Literature Review



Empassion achieves $34 million in savings in novel Medicare program serving high needs patients

11/22/24 at 03:00 AM

Empassion achieves $34 million in savings in novel Medicare program serving high needs patients Globe Newswire, New York City; 11/21/24 Empassion Health, Inc., the nation’s largest managed care provider of high-quality end-of-life care for adults living with serious illness so that they can have more good days, today reported near-record results for four Medicare Accountable Care Organizations (ACOs) serving Original Medicare lives in 35 states.  Specifically, Empassion achieved total gross savings of $34.1m in the High Needs Population Track of ACO REACH for Performance Year 2023 while managing a record number of lives – nearly 9,000 across 35 states – in total cost-of care arrangements.  This includes a 50-percent reduction of unnecessary hospital stays.  Empassion also earned the highest quality scores for provider communication and care coordination.  “While we are enormously proud of the $34 million in Medicare savings, more important is that Empassion provided high-quality end-of-life care for adults living with serious illness so that they had more good days,” said Robin Heffernan, the CEO of Empassion. “These outcomes are specific to Empassion and its unique model. ..." 

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Rise in pancreatic cancer tied to better detection, study suggests

11/22/24 at 03:00 AM

Rise in pancreatic cancer tied to better detection, study suggests Becker's Hospital Review; by Elizabeth Gregerson; 11/19/24 The rise in pancreatic cancer diagnoses can be attributed to previously undetected disease and not a rise in cancer occurrence, according to a study published Nov. 19 in the Annals of Internal Medicine. Researchers from Boston-based Brigham and Woman's Hospital and Austin, Texas-based Dell Medical School analyzed U.S. Cancer Statistics and National Vital Statistics System data of adults aged 15-39 from between 2001 and 2019 for the study. Here are five notes from their findings:

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Hospice a cornerstone of New Day’s 3-pronged growth strategy

11/22/24 at 03:00 AM

Hospice a cornerstone of New Day’s 3-pronged growth strategy Hospice News; Holly Vossel; 11/20/24 New Day Healthcare LLC is prioritizing hospice growth in its strategic plans as the home-based care company focuses on improving quality for patients across the care continuum. Texas-based New Day launched in 2020 by a group of former hospice and home health professionals. The organization offers hospice, home health and personal care through several brands. New Day’s three-pronged merger and acquisition approach hinges on culture, quality and clinical excellence, according to CEO and Founder G. Scott Herman. Quality is perhaps the most important driver in a transaction consideration, Herman stated. ... To date, New Day has integrated 11 acquisitions into its pipeline, four of which have involved hospice assets.

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A guiding light: hospice care social workers provide support for dealing with the idea of death

11/22/24 at 02:00 AM

A guiding light: hospice care social workers provide support for dealing with the idea of death Scot Scoop - Carlmont High School's Student News Site; by Rei Baxter; 11/20/24 Death is a natural part of life, yet it is also terrifying. Being young and dying is especially difficult to accept. Regina Tong, a hospice social worker, has to deal with difficult cases. "The hardest parts for me are the young patients, like the moms with children, or younger people who are just not ready to die, but they get this terminal illness, and their parents are grieving. Those are really hard for me,” Tong said. ... Before starting in hospice, Tong worked in nursing homes and palliative care patients, who are people that aren’t quite hospice level but have chronic illnesses. However, when her mom died, she realized that she needed to stretch her boundaries and learn more about something she was uncomfortable with: death. “That’s why I’m here. The more I work in hospice, the more I realize how important inner peace is. I see a lot of patients who are at the end of their lives, and they really struggle with the idea of death, even though it’s a natural process of everything that has a life. So people who resisted end up suffering so much towards the end,” Tong said. Tong’s work doesn’t just help her patients and their families; it helps her connect more with herself. ...Editor's note: Rei Baxter--this article's author--is a high school senior. This beautiful article gifts us with a prelude into Thanksgiving week, as we gather with intergenerational families and tune into what matters most.

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Walking pneumonia is booming − and targeting the young and the poor

11/21/24 at 03:10 AM

Walking pneumonia is booming − and targeting the young and the poor USA Today, Arlington, VA; by John Bacon; 11/20/24 Infections of the bacteria that cause walking pneumonia, a lesser evil of the more serious illness of pneumonia, is seeing a dramatic jump after a lengthy decline that came with the start of the COVID-19 pandemic, health officials say. Most alarming is the sharp increase in children infected with the disease. And, as with COVID-19, the impact of the disease can hit low-income Americans the hardest. The Centers for Disease Control and Prevention said infections from the bacteria that can cause walking pneumonia are common: An estimated 2 million infections occur each year in the United States. However, the true number isn't known, in part because so many people get it without seeking medical help and in part because there is no nationwide reporting system. The infections dropped off during the COVID pandemic but are now booming. Hospital emergency department discharge data from April to October showed an increase in infections of the bacteria among all age groups, according to the CDC.

