Literature Review
MedPAC 2025 Annual Report Released
03/18/25 at 04:00 AMMedPAC 2025 Annual Report ReleasedMedPAC Report; 3/15/25 - sent 3/18/25 @ 3:00 PM ETPlease click the link above to download and read MedPAC's most recent Report to Congress - Hospice chapter.
Publisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care
03/18/25 at 03:30 AMPublisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care Cincinnati Business Courier; by Trinity In Home Care; 3/14/25 The Cincinnati Business Courier in late February brought together the leadership of a leading Southwest Ohio home care agency with leaders of Greater Cincinnati’s hospital and hospice systems. The goal was to connect leaders of two essential aspects of the region’s health care system – inpatient hospital care and home care – to see how they could complement and support each other in delivering patient care and growing as organizations. [Click on the title's link for quotes from various leaders from this Cincinnati area.]
[International] Healthcare on the brink: Palliative Care Unit and Late Shift
03/18/25 at 03:00 AM[International] Healthcare on the brink: Palliative Care Unit and Late Shift The 75th Berlin International Film Festival - Part 7, wsws.org; by Martin Nowak and Bernd Reinhardt; 3/16/25 Two films, the drama Late Shift (Heldin) and the documentary Palliative Care Unit (Palliativstation), featured at this year's Berlin International Film Festival, addressed the current situation in German and Swiss hospitals. The sold-out festival screenings reflected the burning public interest in this topic. This is particularly remarkable bearing in mind that Palliative Care Unit has a running time of more than four hours. ... [In the] documentary Palliative Care Unit by Philipp Döring, shot at the Franziskus Hospital in Berlin, ... [the] camera quietly observes the daily routine, staff consultations and the constant empathy of the head of the ward towards employees and seriously ill patients, who usually spend their last weeks here. The very calm, always discreet images emphasise the necessity of sufficient time for care and reflection when making life-critical decisions. ... How can the highest possible quality of life be achieved? The high ethical standard of treating incurable patients as active human beings ... is admirable and makes a lasting impression throughout the film.
How work in the hospice field differs from hospital work
03/18/25 at 03:00 AMHow work in the hospice field differs from hospital work Healthcare Business Today; 3/17/25 ... How work in the hospice field differs from hospital work goes beyond the obvious difference in care settings—it reflects a fundamental shift in approach, focus, and philosophy. Hospice focuses on enhancing quality of life, while hospitals often prioritize life-saving interventions. This contrast not only shapes patient care but also defines the role of the medical teams in these environments.
Today's Encouragement: You are today where your thoughts ...
03/18/25 at 03:00 AMYou are today where your thoughts have brought you; you will be tomorrow where your thoughts take you. ~ Paulo Coelho
Penny Stamps speaker Gary Tyler shares his wrongful conviction story, empowers communities through art
03/18/25 at 03:00 AMPenny Stamps speaker Gary Tyler shares his wrongful conviction story, empowers communities through artThe Michigan Daily; by Talia Varsano; 3/17/25At 5:30 p.m. in the Michigan Theater Thursday night, nearly every seat was full as the audience welcomed Gary Tyler, a falsely convicted felon of first-degree murder turned artist, performer, youth mentor and community leader. ... On October 7, 1974, Tyler was framed and wrongfully convicted by an all-white jury of first-degree murder and sentenced to death at 16 years old. ... At the event, Tyler spoke about his experience as an inmate at the Louisiana State Penitentiary in Angola for nearly 42 years before his release in 2016. Tyler said the trajectory of his life was completely shifted by his wrongful imprisonment. ... [Tyler's story of imprisonment continues.] Tyler began quilting while incarcerated to raise money for the hospice program at Angola, which provided end-of-life care for Louisiana State Penitentiary inmates. Tyler said he was inspired by his mother and grandmother, who were also quilters, as well as the communities surrounding him. ... Tyler said. “When I do quilts, I try to pull everything around me, because I try to build, I try to put everything that I feel, that someone would identify, someone would recognize, understand, in my quilt.” ... Tyler volunteered for the Angola Prison Hospice program for more than 17 years while incarcerated.Editor's note: Pair this with Death and redemption in American prison," posted 2/19/24 about Gary's friend and fellow quilter at Angola Prison Hospice program, Stephen Garner.
Where are all the nurses? Data show that some states have a far higher number of nurses per capita than others
03/18/25 at 03:00 AMWhere are all the nurses? Data show that some states have a far higher number of nurses per capita than othersMedscape; by Jodi Helmer; 3/7/25 During their 12-hour shifts, registered nurses (RNs) in Arizona and Arkansas perform many of the same tasks as RNs in Wisconsin and Wyoming: Assessing patients, monitoring vital signs, administering medications, and charting records to provide the best patient care. The work might be similar, but there are vast differences in the number of RNs in each state. ... Even states with the largest number of nurses per capita are not immune to the nursing shortage. The National Bureau of Labor Statistics estimates that there will be 195,400 job openings for RNs from 2021 to 2031. ....
