Literature Review

Hospice care for those with dementia falls far short of meeting people’s needs at the end of life University of Michigan; by Maria J. Silveira; 8/18/24 ... Strikingly, only 12% of Americans with dementia ever enroll in hospice. Among those who do, one-third are near death. This is in stark contrast to the cancer population: Patients over 60 with cancer enroll in hospice 70% of the time. In my experience caring for dementia patients, the underuse of hospice by dementia patients has more to do with how hospice is structured and paid for in the U.S. than it does patient preference or differences between cancer and dementia. ... In the U.S., ... Medicare’s rules and regulations make it hard for dementia patients to qualify for hospice when they and their families need support the most – long before death. In Canada, where hospice is structured entirely differently, 39% of dementia patients receive hospice care in the last year of life. ...

The Hastings Center awarded $1.5 million by PCORI to study organizational trustworthiness and community-engaged research  EurekAlert! AAAS; Susan Gilbert, The Hastings Center; 8/13/24 A research team at The Hastings Center has been approved for $1.5 million in funding by the Patient-Centered Outcomes Research Institute (PCORI) to study organizational trustworthiness as it relates to community-engaged research. Led by Virginia A. Brown, PhD, a research scholar at The Hastings Center, the study will be the first to investigate the role of organizational trustworthiness in shaping research engagement processes and outcomes. 

25 fastest-growing healthcare companies of 2024 Becker's Hospital Review; by Giles Bruce; 8/13/24 The Inc. 5000 list of the fastest-growing private companies in 2024, released Aug. 13, includes 320 that focus on health services. The magazine ranks the companies by percentage revenue growth over the last three years. Here are the top 25 health services firms that made the list this year (and where they rank): [Click on this title's link to continue reading]

A.L.S. stole his voice. A.I. retrieved it. DNYUZ, originally posted in The New York Times; 8/15/24Four years ago, Casey Harrell sang his last bedtime nursery rhyme to his daughter. By then, A.L.S. had begun laying waste to Mr. Harrell’s muscles, stealing from him one ritual after another: going on walks with his wife, holding his daughter, turning the pages of a book. “Like a night burglar,” his wife, Levana Saxon, wrote of the disease in a poem. ... Last July, doctors at the University of California, Davis, surgically implanted electrodes in Mr. Harrell’s brain to try to discern what he was trying to say. ... Yet the results surpassed expectations, the researchers reported on Wednesday in The New England Journal of Medicine, setting a new bar for implanted speech decoders and illustrating the potential power of such devices for people with speech impairments.

How Texas healthcare facilities can prepare for new workplace violence prevention standards for healthcare workers JW News; by Jeffrey H. Frost; 8/14/24 ... On May 15, 2023, Governor Abbott signed SB 240, relating to workplace violence prevention in certain healthcare facilities. ... Texas healthcare facilities must meet Chapter 331 workplace violence prevention requirements by September 1, 2024. ... Covered facilities [which includes hospice] must establish a workplace violence prevention committee, prevention plan, and policy. ... At a minimum, the prevention plan must: (i) be tailored to the practice setting; (ii) define “workplace violence”; (iii) provide for annual training; (iv) review physical security and safety; (v) create a reporting system; and (vi) adjust the care assignments (if possible) of employees and providers who have been assaulted or threatened. Editor's Note: For non-Texas hospice and palliative providers, what Workplace Violence Prevention Plan do you have in place, or not? This article provides excellent information and action plans for you to use.

The billion-dollar DFW healthcare company you haven’t heard of D Magazine; by Will Maddox; 8/16/24 Addus HomeCare has had a busy year. The publicly traded home care, home health, and hospice company employs more than 30,000 people across 214 locations and 22 states, providing care to nearly 50,000 patients. This year, the company has quietly cleared nearly $400 million in acquisitions as it ramps up its presence in Texas and around the country.

