Literature Review



Publisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care

03/18/25 at 03:30 AM

Publisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care Cincinnati Business Courier; by Trinity In Home Care; 3/14/25 The Cincinnati Business Courier in late February brought together the leadership of a leading Southwest Ohio home care agency with leaders of Greater Cincinnati’s hospital and hospice systems. The goal was to connect leaders of two essential aspects of the region’s health care system – inpatient hospital care and home care – to see how they could complement and support each other in delivering patient care and growing as organizations. [Click on the title's link for quotes from various leaders from this Cincinnati area.]

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[International] Healthcare on the brink: Palliative Care Unit and Late Shift

03/18/25 at 03:00 AM

[International] Healthcare on the brink: Palliative Care Unit and Late Shift The 75th Berlin International Film Festival - Part 7, wsws.org; by Martin Nowak and Bernd Reinhardt; 3/16/25 Two films, the drama Late Shift (Heldin) and the documentary Palliative Care Unit (Palliativstation), featured at this year's Berlin International Film Festival, addressed the current situation in German and Swiss hospitals. The sold-out festival screenings reflected the burning public interest in this topic. This is particularly remarkable bearing in mind that Palliative Care Unit has a running time of more than four hours. ... [In the] documentary Palliative Care Unit by Philipp Döring, shot at the Franziskus Hospital in Berlin, ... [the] camera quietly observes the daily routine, staff consultations and the constant empathy of the head of the ward towards employees and seriously ill patients, who usually spend their last weeks here. The very calm, always discreet images emphasise the necessity of sufficient time for care and reflection when making life-critical decisions. ... How can the highest possible quality of life be achieved? The high ethical standard of treating incurable patients as active human beings ... is admirable and makes a lasting impression throughout the film.

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What Trump has done with Medicare so far

03/18/25 at 03:00 AM

What Trump has done with Medicare so far Kiplinger; by Kathryn Pomroy; 3/17/25 Since President Trump was sworn into office on January 20, he has proposed or initiated changes impacting Medicare. Here's a roundup. ...

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Penny Stamps speaker Gary Tyler shares his wrongful conviction story, empowers communities through art

03/18/25 at 03:00 AM

Penny Stamps speaker Gary Tyler shares his wrongful conviction story, empowers communities through artThe Michigan Daily; by Talia Varsano; 3/17/25At 5:30 p.m. in the Michigan Theater Thursday night, nearly every seat was full as the audience welcomed Gary Tyler, a falsely convicted felon of first-degree murder turned artist, performer, youth mentor and community leader. ... On October 7, 1974, Tyler was framed and wrongfully convicted by an all-white jury of first-degree murder and sentenced to death at 16 years old. ... At the event, Tyler spoke about his experience as an inmate at the Louisiana State Penitentiary in Angola for nearly 42 years before his release in 2016. Tyler said the trajectory of his life was completely shifted by his wrongful imprisonment. ... [Tyler's story of imprisonment continues.] Tyler began quilting while incarcerated to raise money for the hospice program at Angola, which provided end-of-life care for Louisiana State Penitentiary inmates. Tyler said he was inspired by his mother and grandmother, who were also quilters, as well as the communities surrounding him. ... Tyler said. “When I do quilts, I try to pull everything around me, because I try to build, I try to put everything that I feel, that someone would identify, someone would recognize, understand, in my quilt.” ... Tyler volunteered for the Angola Prison Hospice program for more than 17 years while incarcerated.Editor's note: Pair this with Death and redemption in American prison," posted 2/19/24 about Gary's friend and fellow quilter at Angola Prison Hospice program, Stephen Garner. 

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How work in the hospice field differs from hospital work

03/18/25 at 03:00 AM

How work in the hospice field differs from hospital work Healthcare Business Today; 3/17/25 ... How work in the hospice field differs from hospital work goes beyond the obvious difference in care settings—it reflects a fundamental shift in approach, focus, and philosophy. Hospice focuses on enhancing quality of life, while hospitals often prioritize life-saving interventions. This contrast not only shapes patient care but also defines the role of the medical teams in these environments.

