Literature Review

[Opinion] Public health’s spirituality disconnect Harvard Public Health; by Katelyn N.G. Long, David H. Rosmarin, and Howard K. Koh; 9/10/24The separation of church and state has long represented a hallowed legal principle. As a result, perhaps, the field of public health has often divorced itself from spirituality—to the detriment not only of the diverse populations we serve but also of ourselves. ... Our team from the Harvard Initiative on Health, Spirituality and Religion studies ways to bridge the public health disconnect between body and soul. As part of our commitment to research and practice, we worked in 2022 alongside several dozen colleagues nationwide to analyze the most rigorous studies published on the topic this century and to make recommendations for the future. ...

The psychological impact of inclusive leadership Psychology Today; by Priya Nalkur Ed.D; 9/9/24 Here's how empathy can drive organizational success. Key Points:

Make it a September to remember. ~ Anonymous

Half of home care workers have seen, experienced workplace violence, report findsMcKnight's Home Care; by Adam Healy; 9/10/24The majority of home care workers have had a brush with workplace violence or harassment, so addressing these dangers can yield significant positive impacts for providers and their staff. That’s according to a new report on home care workplace safety by Transcend Strategy Group. More than 50% of home-based care workers have witnessed or experienced at least one incident of workplace violence or harassment, the report found. About 1 in 5 reported having seen at least seven instances of violence or harassment while on the job. Certified nursing assistants, registered nurses and physician assistants were the most likely groups to be subject to workplace dangers.

Living your best life means embracing the last years, too UCSF - The University of California - San Francisco; by Suzanne Leigh; 9/9/24 UC San Francisco is working with nonprofits that serve seniors and patients with serious medical conditions to raise awareness about palliative care and advance care planning. The partnerships are the result of a collaboration between the UCSF Division of Palliative Medicine and the San Francisco Palliative Care Work Group (PCWG), which is working to address inequities among communities of color in accessing palliative care and advance care planning.

Tennessee health-care company enters Triad with acquisition of White Oak of Burlington Triad Business Journal; by David Hill; 9/11/24 National Healthcare, a publicly traded company from Nashville, acquired Alamance County facility as part of larger purchase of senior living centers. ... It also has three behavioral health hospitals, 34 homecare agencies and 30 hospice agencies, in addition to Alzheimer’s and memory care units and related operations. ... [Additional subscription may be required.]

[Oct 12] 2024 World Hospice and Palliative Care Day community strengthening webinar recording ehospice - Worldwide Hospice Palliative Care Alliance; 9/11/24 On 31 July, the Worldwide Hospice Palliative Care Alliance (WHPCA) launched the World Hospice and Palliative Care Day (WHPCD) 2024 toolkit and resources which are now available in seven languages on the website. The theme for WHPCD is Ten Years Since the Resolution: How are we doing? and this year’s World Day will be on 12 October. World Hospice and Palliative Care Day (WHPCD) is a unified day of action in support of hospice and palliative care. Palliative care is an interdisciplinary caregiving approach that optimises quality of life and mitigates health related suffering among people with very serious illnesses and their carers. WHPCD has been marked every year for the last 18 years. The WHPCA hosted a free WHPCD community strengthening toolkit webinar on 4 September 2024 at 09:00 AM Eastern Time. The purpose of hosting the webinar was to walk you through the toolkit to help you better understand how to use it effectively. Please find the recording of the webinar on the WHPCA website here https://thewhpca.org/world-hospice-and-palliative-care-day/.

Why so many patients are confused about CPR and do-not-resuscitate orders STAT; by Lindsey Ulin; 9/11/24 Inherently difficult conversations are made more so by a lack of physician training. When a patient is admitted to the hospital in the U.S., there’s a standard question physicians like me are supposed to ask: “If your heart stops beating, do you want us to do CPR?” On the surface, this may seem like a mechanic asking a customer, “If your car stalls, do you want us to jumpstart the engine?” Who would say no to this, especially in a hospital? The problem is that this exchange, which we call asking about “code status” in medicine, centers around a closed-ended question. Talking to a patient about their preferences for cardiac resuscitation, intubation, and/or other life-sustaining treatments needs to be a complete, often lengthy discussion, not just a box to check. ...

Leading the Way: Gilchrist and Franklin Hospice forces in landmark integration Franklin Hospice, Chambersburg, PA; by Karen M. Giffin; 9/9/24 Franklin Hospice and Gilchrist ... have announced an affiliation agreement. This partnership will unite two of Maryland’s oldest and most experienced nonprofit organizations, together with nearly 70 years of service to their communities. As the healthcare landscape continues to transform nationwide, this type of affiliation of two synergistic nonprofit organizations with similar missions, visions, and values will position both organizations for continued growth, innovation and financial strength. ... This strategic affiliation will strengthen their ability to offer compassionate care to more patients and families throughout Central and Southern Maryland, as well as Washington and Frederick Counties and South-Central Pennsylvania. Both organizations will retain their name and branding while offering a unified approach to care. 

National Partnership for Healthcare and Hospice Innovation Fierce Pharma - Special Report: The Fierce 50 of 2024 - Innovation Honorees; by Fraiser Kansteiner; distributed 9/10/24 With an aging population and shifting healthcare environment, providing proper, personalized care for the U.S.’ most vulnerable patients can be a challenge.That’s why Tom Koutsoumpas, one of the masterminds behind the National Partnership for Healthcare and Hospice Innovation (NPHI), has been working to continually improve hospice and palliative care across the nation for decades. ... The goal, he explained in an interview with Fierce, was to "become the national voice for the future of hospice, palliative care, and advanced illness care." Through its efforts, NPHI seeks to work in tandem with its network of nonprofit community programs to help them innovate, thrive into the future and continue to evolve in the ever-changing U.S. healthcare system, Koutsoumpas said. While local hospice and palliative care groups exist to tackle many of these same goals, “programs in the community have no scale,” Koutsoumpas explained. “They have no opportunity to work from scale to address cost issues, rising costs, changes that occur.” In turn, NPHI was founded to help bring those programs together while allowing them to retain their identities as discrete, local providers. Editor's note: NPHI is a sponsor for our newsletter. 

Too Much, Too Little, Just Right: Optimizing cancer care for older adults The ASCO Post, American Society of Clinical Oncology; by Ramy Sedhom, MD; Bobby Green, MD; and Julia  Frydman, MD, MS; 9/10/24 Imagine walking into a fancy restaurant only to find a menu consisting mostly of kids’ dishes. It would make no sense. Just 25% of restaurant diners are younger than age 12, and they rarely write Yelp reviews. But when it comes to cancer treatment, this is not very far from what we do. The median age for a new cancer diagnosis is 67, and among those who die of cancer each year, 73% are older adults. Yet just one in four clinical trial participants is aged 70 or older. Consequently, guidelines for most new cancer therapies are based on a median age that is significantly younger than the patient population who actually receives these therapies. That’s quite a conundrum. More than half of patients older than age 65 experience toxicity of grade 3 or worse while undergoing standard chemotherapy. ... Palliative Care—For a 40-year-old mother of two young children, the goal of cancer treatment is usually clear: complete remission and long-term survival. But when you ask older patients with cancer about their priorities, a majority regard symptom control, emotional coping, and other quality-of-life measures at least as much as longevity and sometimes more.

If we learn nothing else from this tragedy, we learn that life is short and there is no time for hate. ~ Sandy Dahl, wife of Flight 93 pilot Jason DahlEditor's note: Read this again, especially in today's context. And, I thank our 2001 hospice organizations for the immeasurable ways they supported communities through this uncharted public tragedy, grief, and fear that affected us all. Of note, Hospice of Lancaster County (now Hospice & Community Care, Lancaster, PA) supported the families and community of the Shanksville Flight 93 crash through their bereavement leader Patti Holman- Anewalt, PhD.  She served as the founder and former director of their Pathways Center for Grief and Loss, and Bereavment section leader for NHPCO's Bereavement Professionals. From her trauma/grief expertise, Dr. Holman-Anewalt was also a disaster mental health specialist with the American Red Cross. Patti spent 2 weeks as an expert first responder in Shanksville supporting families at the crash site, with them at the morgue for body identification, and much more through that first year and those early annual remembrances. To my hospice colleague Patti, and to countless others, "Thank you!" To the heroes of Flight 93 and other 911 site, we offer a deeply reflective, profound "Thank you."

CMS to expand ‘enhanced oversight’ to combat hospice fraud in 4 states Hospice News; by Jim Parker; 9/10/24 The U.S. Centers for Medicare & Medicaid Services (CMS) is expanding its enhanced oversight for new hospices in fraud-ridden states, including California, Nevada, Arizona and Texas. The agency in July 2023 first announced a “provisional period of enhanced oversight” for new hospices in those states. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. “To combat fraud, waste, and abuse under the hospice benefit, CMS will expand prepayment medical review this September in Arizona, California, Nevada and Texas,” the agency indicated in a statement. “To help reduce burden on compliant providers, initial review volumes will be low and adjusted based on results. If you’re noncompliant, we may implement extended review or take additional administrative actions.”