Literature Review

EPCSO, Hospice of El Paso make dream come true for teen facing terminal illnessABC KVIA; by Tyaun Marshburn; 5/29/24Evan Molina was sworn in Wednesday by El Paso County Sheriff Richard Wiles to be honorary Sheriff of El Paso for the day. Molina is a pediatric patient at Hospice of El Paso. He said he has always wanted to be a sheriff, and today the El Paso County Sheriff's Office and Hospice of El Paso made that wish come true.

4 CEOs share their uncommon - or unpopular - opinionsBecker's Hospital Review; by Kelly Gooch; 5/29/24CEOs shared an unpopular (or uncommon) leadership or healthcare opinion they have. Here are answers collected by Becker's this year.

Telehealth delivers early palliative care as effectively as in-person careAJMC, American Society of Clinical Oncology; by Laura Joszt, MA; 6/2/24 Early palliative care can be delivered via telehealth with equivalent quality-of-life effects as palliative care delivered in person to patients with advanced non–small cell lung cancer (NSCLC), according to late-breaking results presented during [a] plenary session at the 2024 American Society of Clinical Oncology (ASCO) annual meeting. Whether the palliative care was delivered in person or via telehealth, the most common topics discussed during the visit were similar and included building and establishing rapport to create a relationship with the patient and their family, identifying symptoms and grading symptom management, and coping with serious illness, explained Joseph Greer, PhD, codirector of the Cancer Outcomes Research & Education Program at Massachusetts General Hospital Cancer Center and associate professor of psychology in the Department of Psychiatry at Harvard Medical School ...

Dr. Marc Boom confronts the new dynamics of CEO burnoutBecker's Hospital Review; by Kelly Gooch; 5/23/24While the topic of burnout among hospital CEOs is not new, there are new dynamics in play to consider as part of the discussion. Those in the role today encounter increased pressures ranging from financial to operational. "There are new pressures that have emerged in the healthcare delivery world - everything from reimbursement cuts and escalating drug and supply costs, and labor expenses - that have created a lot of financial headwinds for organizations," said Scott Sette, a partner with Chicago-based executive search firm Heidrick & Struggles. "Plus, regulatory changes have forced CEOs to spend more resources on compliance, cybersecurity, EMR administration." Additionally, "there have just been so many workforce challenges. ... Then you have the impact of the remote and hybrid workforce and the impact of that on organizational culture. Plus, you've got many social issues going on. Clearly, [diversity, equity and inclusion] continues to be top of mind, but also you've got political unrest. You have mass shootings. You have gender-affirming care and other social issues that organizations have to address. And all of these topics [have] created even more pressures for hospitals and health systems to deal with, in addition to delivering high-quality care and delivering customer-centric experiences. There is a lot for CEOs to deal with on a daily basis." Marc Boom, MD, has served as president and CEO of Houston Methodist, an eight-hospital system with more than 32,000 employees, since 2012. He acknowledged these pressures in a recent interview with Becker's. He also discussed the prevalence of burnout and shared advice for how leaders can reduce the potential for it.

Great things are not done by impulse, but by a series of small things brought together. - George Eliot

UnitedHealth Group continues to leverage home-based care to drive value-based strategy Home Health Care News; by Robert Holly; 5/30/24 Value-based care has long been a core focus for UnitedHealth Group and its Optum arm. Recently, however, the health care giant has started to view value-based care as a sustainable business model that it can lean into to drive growth across its operations. ... “Although it’s a topic that has been talked about for probably 30 years as a theme, I would say, really, only within UnitedHealth Group and Optum are you seeing value-based care now on a scale and presence [that] allows it to operate truly as a business model,” UnitedHealth Group CEO Andrew Witty said Wednesday, speaking at an investor conference.

Pacs Group CEO calls for caution when dealing with private equityModern Healthcare; by Diane Eastabrook; 5/30/24Do you think private equity is becoming a problem for nursing homes? [Pacs Group Chair and CEO Jason Murray replies] I’m not saying that all private equity is inherently bad, but I do think that if providers are not careful about how the capital is aligned with their mission as a company, then you can get into some dangerous situations. As the company tries to perform, they might not be at the level where the capital partner would like them to be, so the business plan changes. Whenever that business plan changes from patient care to a return on capital, it’s a losing scenario.

