Literature Review

The benefits of integrating palliative care into home-based care programs Home Health Care News, by Patrick Filbin; 3/18/24 Navigating new service lines can be daunting, especially when integrating palliative care into existing service lines. Yet, as some providers can attest, embracing change can also yield significant benefits. ... “It’s easier to remain in your own silo,” Tiffany Hughes, COO PalliCare Inc., said at the Hospice News/Palliative Care News Palliative Care Conference in Tampa, Florida. “I saw that [mindset] coming from hospice where it’s the perfect model of care because you control everything. When you start adding in different elements and add more hands into the pot, it gets more complicated.” Providers who are integrating more models of care into their operations are showing that – in general – the juice is worth the squeeze.

Signs of end-stage Parkinson's disease Medical News Today; Medically reviewed by Heidi Moawad, MD, by Meara Withe; 3/18/24... Understanding the signs of end-stage Parkinson’s disease is crucial for patients, caregivers, and healthcare professionals alike. This article explores the physical health, mental health, and emotional dimensions of end-stage Parkinson’s, shedding light on what to expect and how to provide compassionate care during this demanding phase. Editor's Note: Hospice and palliative non-medical interdisciplinary team members need to understand disease-specific factors related to the patient's experience and the family caregiver's challenges. These include social workers, chaplains, counselors, and caregiver-oriented volunteers.  

Legendary healthcare researcher John E. Wennberg, who shaped efforts to reform the nation’s healthcare system, dies at 89Dartmouth Geisel School of Medicine, by Susan Green; 3/18/24John E. (Jack) Wennberg, MD, MPH, founder and director emeritus of The Dartmouth Institute for Health Policy and Clinical Practice, the Peggy Y. Thomson Professor in the Evaluative Clinical Sciences Emeritus at the Geisel School of Medicine, and founding editor of the Dartmouth Atlas of Health Care, died March 10, 2024. He was 89 years old. “His work pioneered a field that has grown into an entirely new academic discipline in medicine,” Duane Compton, PhD, Geisel School of Medicine dean, says. ... Wennberg focused on improving decision quality by combining better clinical evidence with informed patient preferences. The introduction of shared decision-making between clinicians and patients to preserve warranted variation due to patient preferences is now embedded in health policies across the globe.

CMS.gov: ACO Primary Care Flex ModelCMS.gov; 3/19/24The ACO Primary Care Flex Model (ACO PC Flex Model) is a voluntary model that will focus on primary care delivery in the Medicare Shared Savings Program (Shared Savings Program). It will test how prospective payments and increased funding for primary care in Accountable Care Organizations (ACOs) impact health outcomes, quality, and costs of care. The flexible payment design will empower participating ACOs and their primary care providers to use more innovative, team-based, person-centered and proactive approaches to care. The model, which starts January 1, 2025, aims to grow participation in ACOs and the Shared Savings Program and increase the number of people with Medicare in an accountable care relationship.

Becker's Hospital Review, by Alexis Kayser; 3/29/24 Last year, hospital CEO turnover hit a record high, placing additional strain on many health systems' unstable foundations. In March, Becker's connected with healthcare leaders at prominent executive search and consulting firms to learn where this trend stands. ... [This article examines:]

SNFists found to reduce ‘burdensome’ end-of-life care McKnights Long-Term Care News, by Josh Henreckson; 3/18/24 Advanced practice clinicians who specialize in skilled nursing care help reduce the use of unnecessary care at end of life, according to new study results released Friday in JAMA Network Open. These physicians, nurse practitioners and physician assistants — who provide at least 80% of their evaluation and care visits in nursing homes — were referred to collectively as “SNFists” by the report authors. They reduced the burdensome care transitions that many residents face, benefiting both caregivers and their patients, the study confirms.

Improvements in Interdisciplinary Communication Following the implementation of a standardized Handoff Curriculum: SAFETIPS (Statistics, Assessment, Focused Plan, Pertinent Exam findings, to Dos, If/Thens, Pointers/Pitfalls, and Severity of Illness) Cureus, by Shaefali Shandilya and Justen M. Aprile; 3/18/24 Handoffs between medical providers serve a crucial patient safety function. While most published literature on the topic studies the handover process among physicians, robust literature is available on interdisciplinary medical communication. Little is known about the downstream effects of effective physician handover on subsequent physician and nursing interactions. ...Results: Statistical analysis revealed significant post-intervention mean score increases of one full point in four categories, namely organization and efficiency, communication, content, and clinical judgment.

For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans − especially at midsize chains that dodge public scrutinyThe Conversation, by Sean Campbell and Charlene Harrington; 3/14/24 ... Overall, private-equity investors wreak havoc on nursing homes, slashing registered nurse hours per resident day by 12%, outpacing other for-profit facilities. The aftermath is grim, with a daunting 14% surge in the deficiency score index, a standardized metric for determining issues with facilities, according to a U.S. Department of Health and Human Services report.The human toll comes in death and suffering. A study updated in 2023 by the National Bureau of Economic Research calculated that 22,500 additional deaths over a 12-year span were attributable to private-equity ownership, equating to about 172,400 lost life years. The calculations also showed that private-equity ownership was responsible for a 6.2% reduction in mobility, an 8.5% increase in ulcer development and a 10.5% uptick in pain intensity.

For-profit nursing home owners rebut report that left few untarnished McKnights Long-Term Care, by Kimberly Marselas; 3/18/24 A brutal takedown of private nursing home ownership published last week included both pointed and widespread attacks on the role of for-profit companies in the sector, adding to stakeholders’ fears that negative characterizations will stymie much-needed future investment. ... However, what the article failed to highlight, providers and their representatives pointed out to McKnight’s Long-Term Care News Friday, are the investments many for-profits providers are pouring into quality and innovation efforts in a field with historically low margins — margins that they said dried up during the pandemic’s crisis days.Editor's Note: See the original article (posted above this summary) this article rebuts, "For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans - especially at midsize chains that dodge public scrutiny."

Hospice prepares to thank Vietnam era vetsMid Hudson News; 3/17/24In early 2017, Congress passed the Vietnam War Veterans Recognition Act, establishing March 29 as National Vietnam War Veterans Day.  The holiday is also known as “Welcome Home Vietnam Veterans Day” and in honor of those who served during the Vietnam era, the Hospice of Orange & Sullivan Counties will host its fourth annual “Thank You” and Memorial Ceremony on March 29 at 10 a.m. at the Cornwall Yacht Club. Hospice of Orange & Sullivan Counties is a community partner of “We Honor Veterans,” a campaign developed by the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs.Editor's Note: Click here for information about March 29th, National Vietnam War Veterans Day.   

[UPDATED] Skilled Nursing giant PACS Group files for IPO as it looks to expand footprint Skilled Nursing News, by Zahida Siddiqi; 3/14/24 PACS Group filed for an initial public offering with the Securities and Exchange Commission on Wednesday, citing focus on growth plans in its filing. ... The Farmington, Utah-based PACS Group is one of the largest skilled nursing providers with more than 200 nursing facilities across nine states and serves over 20,000 patients daily. It plans to list on the NYSE under the symbol PACS. 

Healthcare hit hardest by ransomware last year, FBI IC3 report shows HealthITSecurity, by Jill McKeon; 3/12/24 The healthcare sector suffered more ransomware attacks than any other critical infrastructure sector last year, according to complaint data examined in the Federal Bureau of Investigation’s 2023 Internet Crime Report. ... In 2023, IC3 received a record 880,418 complaints, with losses exceeding $12.5 billion. These figures signify a 10 percent increase in complaints received and a 22 percent increase in losses suffered compared to last year’s report.