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Is your doctor using ‘never words’ that make you feel worse?

11/21/24 at 03:00 AM

Is your doctor using ‘never words’ that make you feel worse? Everyday Health; by Lisa Rapaport; 11/19/24 Words matter — especially when it comes to how doctors speak to patients and families facing a scary medical diagnosis. That’s because the exact words doctors use to explain complex health situations can make or break whether people feel heard and respected during appointments — and influence whether they follow doctors’ orders afterwards, according to a new survey published in Mayo Clinic Proceedings. Key Takeaways:

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Facing terminal cancer, former flight attendant granted final wish to fly one last time

11/21/24 at 03:00 AM

Facing terminal cancer, former flight attendant granted final wish to fly one last time CBS News 13, Sacramento, CA; by Ashley Sharp; 11/19/24 A special last wish was granted for a Calaveras County hospice patient facing a daunting diagnosis. Janet McAnnally, 79, was diagnosed with stage 4 lung cancer which spread to her spine. She knows she doesn't have long, but that did not stop the former flight attendant from taking to the skies one last time. ... McAnnally is now in the care of Hospice of Amador and Calaveras, ... Turning the page back to 1971, McAnnally was a flight attendant for seven years for Trans World Airlines, based in Chicago. ... The hospice center, under its Last Wish Program, reached out to local United Airlines pilot Rob Davids to help fulfill McAnnally's wish for one final flight high above Calaveras County. "I just felt lucky to be part of it and give her that chance," Davids said. "I just appreciate every flight like it's the last." At 79, for the first time, McAnnally even got to pilot the plane herself during their hour-long flight. ...

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Simmons Nursing and Dix Scholar Alum offers palliative care to Navajo nation

11/21/24 at 03:00 AM

Simmons Nursing and Dix Scholar Alum offers palliative care to Navajo nation Simmons University, Boston, MA; 11/20/24 Susan Perron ’18 came to Simmons as an adult student, pursuing her second bachelor’s degree. “I wanted a job that used both practical and critical thinking skills,” says Perron. “I wanted to do something helpful to humanity.”  ...  “I was a COVID-19 nurse throughout the pandemic, and it burned me out,” she recalls. “If you’re a good nurse, you take time to self-reflect. ... Perron took the opportunity and moved to the Hopi Reservation in Northeastern Arizona. Providing ambulatory care to people on the reservation meant that Perron could work in a clinic and take a break from twelve-hour shifts. That said, the year on the Hopi Reservation presented her with challenges. “I had to drive two hours to Flagstaff to get groceries. We would lose power often, and the water was often shut off for maintenance." ... Perron emphasizes that understanding the Navajo belief system is integral to this kind of work. In addition to Dr. Mohs, Perron works closely with her colleague and mentor, Ida Bradley (Navajo) a nurse who specializes in medical terminology in the Navajo language and has extensive experience with end of life care within the Navajo culture. 

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Pursuit of quick profits makes hospice care worse, new research says

11/21/24 at 03:00 AM

Pursuit of quick profits makes hospice care worse, new research says Ohio Capital Journal; by Marty Schladen; 11/20/24 Private equity firms — high-dollar investors known for aggressively seeking profit — and publicly traded health conglomerates have been buying up businesses that provide hospice care. But when it comes to caring for patients facing the end of their lives, those businesses perform worst, according to a research letter published Monday in the Journal of the American Medical Association. ...  Publicly traded behemoths such as UnitedHealth Group and CVS Health are already the subject of investigations and lawsuits by federal and state government over allegedly anticompetitive actions as drug middlemen. At the same time, both provide hospice care. Meanwhile, the business practices of private equity groups have been coming under increasing scrutiny over the past decade. They often buy businesses in deals structured so they can quickly recoup their investment, identify the most profitable assets, sell them and then sell the resulting business or declare bankruptcy. ... The firms also have been accused of being predatory toward consumers.

