Literature Review

The last leaf on the vine: What is lost when a generation passes away Inside Higher Ed, by Steven Mintz; 2/6/24... For my extended family, my mother is (or was, depending on when you read this piece) the last leaf on the vine, the last surviving member of a generation born in the 1920s that personally recalls the hardships of the Great Depression and the disruptions, upheavals, sacrifices and horrors of World War II. And that leaf is poised to fall.

Congress' failure to address violence against health care workersHealth Affairs, by Eli Y. Adashi, Daniel P. O’Mahony, I. Glenn Cohen; 2/2/24According to federal government statistics, the “health care and social service industries experience the highest rates of injuries caused by workplace violence and are 5 times as likely to suffer a workplace violence injury than workers overall.” Health care workplace violence has been a persistent and growing concern for more than a decade. 

Mass General Brigham pilot: AI tool helped optimize palliative care utilizationFierce Healthcare, by Anastassia Gliadkovskaya; 2/2/24Artificial intelligence can help identify easy to miss patients who might be good candidates for a palliative or hospice care referral, a recent pilot at Mass General Brigham (MGB) revealed. ... Over the course of the pilot, 9% of 1,522 MSSP ACO patients were recommended for a consult by the tool, with 40 receiving inpatient palliative consults. An estimated 17 of those would have been missed without the Radial tool. 

Hospice provider BrightSpring begins trading on NASDAQHospice News, by Jim Parker; 1/29/24BrightSpring Health Services, Inc. has begun trading on the NASDAQ under the stock symbol BTSG. BrightSpring is a home- and community-based health care services platform that serves more than 400,000 patients daily.Notable mentions: Jon Rousseau, CEO BrightSpring.

Rising workplace violence against nurses: A pressing issue in the healthcare sector Medriva, by Zara Nwosu; 2/5/24According to a report published by National Nurses United, there has been a disturbing increase in violence against nurses in their workplace, with a staggering 81.6% of nurses reporting experiences of violence. ... It negatively impacts recruitment and retention, with 60% of nurses stating that the experience of violence has influenced their decision to change jobs, leave jobs, or even consider leaving the profession.

Marijuana is big business in U.S., but inconsistent regulations persistForbes, by Joshua Cohen; 2/2/24Marijuana is big business these days in the U.S. Revenues could reach $40 billion this year, as the drug is now legal in 37 states for medical purposes while 23 states permit recreational use. However, there’s no federal oversight and an inconsistent, patchy set of state regulations persist.

3 Reasons Continuous Home Care utilization is fallingHospice News, by Jim Parker; 2/2/24Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO). This is down from 1.8% in 2013.Notible mentions: Sarah Simmons and Patrick Harrison, NHPCO.

NC report defines healthcare worker shortage and recommends solutionsNC Newsline, by Lynn Bonner; 1/29/24The healthcare workforce has a lot of gaps. The report from DHHS and Commerce focused on nursing, behavioral health, and direct care, saying these areas are the most urgent.

NHPCO Publishes Culturally Sensitive Communications to Enhance Care Delivery: A resource guide for healthcare professionalsNHPCO Press Release; 1/30/24The National Hospice and Palliative Care Organization’s (NHPCO) Diversity Advisory Council (DAC) published Culturally Sensitive Communications to Enhance Care Delivery: A Resource Guide for Healthcare Professionals. ... It contains information from a multitude of NHPCO resources, such as the Hospice Through The DEI Lens report, Inclusion and Access Toolkit, Black and African American Outreach Guide, Chinese American Resource Guide, Latino Outreach Guide, and LGBTQ+ Resource Guide, as well as information from additional external research sources.

 Where do we end our lives? American Council on Science and Health, by Chuck Dinerstein, MD, MBA; 2/5/24The concept of an elephant's graveyard, where old elephantes supposedly go to die, is more of a myth than a scientifically supported phenomenon. Humans do not have a specific location where we gather to die, but a study looks into the matter nevertheless.

Emergency department management of common end-of-life and palliative care symptoms: Three casesCureus, by Alice Chang, James Espinosa, Alan Lucerna; 2/4/24... Patients with serious illness, even hospice patients, present to the ED in increasing numbers for symptom management. It has become essential for emergency physicians to care for patients who are not seeking life-sustaining measures but instead need quality-of-life interventions. The development of a clear, concise review of the most common acute symptoms can provide a framework for EM physicians to adequately address the needs of patients at the EOL.

SSM Health assumes ownership of Visiting Nurse Association of Greater St. LouisSSM Health; 2/1/24SSM Health and Visiting Nurse Association of Greater St. Louis (VNA) announced today they’ve successfully completed a transfer of ownership of VNA’s health care services. Effective immediately, the exceptional services VNA is known for – including hospice care, Advanced Illness Management (AIM),community-based palliative care, private duty care, Visit-A-Bit, vaccination, wellness, and music appreciation programs – will now operate as part of SSM Health at Home.