Literature Review

Washington State reaches a nearly $150 million settlement with Johnson & Johnson over opioid crisisAP, by Manuel Valdes and Hallie Golden; 1/24/24The Washington state attorney general announced a $149.5 million settlement Wednesday with drugmaker Johnson & Johnson, more than four years after the state sued the company over its role in the opioid addiction crisis. “They knew what the harm was. They did it anyway,” Attorney General Bob Ferguson told reporters Wednesday. 

NY Catholics asked to oppose physician-assisted suicideCatholic Courier, by Jennifer Burke; 1/22/24New York’s Catholics are again being asked to express their opposition to physician-assisted suicide. The state’s lawmakers are once again considering legislation that would allow doctors to prescribe doses of lethal medications to terminally ill patients. 

RCT of Palliative Care for Heart Failure and Lung DiseaseGeriPal Podcast, by Eric Widera, Alex Smith, David Bekelman, Lyndsay DeGroot; 1/25/24In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found ... gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. The article we discuss today, also published in JAMA, addresses these two gaps. David Bekelman conducted a RCT of a nurse and social worker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD).

Hastings Center Welcomes 13 New FellowsPress release; 1/25/24The Hastings Center is pleased to announce the election of the 2023 fellows. Hastings Center fellows are a group of more than 200 individuals of outstanding accomplishment whose work has informed scholarship and public understanding of complex ethical issues in health, health care, science, and technology. The latest fellows focus on a broad range of topics with ethical implications, including digital technologies, public health, disparities at the end of life, disability rights, institutional racism, pain and addiction, and climate change.

I believe that it is a mandatory Law of the Universe that on Fridays, you have to do something a little fun. - Hanna Rhoades

Caregiver charged in deathDouglas Budget, by Matt Adelman; 1/24/24A caregiver has been charged with causing the death of her mother ... earlier this month. Central Wyoming Hospice and Transitions Center was present at her passing and notified Converse County Coroner Ross Gorman, who then notified Converse County Sheriff’s Investigator Ben Peech because the alleged actions leading to her death occurred on the family ranch near Douglas.

'Rock bottom': San Antonio doctor addicted to opioids wrote fake prescriptions for 40,000 dosesSan Antonio Express-News, by Guillermo Contreras; 1/23/24

A study of how Americans die may improve their end of lifeMedical Xpress, by Rutgers University; 1/24/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life.

Medicare certifies hospices in California despite state ban on new licenses ProPublica, by Ava Kofman; 1/25/24The agency has rolled out sweeping changes to target end-of-life care providers that were billing for unneeded services, but some fraud hot spots continue to evade scrutiny.Notable mentions: Sheila Clark, President / CEO CHAPCA.

'Sky is the limit' for health information networks' SNF insightsMcKnights Senior Living, by Kimberly Marselas; 1/24/24An expanding health information exchange connecting 71 hospitals and almost 600 post-acute providers in New Jersey is exceeding expectations and providing staffing insights not necessarily envisioned when state officials launched a patient discharge initiative.

Historic 21.3 million people choose ACA Marketplace coverageCMS.gov Press Release; 1/24/24Marketplace enrollment climbs nearly 5 million higher than previous year. ... Total plan selections include more than five million people — about a fourth — who are new to the Marketplaces and 16 million people who renewed their coverage. Notably, open enrollment continues in four states and Washington, D.C., through January 31. 

Cleveland Clinic confiscated 30K weapons last yearBecker's Hospital Review, by Alexis Kayse; 1/24/24In 2023, Cleveland Clinic saw a record 14 million patients — and took 30,000 weapons from those patients and their visitors. Tomislav Mihaljevic, MD, president, CEO and Morton L. Mandel CEO Chair of Cleveland Clinic, delivered the statistic during the system's annual "State of the Clinic" address Jan. 24. ... Cleveland Clinic, which employs 81,000 people across 300 global locations, was designed to be an "optimal work environment," Dr. Mihaljevic said: engaging, rewarding, inclusive and safe. But workers' safety was threatened thousands of times last year, with caregivers reporting 3,800 incidents of physical and verbal violence. 

Timing of prognostic discussions in people with advanced cancer: a systematic reviewSupport Care Cancer, by Sharon H Nahm, Shalini Subramaniam, Martin R Stockler, Belinda E Kiely; 1/23/24Conclusions: Prognostic discussions with people with advanced cancer need to be individualised, and there are several key timepoints when doctors should attempt to initiate these conversations. These recommended timepoints can inform clinical trial design and communication training for doctors to help improve prognostic understanding.