Literature Review

Congress finalizes sweeping bill to help veteran caregivers Military Times; by Leo Shane III; 12/16/24 House lawmakers on Monday finalized a sweeping veterans bill to expand caregiver benefits for elderly and infirm veterans and update medical options for veterans outside the department’s health care system, sending the legislative package to the White House to become law. The legislation was originally passed by the chamber last month but had to be reapproved this week after technical changes were added by the Senate last week. 

[United Kingdom]  'My son died at 24 - now I'm doing his bucket list' BBC News; by Adam Eley and Alison Holt; 12/16/24 Alex Spencer's son Declan - who had Duchenne muscular dystrophy - died last year at the age of 24, and she admits she has still not gone a day without crying. "I think society has a misconception that a carer gets their life back [when a loved one dies]," she said. Declan had drawn up a bucket list but died before he could finish it. Now Alex, who wants to raise awareness of the difficulties disabled people face in getting the right care, is taking up the challenge - including visiting Paris, getting a tattoo Declan designed and taking his adapted van around a famous German race track.

Kno2 and Pennant announce strategic partnership to revolutionize patient care through QHIN services GlobeNewswire - Kno2, Boise, ID; by Kno2; 12/17/24 Kno2, [a company of] healthcare communication, announced today a partnership with The Pennant Group, Inc (NASDAQ: PNTG) to drive automation and innovation to deliver patient care in the home. Under the partnership, Pennant Group, a holding company of affiliated home health, hospice and senior living companies, will join Kno2’s Qualified Health Information Network (QHIN).

How the downfall of the ‘Chevron Doctrine’ could affect hospices in the courts Hospice News; by Holly Vossel; 12/16/24 Recent court rulings have the potential to make significant differences in the landscape of hospice regulatory oversight in coming years, particularly when it comes to audits and the forthcoming Special Focus Program (SFP). In June the U.S. Supreme Court overturned a ruling that in 1984 established the “Chevron Doctrine,” which instructed lower courts to defer to executive branch agencies to resolve ambiguities in laws passed by Congress. The decision marked the end of the practice known as “Chevron deference,” which required that courts must defer to regulatory agencies’ interpretations of “ambiguous” statutes within federal legislation as long as the enforcement activity is deemed “reasonable.” Hospices could potentially see a vastly different outlook in regulatory enforcement activity during a time of tremendous changes already taking place in the industry, [Bryan Nowicki, partner at the law firm Husch Blackwell] said.

15 Important differences to know between leadership and management Forbes - Leadership; by Expert Panel - Forbes Coaches Council; 12/16/24 Understanding the difference between leadership and management is crucial for anyone looking to excel in guiding a team or advance within an organization. While the two terms are often used interchangeably, they involve distinct approaches to motivating people, driving results and achieving goals. Knowing when to lead, when to manage and how to balance the two can make all the difference in one’s professional success. Here, 15 members of the Forbes Coaches Council share their insights to clarify the distinction between leadership and management and explain the difference in their own words.

How UCSF Health is rebuilding an 'instrumental' management layer Becker's Hospital Review; by Kelly Gooch; 12/17/24Middle managers have long played a crucial role in industries across the U.S. However, a November article from global management consulting firm Korn Ferry describes "a disappearing layer of middle management," particularly among professional-service firms that are "delayering" to improve flexibility and responsiveness. ...  [Data] shows that in 2023, middle managers accounted for 31.5% of all layoffs, with an average of 22% between 2018 and 2022. While Mitul Modi, Korn Ferry senior client partner in the firm's global healthcare services practice, said layoffs of managers have occurred at various health systems in 2024, he told Becker's he is not seeing this occur with patient-facing roles. Instead, he has observed an increased emphasis on developing middle managers. ... One example of this is San Francisco-based UCSF Health. ... UCSF Health's efforts center around investing in a management core training program.[Click on the title's link to continue reading.]

Veteran’s body sent across state lines without family’s knowledge USANews.net; by Michael Carter; 12/17/24 In a shocking turn of events, Karen Wandel received a distressing message last year that her father, Libero Marinelli Jr., had passed away over five months earlier in a South Carolina hospital. What came as an even greater shock was the revelation that his body had been sent to be used for medical research without the knowledge of his family. This troubling incident sheds light on the complex and often unregulated practices surrounding the use of unclaimed bodies in the healthcare industry. ... The treatment of Marinelli, a former Army service member entitled to burial in a veterans’ cemetery, underscores the ethical dilemmas surrounding the supply of unclaimed bodies for medical research. Despite widespread acknowledgment of the unethical nature of this practice, it continues to persist due to the healthcare industry’s demand for human specimens and local officials’ struggles with the rising number of unclaimed bodies without next of kin.Editor's note: This demonstrates yet another example of the shocking story that received extensive national network news (and that we posted 9/17/24), "As families searched, a Texas medical school cut up their loved ones." 

