Literature Review



Series of 19 online videos address paliative care issues

01/29/24 at 04:00 AM

Series of 19 online videos address paliative care issuesPress-Republican, by Robin Caudell; 1/26/24Project Compassion began with conversations over coffee after Mass between a doctor and a retired priest. Seventy-one percent of U.S. adults have never heard of palliative care. More than 12 million adults are living with a serious illness now and that number is growing exponentially, according to a press release. To help address this need, Project Compassion was developed by Father Charles Vavonese and Dr. Paul Fiacco thanks to a $500,000 grant from the Mother Cabrini Health Foundation.

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Kaiser Permanente notches perfect score on disability inclusion

01/29/24 at 03:30 AM

Health system execs revitalize the nursing workforce 

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CMS looks to tackle Medicare Advantage's 'black box'

01/29/24 at 02:00 AM

CMS looks to tackle Medicare Advantage's 'black box'Becker's Payer Issues, by Rylee Wilson; 1/26/24CMS is seeking input on improving transparency in the Medicare Advantage program. The agency issued a request for information Jan. 25, seeking public feedback on how data collection and transparency in the program can be improved. In a news release, HHS Secretary Xavier Becerra said increased transparency is key to increasing competitiveness in the program and ensuring Medicare dollars are spent correctly.

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Today's Encouragement

01/28/24 at 04:00 AM

The first requirement in taking a step in the right direction is to take a step in some direction. ~Robert Brault

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HHS: Lack of incentives bar home health, hospice providers from creating interoperable solutions

01/28/24 at 03:40 AM

HHS: Lack of incentives bar home health, hospice providers from creating interoperable solutionsMcKnights Senior Living, by Adam Healy; 1/19/24Long-term and post-acute care organizations have not received the same support as other care settings for creating interoperable patient data tools, putting home health and hospice providers at a disadvantage, according to new research by the US Department of Health and Human Services.

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What is palliative care?

01/28/24 at 03:35 AM

What is palliative care?Money, by Bianca Rodriguez Rojas; 1/4/24Palliative care is a healthcare approach that aims to provide comfort and improve the quality of life of people diagnosed with a serious or life-threatening disease such as cancer, heart failure or Parkinson’s.Editor's note: Interesting this appeared in Money magazine...

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New dementia-focused payment model emphasizes caregiver support

01/28/24 at 03:30 AM

New dementia-focused payment model emphasizes caregiver supportHospice News, by Holly Vossel; 1/18/23Without family caregivers, most hospice and palliative care patients would be unable to receive care in the home. Now, some emerging payment models are including caregiver support as a key component. ... [These come] at a time when dementia-related illnesses are on the rise among hospice patients.

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Creative thinking needed to save rural hospitals

01/28/24 at 03:25 AM

Creative thinking needed to save rural hospitalsSouth Dakota Searchlight, by Tom Dean; 1/14/24Over the last 15 years, approximately 150 rural hospitals have closed nationwide. What does it mean? Are these facilities obsolete, no longer needed?  Maybe in a few places, but in the vast majority of communities they provide critically important services. 

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‘You can complain about it, or lean in’: Top home health leaders brace for 2024

01/28/24 at 03:20 AM

‘You can complain about it, or lean in’: Top home health leaders brace for 2024Home Health Care News, by Joyce Famakinwa; 1/19/24With the start of a new year, home health leaders are looking ahead, and identifying their top priorities. Some of these areas of focus will directly address last year’s challenges, and some are proactive measures that will place them ahead. At Bayada Home Health Care, these priorities include focusing on the employee experience, as well as clinical model evolution.

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Advance care planning reaches underserved across U.S. recruitment continues for National Institutes of Health (NIH) Research

01/28/24 at 03:15 AM

Advance care planning reaches underserved across U.S. recruitment continues for National Institutes of Health (NIH) ResearchHospice Foundation of America; 1/18/24Community outreach leaders and liaisons are urged to apply to serve as hosts for the Project Talk Trial, a national, 5-year research project funded by National Institutes of Health that seeks to evaluate the effectiveness of advance care planning conversations and whether those discussions result in advance care planning actions. ... The project is specifically focused on underserved communities of people who historically have the poorest access to healthcare services and the lowest engagement in advance care planning, which include racial and ethnic minorities, low-income individuals, and rural populations.

