Literature Review

Palliative care for mental illness: A podcast with Dani Chammas and Brent KiousGeriPal Podcast; by Eric Widera, Alex Smith, Dani Chammas, Brent Kious; 12/19/24We’ve talked a lot before about integrating psychiatry into palliative care. Still, we haven’t talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this week’s podcast, we talk with two experts about palliative psychiatry. We invited Dani Chammas, a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious, a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses.

5 ‘Hidden Gem’ Palliative Care News Stories in 2024Palliative Care News; by Holly Vossel; 12/27/24Palliative care providers have explored diverse routes to improve quality and access to their services in 2024. Below are five under-the-radar stories that, while important, didn’t make our most read this year. The topics spanned evolving reimbursement trends, innovative care delivery partnerships and research examining the biggest barriers among undeserved populations.

5 questions looming over healthcare leaders as 2025 beginsBecker's Hospital Review; by Molly Gamble; 1/2/25

Top 25 health systems' most-successful digital projects of '24Becker's Health IT; by Giles Bruce; 12/20/24Health systems experienced another year of digital advancement in 2024, with more big EHR moves and a push toward generative AI. Here are the most successful IT projects and top digital trends of the year, as told to Becker's by the head technology leaders at top 25 health systems across the U.S.

Humana's 2024 in 10 headlinesBecker's Payer Issues; by Rylee Wilson; 12/31/24Here are the 10 biggest stories about Humana Becker's covered in 2024:

An AI chatbot outperformed physicians and physicians plus AI in a trial - What does that mean?JAMA; by Yulin Hswen, Rita Rubin; 12/27/24Jonathan Chen, MD, PhD, an assistant professor of medicine, and Ethan Goh, MBBS, MS, a postdoctoral scholar, both at Stanford University, have collaborated for 2 years on studying the integration of human and artificial intelligence to enhance clinical decision-making. They published a randomized clinical trial in JAMA Network Open on October 28 that found that the use of a large language model (LLM) did not significantly enhance physicians’ diagnostic reasoning beyond that of conventional resources. Surprisingly, though, the LLM alone performed better than the physicians did with either the LLM or the conventional resources... In our pilot study, we thought the doctors who had access to the chatbot were going to do way better than the doctors who only had access to the usual internet - UpToDate, PubMed, Google, whatever. Then when we actually did the randomized study, that didn’t turn out to be the case, which is really weird. The chatbot by itself did surprisingly better than all of the doctors, including the doctors that accessed the chatbot. That flew in the face of the fundamental theorem of informatics: human plus computer will deliver better results than either would alone. That sounds so good, right? I’ve been saying it as the last line in my talks for years. I don’t say it anymore because results like these challenge it.Publisher's note: An interesting interview with the authors of JAMA's Large Language Model Influence on Diagnostic Reasoning article, which we ran 11/16/24.

St. Petersburg doctor coerced minors into producing child sex abuse material, feds sayTampa Bay Times; by Emily Wunderlich; 1/7/25 A St. Petersburg doctor who is the husband of the chief administrative officer of the Juvenile Welfare Board of Pinellas County is facing charges that he coerced minors into producing child sexual abuse material and even directed a girl to hang herself, federal prosecutors announced this week. ... Court records show Leedy was indicted on Oct. 24 and arrested Dec. 20. He is being held in federal custody in Atlanta. He is facing three counts of production of child sexual abuse material and two counts of coercing or enticing a minor to engage in sexual activity. If convicted on all counts, he faces up to life in federal prison.

Middle manager burnout, layoffs, and the search for solutions HR Query; 1/6/25Middle managers are facing unprecedented pressure. As organizations streamline communication, this critical layer is often caught in the crossfire, with layoffs impacting one-third of this group in 2023.A recent study revealed that 75% of middle managers report experiencing burnout, and 40% are actively seeking new opportunities. This alarming trend poses a significant risk to organizations, as middle managers play a vital role in driving revenue, fostering employee growth, and ensuring operational success. ... Dana Rogers, VP of People at O.C. Tanner, shares valuable insights on the critical role of middle managers in organizational success, strategies for HR teams to rebuild trust and support with middle managers, and leveraging employee appreciation tactics to reduce burnout and boost confidence. Her first tip? HR leaders should be loud with appreciation.

Patient sues California hospital network over ransomware attack Becker's Hospital Review; by Naomi Diaz; 1/6/24 PIH Health is facing a lawsuit over a ransomware attack that hit the health system on Dec. 1, Pasadena Star-News reported Jan. 5. Ferdinand Rivera has filed a lawsuit against PIH Health, accusing the health system of negligence, invasion of privacy and other violations following the ransomware attack. The cyberattack crippled information technology systems and phone lines across three hospitals — PIH Health Downey Hospital, PIH Health Whittier Hospital and PIH Health Good Samaritan Hospital in Los Angeles — as well as urgent care centers, physicians' offices, and home health and hospice services. Mr. Rivera's lawsuit, the first among more than a dozen filed in Los Angeles Superior Court, seeks unspecified damages, according to the Daily Journal.

Rural families have ‘critical’ need for more hospice, respite care Hospice News; by Holly Vossel; 1/6/25 Economic and financial headwinds have increasingly posed significant challenges for rural-based hospice providers, with some shuttering their programs in recent years. ... Hospices in rural regions have particularly been hard hit by these labor pressures amid rising demand for their services, with recent years bringing program closures across the country. ... Having a hospice offer services wherever a patient lives was the top priority cited by 400 rural-based caregiver respondents in a recent research study from the Alliance’s Diversity Advisory Council and Transcend Strategy Group. However, roughly 40% of the caregiver respondents were not able to name a nearby hospice provider. ... The lack of hospice availability has left gaps in supportive services that address terminally ill patients’ full range of physical, emotional and spiritual needs.This has also worsened disparities among rural family caregivers.Notable mention: Dr. Steve Landers, CEO of the National Alliance for Care at Home (the Alliance)

Daughter arrested for neglect after elderly mother found stuck to mattress The Augusta Press; by Greg Rickabaugh; 1/6/25 An elderly woman from Augusta was found in a state of severe neglect last week, prompting her daughter’s arrest. The 82-year-old was discovered incoherent and physically stuck to her mattress during a medical emergency on Dec. 30 at the home they shared on Rollingwood Drive, authorities said. When paramedics arrived at the family’s home, they found the woman non-responsive, with her skin literally adhered to the mattress due to untreated bedsores. She was rushed to Wellstar MCG Health, where she was stabilized. Authorities later arrested 54-year-old Tyrossale Peak, the woman’s daughter, charging her with neglect of a disabled or elderly adult. ... Investigators revealed that Peak had discontinued hospice care for her mother in June but failed to provide adequate care or maintain a safe living environment. 

The beginning is the most important part of the work. ~ Plato

Escambia County Fire Rescue grants a hospice wish to a 17-year-old Cantonment resident Pensacola News Journal; by Tony Giberson; 1/6/25Escambia County Fire Rescue Deputy Chief Paul Williams and Lt. Darren Snipes visit with 17-year-old hospice patient Dalton Harvey and his family in the Cantonment area on Friday, Jan. 3, 2025. During the visit, the ECFR presented Dalton with gifts, including a real firefighter's helmet.