Literature Review

Finish strong, for Friday is your grand finale, the culmination of a week's worth of dedication and determination. ~ Unknown

Saint Francis Hospital’s Healthy Village creates national social-services healthcare model DelawareLive, Wilmington, DE; by Jarek Rutz; 10/23/24 Saint Francis Hospital hopes a new, unique initiative will be a national model for healthcare. As it celebrates 100 years of service, the hospital is expanding its community outreach to the Wilmington community by launching the Healthy Village at Saint Francis Hospital, which aims to deliver essential social services to those in need. Located in economically challenged neighborhoods, Healthy Villages are designed to enhance the traditional safety net hospital model. “The goal is to create the ultimate one-stop care setting that promotes synergy, diversity, and equity,” said Lillian Schonewolf, executive director of the Healthy Village at Saint Francis, in a YouTube video. Editor's note: See the article we posted yesterday about the importance of community, "Who gets access to a good death?"

SSM Health at Home joins Wisconsin Hospice & Palliative Care Collaborative Hospice News; by Jim Parker; 10/22/24 The home health and hospice provider SSM Health at Home has joined the Wisconsin Hospice & Palliative Care Collaborative (WHPCC). SSM Health at Home is part of the SSM Health System. Headquartered in Missouri, the system also services patients in Illinois, Wisconsin and Oklahoma. WHPCC was incorporated as a 501c3 organization in 2021. The collaborative includes members Agrace, Rainbow Hospice Care, Unity Hospice, Adoray Home Health & Hospice, Hospice Alliance and Sharon S. Richardson Community Hospice. Their combined geographic footprint covers 80% of the state.

Duke Health CFOs' plan to reach 1 in 4 North Carolinians Becker's Hospital CFO Report; by Madeline Ashley; 10/21/24 Since Lisa Goodlett was named senior vice president, CFO and treasurer of Durham, N.C.-based Duke University Health System in March, one of the health system's main goals has been to increase access to the health system from 8% of North Carolina's population to more than 25%. To achieve this, the health system is leveraging technology and looking at expanding partnerships to ensure services are more widely available. ... As Duke Health continues to push expanded care access, the health system has also been in contract negotiations with UnitedHealthcare for the last few weeks regarding 172,000 of its patients.  ... If the parties cannot come to an agreement by Nov. 1, Duke Health's hospitals, facilities and physicians would be out of network for employer-sponsored commercial plans, including UMR and Medicare Advantage plans, including a group retiree and dual special-needs plans.

Retiring NAHC President Bill Dombi exhorts advocates to keep fighting HomeCare; 10/22/24 The departing leader shares his vision for the future of home health & hospice at his final conference. Bill Dombi met his first bully in kindergarten. It only took a day for him to fight back, leaving the bully with a bloody nose and Dombi punished in a corner, the retiring president emeritus of the National Association for Homecare and Hospice (NAHC) said as he bid farewell on the last day of the organization’s annual conference in Tampa, Florida. "I was smiling the entire time—and learning that’s not the way to do it," Dombi told the crowd during his last moments on the convention stage. "You’ve got to go to law school instead." Dombi is retiring at the end of the year and was celebrated throughout this year's event, which was launched under the NAHC title, but actually took place as the National Alliance for Care at Home Home Care and Hospice Conference and Expo after NAHC and the National Hospice and Palliative Care Organization (NHPCO) merged in July. [Click on the title's link to continue reading.]

Palliative care pharmacist discusses how building relationships with patients leads to rewarding career Drug Topics - Voice of the Pharmacist; by Killian Meara; 10/22/24 A discussion with Madison Irwin, PharmD, BCPS, clinical pharmacist specialist in palliative care at University of Michigan Health and clinical assistant professor at the University of Michigan College of Pharmacy. ... Irwin currently works as a clinical pharmacist specialist in palliative care in both inpatient and outpatient settings. She supports a palliative care consult team and outpatient palliative care clinics by seeing patients who are transitioning out of the hospital or patients who have more complex medication management needs. Although there are plenty of challenges that she faces in her practice, Irwin said that really getting to know patients through her work is extremely rewarding. ... In a conversation with Drug Topics, Irwin discussed how her career has unfolded, a program that she worked on that exemplifies the value of pharmacists in patient care, opportunities out there for pharmacists to expand their role, and how high rates of chronic pain will impact the pharmacy profession in the coming years.