Reimagining end-of-life practices: Setas Eternal Living’s MyCoffin offers a sustainable legacy Franklin County Free Press; 8/13/24 In the heart of Pennsylvania’s countryside, a quiet revolution is taking place that promises to transform our end-of-life practices. At Setas Eternal Living, innovation and sustainability are at the forefront, offering an eco-friendly alternative to traditional burials through their unique MyCoffin. MyCoffin is designed to biodegrade the human body in under three years, and their pet coffin will biodegrade your pet in under two. This initiative aims to honor life while promoting environmental stewardship, reflecting a profound respect for nature’s cycles. ... The eco-friendly burial market is gaining momentum as more people become aware of the environmental impact of traditional burial practices. According to industry projections, the U.S. coffin and casket manufacturing industry is shifting towards greener alternative. ...

When tempted to fight fire with fire, remember that firefighters usually use water. ~ Unknown

Four years and more than 200,000 deaths later: Lessons learned from the COVID-19 pandemic in US nursing homesHealth Affairs; by R. Tamara Konetzka, David C. Grabowski, Vincent Mor; 7/24Nursing home residents and staff were disproportionately affected by the COVID-19 pandemic, drawing attention to long-standing challenges of poor infection control, understaffing, and substandard quality of care in many facilities. Evolving practices and policies during the pandemic often focused on these challenges, with little effect. Despite the emergence of best practices to mitigate transmission of the virus, even the highest-quality facilities experienced outbreaks, indicating a larger systemic problem, rather than a quality problem at the facility level. Here we present a narrative review and discussion of the evolution of policies and practices and their effectiveness, drawing on evidence from the United States that was published during 2020–23.

Making your Customer Experience [CX] investment strategy work CMSWire [not to be confused with CMS=Centers for Medicare & Medicaid Services]; by Jeb Dasteel, Amir Hartman, Brian P. O'Neill and Marc Madigan; 8/12/24 Uncover the key elements of a successful customer experience strategy, from capability planning to aligning with core business objectives. ... Investing in a customer experience strategy is fraught with complications and feelings. Most of us in the world of CX are here because we believe that thoughtful CX spending will make an impact on the performance of our company.Editor's Note: This article is for a much larger scope than our hospice and palliative readership. However, it highlights the importance of tying "customers' experiences" to the company/organization's core goals and business objectives. The Centers for Medicare & Medicaid Services' CAHPS Hospice Compare Scores [not to be confused with this CMSWire source] reflect the hospice "customer experience," from the perspective of the bereaved caregiver. While the CMS Hospice Compare site sorts these public information scores alphabetically (per location and organization), our newsletter's sponsor Hospice Analytics' National Hospice Locator sorts this same data by highest scores, for the purpose of helping the public "consumer" find the hospice that will provide them with the best "customer experience."

Today's Heartwarming Story [MHPCA Hospice in Corrections]Per Facebook post: Over the past decade, the Missouri Hospice and Palliative Care Association has trained hundreds of residents of Missouri state prisons to become hospice volunteers, providing comfort and companionship to terminally ill peers. The newest group recently completed training at Farmington Correctional Center. Volunteers develop skills in helping with daily activities, practicing empathy and active listening, and learning to recognize and respond to patients’ spiritual and emotional needs.

Pennant’s home health, hospice growth ‘significantly ahead’ of prior expectationsHome Health Care News; by Audrie Martin; 8/7/24The Pennant Group Inc. (Nasdaq: PNTG) leaders highlighted the company’s significant home health growth Tuesday. They also teased continued expansion in the East Coast and elsewhere. “We are thrilled to report record-breaking second quarter results as we continue to experience momentum across all our service lines and create meaningful growth opportunities for local leaders and teams,” Pennant CEO Brent Guerisoli said during the company’s second-quarter earnings call. “Our financial performance and growth trajectory reflect the consistent efforts we have applied to every aspect of our business through our five key focus areas: leadership development, clinical excellence, employee engagement, margin and growth.” The Pennant Group is a holding company based in Eagle, Idaho, with independent operating subsidiaries that provide health care services through 117 home health and hospice agencies and 54 senior living communities across 13 states.