Literature Review

Mayo Clinic Minute: Creating an advance directive for your future well-being

Goals of care among patients with advanced cancer and their family caregivers in the last years of life JAMA Network; by Semra Ozdemir, PhD; Isha Chaudhry, MSc, Chetna Malhotra, MD; et al; 4/11/24 Conclusions and Relevance: In this cohort study of patient-caregiver dyads, findings suggested the importance of interventions aimed at reducing discordance in goals of care between patients and caregivers and helping them develop realistic expectations to avoid costly, futile treatments.

Potential CMS measure shows divide over quality training standards Modern Healthcare, by Mari Devereaux; 4/12/24 Hospitals may soon be required to provide set quality training to staff as part of a Medicare reporting program, but health systems and advocacy organizations are split on whether the standardization of quality-related skill sets is necessary to improve patient care.

‘Are nursing homes our only option?’ These centers offer older adults an alternative. Rhode Island Current, by Anna Claire Vollers; 4/12/24PACE centers attract bipartisan interest and, in some states, scrutiny. ... PACE (Program of All-Inclusive Care for the Elderly) centers provide government-funded medical care and social services to people older than 55 whose complex medical needs qualify them for nursing home care, but who can live at home with the right sort of help. ... Nationally, PACE centers are owned by a variety of health care organizations, including nonprofits, for-profit companies, large health care systems and religious organizations. ... [The] explosive growth has come with challenges ...

Oaks sells nursing home to national operator The Times and Democrat, by Gene Zaleski; 4/13/24 The Oaks Healthcare, the nursing home segment of The Oaks of Orangeburg (SC), has sold its nursing home services to Cascade Capital Group, a Skokie, Illinois-based private health care real estate investment and asset management firm. ... The Oaks will become PACS' 25th nursing home in the state and will join over 220 other nursing homes that PACS operates throughout the country. ... [The Oaks of Orangeburg manager] Clay Fowler said the changes will enable a greater focus on the PACE program. The program was rebranded as the Orangeburg Senior Helping Center-A PACE Healthcare Program in February 2022.

2 federal bills look to boost pipeline of healthcare workers McKnights Senior Living, by Kathleen Steele Gaivin; 4/12/24 Bills introduced in both houses of Congress may bolster the healthcare workforce if they become law. Both pieces of legislation are supported by LeadingAge. The bicameral Welcome Back to the Health Care Workforce Act is meant to address the shortage of healthcare workers across the country. Specifically, the legislation would help internationally educated healthcare workers overcome barriers to working in the United States ...

Medical marijuana program enrollments up 500% from 2016 to 2022 Green Market Report, by John Schroyer; 4/11/24The increase was partially due to a rise in mainstream "cultural acceptance of cannabis" and corresponding interest in medical uses. A new federally funded report that tallied medical marijuana patient statistics from across the country found a dramatic increase of registered cannabis patients over a seven-year period, from roughly 678,000 in 2016 to more than 4.1 million at the end of 2022.

Expanding perinatal palliative care, hospice Hospice News, by Holly Vossel, 4/10/24A lack of trained staff and evolving health laws are among the leading barriers to expanding perinatal palliative and hospice care among underserved populations. ... Mistrust and fear of discrimination are among the common barriers, along with social determinants of health such as insurance coverage, socioeconomic status and transportation, according to recent analysis from researchers at the Morehouse School of Medicine’s Department of Obstetrics and Gynecology.

New DOJ rules for online healthcare content make sure seniors aren’t taken offline McKnights Senior Living, by Aaron Dorman; 4/11/24The Department of Justice took steps earlier this week to help make sure old adults have appropriate access to valuable web content they need for understanding important healthcare and coverage decisions. State and government agencies, such as the Centers for Medicare & Medicaid Services, must abide by new technical standards, according to a new DOJ rule signed Monday [4/1/24]. “Just as stairs can exclude people who use wheelchairs from accessing government buildings,” the official rule states, “inaccessible web content and mobile apps can exclude people with a range of disabilities from accessing government services.” The technical requirements of the rule are extensive — the updated document is almost 300 pages long — but the overall purpose is to instruct agencies on their obligations to account for possible disabilities.

Half a century and 4 million meals haven’t slowed down this long-term care culinary king McKnights Long-Term Care News, by Josh Henreckson; 4/10/24For almost as long as there has been a Buena Vista Care Center in Santa Barbara, CA, Miguel Pulido has been there — making sure the residents of the nursing home are fed and happy. Pulido is fast approaching his 50th anniversary on the job, and the residents and staff at Buena Vista couldn’t help but celebrate. ... Buena Vista is a 150-bed facility with twice-daily mealtimes for residents. Its leaders estimate that Pulido has served around 4 million meals during his career.

AI in palliative and end-of-life care: "How new technology makes us feel is important" Marie Curie, by Dr. Ami Nwosu, Research Lead at the Marie Curie Hospice, Liverpool, UK; 4/11/24... People who require palliative and end of life care require specific physical, emotional, psychological and social needs, which requires holistic assessment and support. Although there are more opportunities to use AI technologies in palliative care, there may be concern from family caregivers that technology may be unable to provide the person-centered, human connection which may be desired when people are at their most vulnerable.

Village Hospice hosts Vietnam Veteran’s Breakfast CBS KCTV 5, Kansas City, MO; 4/10/24 Village Hospice provides many services to support their residents, including ways to honor their residents that are veterans. Jillian hears about a recent Vietnam Veterans’ Breakfast and how it celebrated Veterans living at John Knox Village. 

$1 billion Medicaid shortfall leads to waiting list for HCBS McKnights Senior Living, by Kimberly Bonivssuto; 4/12/24An almost $1 billion shortfall in Indiana’s Medicaid program is fueling the implementation of a waitlist for the state’s home- and community-based services waiver program.  ... Last week, the [Family and Social Services Administration] FSSA announced that it was implementing a waiting list after the A&D waiver program reached maximum capacity. Overall, strategies the agency outlined to reign in spending are expected to have a $300 million impact over the biennium.