Literature Review
Gentle endings: Lessons learned in a hospice for those without a home
01/05/24 at 04:00 AMGentle endings: Lessons learned in a hospice for those without a homeDeseretNews, by Eliza Anderson; 1/3/24 Jillian Olmsted was intrigued by a news story in 2015 about attempts to open a small residential hospice for the homeless in Salt Lake City, where she lives. The INN Between would offer a home for people who were unsheltered and dying so they could be fed and cared for, in beds and out of the cold. But she was also floored by the hue and cry of neighbors who didn’t want them around — even though they were terribly medically frail. Her dad was fighting cancer, and she had just helped care for her mom and stepfather, who died a month apart. Both “had insurance and a nice home and family to take care of them.” Why begrudge someone shelter, care and comfort in such dire circumstances?
My father, the giant: His life's work was caring for the people he loved
01/05/24 at 04:00 AMMy father, the giant: His life's work was caring for the people he lovedThe Atlantic, by Ross Andersen; 1/3/24Yesterday afternoon, my dad, Erik Dybkaer Andersen, lay sleeping at home in his hospice bed when a calm settled over his body and he drew his last breath. He was 78. For more than a year, we had known that cancer would take him; only the hour was uncertain. But it is still a shock to find him missing from his bedroom, from his family, from the world. It is too early to measure, much less put into writing, all that he meant to us. For now, I want only to read his life into the record, and to get across his essence, above all as a caretaker of those he loved.Editor's Note: Access to the full article requires a free trial or subscription to The Atlantic.
Nursing homes invest in campaigns, reap millions in taxpayer money
01/05/24 at 04:00 AMNursing homes invest in campaigns, reap millions in taxpayer moneyIowa Capital Dispatch, by Clark Kauffman; 1/2/24Audio recordings and financial documents reveal the industry’s political clout.
Optum, SSM Health end partnership
01/05/24 at 04:00 AMOptum, SSM Helath end partnershipBecker's Hospital CFO Report, by Jakob Emerson; 1/3/2024St. Louis-based SSM Health and UnitedHealth Group's Optum have ended their administrative partnership around inpatient care management, digital transformation and revenue cycle management, an SSM Health spokesperson confirmed with Becker's. The health system declined to provide any additional information when asked on Jan. 3. The partnership was announced in October 2021 and formally began in early 2022. The deal included the hiring of about 2,100 SSM employees by Optum.
Financial hardship drives unhappiness in people living with dementia, study finds
01/05/24 at 04:00 AMFinancial hardship drives unhappiness in people living with dementia, study findsMcKnights Long-Term Care News, by Kristen Fischer; 1/4/24A new study is uncovering just how tough it can be financially to live with dementia. The report, published Dec. 29 in the Journal of the American Geriatrics Society, found that nearly 56% of people with dementia face financial hardships. Those financial challenges are linked with worse reported satisfaction with life and healthcare. ... The study examined data from 534 participants with dementia who shared details on satisfaction with their lives and their healthcare. The researchers compared that data to information from questionnaires from 576 people who were newly diagnosed with cancer and receiving treatment.
Death anxiety impairs self-esteem, quality of life in older adults with chronic diseases
01/05/24 at 04:00 AMDeath anxiety impairs self-esteem, quality of life in older adults with chronic diseaseMcKnights Long-Term Care News, by Kristen Fischer; 1/4/24No surprise here: A new study that shows anxiety about dying can affect self-esteem and quality of life among people with chronic diseases. The authors said they’d like to see more interventions to bolster self-esteem and lower death anxiety in middle-aged and older adults who have chronic diseases. The study was published on Tuesday in BMC Psychiatry. The negative consequences of chronic diseases like cancer, diabetes and cardiovascular disease (along with the unpredictability of death) makes middle-aged and elderly adults who have these diseases more vulnerable to death anxiety, the authors wrote.
Nursing home struggles expected to worsen hospital backlogs
01/05/24 at 04:00 AMNursing home struggles expected to worsen hospital backlogsMcKnights Long-Term Care News, by Josh Henreckson; 1/4/24Nursing homes’ familiar struggles with insufficient staffing and insurance reimbursements are contributing to growing backlogs of patients awaiting throughput from hospitals to post-acute care across the US. Those waitlists are set to grow more congested in 2024 and cause even bigger disruption throughout the US healthcare system, according to recent state-level reports.Editor's Notes: Hospice leaders, how might your organization help reduce these backlogs and delays?