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End-of-life conversations: ‘When they open the door, you have to go in’

03/18/25 at 03:00 AM

End-of-life conversations: ‘When they open the door, you have to go in’ Oncology Nursing News; by Pattie Jakel, MN, RN, AOCN; 3/13/25Oncology nurses have a unique relationship with patients that allows for difficult but essential end-of-life conversations, says expert Patricia Jakel, MN, RN, AOCN. Jakel, one of the editors in chief of Oncology Nursing News, emphasized that following up with patients and ascertaining what answers and support they need comes with the close bonds that oncology nurses form with patients with cancer. ... [Jakel describes:] We play a really important role. And sometimes patients ask us difficult questions, and we have to be prepared for it. I remember a lovely young patient I had, she had 2 little girls, and she was very sick. And things weren’t going well for her in the hospital, and she just—she looked up at me and she said, "Am I dying today?" And I thought, "She’s opening the door. She needs to have this conversation.” And I said, “It’s not going to be today, but I think it’s going to be soon.” And she kind of chuckled, because her sister was at the bedside, and she said to her sister, “I need my makeup done. I want my makeup on today, if today’s not the day.” And that took us to a whole conversation about what dying would look like for her.Editor's note: Read and share this significant, sensitive video/article from its source, Oncology Nursing News. What communication education and support do you provide for your nurses? Explore this similar article from Oncology Nursing News, "APPs, Oncologists Work Together for End-of-Life Discussions," 11/2/24.

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Medicare Payment Advisory Commission [MedPAC] releases report to Congress on Medicare Payment Policy

03/18/25 at 03:00 AM

Medicare Payment Advisory Commission [MedPAC] releases report to Congress on Medicare Payment Policy 2025 report on Medicare payment policy Medicare Payment Advisory Commission, Washington, DC; News Release, contact Stephanie Cameron; 3/13/25Today [3/13/25], the Medicare Payment Advisory Commission (MedPAC) eleases its March 2025 Report to the Congress: Medicare Payment Policy. The report presents MedPAC’s recommendations for updating provider payment rates in fee-for-service (FFS) Medicare for 2026, providing additional resources to acute care hospitals and clinicians who furnish care to Medicare beneficiaries with low incomes, and eliminating certain Medicare coverage limits on stays in freestanding inpatient psychiatric facilities. The report reviews the status of ambulatory surgical centers (ASCs), the Medicare Advantage (MA) program (Medicare Part C), and the Part D prescription drug program (Medicare Part D). ... Fee-for-service payment rate update recommendations. ... MedPAC recommends ... payment reductions relative to current law for hospice providers, skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities.  [Click on the title's link to continue reading.]

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Congress passes telehealth, hospital-at-home in funding bill

03/18/25 at 03:00 AM

Congress passes telehealth, hospital-at-home in funding bill Modern Healthcare; by Michael McAuliff; 3/14/25 Congress completed work on a government funding bill Friday that modestly trims spending, gives President Donald Trump greater flexibility to cut programs and extends expiring healthcare priorities. In a 54-46 vote, the Senate approved legislation the House passed Tuesday that prevents the partial government shutdown that would have commenced at midnight EDT. ... The "continuing resolution," or CR, funds government operations through fiscal 2025, which ends Sept. 30, and extends and finances key healthcare programs for the same duration. Those include reauthorizing Medicare reimbursements for telehealth and hospital-at-home services, originally authorized during the COVID-19 pandemic; ...

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Where are all the nurses? Data show that some states have a far higher number of nurses per capita than others

03/18/25 at 03:00 AM

Where are all the nurses? Data show that some states have a far higher number of nurses per capita than othersMedscape; by Jodi Helmer; 3/7/25 During their 12-hour shifts, registered nurses (RNs) in Arizona and Arkansas perform many of the same tasks as RNs in Wisconsin and Wyoming: Assessing patients, monitoring vital signs, administering medications, and charting records to provide the best patient care. The work might be similar, but there are vast differences in the number of RNs in each state. ...  Even states with the largest number of nurses per capita are not immune to the nursing shortage. The National Bureau of Labor Statistics estimates that there will be 195,400 job openings for RNs from 2021 to 2031.  ....