What Trump has done with Medicare so far
03/18/25 at 03:00 AMWhat Trump has done with Medicare so far Kiplinger; by Kathryn Pomroy; 3/17/25 Since President Trump was sworn into office on January 20, he has proposed or initiated changes impacting Medicare. Here's a roundup. ...
Medicare Payment Advisory Commission [MedPAC] releases report to Congress on Medicare Payment Policy
03/18/25 at 03:00 AMMedicare Payment Advisory Commission [MedPAC] releases report to Congress on Medicare Payment Policy 2025 report on Medicare payment policy Medicare Payment Advisory Commission, Washington, DC; News Release, contact Stephanie Cameron; 3/13/25Today [3/13/25], the Medicare Payment Advisory Commission (MedPAC) eleases its March 2025 Report to the Congress: Medicare Payment Policy. The report presents MedPAC’s recommendations for updating provider payment rates in fee-for-service (FFS) Medicare for 2026, providing additional resources to acute care hospitals and clinicians who furnish care to Medicare beneficiaries with low incomes, and eliminating certain Medicare coverage limits on stays in freestanding inpatient psychiatric facilities. The report reviews the status of ambulatory surgical centers (ASCs), the Medicare Advantage (MA) program (Medicare Part C), and the Part D prescription drug program (Medicare Part D). ... Fee-for-service payment rate update recommendations. ... MedPAC recommends ... payment reductions relative to current law for hospice providers, skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities. [Click on the title's link to continue reading.]
Congress passes telehealth, hospital-at-home in funding bill
03/18/25 at 03:00 AMCongress passes telehealth, hospital-at-home in funding bill Modern Healthcare; by Michael McAuliff; 3/14/25 Congress completed work on a government funding bill Friday that modestly trims spending, gives President Donald Trump greater flexibility to cut programs and extends expiring healthcare priorities. In a 54-46 vote, the Senate approved legislation the House passed Tuesday that prevents the partial government shutdown that would have commenced at midnight EDT. ... The "continuing resolution," or CR, funds government operations through fiscal 2025, which ends Sept. 30, and extends and finances key healthcare programs for the same duration. Those include reauthorizing Medicare reimbursements for telehealth and hospital-at-home services, originally authorized during the COVID-19 pandemic; ...
2010 to 2019 saw early palliative care billing up for advanced cancer
03/18/25 at 03:00 AM2010 to 2019 saw early palliative care billing up for advanced cancer HealthDay News; by Elana Gotkine; 3/17/25 For patients with distant-stage cancers, there was an increase in early palliative care (PC) billing from 2010 to 2019, but the level remained low, according to a study published online March 7 in the Journal of Clinical Oncology. ... The researchers found that in 2010 to 2019, there was an increase in the percentage with early PC billing among 102,032 patients treated by 18,908 unique physicians, from 1.44 to 10.36 percent. The likelihood of early PC billing was increased in association with treating physician's early PC referrals in the previous year and organizations' employment of any HPM specialist (3.01 and 4.54 percentage points, respectively).
Pharmacies of the future: 4 keys to reinvention
03/18/25 at 03:00 AMPharmacies of the future: 4 keys to reinventionForbes; by Jenn Vande Zande; 3/11/25... “To continue to meet growing patient needs, we must evolve how community pharmacy works and, most importantly, how we support our pharmacy teams to create a sustainable future for community pharmacy,” Prem Shah, president of pharmacy and consumer wellness at CVS Health, said, referring to findings from the company’s Rx Report from January 2024. Based on those findings, CVS says there’s a “critical need for sustainable and scalable industry-wide change, such as operational improvements and digital innovations to better support pharmacy teams behind the counter.” Here are four focus areas for pharmacies to bring about that change:
End-of-life conversations: ‘When they open the door, you have to go in’
03/18/25 at 03:00 AMEnd-of-life conversations: ‘When they open the door, you have to go in’ Oncology Nursing News; by Pattie Jakel, MN, RN, AOCN; 3/13/25Oncology nurses have a unique relationship with patients that allows for difficult but essential end-of-life conversations, says expert Patricia Jakel, MN, RN, AOCN. Jakel, one of the editors in chief of Oncology Nursing News, emphasized that following up with patients and ascertaining what answers and support they need comes with the close bonds that oncology nurses form with patients with cancer. ... [Jakel describes:] We play a really important role. And sometimes patients ask us difficult questions, and we have to be prepared for it. I remember a lovely young patient I had, she had 2 little girls, and she was very sick. And things weren’t going well for her in the hospital, and she just—she looked up at me and she said, "Am I dying today?" And I thought, "She’s opening the door. She needs to have this conversation.” And I said, “It’s not going to be today, but I think it’s going to be soon.” And she kind of chuckled, because her sister was at the bedside, and she said to her sister, “I need my makeup done. I want my makeup on today, if today’s not the day.” And that took us to a whole conversation about what dying would look like for her.Editor's note: Read and share this significant, sensitive video/article from its source, Oncology Nursing News. What communication education and support do you provide for your nurses? Explore this similar article from Oncology Nursing News, "APPs, Oncologists Work Together for End-of-Life Discussions," 11/2/24.