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Family caregivers deserve to be a valued part of the healthcare continuum

11/21/24 at 03:00 AM

Family caregivers deserve to be a valued part of the healthcare continuum MedCity News; by Cara McCarty Abbott; 11/20/24 Family caregivers are a critical part of the healthcare system. Not only are they part of America’s safety net, but they are also critical partners to hospice providers when caring for loved ones with serious illnesses or at end of life. With 53 million U.S. caregivers actively involved in healthcare decisions for their loved ones, enhancing support for these caregivers can contribute to patient clinical outcomes and improve a sense of well-being among families facing a difficult experience. ... When caregivers aren’t supported, it’s not only the people who suffer; it’s also the organizations that they most interact with during the caregiving process. ... Hospice providers cannot turn this tide alone. This complex, systemic issue requires a comprehensive approach. ...

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Official collaboration between IAHPC and INCB

11/21/24 at 03:00 AM

Official collaboration between IAHPC and INCB ehospice; 11/19/24 The International Association for Hospice and Palliative Care (IAHPC) is pleased to announce that it has signed a Memorandum of Understanding (MoU) with the International Narcotics Control Board (INCB). The purpose of the MoU is “to provide a framework of cooperation and understanding and to facilitate collaboration to further their shared goals and objectives in regard to improving the availability of internationally controlled substances for medical and scientific purposes.” ... The objectives laid out in the MOU include among others, the exchange of research, data, and analysis on an annual basis on controlled medicines and the exploration of possible solutions such as joint activities to make such information available to the international community. These objectives will be achieved through regular dialogues between INCB and the IAHPC.

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Pontiac hospital to lay off most of its staff as feds pull Medicare reimbursement

11/21/24 at 03:00 AM

Pontiac hospital to lay off most of its staff as feds pull Medicare reimbursement Modern Healthcare; by Dustin Walsh; 11/19/24 Pontiac General Hospital plans to lay off most of its staff as CMS is cutting the troubled hospital from Medicare funding. The Pontiac, Michigan-based hospital is laying off 186 employees, including 94 mental health technicians, on Nov. 29. Another 62 employees, including 13 nurses, will be laid off Dec. 6 and Dec. 20, according to a WARN notice.

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Lamar Area Hospice’s grief programs are made possible from BBB donations

11/21/24 at 03:00 AM

Lamar Area Hospice’s grief programs are made possible from BBB donations The Prowers Journal, Lamar, CO; by Barbara Crimond; 11/20/24 The words “good” and “grief” don’t commonly go together.  At the Lamar Area Hospice, however, they not only go together but, when combined, embrace the idea of a place to go which allows children and adults to normalize their grief, receive support from others experiencing similar emotional struggles and education in healthy ways to move through their grief.  They learn that they can tell their stories in a safe, loving and nurturing environment.  I recently met with Deb Pelley (Executive Director of Lamar Area Hospice). Roni Vallejos (Children’s Good Grief Coordinator) and Kelsie Cedeno (Adult Bereavement Coordinator) to learn more about these programs.  I could immediately sense the compassion and love for their jobs that all three women have. Before telling me about the programs though, they told me that it was only because of the generous donations from the BBB each year that the programs can even exist. They wanted to express how extremely grateful they are to BBB for enabling them to continue Jillian Sweet Tinnes’s legacy. ...

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Unlocking leadership potential: How stretch assignments drive diversity and growth in healthcare

11/21/24 at 03:00 AM

Unlocking leadership potential: How stretch assignments drive diversity and growth in healthcare American College of Healthcare Executives; by Britany McElry, FACHE, and Jordan Roloff; 11/20/24 In the dynamic world of healthcare, nurturing internal talent for leadership roles isn't just a smart strategy—it's essential for the ongoing success and growth of organizations. As we tackle complex challenges and strive for excellence in patient care, it's clear that the leaders of tomorrow are already among us. ... At Mayo Clinic, we've launched two groundbreaking programs to foster internal talent: the Stretch Assignment Program and Mayo Clinic Rising. ... The Stretch Assignment Program, spearheaded by the eMERGing Leaders Mayo Employee Resource Group, features a blinded application process open to all staff seeking growth and professional development. It offers projects in areas like quality improvement, time management, project management, financial analysis, change management, networking and public speaking that are submitted by leaders needing assistance on key projects. ... The program has already shown impressive results, with 20 participants across Arizona and Northwest Wisconsin, nine of whom have been promoted since participation—a 45% promotion rate.

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CMS issues ‘significant’ survey changes for 2025 [long-term care]

11/21/24 at 03:00 AM

BREAKING: CMS issues ‘significant’ survey changes for 2025 [long-term care] McKnights Long-Term Care News; by Kimberly Marselas; 11/19/24 The Centers for Medicare & Medicaid Services on Monday issued “significant revisions” to its long-term care surveyor guidance, with changes affecting everything from admission and discharge standards to the use of psychotropic medications and newly adopted infection prevention practices. CMS released an advance copy of the 900-page document online, including new critical element pathways, to give providers and surveyors time to adjust to the new requirements before they go into effect Feb. 24, 2025. A significant portion of the changes is related to chemical restraints and unnecessary psychotropic medication.