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Pharmacies of the future: 4 keys to reinvention

03/18/25 at 03:00 AM

Pharmacies of the future: 4 keys to reinventionForbes; by Jenn Vande Zande; 3/11/25... “To continue to meet growing patient needs, we must evolve how community pharmacy works and, most importantly, how we support our pharmacy teams to create a sustainable future for community pharmacy,” Prem Shah, president of pharmacy and consumer wellness at CVS Health, said, referring to findings from the company’s Rx Report from January 2024. Based on those findings, CVS says there’s a “critical need for sustainable and scalable industry-wide change, such as operational improvements and digital innovations to better support pharmacy teams behind the counter.” Here are four focus areas for pharmacies to bring about that change:

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Today's Encouragement: You are today where your thoughts ...

03/18/25 at 03:00 AM

You are today where your thoughts have brought you; you will be tomorrow where your thoughts take you. ~ Paulo Coelho

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2010 to 2019 saw early palliative care billing up for advanced cancer

03/18/25 at 03:00 AM

2010 to 2019 saw early palliative care billing up for advanced cancer HealthDay News; by Elana Gotkine; 3/17/25 For patients with distant-stage cancers, there was an increase in early palliative care (PC) billing from 2010 to 2019, but the level remained low, according to a study published online March 7 in the Journal of Clinical Oncology. ... The researchers found that in 2010 to 2019, there was an increase in the percentage with early PC billing among 102,032 patients treated by 18,908 unique physicians, from 1.44 to 10.36 percent. The likelihood of early PC billing was increased in association with treating physician's early PC referrals in the previous year and organizations' employment of any HPM specialist (3.01 and 4.54 percentage points, respectively). 

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Less wealth at death linked to more end-of-life symptoms

03/18/25 at 02:30 AM

Less wealth at death linked to more end-of-life symptoms McKnights Long-Term Care News; by Kristen Fischer; 3/10/25 Older people with less wealth showed a higher burden of symptoms when they approached the end of their lives compared with those who had more wealth, a study found. The report was published in JAMA Network Open on March 6. Investigators looked at data from 8,976 older adults. The team evaluated 12 end-of-life symptoms including difficulty breathing, frequent vomiting, low appetite, difficulty controlling arms and legs, depression, and severe fatigue or exhaustion.Then they correlated symptoms to individuals’ wealth. Wealth was broken into three categories: low wealth was having less than $6,000; medium wealth was having between $6,000 and $120,000; and high wealth was considered having more than $120,000 at the time of death. Of respondents, 22.5% had low wealth, 50.5% had medium wealth and 27.1% had higher wealth. People who had less wealth were more likely to have a higher burden of symptoms compared to those who had more money. Functional impairment, multimorbidity and dementia were factors that affected the association, data revealed.Editor's note: Click here for this important JAMA article, posted in our Saturday Research issue 3/15/25, "Wealth disparities in end-of-life symptom burden among older adults."

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2 tailwinds shaping hospice growth, care delivery

03/18/25 at 02:00 AM

2 tailwinds shaping hospice growth, care delivery Hospice News; by Holly Vossel; 3/14/25 Rising demand for end-of-life care is pushing hospice growth opportunities to the forefront in value-based reimbursement. More payers in this arena are increasingly recognizing the depth of potential beneficial outcomes when it comes to collaborative hospice partnerships. Swelling aging populations have fueled rising health care costs across the country, with payers and providers alike seeking ways to ensure affordable access and sustainable services. ... “As far as tailwinds for the industry specific to hospice, [it’s] predictions for demographic growth,” [David Jackson, CEO and founding partner of Choice Health at Home] said. “The biggest opportunities for growth [are] talking about vertical integration and how we reach up into the health care system. [It’s] talking about the value that we bring from the perspective of patient care, and then talk about the plans, the payers, the opportunity to enhance their financial outcomes.”