After loved ones' long-awaited organ transplants, caregivers often find challenges are just beginning
01/05/24 at 04:00 AMAfter loved ones' long-awaited organ transplants, caregivers often find challenges are just beginningSTAT, by Annalisa Merelli; 1/4/24By the time his wife Glenda Daggert received a double organ transplant in 1999, Ira Copperman already had a lot of experience as a caregiver. ... After the transplants, Daggert had a new kidney and a new pancreas, and was no longer diabetic. Yet this was not the ending to all her health issues, nor to Copperman’s role as a caregiver. “Transplantation is not the end story. You don’t stop what you do as caregiver or care partners the day after a transplant,” said Copperman, who serves as vice president of the nonprofit Transplant Recipients International Organization. “It is a lifelong journey.”
St. Luke's merger will be 'the first of many' M&A deals in the hospital sector this year
01/05/24 at 04:00 AMSt. Luke's merger will be 'the first of many' M&A deals in the hospital sector this yearMedCity News, by Katie Adams, 1/4/24On New Year’s Day, two Missouri health systems — St. Louis-based BJC HealthCare and Kansas City-based St. Luke’s Health System — officially completed their merger. The deal, which was first announced last May, combines the two organizations into one integrated academic health system. The merger was one of the biggest hospital M&A deals announced last year. The combined health system comprises 28 hospitals and hundreds of clinics serving 6 million people across Missouri, Illinois and Kansas. It is expected to generate $10 billion in annual revenue.
Other Business Headlines of Interest
01/05/24 at 04:00 AMOther Business Headlines of Interest, updated 1/4/24 per nasdaq.com
8 healthcare tech trends in 2024, per DataLink
01/05/24 at 04:00 AM8 healthcare tech trends in 2024, per DataLinkBecker's Health IT, by Noah Schwartz; 12/28/23Health IT company DataLink projected eight trends in healthcare technology for 2024. Artificial technology dominated the trends list. Here are the eight healthcare technology predictions for 2024, according to a Dec. 28 DataLink news release:
The Wall Street Journal: Exclusive: Cigna nears deal to offload Medicare business
01/05/24 at 04:00 AMThe Wall Street Journal: Exclusive: Cigna nears deal to offload Medicare businessThe Wall Street Journal, by Laura Cooper, Anna Wilde Mathews and Lauren Thomas; 1/3/24Cigna is in advanced talks to sell its Medicare business in an about-face for the health-insurance giant, which had been expanding its footprint in the fast-growing sector. Cigna, which has been running an auction for the business, known as Medicare Advantage, is now in exclusive talks to sell it to Health Care Service Corp. for between $3 billion and $4 billion, according to people familiar with the matter. Editor's Note: Access to the full article requires a subscription to The Wall Street Journal
California becomes first state to offer health insurance to all undocumented immigrants
01/05/24 at 04:00 AMCalifornia becomes first state to offer health insurance to all undocumented immigrantsABC News, by Mary Kekatos; 1/2/24California will welcome the new year by becoming the first state to offer health insurance for all undocumented immigrants. Starting Jan. 1, all undocumented immigrants, regardless of age, will qualify for Medi-Cal, California's version of the federal Medicaid program for people with low incomes.Editor's note: Hospice implications...?
Cap rates increase by 74 basis points across all segments of senior living and care
01/05/24 at 04:00 AMCap rates increase by 74 basis points across all segments of senior living and careMcKnight's Senior Living, by Kathleen Steele GaivinThe average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing.
Today's Encouragement
01/05/24 at 04:00 AMIf you do not try, your chance of success drops to 0.0%...
What is Palliative Care?
01/05/24 at 04:00 AMWhat 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...
Sleep pods, coffee bars, and coworking spaces: Hospital staff lounges get a makeover
01/05/24 at 03:00 AMSleep pods, coffee bars, and coworking spaces: Hospital staff lounges get a makeoverHealthcare Brew, by Shannon Young; 12/7/23Health systems are looking at how they can better attract, retain, and support staff with respite spaces. Picture this: a large coworking environment with collaboration areas, cappuccino bars, and programmable spaces. No, it’s not a Silicon Valley startup, a student union, or even a swanky airport lounge. It’s the next generation of hospital employee break rooms. After years of optimizing hospital spaces to focus on the patient experience, more health systems are looking at how they can better attract, retain, and support staff, Mike Pukszta, codirector of CannonDesign’s global health practice, told Healthcare Brew.Editor's Note: Consider implications for today's hospice staffing. Office-based leaders, have you ever spent a day with a team member making visit after visit? While you want staff out in the field, do they have a home base where they can easily collaborate, eat, communicate with each other? Seek feedback and consider adjustments that can make a big difference in employee satisfaction and well-being.