Less wealth at death linked to more end-of-life symptoms
03/18/25 at 02:30 AMLess wealth at death linked to more end-of-life symptoms McKnights Long-Term Care News; by Kristen Fischer; 3/10/25 Older people with less wealth showed a higher burden of symptoms when they approached the end of their lives compared with those who had more wealth, a study found. The report was published in JAMA Network Open on March 6. Investigators looked at data from 8,976 older adults. The team evaluated 12 end-of-life symptoms including difficulty breathing, frequent vomiting, low appetite, difficulty controlling arms and legs, depression, and severe fatigue or exhaustion.Then they correlated symptoms to individuals’ wealth. Wealth was broken into three categories: low wealth was having less than $6,000; medium wealth was having between $6,000 and $120,000; and high wealth was considered having more than $120,000 at the time of death. Of respondents, 22.5% had low wealth, 50.5% had medium wealth and 27.1% had higher wealth. People who had less wealth were more likely to have a higher burden of symptoms compared to those who had more money. Functional impairment, multimorbidity and dementia were factors that affected the association, data revealed.Editor's note: Click here for this important JAMA article, posted in our Saturday Research issue 3/15/25, "Wealth disparities in end-of-life symptom burden among older adults."
2 tailwinds shaping hospice growth, care delivery
03/18/25 at 02:00 AM2 tailwinds shaping hospice growth, care delivery Hospice News; by Holly Vossel; 3/14/25 Rising demand for end-of-life care is pushing hospice growth opportunities to the forefront in value-based reimbursement. More payers in this arena are increasingly recognizing the depth of potential beneficial outcomes when it comes to collaborative hospice partnerships. Swelling aging populations have fueled rising health care costs across the country, with payers and providers alike seeking ways to ensure affordable access and sustainable services. ... “As far as tailwinds for the industry specific to hospice, [it’s] predictions for demographic growth,” [David Jackson, CEO and founding partner of Choice Health at Home] said. “The biggest opportunities for growth [are] talking about vertical integration and how we reach up into the health care system. [It’s] talking about the value that we bring from the perspective of patient care, and then talk about the plans, the payers, the opportunity to enhance their financial outcomes.”
The roots of palliative care: Michael Kearney, Sue Britton, and Justin Sanders
03/18/25 at 02:00 AMThe roots of palliative care: Michael Kearney, Sue Britton, and Justin SandersGeriPal - A Geriatrics and Palliative Care Podcast for Every Healthcare Professional; by Alex Smith; 3/13/25 ... As far as we’ve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? In today’s podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care. Sue Britton was the first nurse hired on that palliative care unit. Michael Kearney on a transformational meeting in Cicely Saunders’s office, with Balfour Mount at her side and a glass of sherry. Justin Sanders wants to be sure the newer generations of palliative care clinicians understand the early principles and problems that animated the founders of hospice and palliative care, including:
The 1 truly difficult part about being a caregiver that often gets overlooked
03/17/25 at 03:00 AMThe 1 truly difficult part about being a caregiver that often gets overlooked HuffPost; by Kimberley Richards; 3/13/25 Emma Heming Willis, wife of actor Bruce Willis, recently talked about the needs of caregivers on social media. Experts share what to know about the vital role. ... Among the different ways society may overlook the various caregiving experiences, there’s one aspect of it that isn’t often talked about: Many times it’s an “invisible” job. ... Hemings Willis’ post sparked conversations online about caregivers and the many struggles that come with it. And experts say perhaps one of the most isolating is the issue of “invisibility. ... She said that caregiving is often seen as a “family duty,” which prevents it from “being recognized as a broader issue requiring systemic attention.” “This view is often compounded by gendered expectations, where women are traditionally expected to take on caregiving roles, leading to feelings of guilt and pressure when they seek assistance,” she said. “The lack of formal policies ... only deepens the invisibility of this vital role, making it even harder for caregivers to balance their responsibilities with their own well-being.”
