machine learning and artificial intelligence and provides examples showing how humans are required in these processes to avoid errors in classification.
011
Joan Teno @joanteno.bsky.social · 12/01/2025
Totally new to blue sky! So here are my top 3 photos of 2024.
120