Customizing a palliative program to patient, payer priorities Hospice News; by Jim Parker; 10/23/24 While some palliative care programs mirror the hospice model, more operators are working to tailor their services to patients’ specific needs, with varying intensity. This is increasingly important as payment shifts towards value-based payment models in which demonstrating cost savings is crucial to success. Providers need to demonstrate strong performance on quality scores as well as a track record of effectively preventing avoidable hospitalizations, readmissions and emergency department visits. This is particularly the case when negotiating contracts with Medicare Advantage plans, Accountable Care Organizations (ACOs) and other value-based payment arrangements, Sue Lynn Schramm, a partner of the hospice and palliative care consulting company Confidis, LLC, said in a presentation at the National Hospice and Palliative Care Organization Annual Leadership Conference. [Click on the title's link to continue reading.]

Senator Lorraine R. Inouye announces release of $200,000 for Hospice of Hilo Improvements Hawai'i State Senate; 10/22/24Senator Lorraine R. Inouye (District 1 – Hilo, Paukaʻa, Papaikou, Pepeʻekeo) is pleased to announce that Governor Josh Green has released $200,000 in capital improvement project Grant-in-Aid funds for the Hospice of Hilo. ... “This funding will significantly improve the facilities and services at Hospice of Hilo, ensuring they can continue to provide critical care to our community,” said Senator Lorraine R. Inouye. “Supporting organizations like Hospice of Hilo helps build a stronger, more compassionate future for Hawaiʻi ..."

Who gets to access a “good death"? Adelphi University, New York; by Zainab Toteh Osakew and Jennifer McIntosh; 10/23/24Socioeconomically disadvantaged neighborhoods have fewer home hospice agencies, study shows. ... “We know that poorer neighborhoods have continued to lag behind in utilization of hospice care. For decades, scientists have attributed it to cultural values or preferences about care,” said Zainab Toteh Osakwe ’06, PhD, associate professor in the Adelphi University College of Nursing and Public Health and an expert in home healthcare. ... Dr. Osakwe partnered with a geospatial analyst at the University of North Dakota to uncover patterns in the locations of hospice offices. Drawing on information made publicly available by the Centers for Medicare and Medicaid Services, they culled data related to 3,447 hospice providers and 4,584 Medicare-certified hospices nationwide. Next, they geocoded hospice agency addresses to the social vulnerability index (SVI), a measure developed by the Centers for Disease Control and Prevention that geographically ranks at-risk communities. ... Dr. Osakwe and her team found that hospice agency offices were far more likely to be clustered in neighborhoods with greater socioeconomic advantage. Predominantly Black and Hispanic neighborhoods also contained significantly fewer hospice agency offices. While the results align with prior studies on hospice supply and community-level wealth, theirs is one of the first to investigate hospice agency availability by neighborhood.

Everyday moments of grace: Hospice patient’s art brings joy PeaceHealth; 10/22/24 A hospice patient’s room becomes an art studio to create expressions of her life she loves to share with others. A stay at hospice did not stop Sherry McCalden from doing what she loves - creating art and sharing it with others. ... McCalden is a lifelong artist. Her love of painting started in high school. She's been creating works of art ever since. From landscapes to animals to flowers, she paints what inspires her and what she loves. Not much stops her from painting, including Parkinson's disease. For a few months, she was at the PeaceHealth Richard Nau Hospice House in Longview, Washington before her health stabilized and she was relocated to another facility. She transformed her room at Hospice House into an art studio filled with her paintings. A visit brought joy to both visitors and staff.

Meet the Maytown woman whose 'Apple Dumpling Gang' makes 700+ treats for people needing a pick-me-up LNP and Lancaster Online, Lancaster, PA; by Laura Knowles; 10/22/24 ... “One day my father-in-law — we called him Poppy — came home with six apples, and asked if I would make apple dumplings for him,” Goodhart said. “It was such a simple request.” Paul Goodhart loved his apple dumplings so much that it gave his daughter-in-law an idea. She began making apple dumplings for others who needed a sweet pick-me-up. That was 15 years ago. Since then, Goodhart has enlisted help from others, dubbing the group the Apple Dumpling Gang. Just last week, the group of nearly 40 women made 775 apple dumplings for seniors, hospice patients, retirement home residents, shut-ins, cancer patients and anyone who could use the heartfelt blessing of an apple dumpling handmade with love. 

New Feature: Newsletter Archive Hospice & Palliative Care Today; 10/22/24 Do you want to find a past newsletter?