Literature Review

From heroes to burnout: How we failed our frontline health workers MedPage Today's KevinMD.com, and excerpt from Health Care Nation; by Tom Lawry; 3/15/25 Of all the lessons learned from fighting a pandemic, none was more frightening or important than discovering how dependent the system is on how we treat our doctors, nurses, and frontline caregivers.  They were already in short supply, with burnout on the rise, when the pandemic hit. As multiple waves of COVID-19 variants washed over us, frontline health workers stepped in at great risk and personal sacrifice to care for highly infectious patients. ... Some witnessed more deaths on a double shift than they did in a normal year. They delivered the bad news to families and managed end-of-life care. They were often the last face and warm voice a COVID-19 victim saw and heard. In the end, they not only saved lives but saved the system from total collapse. ... We called them heroes. And we promised to do better in how we treated them once the COVID-19 crisis passed. Promises made should be promises kept. While we continue to talk about workforce burnout using polite terms with concern in our voices, let us be clear: A system with a mission of healing continues to harm in record numbers the very people in short supply who are there to take care of the rest of us. ... [Click on the title's link for more.]

Certified nurses at Mount Sinai: Representing a commitment to excellence and to their profession Mount Sinai Today - Featrued, Nursing; 3/18/25 Nursing Certification is an important, independent validation of specialized nursing knowledge and expertise that meet or exceed professional standards. In fact, empirical evidence shows an association between nursing certification and better patient outcomes, ... Across the Mount Sinai Health System, an impressive near 50 percent of nurses have earned board certification in their chosen specialties. Their patients, families, colleagues, and teams are the direct beneficiaries of nursing expertise that is recognized as meeting or exceeding the highest professional standards. ... [From Carla Alves-Miraldo, MS, MSN-Ed, RN, CHPN, KP6,] "Becoming a Certified Hospice and Palliative Care Nurse is a reflection of my commitment to ensuring every patient receives comfort, dignity, and compassionate care during life’s most challenging moments. This certification is more than a title—it represents my dedication to guiding patients and families with expertise, empathy, and unwavering support."

Weinstein Hospice launches innovative VR initiative: The program will allow residents to enjoy "bucket list" experiences Atlanta Jewish Times; by AJT Staff; 3/12/25 Jewish HomeLife and Weinstein Hospice are pioneering a new way to bring joy, comfort, and meaningful experiences to hospice patients through the groundbreaking Weinstein Hospice VR Initiative. This transformative program harnesses the power of virtual reality (VR) to fulfill unforgettable “bucket list” experiences, offering patients moments of joy and cognitive stimulation that transcend their physical limitations. For Vicki and Ed A., this initiative has been nothing short of miraculous. ... One of the most profound moments for Ed came when he was able to experience Scuba diving again—virtually. ...

More care doesn't equal happier patients in traditional Medicare American Journal of Managed Care (AJMC); by Maggie L. Shaw; 3/17/25 The extremes of health care contact days—having too few or more than average—among community-dwelling beneficiaries 65 years and older of traditional Medicare have been associated with unnecessary care, misdirected care coordination, and excessive care outside the home, according to new research published online today in JAMA Internal Medicine. Health care contact days are days spent receiving care outside of the home. ... “Clinicians, researchers, and policymakers could use contact days to evaluate interventions and reduce excess contact days for patients,” the authors conclude, “by avoiding unnecessary care, improving care coordination, and shifting care to the home.”

The challenges ahead with Jeanne Chiricohallenges ahead with Jeanne Chirico, HPCANYS President/CEO

Mannford nursing home quickly evacuated seniors as wildfire neared2 News Oklahoma, Mannford, OK; by Douglas Braff; 3/15/25Our crews have seen selflessness on full display in Mannford after March 14’s wildfires. ... As the wildfire was approaching nearby neighborhoods, staff at Cimarron Point Care Center in Mannford had to act quickly to get the 44 seniors living there out of harm’s way. “There are lots of things that need to be done, and it takes a lot of teamwork,” Frank Sullivan [the owner of CPCC] pointed out. ... Luckily, he said local authorities gave him an early heads up so the nursing home would have time. ... While most residents were transported by school bus, he noted, “Several had to be transported by ambulances. Some of 'em are on hospice ... and their condition is dire.”

Create an everlasting memory of your loved one with an engraved brick at the Hospice Alliance Memorial Brick WalkKenosha.com, Kenosha, WI; by Hospice Alliance; 3/28/25When you purchase an engraved brick, your tribute helps support Hospice Alliance's not-for-profit mission. Each summer, in June, Hospice Alliance hosts a gathering of staff, families, and friends to honor the loved ones who have passed in our care.  ... Special attention is given to those who have lost a loved one during the previous year, and to those who purchased a Memorial Brick laid at our Founders Hall brick walk during the past year. [Click on the title's link for a photo.]Editor's note: We post this as a meaningful example of legacy-based donor engagement. Other hospice organizations have this or similar, long-lasting, visible memorials, such as Bluegrass Navigators (formerly Hospice of the Bluegrass) in Lexington, KY. 

Medicaid’s role in health and in the health care landscape: LDI expert insights and key takeaways from select publications Penn LDI - Leonard Davis Institute of Health Economics, Philadelphia, PA; by Julia Hinckley, JD; 3/17/25... Medicaid accounts for one-fifth of U.S. health care spending and covers more than a quarter of Americans. LDI researchers have examined the services it provides in supporting aging adults, people with disabilities, and children, as well as its role in health crises such as chronic disease and suicide. ... Below are select key findings from recent peer-reviewed research, along with expert insights for policymakers considering changes to Medicaid funding in the federal budget.

Slush is frozen over. People say that winter lasts forever, but it’s because they obsess over the thermometer. North in the mountains, the maple syrup is trickling. Brave geese punch through the thin ice left on the lake. Underground, pale seeds roll over in their sleep. Starting to get restless. Starting to dream green. ~ Laurie Halse AndersonGoodbye Winter! We welcome tomorrow's first day of Spring 2025.

MedPAC 2025 Annual Report ReleasedMedPAC Report; 3/15/25 - sent 3/18/25 @ 3:00 PM ETFor fiscal year 2026, the Congress should eliminate the update to the 2025 Medicare base payment rates for hospice. In 2023, more than 1.7 million Medicare beneficiaries (including more than half of decedents) received hospice services from about 6,500 providers, and Medicare hospice expenditures totaled $25.7 billion.Please click the link above to download and read MedPAC's most recent Report to Congress - Hospice chapter.

MedPAC recommends Congress tie physician pay to inflation for 2026 Healthcare Dive; by Susanna Vogel; 3/17/25 Dive Brief:

VITAS Healthcare is first hospice organization to earn American Heart Association Heart Failure Certification across all 15 states and DC Florida News Guide, Miami, FL; Press Release; 3/18/25 ... VITAS has become the first nationwide hospice provider to earn the American Heart Association® Palliative/Hospice Heart Failure certification across all 15 states in which it operates. The certification applies to 56 unique VITAS service areas, including the District of Columbia. ... “Many patients with heart failure do not receive the hospice care that could significantly improve their final months of life,” said Joseph Shega, MD, executive vice president and chief medical officer at VITAS. “This certification affirms our commitment to providing evidence-based hospice care that helps patients and families navigate advanced heart disease with dignity, comfort and the right level of support.”

MedPAC 2025 Annual Report ReleasedMedPAC Report; 3/15/25 - sent 3/18/25 @ 3:00 PM ETPlease click the link above to download and read MedPAC's most recent Report to Congress - Hospice chapter.