Which skills will survive the AI onslaught? National Association of Corporate Directors (NACD), Arlington, VA; by Vivek Sharma and David C. Edelman; 12/17/24 ... Boards and CEOs are inundated with reports projecting doomsday scenarios of job displacement due to AI. For example, according to the World Economic Forum's The Future of Jobs Report 2020, automation and AI are expected to displace 85 million jobs globally by 2025, especially in industries such as manufacturing, data entry, and customer service due to the repetitive nature and predictable processes of these fields. AI is already disrupting many roles hitherto considered firmly within the human domain. ... Irreplaceable Human Dimensions ... In analyzing a wide range of articles on the topic, when a job scores high along any of the following three dimensions, it creates significant hurdles for displacement by AI:

Palliative medicine for the community paramedic Journal of Emergency Medical Services (JEMS) - The Conscience of EMS; by Maurice Paquette; 12/17/24 The role of the paramedic is evolving. ... EMS has become a catch-all, a gateway into a somewhat—if not totally—fractured healthcare system. ... The landscape of healthcare is shifting as well. The pandemic, coupled with the realization of self-care, well-being, and mental health struggles has caused drastic reduction in the number of healthcare workers, and the amount of experience in skills that those healthcare workers carried with them. ... Over the past many years, we’ve seen a push for the idea of the community paramedic, as well as mobile healthcare. The establishment of a community paramedic program, especially in rural areas of the United States, would provide non-emergent care, under expanded scope and under the direction of a physician in the patient’s home.  According to a literature review in the International Journal of Paramedicine, the most common community paramedic program goals are to “aid patients in chronic disease management, reduce emergency department visits, reduce hospital admissions/readmissions, and reduce Healthcare costs.” Editor's note: Pair this with the article we posted yesterday, Characteristics of patients enrolled in hospice presenting to the emergency department.

[Canada] First reading: Hundreds seeking death due to loneliness — inside Canada’s new MAID figures National Post, Toronto, Ontario, Canada; by Tristin Hopper; 12/13/24 [Health Canada has] released the official figures on medical assistance in dying (MAID) deaths in 2023. The Fifth Annual Report on Medical Assistance in Dying in Canada, published on Wednesday, reveals that one in every 20 Canadian deaths is now due to assisted suicide. There were 15,343 total MAID deaths in 2023, the median age ... was 77.7 years, and 622 people received MAID for a non-terminal illness. ... The growth rate [in Canada] remains higher than anywhere else. ... Half of non-terminally ill people applying for MAID report being lonely. When applying for MAID, patients are asked to detail all the types of suffering they’re experiencing in order to determine if their condition qualifies as something “grievous and irremediable” — and thus eligible for death. Health Canada’s report reveals that 47.1 per cent of non-terminally ill Canadians who applied for MAID reported “isolation or loneliness” as one of the causes of their suffering. This was significantly higher than the number of terminally ill applicants who said the same (21.1 per cent).

Teleios announces Teleios University graduates Teleios Collaborative Network (TCN), Hendersonville, NC; by Tina Gentry; 12/16/24 Teleios Collaborative Network (TCN) announced its 2024 Teleios University (TU) graduates. Nine individuals successfully completed the year-long program, earning their certificates in leadership excellence. TU’s Leadership Excellence program is unlike any other. This one-year course is provided through monthly webinars, experiential monthly activities, quarterly challenges and more. It culminates with a capstone project and earns each participant who completes the assignments a certification in leadership excellence. This year’s graduates include the following leaders in the Hospice and Serious Illness Sector:

Stabilizing local hospice and home health services celebrated as a gift at holiday gathering Juneau Empire, Juneau, AK; by Mark Sabbatini; 12/14/24 Heather Richter says she’s optimistic about the long-term prognosis for hospice and home health services in Juneau, a little more than two years after they were on life support when the agency that had provided them for 20 years suddenly shut down and sent officials into a lengthy struggle to establish a new program. Richter, director of the Home Health and Hospice Program at Bartlett Regional Hospital, said 68 families have been participants since the hospital officially took over the program in July of 2023. Funding for the program, a key concern raised this spring due to a massive budget shortfall at the hospital, now appears more stable due to Juneau Assembly members supporting a five-year operating plan and support from the Juneau Community Foundation. “We’re in the clear,” she said during a “Light Up a Life” Community Celebration hosted by the program at the hospital on Friday evening. ...

Palliative care may improve quality of life for stroke survivors and their family members American Heart Association - Stroke News & Brain Health; by Newsroom; 12/16/24 Palliative care ... can help improve quality of life for stroke survivors as well as their family members, according to “Palliative and End-of-Life Care in Stroke,” a new scientific statement published today in the Association’s peer-reviewed scientific journal Stroke. ... The new statement complements the Association’s 2014 Scientific Statement on Palliative and End-of-Life Care in Stroke, which covered core palliative care competencies and skills for health care professionals who treat stroke patients. The statement includes strategies to improve communication about prognosis and goals-of-care, address psychosocial needs such as coping with loss, navigate complex health care systems and prepare for death with end-of-life care when necessary. It also highlights the substantial inequities that exist in palliative care after stroke across sociodemographic and regional characteristics and the need to reduce those disparities.