I wonder what it would be like to live in a world where it was always June. - L.M. Montgomery

Hospice [of the Sacred Heart Inpatient Unit]] receives $5,000 donationThe Citizens' Voice; 5/30/24 Sherry Cross recently delivered a $5,000 check to the Hospice of the Sacred Heart Inpatient Unit in Dunmore [PA]. The check represents proceeds from the 2nd annual 'Night to Remember' fundraiser in memory of Sherry's sister, Tracy Gototweski. ... "Please accept this donation of $5,000 as a token of our gratitude for all you do. It is an honor to have the opportunity to give back to your wonderful organization. We hope that our efforts will support patients and their families and keep Tracy's star shining bright," Cross said. 

Why and how to integrate early palliative care into cutting-edge personalized cancer care American Society of Clinical Oncology Educational Book; Laura A Petrillo, Katie Fitzgerald Jones, Areej El-Jawahri, Justin Sanders, Joseph A Greer, Jennifer S Temel; 6/24 Although ASCO and others recommend early palliative care for all patients with advanced cancer, widespread implementation of early palliative care has not been realized because of barriers such as insufficient reimbursement and a palliative care workforce shortage. Investigators have recently tested several implementation strategies to overcome these barriers, including triggers for palliative care consultations, telehealth delivery, navigator-delivered interventions, and primary palliative care interventions. ... The strengths of early palliative care in supporting patients' and caregivers' coping and centering decisions on their goals and values remain valuable in the care of patients receiving cutting-edge personalized cancer care.

IntellaTriage and CommonSpirit Health at Home deepen partnership with Homecare Homebase integration KMLK; Press Release; 5/30/24 IntellaTriage, the nation's leading provider of nurse-first hospice and home health triage solutions, and CommonSpirit Health at Home (CSHaH), one of the nation's largest nonprofit healthcare systems, went live with a secure integration between Homecare Homebase and IntellaTriage's triage platform, IntellaHub. Partners since 2022, the companies recognized that a deeper integration of their systems could greatly enhance their shared mission of improving patient and caregiver experiences. Home health and hospice electronic medical records (EMR) often lack interoperability, hindering efficient information exchange and patient care in the field. By breaking down these silos, both companies anticipate improved workflows, eliminated redundancies, and enhanced experiences for patients and field nurses. Editor's Note: This description emphasizes "field nurses." What about field psychosocial team members? Many hospice EMR systems are replicated from medical-centric documentation systems, without relevant fields and practice standards that are user-friendly for your social workers, spiritual care/chaplains, grief counselors, expressive therapists, and more. This editor's statement is not a assessment of this article's deepened partnership and its technology; rather, it is simply an observation and question for hospice leaders, whatever your EMR system.

They sacrificed to care for family and ended up on the street Wisconsin Public Radio; by Kat McGowan; 5/29/24 ... A son or sibling or niece gives up their own apartment or full-time job to look after a relative who needs help. They share expenses, maybe living off of a benefits check. But when that family member passes away or moves to a nursing home, the social security or housing subsidy stops coming. The caregiver is in mourning, out of a job and out of a place to live. “These were folks who had left behind something to go care for mom, and then the bottom falls out,” says Margot Kushel, a homelessness researcher and professor of medicine at University of California, San Francisco. Her team documented this pattern in their intensive surveys and in-depth interviews of older homeless Californians. ... Kushel envisions one brighter possibility. Given the extreme shortage of capable home caregivers, both in California and nationwide, people who have played that role for family could be recruited to do the same job for others, helping to build this essential workforce. “If you’re caregiving for 15 months for your mom, for instance you probably have transferrable skills,” she says.Editor's Note: Pair this with recent articles we posted on 5/30/24, "The real cost of cancer: 49% of patients carry $5K+ in medical debt" and "56 percent willing to dip into retirement savings to be family caregiver: survey."

State Palliative Care Advisory Councils are advancing serious illness care National Academy for State Health Policy; by Ella Taggart; 5/30/24 Twenty-four states have a palliative care advisory council, coalition, or task force created through state legislation or regulation to guide work to support and expand care for those with serious illness. We talked to leaders of active and longstanding councils in Maine, Maryland, and Texas to learn about their creation, impact, and lessons learned for states looking to do the same. ... Learn more about the states that have councils, including their establishment and activity, on NASHP’s Palliative Care Advisory Task Forces Tracker [link provided with the source article].