Literature Review

How do enrollees feel about support in Big Hospices? - The caregiver experience of emotional, spiritual, and bereavement support by profit status among large US providersPalliative and Supportive Care; by Jason T Hotchkiss, Emily Ridderman, Brendan T Hotchkiss; 4/24Recent findings narrate profiteering detrimentally impacting hospice care quality. However, no study has examined the caregiver experience of emotional and spiritual support expressed online. The purpose was to evaluate the hospice caregiver's experience of emotional, spiritual, and bereavement support and whether the care was respectful and compassionate to the care unit. ... Compassionate professionals were thanked and praised regardless of profit status. Sadly, anger was expressed toward large, for-profits more fixated on census than emotional, spiritual, and bereavement support; thankfully nonprofits were more supportive.

Chronic loneliness can raise stroke risk in older adults, findings show McKnights Long-Term Care News; by Kristen Fischer; 6/24/24 A new study links loneliness to stroke risk, showing that those who are regularly lonesome have a 56% higher risk for stroke than those who are more socially connected. Situational loneliness wasn’t linked to a higher risk for stroke, which indicates that the stroke risk stems from chronic loneliness. Investigators led by a team from Harvard T.H. Chan School of Public Health published their report Monday in eClinicalMedicine. Research has already linked loneliness to an increased risk for cardiovascular disease. The new report is one of the first to evaluate the association between loneliness and stroke risk.

Navy veteran in hospice care in Stark County made a final birthday wish. It came true. The Repository, Massillon, OH; by Steven M. Grazier; 6/26/24 Robert "Bob" Patterson's final birthday wish came true on Tuesday. He said he wanted it loud, festive and full of life. It appeared to be all that and more. The U.S. Navy veteran has been a Harley-Davidson buff and avid motorcycle rider for 62 years. He's called Rose Lane Nursing & Rehabilitation Center home the past couple of months and is in hospice care. Friday is Patterson's 85th birthday, but his last biker bash was celebrated Tuesday with hundreds of folks, which included family, friends, Rose Lane workers and fellow residents.  He was amped for the festivity. "I'm excited — really pumped up!" Patterson said moments before about 190 motorcycles rolled into Rose Lane.

From nurse to CEO: 2 executives reflect on their paths to the top Becker's Hospital Review - Leadership & Management; by Erica Carbajal; 6/25/24 Throughout their careers, Laureen Driscoll, MSN, RN, and Kathy Tussey, DNP, RN, remained open to change and said yes more often than no, even to opportunities about which they were skeptical or knew would be a challenge. Today, Ms. Driscoll is chief executive of Providence's South Division, which spans 17 hospitals in Northern and Southern California, and Dr. Tussey is CEO of Harrison Memorial Hospital in Cynthiana, Ky. Neither envisioned pursuing a path to the top role when they began their healthcare careers as bedside nurses. ... Hospital and health system CEOs with a background in nursing appear to be few and far between, though the true proportion of nurse CEOs in healthcare is unclear due to a lack of data. Becker's recently caught up with Ms. Driscoll and Dr. Tussey to learn more about their career trajectories and their top pieces of advice for other nurses eyeing a path to the helm. 

HHS to impose penalties on providers that block patients’ health information McKnights Home Care; by Adam Healy; 6/24/24In a bid to promote easier access and exchange of patients’ health records, the Department of Health and Human Services published a final rule Monday outlining penalties for providers that block access to electronic health information. ... Fragmented and inaccessible patient data can prevent long-term and post-acute care providers from seeing the full picture of a patients’ health. Hospitals, for example, are not required to share updates about a patient’s health with the patient’s post-acute care provider. As a result, home health and home care agencies frequently cannot access patients’ electronic health records to help assess and treat patients. Three disincentives: ... First, hospitals that commit information blocking can be subject to a reduction of three quarters of an annual market basket update. Second, clinicians eligible for the Merit-based Incentive Payment System will receive a zero score in the “promoting interoperability performance” MIPS category, which can be equivalent to roughly a quarter of the clinician’s MIPS score in a given year. Lastly, providers that participate in information blocking can have their Medicare Shared Savings Program or Accountable Care Organization eligibility revoked for at least one year. ...Editor's Note: Almost any solution raises additional challenges. How does HIPAA interface with this? How might a cyberattack at a hospital (or other healthcare agency) affect the patients' other agencies, putting them at risk as well?

