Literature Review

[Oct 12] 2024 World Hospice and Palliative Care Day community strengthening webinar recording ehospice - Worldwide Hospice Palliative Care Alliance; 9/11/24 On 31 July, the Worldwide Hospice Palliative Care Alliance (WHPCA) launched the World Hospice and Palliative Care Day (WHPCD) 2024 toolkit and resources which are now available in seven languages on the website. The theme for WHPCD is Ten Years Since the Resolution: How are we doing? and this year’s World Day will be on 12 October. World Hospice and Palliative Care Day (WHPCD) is a unified day of action in support of hospice and palliative care. Palliative care is an interdisciplinary caregiving approach that optimises quality of life and mitigates health related suffering among people with very serious illnesses and their carers. WHPCD has been marked every year for the last 18 years. The WHPCA hosted a free WHPCD community strengthening toolkit webinar on 4 September 2024 at 09:00 AM Eastern Time. The purpose of hosting the webinar was to walk you through the toolkit to help you better understand how to use it effectively. Please find the recording of the webinar on the WHPCA website here https://thewhpca.org/world-hospice-and-palliative-care-day/.

Leading the Way: Gilchrist and Franklin Hospice forces in landmark integration Franklin Hospice, Chambersburg, PA; by Karen M. Giffin; 9/9/24 Franklin Hospice and Gilchrist ... have announced an affiliation agreement. This partnership will unite two of Maryland’s oldest and most experienced nonprofit organizations, together with nearly 70 years of service to their communities. As the healthcare landscape continues to transform nationwide, this type of affiliation of two synergistic nonprofit organizations with similar missions, visions, and values will position both organizations for continued growth, innovation and financial strength. ... This strategic affiliation will strengthen their ability to offer compassionate care to more patients and families throughout Central and Southern Maryland, as well as Washington and Frederick Counties and South-Central Pennsylvania. Both organizations will retain their name and branding while offering a unified approach to care. 

National Partnership for Healthcare and Hospice Innovation Fierce Pharma - Special Report: The Fierce 50 of 2024 - Innovation Honorees; by Fraiser Kansteiner; distributed 9/10/24 With an aging population and shifting healthcare environment, providing proper, personalized care for the U.S.’ most vulnerable patients can be a challenge.That’s why Tom Koutsoumpas, one of the masterminds behind the National Partnership for Healthcare and Hospice Innovation (NPHI), has been working to continually improve hospice and palliative care across the nation for decades. ... The goal, he explained in an interview with Fierce, was to "become the national voice for the future of hospice, palliative care, and advanced illness care." Through its efforts, NPHI seeks to work in tandem with its network of nonprofit community programs to help them innovate, thrive into the future and continue to evolve in the ever-changing U.S. healthcare system, Koutsoumpas said. While local hospice and palliative care groups exist to tackle many of these same goals, “programs in the community have no scale,” Koutsoumpas explained. “They have no opportunity to work from scale to address cost issues, rising costs, changes that occur.” In turn, NPHI was founded to help bring those programs together while allowing them to retain their identities as discrete, local providers. Editor's note: NPHI is a sponsor for our newsletter. 

Too Much, Too Little, Just Right: Optimizing cancer care for older adults The ASCO Post, American Society of Clinical Oncology; by Ramy Sedhom, MD; Bobby Green, MD; and Julia  Frydman, MD, MS; 9/10/24 Imagine walking into a fancy restaurant only to find a menu consisting mostly of kids’ dishes. It would make no sense. Just 25% of restaurant diners are younger than age 12, and they rarely write Yelp reviews. But when it comes to cancer treatment, this is not very far from what we do. The median age for a new cancer diagnosis is 67, and among those who die of cancer each year, 73% are older adults. Yet just one in four clinical trial participants is aged 70 or older. Consequently, guidelines for most new cancer therapies are based on a median age that is significantly younger than the patient population who actually receives these therapies. That’s quite a conundrum. More than half of patients older than age 65 experience toxicity of grade 3 or worse while undergoing standard chemotherapy. ... Palliative Care—For a 40-year-old mother of two young children, the goal of cancer treatment is usually clear: complete remission and long-term survival. But when you ask older patients with cancer about their priorities, a majority regard symptom control, emotional coping, and other quality-of-life measures at least as much as longevity and sometimes more.

CHCF unveils palliative care mural California Department of Corrections and Rehabilitation (CHCF); by Lt. M. Orozco; 9/9/24 California Health Care Facility (CHCF) staff joined the incarcerated population and outside stakeholders to unveil the palliative care mural Aug. 23. Warden Gena Jones had a vision to normalize CHCF’s environment, making it more appealing for the incarcerated population and staff to enjoy while working. The vision consists of murals being painted throughout the institution with this mural setting the path for many more to come. In April 2024, incarcerated artists Issac Sinsun, Antiono Garcia, Loreto Arizpe, and Francsico Olivares started the palliative care mural. Little did they know it was the start to a new beginning. With the combined efforts of the four artists, the mural took 81 days and about 2,268 hours to complete. The ideas for the artwork were a combined effort from custody and medical staff as well incarcerated population within the housing unit. [Click on the title's link to see photos.]

CMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states Hospice News; by Jim Parker; 9/10/24 The U.S. Centers for Medicare & Medicaid Services (CMS) is expanding its enhanced oversight for new hospices in fraud-ridden states, including California, Nevada, Arizona and Texas. The agency in July 2023 first announced a “provisional period of enhanced oversight” for new hospices in those states. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. “To combat fraud, waste, and abuse under the hospice benefit, CMS will expand prepayment medical review this September in Arizona, California, Nevada and Texas,” the agency indicated in a statement. “To help reduce burden on compliant providers, initial review volumes will be low and adjusted based on results. If you’re noncompliant, we may implement extended review or take additional administrative actions.” 

Mental health jobs to grow 3X more than the rate of all US jobs Becker's Hospital Review; by Erica Carbajal; 9/9/24 By 2033, employment growth in mental health professions is expected to triple that of average job growth in the U.S., according to a CNN analysis of data from the Bureau of Labor Statistics. While the median projected employment growth for all occupations across the next decade is 4%, the rate for mental health-related jobs is 12%. This includes psychiatrists, psychologists, therapists, counselors, psychiatric aids and social workers, according to CNN's report published Sept. 7. Editor's note: Too often, mental health health jobs in hospice and palliative care are relegated to low status on priorities for staffing, instead of the regulatory high priority for "whole-person" care defined throughout the CMS Hospice Conditions of Participation. As significant changes continue to unfold for hospice and palliative services, we will continue to report trends and shifts that emerge in the healthcare landscape for mental health jobs.  

Blue Ridge Hospice expanding mission to serve people better, sooner The Winchester Star, Winchester, VA; by Brian Brehm; 9/9/24 “We’re calling this a year of transformation,” said Jason Parsons, who was named CEO of the Winchester-based nonprofit in December. “Blue Ridge has been around for 43 years and this year, 2024, we’re transforming ourselves into Blue Ridge Care, which includes Blue Ridge Hospice, Blue Ridge Independence at Home — which is our PACE (Program of All-Inclusive Care for the Elderly) program — Blue Ridge Palliative Care Services and our eight thrift shops.” It’s a sweeping change for an organization that most people only associate with end-of-life care. Parsons ... said Blue Ridge Care will continue to provide graceful exits for patients in the final chapter of their lives, but it will also expand its focus to improve the quality of life for seniors who still have a lot of stories to tell.

On a culture of physician leadership development Forbes; by Leon E. Moores, MD, DSc, FACS; 9/9/24 ... How do we create a culture of continuing physician leadership development? Over a decade ago, I was tasked with answering this very question. As a senior army surgeon, I approached the two-star general in the Army Medical Corps. I asked if I could put together a comprehensive program for physician leadership development for the 4200+ doctors in the US Army. ... We concluded that four distinct LOEs (lines of effort) needed development and implementation to create a culture of physician leadership. These LOEs, it turns out, are just as applicable in civilian healthcare as they were in the armed forces.

Rita and Alex Hillman Foundation announces $500,000 in funding for nine projects to improve serious illness and end of life care Globe Newswire; by Rita & Alex Hillman Foundation; 9/10/24 The Rita and Alex Hillman Foundation ... announced nine grants to support innovative, early-stage interventions that address the serious illness and end of life needs of marginalized populations. The $500,000 in funding, part of a collaborative effort with The Arthur Vining Davis Foundations, will advance nursing-driven initiatives that improve care for diverse populations and expand access to high-quality end of life services. ... This year’s grants demonstrate a commitment to the design, development, and delivery of better and more equitable care. The 2024 HSEI grant recipients are:

2024 NHPCO Facts and Figures Report now available National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/10/242022 Data Show First Increase in Hospice Utilization Rates Since COVID The National Alliance for Care at Home (the Alliance) published the 2024 edition of National Hospice and Palliative Care Organization (NHPCO) Facts and Figures, an annual report on key data points related to the delivery of hospice care, including information on patient characteristics, location and level of care, Medicare hospice spending, and hospice providers. Facts and Figures – the leading resource for hospice providers and others interested in understanding the work of the community – has been published annually for over two decades by NHPCO. ... The findings in this report reflect patients who received care in Calendar Year (CY) 2022, or Fiscal Year (FY) 2022, provided by hospices certified by the Centers for Medicare and Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. This year COVID-19 continued to impact patient care as COVID-19 waivers were still in place through May 2023. These waivers included increased telehealth services. With 49.1% of all Medicare decedents in 2022 choosing hospice care, utilization of hospice increased in 2022 for the first time since 2019. The increase hints at a normalization of the utilization rates back to pre-COVID data. Hospice utilization rates increased across all race and ethnicity groups, with the largest increase among Hispanic Medicare beneficiaries seeing. The total number of beneficiaries enrolled in hospice care in 2022 was 1.72 million. Due to the unique impact of COVID-19 on 2020 data, those data are not included in many of the charts this year.

One healthcare job poised for the greatest shortage Becker's Hospital Review; by Molly Gamble; 9/6/24 Nursing assistants face the greatest projected deficit over any other analyzed healthcare occupation, with a projected shortage of more than 73,000 assistants nationwide by 2028. The forecast comes from Mercer, which projects a nationwide shortage of more than 100,000 healthcare workers by 2028. The need for nursing assistants is expected to be greatest, with only 13 states expected to meet or exceed future demand. "The projected supply of nursing assistants — an occupation that constitutes 8% of the total US healthcare workforce and 40% of healthcare support occupations in 2023 — is discouraging," Mercer consultants wrote in their Aug. 29 report, "Future of the U.S. Healthcare Industry: Labor Market Projections by 2028."

To fly, we have to have resistance. ~ Maya Lin