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Care planning issues top lists of hospice survey deficiencies

01/28/24 at 03:10 AM

Care planning issues top lists of hospice survey deficienciesHospice News, by Jim Parker; 1/4/24Amid rising regulatory scrutiny, issues related to care planning continue to top lists of the most common survey deficiencies among hospices. The most frequently cited deficiency is the requirement that each patient should have a customized care plan developed by the interdisciplinary team with involvement from a physician as well as the patient and family, the Accreditation Commission for Health Care (ACHC) reported. The noncompliance rate was 66% for 2022.

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Federal scientists conclude there is credible evidence for certain medical uses of marijuana

01/28/24 at 03:05 AM

Federal scientists conclude there is credible evidence for certain medical uses of marijuanaPolitico, by Natalie Fertig; 1/12/24The Department of Health and Human Services concluded that marijuana is less harmful than other dangerous drugs and that there is some evidence of its medical benefits in recommending loosening federal restrictions on the drug. For the last 60-plus years, cannabis has been classified as a Schedule I drug — the same as heroin — under the Controlled Substances Act, which means it’s a substance of high abuse potential and no accepted medical use. Bloomberg first reported in August that HHS had recommended marijuana be moved to Schedule III, and the release of these documents on Friday confirms that.Publisher note: The full FDA report can be found here.

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Sunday Newsletters

01/28/24 at 03:00 AM

Sunday NewslettersTop read stories of the last two weeks (in order) is the focus of Sunday newsletters - enjoy!

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Today's Encouragement

01/27/24 at 04:00 AM

Everything can be taken from a man but one thing: the last of the human freedoms – to choose one's attitude in any given set of circumstances, to choose one's own way.  ~Victor Frankl

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Navigating compassion: A comprehensive review of palliative care in respiratory medicine

01/27/24 at 03:40 AM

Navigating compassion: A comprehensive review of palliative care in respiratory medicineCureus (India), by Ulhas Jadhav, Jay Bhanushali, Arman Sindhu, Bingu Shiv Kiran Reddy; 12/23.Palliative care has emerged as a crucial aspect of comprehensive healthcare, particularly in respiratory medicine. This review navigates the intricate landscape of palliative care in the context of respiratory diseases, including chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), and lung cancer.

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Engaging forensic psychiatry patients in health-care decision making

01/27/24 at 03:35 AM

Engaging forensic psychiatry patients in health-care decision makingThe Lancet - Psychiatry, by Junqiang Zhao, Helen Bolshaw-Walker, N Zoe Hilton; 1/15/24The forensic psychiatric system is a pivotal intersection between the criminal justice and psychiatry systems. When individuals commit criminal acts and are found not criminally responsible for their actions due to mental illness, or unfit to stand trial, they often receive psychiatric care in specialised hospitals or units. The aim of these facilities is not punitive, but restorative—to promote the recovery and successful reintegration of patients into communities.

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The Better Care Plan: a blueprint for improving America's healthcare system

01/27/24 at 03:30 AM

The Better Care Plan: a blueprint for improving America's healthcare systemHealth Affairs Scholar, by Stephen M Shortell, John S Toussaint, George C Halvorson, Jon M Kingsdale, Richard M Scheffler, Allyson Y Schwartz, Peter A Wadsworth, Gail Wilensky; 7/23The United States falls far short of its potential for delivering care that is effective, efficient, safe, timely, patient-centered, and equitable. We put forward the Better Care Plan, an overarching blueprint to address the flaws in our current system. The plan calls for continuously improving care, moving all payers to risk-adjusted prospective payment, and creating national entities for collecting, analyzing, and reporting patient safety and quality-of-care outcomes data. A number of recommendations are made to achieve these goals.Publisher note: From "The Best of Health Affairs Scholar 2023".