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Agrace closing in-patient care unit in Janesville

11/21/24 at 03:00 AM

Agrace closing in-patient care unit in Janesville WCLO, Janesville, WI; by wclonews; 11/19/24 Agrace is no longer accepting patients at its 12-bed hospice care facility on Wright Road in Janesville. After a tough 10 months struggling to recruit enough staff, Agrace made the difficult decision to temporarily close its in-patient hospice care unit in Janesville for an extended period of time. Assistant Vice President of Marketing and Communications Liz Kopling says Agrace is working to find long term solutions to meet Janesville and the Rock County community’s needs. Kopling says Agrace will continue to provide hospice care to nearly 200 Rock County patients in their homes. The closing also won’t affect administrative operations at its Janesville office, or the thrift store on Humes Road. 

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The Alliance applauds Gerald’s Law passing through Congress

11/21/24 at 03:00 AM

The Alliance applauds Gerald’s Law passing through Congress National Alliance for Care at Home (the Alliance; formerly NAHC and NHPCO); Press Release; 11/19/24 The National Alliance for Care at Home (the Alliance) celebrates the historic passage of H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act in the U.S. House of Representatives last night with a bipartisan vote of 389-9. This landmark legislation includes Section 301, Gerald’s Law, which addresses a critical gap in benefits impacting seriously-ill veterans and their families receiving hospice care. The story of Gerald “Jerry” Elliott, a U.S. Army veteran, underscores the importance of this legislative achievement. Diagnosed with cancer, Jerry was admitted to his local Veterans Affairs (VA) hospital in 2019 before transitioning to VA hospice care at home to be surrounded by his family. After his passing, his family discovered they were ineligible for full burial and funeral financial support because Jerry died outside of a VA facility.

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Today's Encouragement: Great ideas need ...

11/21/24 at 03:00 AM

Great ideas need landing gear as well as wings. ~ C.D. Jackson

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Local veteran supports SSM Health hospice services with generous estate gift

11/21/24 at 02:30 AM

Local veteran supports SSM Health hospice services with generous estate gift Envision, Greater Fond du Lac, WI; 11/20/24 Thanks to a generous $225,000 gift from the estate of William (Bill) Faubel, who passed away peacefully in December 2023 at age 103, the Agnesian HealthCare Foundation will continue its support of SSM Health at Home Hospice services in Fond du Lac and Green Lake. ... “We appreciate the generosity of Bill and his family, for this incredible support that will help us continue to meet the growing need for hospice care in our communities,” according to Kim Laws, Agnesian HealthCare Foundation director of development and interim leader. “Bill was very supportive of the communities where he lived and left an example of selfless giving. We have an outstanding team of caring providers that help our patients and their families through a difficult time guiding them through every step of this final journey. ... “We were very fortunate to have Uncle Bill as part of our family,” Polly says. “He was an extraordinary man. He was very poor growing up and worked hard to earn everything he achieved in life. He was most proud to be a veteran, including being a part of an Old Glory Honor Flight in 2010.

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Vitas Healthcare honors retired hospice veteran, announces new executive leadership

11/21/24 at 02:00 AM

VITAS Healthcare honors retired hospice veteran, announces new executive leadership Globe Newswire, Miami, FL; by VITAS Healthcare; 11/20/24 VITAS Healthcare, the nation’s leading provider of end-of-life care and a best-in-class healthcare employer, proudly announces four major executive leadership changes:

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Stewarding loss

11/20/24 at 03:30 AM

Stewarding loss Stanford Social Innovation Review; by Camille Acey; 11/19/24 - "Winter 2025" What happens when organizations and institutions need to die? And why is this part of the work often overlooked in systems change and social innovation practice? ... Stewarding Loss is a field-building initiative focused on the process of closure, ending, and dismantling as a journey to be designed. Over the course of several years, Stewarding Loss has engaged in a range of activities, from creating “loss circles” as spaces where people anticipating organizational closures can come to share stories and concerns; to conducting interviews with a range of practitioners involved in end-of-life care, including ritual and ceremonial hosts, grief therapists, and death doulas so we could learn how to translate practices across different contexts; to hosting roundtables with philanthropic foundations and speaking at numerous events to allow us to gather insight and feedback regarding ideas and needs for this work; to prototyping a Farewell Fund to learn what type of invitation and application might encourage organizations to become proactive about closing, and what supports might be needed by people on the journey to closure.

