Literature Review

St Oswald's Hospice launches 'emotional' portraits exhibition highlighting end-of-life care Chronicle Live, United Kingdom; by Sam Volpe; 5/11/24 An emotional new exhibition has opened highlighting "the bond that doesn't die" when a loved one dies and promoting the care offered by St Oswald's Hospice. Entitled Portraits with Purpose: Continuing Bonds, and created by Fenham artist Leanne Pearce, the exhibition features twelve portraits of people who have received or are receiving palliative and end-of-life care at St Oswald's. Leanne has created the artwork working closely with the families - who have experienced care and support from the charity at the most difficult of times. 

6 ways to cut EHR burdens for physicians AMA - American Medical Association; by Sara Berg, MS; 5/7/24 When Jane F. Fogg, MD, MPH, first became a doctor, patient charts were on paper. She looked forward to the rise of the EHR, believing electronic charting could help modernize the care she provided while also empowering herself and her patients. Funny how things turn out. “EHRs are a source of burnout—we have lots and lots of great evidence that has helped us understand the low usability and the high work burden that it adds to physicians,” Dr. Fogg, senior physician adviser at the AMA. ... Here are just a few ways that health systems and organizations can improve EHR workflows to reduce physician burden.

Maryland becomes sixth state to require salary, wage disclosures in job listings McKnights Senior Living; by Kathleen Steele Gaivin; 5/10/24 Maryland soon will join five other states and the Washington, DC, in requiring employers to disclose salary or wage ranges upfront in job listings. Maryland’s requirement goes into effect Oct. 1. The states of California, Colorado, Hawaii, New York and Washington have similar laws in place, with the requirement expected to go into effect in the nation’s capital, on June 30. ... After a first violation, the employer will receive a warning. Fines for noncompliance range then will range from $300 for the second violation to $600 for subsequent violations. 

Failure is not the opposite of success: it’s part of success. — Arianna Huffington, businesswoman

Nurse practitioners improve skilled nursing's dementia care outcomes, but regulatory barriers remain: studyMcKnights Long-Term Care News; by Josh Henreckson; 5/13/24[Nurse pracitioners'] NPs’ involvement can significantly improve end-of-life care outcomes for residents with Alzheimer’s disease and related dementias (ADRD), according to the results of a new study in JAMA Health Forum. ... Those benefits, however, were shrunk by state regulations on the scope of care NPs are allowed to provide. ...  Elizabeth White, PhD, assistant professor of health services, policy and practice at Brown University [describes,] “For example, when a state restricts NPs from signing Do Not Resuscitate orders, that can serve as a barrier to advance care planning and could contribute to unnecessary hospitalizations at the end of life.” Editor's Note: We posted this JAMA Health Forum article on : Nurse Practitioner care, scope of practice, and end-of-life outcomes for nursing home residents with dementia. 

A Philadelphia pharmacy’s closure after 26 years highlights the industry’s growing challenges Times Daily; by Lizzy McClellan Ravitch, The Philadelphia Inquirerer; 5/11/24Last Monday, Friendly Pharmacy filled 318 prescriptions. For about 100 of them, insurance companies paid the pharmacy less than $3. In 22 instances that day, the reimbursement was less than the cost of the medication. ... [Managing pharmacist Brad] Tabaac plans to close his doors on May 31 after 26 years in business. ... Independent pharmacies like Friendly, as well as some chains, have been pinched by pricing and fees set by pharmacy benefit managers — the companies that handle prescription drug plans for health insurance. The three biggest pharmacy benefit managers are CVS Health, Optum Rx and Express Scripts. They control nearly 90% of the market, according to the National Community Pharmacists Association (NCPA), and some of their parent companies also own pharmacies.

Obie the therapy dog promoted to chief morale officer at North Devon Hospice DevonLive; by Lewis Clarke; 5/10/24 A therapy dog has received his first official promotion after bringing comfort and smiles to patients, families, and staff at North Devon Hospice. Last month, pet therapy dog Obie was awarded the title of chief morale officer in recognition of his work helping patients and loved ones staying on the hospice’s bedded unit to enjoy cuddles and companionship. As well as being popular with those receiving care, Obie is also a welcome visitor for staff at the hospice. 