NY healthcare organizations collaborate to deliver value-based hospice, palliative care
01/05/24 at 03:00 AMNY healthcare orgs collab to deliver value-based hospice, palliative careTechTarget, by Victoria Bailey; 1/3/24Bassett Healthcare Network, a New York-based health system, has partnered with Helios Care to provide patients with value-based hospice and palliative care. ... Together, the two organizations will create an electronically driven referral process that will promote value-based contracting for hospice and palliative care services and establish a comprehensive palliative care and hospice service to treat patients in the hospital, in outpatient settings, and at home. In addition, the partnership will prioritize developing a transitional care program to provide in-home care for patients with serious illnesses, chronic diseases, and end-of-life needs.
Compassus, Pennant Group expand home health JV portfolios
01/05/24 at 03:00 AMCompassus, Pennant Group expand home health JV portfoliosHome Health Care News, by Joyce Famakinwa; 1/3/24Two home-based care providers – Compassus and the Pennant Group (Nasdaq: PNTG) – have expanded their JV portfolios this week. On Wednesday, Compassus and Ascension announced the expansion of their Tennessee-based home health partnership, which is dubbed Ascension Saint Thomas at Home. Subsequently, Ascension Saint Thomas at Home’s service area now covers 17 Tennessee counties in the mid and west parts of the state.
Care Planning Issues Top Lists of Hospice Survey Deficiencies
01/05/24 at 03:00 AMCare 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.
The book "The In-Between: Unforgettable encounters during life's final moments
01/04/24 at 04:00 AMThe book "The In-Between: Unforgettable encounters during life's final momentsHSJ Online, by David Webster; 1/2/24Recently, I received a book from one of my daughters for my birthday, "The In-Between" by Hadley Vlahos, RN. While in Florida for a vacation, I made reading the best-selling book a priority and admittedly cried with each chapter as Hadley shares her personal life mixed in with being a Hospice nurse. Hadley made a statement ... that really struck me, ... “I have learned how important it is to be a human first and an employee second.”
How to live: What the dying tell us
01/04/24 at 04:00 AMHow to live: What the dying tell usPsychology Today, by Tasha Seiter; 1/2/24Subtitle: The top regrets of the dying and how we can use them to better our lives.Bronnie Ware, a hospice nurse, asked the dying what they regretted most. While it may have been too late for her patients, their answers can tell us about how we should be living while we still have the chance. Here are the top five regrets of the dying, according to her research (both qualitative and quantitative):
Kingston man arrested for allegedly threatening bedridden father
01/04/24 at 04:00 AMKingston man arrested for allegedly threatening bedridden fatherBNN, by Salman Akhtar; 1/2/2431-year-old Tyler Jason Vasquez, a resident of Kingston, was apprehended by the local law enforcement following a disturbing incident involving his ailing father. The event, captured by a Ring doorbell camera at their home on New Hurbane Street, had Vasquez allegedly threatening his bedridden father with a firearm. The security camera had been installed by Vasquez’s sister to keep an eye on their father, who is under home hospice care.
Today's 10-Second Question
01/04/24 at 04:00 AMYesterday's 10-Second Question was: What is your greatest hope for the new year? (per a Wall Street Journal email). Responses included:
The silent battle: Addressing depression among cancer patients
01/04/24 at 04:00 AMThe silent battle: Addressing depression among cancer patientsBNN, by Mazhar Abbas; 1/2/24 Dr. Michelle King, a specialist psychiatrist, expounded on the psychological tribulations cancer patients endure, including grief, depression, and anxiety. ... [Cancer survivors] find themselves on an emotional rollercoaster, oscillating between hope and despair, underlining the necessity for balanced mental health management. Dr. King advocates for early referral to palliative care services, delivering holistic support, symptom relief, and assistance with treatment decisions. Palliative care, designed to enhance the quality of life for patients and their families, is beneficial at any stage of the illness.