Leverage collaboration, detailed notes to improve end-of-life care
03/17/25 at 03:00 AMLeverage collaboration, detailed notes to improve end-of-life care Home Helath Line; by MaryKent Wolff; 3/13/25 Educate your hospice staff on monitoring symptoms that could indicate a patient is nearing the end of life. Agencies that manage these symptoms early and take the time to prepare and comfort caregivers and families for the transition could see these successes reflected in their CAHPS Hospice survey scores. [Subscription required for more content.]
Nearly $20K awarded at 100+ Harbor Women Who Care event
03/17/25 at 03:00 AMNearly $20K awarded at 100+ Harbor Women Who Care event The Daily World, Aberdeen, WA; by Jerry Knaak; 3/13/25 After listening to three impassioned speeches at the packed house at the Hoquiam Elks Lodge No. 1082 Tuesday evening, nearly 170 donors at the seventh 100+ Harbor Women Who Care giving event ... [awarded] a grand total of $19,020 in donations to Harbors Home Health & Hospice.
U.S. House Committee on Ways and Means Hearing Health Subcommittee “After the Hospital: Ensuring Access to Quality Post-Acute Care”
03/17/25 at 03:00 AMU.S. House Committee on Ways and Means Hearing Health Subcommittee “After the Hospital: Ensuring Access to Quality Post-Acute Care” U.S. House of Representatives Documents (Federal Information & News Dispatch, Inc.); by Jonathan D. Fleece, President & CEO Empath Health; 3/11/25 Chairman Buchanan, Ranking Member Doggett, and distinguished Members of the Subcommittee. Thank you for the opportunity to be here today. ... As President and CEO of Empath Health, one of the nation’s largest not-for-profit home-based care organizations, it is an honor and privilege to serve one in five Floridians who need hospice care. ... My commitment to this mission is deeply personal. After losing my first daughter at birth, I dedicated my life’s work to ensuring that no family faces serious illness or loss without the support, dignity, and compassion they deserve. That experience shaped my belief that health care must do more than treat symptoms—it must care for the whole person and those who love them. ... Today, as the leader of Empath Health, I remain committed to advancing that vision—ensuring that patients and families have access to the right care, at the right time, in the place they call home. That is the foundation to my testimony: to speak for the millions of Americans who rely on home-based care and the policies that make it possible. ...
Flu season lingering despite springlike weather in Indiana
03/17/25 at 03:00 AMFlu season lingering despite springlike weather in Indiana NBC WTHR 13, Indianapolis, IN; by Dustin Grove; 3/14/25 With warmer weather moving into central Indiana, you'd think flu season would be over by now, but it's still hanging on. The Centers for Disease Control and Prevention estimates at least 33 million cases of flu nationwide, with 430,000 people hospitalized. So far, 19,000 have died. "(I think) it is more severe than it has been in the past few years. I think that with those numbers ... it really tells a story and that, especially with the 19,000 deaths, we're talking about a serious illness this year," said Dr. Darlene Lawrence. "COVID is waning, folks are having vaccine wariness." ... Even with spring weather arriving and the thought that flu season is waning, it's still not too late to get vaccinated. ... Flu is particularly dangerous for the elderly, people with chronic conditions and children, she said. ... Patients can talk to their doctor or pharmacist to help find the best vaccine for them.
Today's Encouragement: Happy St. Patrick's Day!
03/17/25 at 03:00 AMHappy St. Patrick's Day! May the blessings of each day be the blessing you need the most. Editor's note: For a treasure trove of more Irish blessings, click here. Click for the the History Channel's "History of St. Patrick's Day."
Spiritual well being at Kaiser
03/17/25 at 03:00 AMSpiritual well being at Kaiser HMG - Hews Media Group, Los Cerritos Community News, Los Angeles, CA; 3/13/25 At Kaiser Permanente Downey Medical Center, the hospital and staff are committed not only caring for the patient’s physical, emotional and mental wellness, but just as importantly to their spiritual well-being. ... Chaplains at Downey Medical Center are called upon when a patient and/or family is:
System upgrades: New features and any interruptions for you?
03/17/25 at 03:00 AM3/14/2025, Editor's note: Upon upgrading our technical system, we are aware that a few readers have not received one or more recent newsletters. If you have experienced this, please let us know, as we are committed to ensuring timely excellence for you.
[UK] RCGP shifts to position of neither supporting nor opposing assisted dying
03/17/25 at 03:00 AM[UK] RCGP shifts to position of neither supporting nor opposing assisted dying RCGP - Royal College of General Pracitioners, London, UK; Press Release; 3/14/25 The Royal College of General Practitioners' Council has voted to move to a position of neither supporting nor opposing assisted dying being legal. The RCGP UK governing Council - elected representatives of the wider College membership – today voted to determine what the College’s stance should be on whether or not assisted dying should be legal: