Literature Review

Saturday newsletters focus on headlines and research - enjoy!

[Canada] Feasibility of prospective error reporting in home palliative care: A mixed methods studyPalliative Medicine; Allison M Kurahashi, Grace Kim, Natalie Parry, Vivian Hung, Bhadra Lokuge, Russell Goldman, Mark Bernstein; 10/24 Palliative care patients may be particularly vulnerable to experiencing errors due to the complex communication among interdisciplinary team members (including the patient and their caregivers), the use of high-risk medications such as opioids and benzodiazepines, polypharmacy, patient frailty, and patient cognitive decline. Care in patients’ homes presents additional challenges to patient care that are unique from hospital settings: Decreased communication about roles and responsibilities in care can result from involvement of multiple care teams and different electronic records. The collaborative nature of care in a home-based palliative care context may present unique challenges to translating error reporting to improved patient safety. Physicians are amenable to error reporting activities so long as data is used to improve patient safety.

Q&A: Prioritizing health equity with Emory Healthcare’s Chief Transformation Office CDW Healthcare - Patient-Centered Care; by Teta Alim; 11/19/24 Most healthcare organizations regularly prioritize goals to improve the patient experience and increase clinician satisfaction, aligning with the Quintuple Aim. Atlanta-based Emory Healthcare created the role of chief transformation officer to focus on these areas, and in July 2023, Dr. Amaka Eneanya became the first to fill the role. ... What would you say were the top three lessons you learned during the first year in your new role? ENEANYA: It's been a great year. For lesson one, as someone coming from a different part of the U.S., ingraining yourself and getting to know the people and the culture of the organization that you’re in, that’s important to determine the change readiness of an organization. ... The second lesson is that change is exciting. There's a lot of trepidation with change, and part of being effective with change management and transformation is really garnering excitement. ... The third lesson that continues to be pervasive in my career is that health equity is poorly understood. ... You have to start with the basic foundation and concepts of health equity before you can make initiatives, otherwise people won't understand what you're doing, and they might have a visceral response to what you're doing because of the misinformation around health equity. 

YoloCares: The case for independenceThe Davis Enterprise; by Craig Dresang; 11/17/24I recently received an email from an individual in Temple Terrace, Fla., informing me that two Northern California nonprofit hospices — with close historical ties to YoloCares — have decided, via affiliation, to turn their keys over to a Florida-based health system that has had no previous presence in California.Publisher's note: Craig Dresang, CEO of YoloCares, goes on to discuss questions and concerns with Chapters Health System's (Tampa, FL) acquisition of Hospice of East Bay (Pleasant Hill, CA), Hospice of Santa Cruz County (Scotts Valley, CA), Nathan Adelson Hospice (Las Vegas, NV), and Willamette Vital Health (Salem, OR). The original story - Chapters Health System launches new Chapters Health West Division - was announced 10/30/24.

3 clear signs to quickly identify someone with good leadership skills: Good leadership in the business world extends beyond hitting targets, increasing revenue, and achieving status. Inc., by Marcel Schwantes; 11/20/24 If you’ve ever had the chance to work under a good leader, you’ve probably noticed something important: They actually care about their people. They’re not just focused on hitting targets or climbing the ladder themselves—they genuinely care about helping their team succeed, both in their current roles and in their long-term goals. For many leaders, this doesn’t come naturally. It’s tough to balance caring for others when you’re under pressure to deliver results and meet expectations. But here’s the thing: Research—and countless stories from top leaders I have interviewed on my podcast—shows that focusing on your people is a game-changer for the success of your business. It’s not just a feel-good approach; it’s smart strategy. ... When leaders consistently show they care and foster the right environment, the positive ripple effects are undeniable. Let’s talk about three clear signs that will tell you someone is fit for leadership:

This New York Times bestselling author cracked the code on transformative leadership Forbes Talks; by Brittany Lewis with Keith Ferrazzi; 11/19/24 Keith Ferrazzi and Forbes reporter Brittany Lewis discuss his new book Never Lead Alone: 10 Shifts from Leadership to Teamship on 'Forbes Talks.' Keith Ferrazzi, a #1 New York Times Bestselling Author of Never Eat Alone, Leading Without Authority, Competing in the New World of Work, and his newest book, Never Lead Alone: 10 Shifts from Leadership to Teamship. Keith is an acclaimed global executive team coach, who stands at the forefront of transformative leadership having coached the transformation of Fortune 500 corporations, the World Bank, fast growth Unicorns and even governments of entire countries. The founder of Ferrazzi Greenlight, Keith spearheads behavioral shifts in leadership and high impact teams, empowering organizations to thrive in the ever-evolving landscape of business. Keith's research can be found in prestigious publications including Harvard Business Review, Forbes, The Wall Street Journal, Fortune, Fast Company, and Inc. Magazine, where his columns serve as valuable insights for business leaders.

Nursing homes with more black residents lag in care goal discussions Medical Xpress; by Columbia University Irving Medical Center; 11/20/24 New research from Columbia University School of Nursing published in the American Journal of Hospice and Palliative Medicine shows that timely goals of care discussions are less likely to take place in nursing homes with a higher percentage of Black residents. These discussions are crucial to ensuring that nursing home residents receive care that aligns with their wishes, postdoctoral research fellow Jung A. "Chloe" Kang, Ph.D. '24, Professor Patricia Stone, Ph.D., and their colleagues note in the report, published online September 15, 2024. But these conversations are often delayed until patients experience life-threatening events, the authors add, which can lead to unwanted therapies and unnecessary hospitalizations. ... 

Empassion achieves $34 million in savings in novel Medicare program serving high needs patients Globe Newswire, New York City; 11/21/24 Empassion Health, Inc., the nation’s largest managed care provider of high-quality end-of-life care for adults living with serious illness so that they can have more good days, today reported near-record results for four Medicare Accountable Care Organizations (ACOs) serving Original Medicare lives in 35 states.  Specifically, Empassion achieved total gross savings of $34.1m in the High Needs Population Track of ACO REACH for Performance Year 2023 while managing a record number of lives – nearly 9,000 across 35 states – in total cost-of care arrangements.  This includes a 50-percent reduction of unnecessary hospital stays.  Empassion also earned the highest quality scores for provider communication and care coordination.  “While we are enormously proud of the $34 million in Medicare savings, more important is that Empassion provided high-quality end-of-life care for adults living with serious illness so that they had more good days,” said Robin Heffernan, the CEO of Empassion. “These outcomes are specific to Empassion and its unique model. ..." 

Hospice a cornerstone of New Day’s 3-pronged growth strategy Hospice News; Holly Vossel; 11/20/24 New Day Healthcare LLC is prioritizing hospice growth in its strategic plans as the home-based care company focuses on improving quality for patients across the care continuum. Texas-based New Day launched in 2020 by a group of former hospice and home health professionals. The organization offers hospice, home health and personal care through several brands. New Day’s three-pronged merger and acquisition approach hinges on culture, quality and clinical excellence, according to CEO and Founder G. Scott Herman. Quality is perhaps the most important driver in a transaction consideration, Herman stated. ... To date, New Day has integrated 11 acquisitions into its pipeline, four of which have involved hospice assets.

Walking pneumonia is booming − and targeting the young and the poor USA Today, Arlington, VA; by John Bacon; 11/20/24 Infections of the bacteria that cause walking pneumonia, a lesser evil of the more serious illness of pneumonia, is seeing a dramatic jump after a lengthy decline that came with the start of the COVID-19 pandemic, health officials say. Most alarming is the sharp increase in children infected with the disease. And, as with COVID-19, the impact of the disease can hit low-income Americans the hardest. The Centers for Disease Control and Prevention said infections from the bacteria that can cause walking pneumonia are common: An estimated 2 million infections occur each year in the United States. However, the true number isn't known, in part because so many people get it without seeking medical help and in part because there is no nationwide reporting system. The infections dropped off during the COVID pandemic but are now booming. Hospital emergency department discharge data from April to October showed an increase in infections of the bacteria among all age groups, according to the CDC.

Agrace closing in-patient care unit in Janesville WCLO, Janesville, WI; by wclonews; 11/19/24 Agrace is no longer accepting patients at its 12-bed hospice care facility on Wright Road in Janesville. After a tough 10 months struggling to recruit enough staff, Agrace made the difficult decision to temporarily close its in-patient hospice care unit in Janesville for an extended period of time. Assistant Vice President of Marketing and Communications Liz Kopling says Agrace is working to find long term solutions to meet Janesville and the Rock County community’s needs. Kopling says Agrace will continue to provide hospice care to nearly 200 Rock County patients in their homes. The closing also won’t affect administrative operations at its Janesville office, or the thrift store on Humes Road. 

Great ideas need landing gear as well as wings. ~ C.D. Jackson