Life Coordinated Commonwealth Pace holds ribbon cutting Marshall County Daily; by Staff Report; 5/10/24 Life Coordinated Commonwealth Pace held a Ribbon Cutting on Friday morning with special quest Governor Andy Beshear in attendance to launch the Program of All-Inclusive Care for the elderly in Western Kentucky. This is the first of three planned KY Pace centers which provide elders an option for in-home care versus nursing home care.  Life Coordinated Commonwealth Pace will serve qualifying PACE members in a six-county area in Western Kentucky that includes Marshall, Calloway, Graves, Hickman, Fulton and McCracken.

NHPCO and HAN secure significant policy victories in Congress NHPCO; Press Release; 5/10/24This week marked a series of triumphs for the National Hospice and Palliative Care Organization (NHPCO) and its advocacy arm, the Hospice Action Network (HAN), in collaboration with the National Association for Home Care & Hospice (NAHC). Notably, the trade associations spearheaded discussions with the House of Representatives’ Ways and Means Committee, resulting in crucial advancements in telehealth flexibility for hospice care. The passage of the “Preserving Telehealth, Hospital, and Ambulance Access Act” through committee signifies a pivotal moment for the future of hospice care. ...HAN’s meticulous engagement with the Ways & Means Committee staff also successfully thwarted potential cuts, safeguarding the capacity of hospices to provide essential care to vulnerable populations. “With an aging population and escalating demand for end-of-life care, particularly in underserved regions, protecting hospice funding is imperative to guarantee compassionate and dignified care for all individuals in their final days,” said NHPCO COO and Interim CEO, Ben Marcantonio.Notable Mentions: Logan Hoover, NHPCO VP of Policy and Government Relations; Dr. Joseph Shega, Vitas' Chief Medical Officer

Treasury extends Medicare insolvency date, citing savings from home health McKnights Home Care; by Adam Healy; 5/13/24 Medicare insolvency received a five-year extension — and part of the reprieve can be attributed to the cost of home health. Myriad factors, including job growth and low unemployment rate, contributed to the extension. The projections were also partly influenced by home health spending which has been “significantly lower than estimated prior to the pandemic,” according to the Social Security and Medicare Trustees report. “As a result of the recent home health staffing shortages, the trustees continue to consider the spending level for this service to be suppressed,” they said in the report. “Thus, they have increased their home health spending growth factor by 2.9 percentage points in each of the next 3 years.”

Two documentaries could bring attention, not all of it wantedMcKnights Senior Living - Editors' Columns; by Lois A. Bowers; 5/13/24 The past couple of weeks have brought news of two upcoming documentaries that promise to shine a spotlight on senior living, warts and all. One, “Caregiving,” will focus on professional and family caregivers “as the United States’ long-term care system threatens to tip into crisis,” according to public media station WETA. The two-hour film will debut on PBS in spring 2025. No doubt the project will draw attention because one of the executive producers is Bradley Cooper, who was a caregiver to his late father when he had lung cancer. "That was a wake-up call for me, ..." he said ... Another project premieres sooner — [today 5/14], in fact — on Paramount+. Whereas “Caregiving” includes someone famous, “Pillowcase Murders” centers on someone infamous, at least to the readers of McKnight’s Senior Living. The three-part docuseries is about the actions of convicted killer Billy Chemirmir, who was sentenced for two murders and suspected in the deaths of more than two dozen older adults in Texas, most of whom were women residents of senior living communities.

A narrative review of risk mitigation strategies in the management of opioids for chronic pain and palliative care in older adults: interprofessional collaboration with the pharmacist Annals of Palliative Medicine; by Insaf Mohammad, Candice L Garwood, Lisa Binns-Emerick Key content and findings: A variety of risk mitigation strategies to improve safety for older adults using opioids exist. They include risk assessment, tapering opioids, reducing high-risk concomitant medications, utilizing non-opioid therapies, screening for and treatment of opioid use disorder (OUD), toxicology testing, co-prescribing naloxone, utilizing controlled substance agreements, reviewing prescription drug monitoring program data, prescriber and patient education, and collaboration with pharmacists and palliative care specialists.