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The roots of palliative care: Michael Kearney, Sue Britton, and Justin Sanders

03/18/25 at 02:00 AM

The roots of palliative care: Michael Kearney, Sue Britton, and Justin SandersGeriPal - A Geriatrics and Palliative Care Podcast for Every Healthcare Professional; by Alex Smith; 3/13/25 ... As far as we’ve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? In today’s podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care.  Sue Britton was the first nurse hired on that palliative care unit. Michael Kearney on a transformational meeting in Cicely Saunders’s office, with Balfour Mount at her side and a glass of sherry.  Justin Sanders wants to be sure the newer generations of palliative care clinicians understand the early principles and problems that animated the founders of hospice and palliative care, including:

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Is Medicare ready for an aging america? Home-based care offers hope

03/17/25 at 03:00 AM

Is Medicare ready for an aging america? Home-based care offers hope RealClear Health; by Jonathan Fleece, JD (President and CEO of Empath Health) and Dr. Steve Landers (CEO of the National Alliance for Care at Home); 3/12/25Too often, families face an impossible situation: a loved one is ready to leave the hospital, but no home health provider is available. Or they’re told hospice is the best option, but administrative red tape delays access to comfort and support. These failures put patients at risk. ... This experience underscores why policymakers must protect and expand access to home-based care—before more patients fall through the cracks. ... According to one analysis, in a recent three year period, hospital stays for patients waiting to be discharged to post-acute care providers increased by 24 percent, deteriorating health outcomes and quality of life. Discharge delays – caused by hospital capacity issues and workforce shortages – not only cause harm to patients; they also add unnecessary strain and costs on our healthcare system.

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Spiritual well being at Kaiser

03/17/25 at 03:00 AM

Spiritual well being at Kaiser HMG - Hews Media Group, Los Cerritos Community News, Los Angeles, CA; 3/13/25 At Kaiser Permanente Downey Medical Center, the hospital and staff are committed not only caring for the patient’s physical, emotional and mental wellness, but just as importantly to their spiritual well-being. ... Chaplains at Downey Medical Center are called upon when a patient and/or family is:

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Sarcopenia in terminally ill patients with cancer: Clinical implications, diagnostic challenges, and management strategies

03/17/25 at 03:00 AM

Sarcopenia in terminally ill patients with cancer: Clinical implications, diagnostic challenges, and management strategies Journal of Hospice & Palliative Care; by Se-Il Go, Myoung Hee Kang, and Hoon-Gu Kim; 3/1/25 Sarcopenia, characterized by progressive loss of skeletal muscle mass and strength, is a prevalent but often overlooked condition in patients with cancer who are terminally ill. It contributes to functional decline, increased symptom burden, and reduced quality of life, yet remains underrecognized in palliative care. Diagnosing sarcopenia in this population is challenging because conventional imaging techniques are often impractical. Instead, alternative assessments, such as the Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls questionnaire (SARC-F), anthropometric measurements, and bioelectrical impedance analysis offer feasible options. Management should focus on symptom relief, functional preservation, and patient comfort, rather than on muscle mass restoration.

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Nearly $20K awarded at 100+ Harbor Women Who Care event

03/17/25 at 03:00 AM

Nearly $20K awarded at 100+ Harbor Women Who Care event The Daily World, Aberdeen, WA; by Jerry Knaak; 3/13/25 After listening to three impassioned speeches at the packed house at the Hoquiam Elks Lodge No. 1082 Tuesday evening, nearly 170 donors at the seventh 100+ Harbor Women Who Care giving event ... [awarded] a grand total of $19,020 in donations to Harbors Home Health & Hospice.

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Leverage collaboration, detailed notes to improve end-of-life care

03/17/25 at 03:00 AM

Leverage collaboration, detailed notes to improve end-of-life care Home Helath Line; by MaryKent Wolff; 3/13/25 Educate your hospice staff on monitoring symptoms that could indicate a patient is nearing the end of life. Agencies that manage these symptoms early and take the time to prepare and comfort caregivers and families for the transition could see these successes reflected in their CAHPS Hospice survey scores. [Subscription required for more content.]

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The path to excellence: How nursing education can propel your career

03/17/25 at 03:00 AM

The path to excellence: How nursing education can propel your career WFMA-TV 69 News; Allentown, PA; by Valencia Jasira; 3/11/25 ... Why higher education matters in nursing: Expanding expertise beyond the basics is becoming more essential in the medical profession. Institutions and employers now prefer staff members with comprehensive training and credentials. This trend is largely due to evolving regulations, technological advancements, and the push for better service quality. ...

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Terminally ill Stanford professor teaches class about dying from cancer

03/17/25 at 03:00 AM

Terminally ill Stanford professor teaches class about dying from cancerCBS News, Bay Area, CA; by Elizabeth Cook; 3/13/25 A Stanford University professor's new curriculum explores the multiple aspects and phases of a person dying of cancer, and it comes from a person with first-hand knowledge. Dr. Bryant Lin has been a professor for almost two decades. He's used to being the teacher, not the subject of his classes. But that all changed in 2024 when he was diagnosed with stage 4 lung cancer. ... The diagnosis was a dose of cruel irony. Lin co-founded the Center for Asian Health Research and Education. One of the priorities for the foundation is researching non-small cell adenocarcinoma, also known as "never-smoker lung cancer," the same cancer diagnosis that Lin received. ... The class is called "From diagnosis to dialogue: A doctor's real-time battle with cancer." Within minutes of being posted, the class and the waitlist were full. ... The 10-week course covers the entire spectrum of cancer as seen through the eyes of someone who is living it. ... Stanford University recorded every session of the class so that they could live on for future physicians. If you would like to watch them, they can be found on YouTube. 

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[UK] RCGP shifts to position of neither supporting nor opposing assisted dying

03/17/25 at 03:00 AM

[UK] RCGP shifts to position of neither supporting nor opposing assisted dying RCGP - Royal College of General Pracitioners, London, UK; Press Release; 3/14/25 The Royal College of General Practitioners' Council has voted to move to a position of neither supporting nor opposing assisted dying being legal. The RCGP UK governing Council - elected representatives of the wider College membership – today voted to determine what the College’s stance should be on whether or not assisted dying should be legal:

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U.S. House Committee on Ways and Means Hearing Health Subcommittee “After the Hospital: Ensuring Access to Quality Post-Acute Care”

03/17/25 at 03:00 AM

U.S. House Committee on Ways and Means Hearing Health Subcommittee  “After the Hospital: Ensuring Access to Quality Post-Acute Care” U.S. House of Representatives Documents (Federal Information & News Dispatch, Inc.); by Jonathan D. Fleece, President & CEO Empath Health; 3/11/25 Chairman Buchanan, Ranking Member Doggett, and distinguished Members of the Subcommittee. Thank you for the opportunity to be here today. ... As President and CEO of Empath Health, one of the nation’s largest not-for-profit home-based care organizations, it is an honor and privilege to serve one in five Floridians who need hospice care. ... My commitment to this mission is deeply personal. After losing my first daughter at birth, I dedicated my life’s work to ensuring that no family faces serious illness or loss without the support, dignity, and compassion they deserve. That experience shaped my belief that health care must do more than treat symptoms—it must care for the whole person and those who love them. ... Today, as the leader of Empath Health, I remain committed to advancing that vision—ensuring that patients and families have access to the right care, at the right time, in the place they call home. That is the foundation to my testimony: to speak for the millions of Americans who rely on home-based care and the policies that make it possible. ...

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Flu season lingering despite springlike weather in Indiana

03/17/25 at 03:00 AM

Flu season lingering despite springlike weather in Indiana NBC WTHR 13, Indianapolis, IN; by Dustin Grove; 3/14/25 With warmer weather moving into central Indiana, you'd think flu season would be over by now, but it's still hanging on. The Centers for Disease Control and Prevention estimates at least 33 million cases of flu nationwide, with 430,000 people hospitalized. So far, 19,000 have died. "(I think) it is more severe than it has been in the past few years. I think that with those numbers ... it really tells a story and that, especially with the 19,000 deaths, we're talking about a serious illness this year," said Dr. Darlene Lawrence. "COVID is waning, folks are having vaccine wariness." ... Even with spring weather arriving and the thought that flu season is waning, it's still not too late to get vaccinated. ... Flu is particularly dangerous for the elderly, people with chronic conditions and children, she said. ... Patients can talk to their doctor or pharmacist to help find the best vaccine for them. 

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