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Chatbot performance in defining and differentiating palliative care, supportive care, hospice care

01/27/24 at 03:25 AM

Chatbot performance in defining and differentiating palliative care, supportive care, hospice careJ Pain Symptom Manage, by Min Ji Kim, Sonal Admane, Yuchieh Kathryn Chang, Kao-Swi Karina Shih, Akhila Reddy, Michael Tang, Maxine De La Cruz, Terry Pham Taylor, Eduardo Bruera, David Hui; 1/24We evaluated the accuracy, comprehensiveness, reliability, and readability of three AI platforms in defining and differentiating "palliative care," "supportive care," and "hospice care." We identified important concerns regarding the accuracy, comprehensiveness, reliability, and readability of outputs from AI platforms.

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Navigating stress in the Pediatric Intensive Care Unit among parents of children with severe neurological impairment

01/27/24 at 03:20 AM

Navigating stress in the Pediatric Intensive Care Unit among parents of children with severe neurological impairmentJ Pain Symptom Manage, by Jori F. Bogetz, MD; Justin Yu, MD, MS; Ellie Oslin, BA; Krysta S. Barton, PhD, MPH; Joyce P. Yi-Frazier, PhD; Robert Scott Watson, MD, MPH; Abby R. Rosenberg, MD, MA, MS; 12/23This qualitative study of 15 parents of children with severe neurological impairment highlights various ways parents and family caregivers navigate stress in the pediatric intensive care unit, including both self-activation and letting go, with the most reported practices being advocating for their child and being supported by compassionate clinicians.

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Early and often: Promoting early integration of pediatric palliative care for seriously ill children with cancer

01/27/24 at 03:15 AM

Early and often: Promoting early integration of pediatric palliative care for seriously ill children with cancerCurr Probl Cancer, by Sara Taub, Robert Macauley; 10/23Pediatric palliative care, despite substantial overlap with its adult counterpart, is also distinct in some ways. Serious illness and comorbidities are less common in children, for whom there is a stronger presumption toward aggressive treatment. This, along with impressive cure rates for pediatric cancer, can help explain why children typically survive for a longer period of time following initial palliative care consultation. ... Several barriers to early integration exist, however, including misperceptions that palliative care constitutes "giving up" and concerns about potential role confusion with the primary team. By directly addressing these misperceptions and challenges, it is possible for palliative care and oncology to work in constructive partnerships that will benefit children with cancer and their families.

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Grief training in palliative care fellowships

01/27/24 at 03:10 AM

Grief training in palliative care fellowshipsJournal of Pain & Symptom Management, by Sara A. Barlow, MD; Meghan Price, MD; Christopher A. Jones, MD; Carl Pieper, DrPH; Anthony N. Galanos, MD; 1/24No prior study has assessed grief and bereavement curriculum in Hospice and Palliative Medicine (HPM) fellowship programs in the United States. ... Most palliative care programs were academic (74%) and had four or fewer fellows (85%). 90% devoted a minority (0%–10%) of their curriculum to grief and bereavement training. Most programs reported at least some program-led grief and bereavement programming (69%); however, 53% endorsed that fellows are not very or not at all involved in this programming. 

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Top read articles: Quality versus quantity of life: Beyond the dichotomy

01/27/24 at 03:05 AM

Top read articles: Quality versus quantity of life: Beyond the dichotomyPalliative Medicine Reports, by Ariel Dempsey, John Mulder; 3/23A restrictive and dichotomous question has become the primary approach in many goals of care discussions. Is the primary goal of care quantity of life through aggressive therapy or quality of life through comfort care and hospice?Publisher note: While a little dated, this was part of a "top read in 2023" email.

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Saturday Newsletters

01/27/24 at 03:00 AM

Saturday NewslettersResearch literature is the focus of Saturday newsletters - enjoy!

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Local author shares a message of hope to caregivers in Newnan Parkinson's support group

01/26/24 at 04:00 AM

Local author shares a message of hope to caregivers in Newnan Parkinson's support groupThe Newnan Times-Herald, by Gary May; 1/22/24Hughes wrote "Parkinson's Caregivers - Yes, There is HOPE!" about her experiences over 23 years caring for her husband Carlton, who had Parkinson's disease. Her mission is to encourage and support both caregivers and their loved ones as they transition through the stages of the progressive disease, from diagnosis, to daily living, to the advanced stages and finally, to hospice care.

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Other Business Headlines of Interest, updated 1/25/24 per nasdaq.com

01/26/24 at 04:00 AM

Other Business Headlines of Interest, updated 1/25/24 per nasdaq.com

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