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Local hospice organization announces dementia care program for patients and caregivers

11/20/24 at 03:15 AM

Local hospice organization announces dementia care program for patients and caregivers Southern Maryland News Net; 11/19/24 Hospice of the Chesapeake has launched a new and innovative dementia care program for dementia patients and their caregivers. The program, in collaboration with The National Partnership for Healthcare and Hospice Innovation (NPHI), The Center to Advance Palliative Care (CAPC) and Aliviado Health, includes free access to the “Dementia Care Patient & Caregiver Resource Guide,” which provides the best-in-class resource for dementia care. The goal is to improve the quality of life for dementia patients, reduce hospitalizations and ease burdens for families and caregivers.Editor's note: The National Partnership for Healthcare and Hospice Innovation (NPHI) is a sponsor for our newsletter.

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People with Parkinson’s Disease (PD) face disproportionate rates of harm in hospital setting

11/20/24 at 03:00 AM

People with Parkinson’s Disease (PD) face disproportionate rates of harm in hospital setting  Parkinson's Foundation, New York and Miami; Press Release; 11/18/24 The Parkinson’s Foundation published a new article in the December issue of The Joint Commission Journal on Quality and Patient Safety titled “Protecting Parkinson’s Patients: Hospital Care Standards to Avoid Preventable Harm.” The article identifies sustainable solutions to improve care in the hospital for people with Parkinson’s disease (PD) and details how these solutions may be generalized to develop a practical, disease-agnostic care model for all hospital and health systems that wish to avoid preventable harm. ... People with PD are at increased risk of hospitalization, with more than 300,000 people with PD hospitalized each year. While hospitalized, people with PD face increased risk of preventable harm, including longer hospital stays and deterioration of PD symptoms. Adverse outcomes range from temporary, such as higher rates of delirium, to permanent damage, including higher mortality.

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Bringing stories to life, and death: Why animated movies are more than entertainment for kids

11/20/24 at 03:00 AM

Bringing stories to life, and death: Why animated movies are more than entertainment for kids The Stony Brook Press; 11/19/24 ... Whether it is the parents of the protagonist dying in the first few minutes in Frozen or the epic finale where the villain succumbs to a fatal fate like in The Hunchback of Notre Dame or The Princess and the Frog, it is somewhat of an oxymoron to call animated movies “childish,” as they often deal with serious topics. These movies are not outliers; there are videos dedicated to Disney’s “body count,” which counts how many characters have died in Disney movies. While these films may be magical or fantastical in plot, the moral truths of death and life covered in them often stir conversations about mortality. “Despite the fact that we would love to have people or animals or our loved ones forever, death is inevitable,” explained Bonnie Nickels, co-writer of the study End-of-Life in Disney and Pixar Films: An opportunity for Engaging in Difficult Conversation. “We can use these films as opportunities to introduce our young viewers and our young children to this idea.” To Nickels, these movies can create a dialogue between parents and children about dying and even model coping methods. “The fact that it’s a common feature in these films, kind of reiterates this idea that it’s common in life.” Editor's note: What movies will your intergenerational family watch through the holidays? This article's referenced study--"End-of-Life in Disney and Pixar Films"--describes, "A content analysis of 57 movies resulted in a total of 71 character deaths. For different generations, what reactions do you remember having experienced yourself, or from others? Bambi's mother. The Lion King's Mufasa. Frozen's parents of the two sisters. Coco's family members. Click here for a related article, "15 Saddest Disney Death, Ranked." 

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'My charity wedding dress brought me closer to Mum'

11/20/24 at 03:00 AM

'My charity wedding dress brought me closer to Mum' BBC, Manchester, United Kingdom; 11/16/24 Like many brides, when Jo Johnson started planning her wedding, she wanted her mother to be an integral part of the day. But as June Kiely had died nine years earlier, she faced a puzzle as to how to bring her into the ceremony, until she realised there was a way of both feeling closer to her mum and honouring those who cared for her in her final days. June Kiely died at the St Ann's Hospice in Little Hulton, Salford, in 2015, and in the run up to getting married, Jo found herself at the charity's bridal and vintage shop in Stockport. The 38-year-old said it was a "magic moment" as she knew instantly it was the place where she would find the perfect dress. Jo said getting her dress from the shop was "a really special way to include my mum but also to give back to the hospice for everything they'd done." She said the hospice had given her mum "incredible care" and as soon as she walked into the shop, she knew she was "doing the right thing."

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