Hospice charity’s online community ‘at huge risk’ after Meta ban ThirdSector, United Kingdom; by Emily Harle; 4/26/24The charity says it has been unable to fully access to its Facebook and Instagram accounts after the admin was banned for posting a hospice advert.  Lewis-Manning Hospice Care has lost access to its Meta Business Manager account, saying the unexpected ban has left it unable to access analytics, fundraising tools and at risk of losing its entire online community. The charity, which offers palliative care for people with life-limiting illnesses and their families across east Dorset, has been left unable to fully manage its Facebook and Instagram accounts for more than a year after an admin was banned by Meta. Olivia Girling, head of marketing and communications at Lewis-Manning Hospice Care, told Third Sector the ban was imposed on the charity’s former marketing manager’s advertising account, after she posted a fundraising advert. Girling said Meta, which owns Facebook and Instagram, told the charity the ad had “violated community guidelines,” but she insisted it was a “generic hospice marketing post.” When pressed for its reasoning behind the ban, Meta would not give any further explanation, she said.Editor's Note: Click on the title's link for this important information, conflicted outcomes, and horrific bans from being able to manage one's own hospice Facebook and Instagram accounts.

Fixing the hospital-to-home health care transition Home Health Care News; by Andrew Donlan; 6/25/24 The transition between hospital discharge and home health care is often fraught with issues. Unfortunately, it also happens to be one of the most crucial parts of a patient’s care journey. With more sick and complex patients coming into home health care than ever, a swift start of home health care is also arguably more important than ever. ... The Discharge to Assess (D2A) Model was a response to this issue in England. The Supporting Older Adults at Risk (SOAR) program, following a similar framework to D2A, was also recently established in the U.S. A study of SOAR’s results within a pilot program in Pennsylvania was recently published in the Journal for Healthcare Quality.

Nonprofit hospice to add 12-bed inpatient floor at its Colorado Springs headquarters The Gazette, Colorado Springs, CO; by Debbie Kelley; 6/26/24 Pikes Peak Hospice & Palliative Care — which holds the titles of the region’s only nonprofit hospice and the only inpatient provider of end-of-life services — is adding 12 family suites for inpatient care at its headquarters in Colorado Springs. “The benefit of us being able to design something on our own is it removes that hospital-type setting and makes it a homelike experience,” said Andy Petersen, executive director of the Pikes Peak Hospice Foundation, the organization’s separate fundraising arm. “It’s going to be a great service for the community.” The first floor of the organization’s large two-story building at 2550 Tenderfoot Hill St. off Lake Avenue will undergo an $8.5 million renovation and be transformed into an Inpatient Care Center.

'We may not ever be fully staffed': Health system C-suites plan for the future Becker's Hospital Review - Leadership & Management; by Laura Dyrda; 6/24/24 After the pandemic, most healthcare leaders experienced a "great resignation" as workers left for other service industries and ever since health systems have been dealing with a lack of skilled labor to backfill the vacancies. "As we have realized we may not ever be fully staffed to the degree we were pre-COVID, we now must augment our existing workforce with technology that extends their capabilities," said Mark Moseley, MD, president of USF Tampa General Physicians and executive vice president of Tampa General Hospital. "This is a two-part challenge. First, we need to deploy technology thoughtfully with sound blocking and tackling, which is expensive in both time and capital. Second, we must train our workforce to use these new technologies to aid them in their daily responsibilities in a manner that does not diminish the ethos of why many of us went into healthcare: the interactions with patients and members of the healthcare team." Physicians and nurses can fall on a wide spectrum of excitement or distaste for incorporating technology into their practice. Some may find it impersonal and challenging to understand while others see it as a tool boosting their capacity. ... [Click on the title's link to continue reading.]

Project ECHO: 5 years of fostering learning in your community Dartmouth Health; by Connections Magazine and modified for the web; 6/25/24 Teach, teach, learn, learn. That is the model Project ECHO® at Dartmouth Health uses to connect people and their communities in a virtual setting, sharing knowledge between participants and subject matter experts. The program is especially helpful for rural communities seeking expertise on a broad range of health and medical issues. ... ECHO is an acronym for Extension for Community Healthcare Outcomes. ... The past three cohorts of the Palliative Care ECHO have been very successful, and the program content has continued to evolve over time. The sessions have had an average of 70 participants and have received high scores on feedback metrics. Fifty percent of participants were repeat attendees. “Our mission is to improve palliative care throughout our region, and our leadership is committed to the model,” Kathleen Broglio, DNP says. “This was the culmination of what I hoped to do in my career.” Editor's Note: Memorable quote from this article, "“Everyone is a teacher, and everyone is a learner,” says Kathleen Broglio, DNP, associate professor of medicine and a nurse practitioner of palliative medicine. Broglio has co-led the Palliative Care ECHO with Robin Larson, MD, MPH through three courses (cohorts) and with the support of the Project ECHO team at Dartmouth Health.

20 most socially responsible hospitals, per Lown Institute Becker's Hospital Review; by Mackenzie Bean; 6/25/24 Duke Regional Hospital in Durham, N.C., is the most socially responsible acute care hospital in the U.S., according to a June 25 ranking from Lown Institute. The nonpartisan healthcare think tank assessed more than 2,700 acute care hospitals and 800 critical access hospitals nationwide across 54 metrics related to health equity, value of care and patient outcomes. ... The 20 most socially responsible acute care hospitals in the U.S., per Lown Institute: