Literature Review

Podcast: Melissa Aldridge on Private Equity Acquisitions Of HospicesHealth Affairs; 9/24/24Health Affairs' Editor-in-Chief Alan Weil interviews Melissa Aldridge of Icahn School of Medicine at Mount Sinai and James J. Peters Bronx Veterans Affairs Medical Center about her recent paper exploring the increasing trend of private equity acquisitions of hospices and how ownership structures still remain complex and opaque.

Community Crisis and Grief: Public service video for communities, healthcare orgs, and persons whose "normal" hospice bereavement can be amplified and/or disenfranchised Composing Life Out of Loss; by Joy Berger; originally 5/30/22 in response to Uvalde's shootings, updated 9/29/24 in response to Hurricane/Storm Helene September 29, 2024 – We send support to the many communities, families, and individuals affected by Hurricane/Tropical Storm Helene’s devastation and loss. This public service education video defines different kinds of community crises; different groups of persons impacted with basic roles and tasks before and during a community crisis; community grief; and potential effects of community crisis/grief for persons who are already experiencing the “normal” bereavement of a loved one. Editor's note: Disclosure, I am the author/producer of this video; Composing Life Out of Loss is a sponsor for this newsletter. To immediately share with this free, public service video, click here for the link. To embed this video on your website (and thus eliminate any Composing Life branding), click here and complete this contact form. Be sure to leave a phone number for faster turnaround. 

I asked my dad to write my wedding speech after he was given 6 months to live. I'm holding on to it for my special day. AOL.com - Insider; by Lara Rodwell; 9/29/24 ... I remember the moment my dad told me he had six months to live like it was yesterday. ... "Lar, we need to have a chat," he said, hovering beside the edge of the bed. "I've received some news. It's not good." ... Wrapped in the comforting arms of my dad, I blurted, "Dad, you're not going to walk me down the aisle one day." ... During one sleepless night, it hit me. I wanted to create a keepsake where my dad and I could write letters, share memories and process our feelings, together. I found a tatty old notebook and wrote my first letter to him. ... The very first thing I asked him at the end of the letter, ink smudged with tears, was if he could write his wedding speech for me. ... It was a hot summer's morning, the day my dad died in the care of our local hospice. He'd been there for three weeks — in a lot of pain, stabilized by a lot of morphine — surrounded by his family. .... Later that day, ... amongst pages of financial practicalities and funeral wishes, there was a folder of white envelopes addressed to each of us - his wife and four children. On the front of mine read "Lar...". On the back: "Your wedding speech." To this day, the envelope remains sealed, tucked away at the bottom of my "dad box" — along with the notebook we shared, photo albums of memories, and a collection of swimming medals he wanted me to show his grandkids one day. ...

10 vital skills to future-proof healthcare leaders Becker's Hospital Review; by Laura Dyrda; 9/30/24 The most successful healthcare leaders in the next two years will leave the traditional organizational structures and models in the past in favor of extreme nimbleness, stronger soft skills and optimization of digital technology. Becker's Healthcare connected with 77 leaders from hospitals and health systems across the U.S. who shared the qualities and skill sets that will become more important in the next few years. Here are 10 areas of focus:

How to help those impacted by Hurricane Helene: Charities, organizations to support relief efforts ABC News, Good Morning America; by Kelly McCarthy; 9/30/24 Hurricane Helene hit Florida's Big Bend region as a Category 4 storm with catastrophic sustained winds up to 140 mph on Thursday and traveled north, leaving widespread destruction across the Southeast. As Americans in storm-battered states of Florida, Georgia, South Carolina, North Carolina, Tennessee, and Virginia begin to climb out of the damage from last week's storm that killed at least 120 people with hundreds more unaccounted for, charity organizations have started to rally support efforts. See below for a full list of ways to donate. After more than 4 million customers lost power across the South on Friday, more than 2 million were still without power as of Monday's publication. [Click on the title's link for the list and links.]

CIOs must understand change management theories, frameworks and practices Health IT News; by Bill Siwicki; 9/27/24 [Part 2 of 2] Change management is a very important subject today in health IT as more and more new and amazing technologies make their way into the delivery of healthcare. (Hello, artificial intelligence.) Robert Slepin knows quite a bit about change management. He is an emeritus CIO advisor at EHR kingpin Epic. There, he constantly is helping CIOs across the country change their health IT setups. ... Question: What would you say are the important components of a change management initiative? What must CIOs be doing? Answer: There are several key areas to consider, starting with:

Visible, active leadership is vital to change management, says Epic emeritus CIO advisor Healthcare IT News; by Bill Siwicki; 9/26/24 [Part 1 of 2] Lost amidst talk of all the amazing technologies used in healthcare today is a subject very important to Robert Slepin: change management. ... Clinical workforce shortages and burnout, increasing costs and decreasing reimbursement, and capacity to care for patients with behavioral health/addiction issues – these are among the top issues confronting U.S. hospitals, according to the American College of Healthcare Executives. ... While there is no magic wand to accelerate progress, in my experience you can significantly improve the outcomes in a healthcare transformation initiative with an intentional focus and disciplined approach to change management. Conversely, not being thoughtful and effective in leading change could hinder your efforts or adversely impact the outcomes, and even possibly spell disaster. ... Visible, active leadership is vital. ... A hands-off approach of issuing orders from the corner office and asking others to "let me know when it's done" won't cut it. ... Besides being visible and hands-on, the best leaders I have worked with demonstrate a positive style; for example, they are authentic, coaching, transformational, engaging and compassionate. They remove fear and build trust, and inspire, educate, coach and support people in moving together toward a common, stretch goal. ...

Thirty days hath September,April June and November;All the rest have thirty-one,Excepting February alone.Which only has but twenty-eight days clearAnd twenty-nine in each leap year."     ~ 1577, William Harrison

89-year-old SoCal hospice patient wished he could skydive again, so his care team made it happen ABC-7 Los Angeles, CA; by Leticia Juarez; 9/27/24 Gary Patmor has lived a life of adventure and at 89 years old, the retired aerospace engineer is showing age doesn't mean adventures have to end. So he chose to go skydiving. "Oh, it is just fun exciting," he said. While he is a man of few words, Patmor is a man with plenty of stories he could tell. He's logged more than 1,300 jumps out of civilian, military, antique and experimental aircrafts. ... He survived 38 malfunctioning parachutes and he even doubled for Steve McQueen on film.  ... His backstory has been an incredible journey he has shared with others. "He was actually also the first person to mount a Sony camera and jump out of a plane," said Jocelyn Brito, a social worker for Suncrest Hospice in Riverside where Patmor is now a patient. ... "One of the things that he wanted to do was he wanted to skydive again," said Jessica Fields with Suncrest Hospice. "So we had to make sure that we got the doctor clearance, of course, and then the skydiving company to be able to consent to that before we offered it." On Friday afternoon, Patmor boarded a plane at Sky Dive Elsinore, making him the  oldest skydiver of the day. At 13,000 feet, he took a leap, strapped to an instructor and made his descent to the ground where his wife and Suncrest Hospice staff members cheered him on.

Fighting ‘phantoms’: How fraud skews competition in the hospice market Hospice News; by Holly Vossel; 9/26/24 Fraudulent operators’ marketing strategies are morphing the competitive landscape, making it difficult for legitimate hospice providers to maintain visibility among patients and families. A mounting concern is that fraudsters stepping into the hospice industry have been implementing marketing and outreach practices that at times mirror strategies utilized by quality providers, according to Jeanne Chirico, president and CEO of the Hospice & Palliative Care Association of New York State (HPCANYS). This makes it difficult for referrals, patients and their families to discern the best end-of-life care option. Another significant concern is that the fraudulent actors may have deeper pockets compared to smaller or nonprofit hospices, allowing them to invest more heavily and saturate the market with their messaging. 

Longview hospice adds handmade quilt donations under new management The Daily News; by Minka Atkinson; 9/27/24 At PeaceHealth Ray Hickey Hospice House in Vancouver, patients receive handmade quilts to drape their beds that are then donated to their family as a memento after their passing. PeaceHealth is now looking to bring this tradition to Richard Nau Hospice House, which it took over in November. “It gives the home, cozy feeling to those patients,” Hospice Volunteer Program supervisor Jennifer Linde said. The quilts are sourced through donations from local community groups, like the Kalama Quilters and Calvary Community Church, Linde said. Individual quilters are also welcome to contribute. ...

Carter defies odds with 19-month hospice stay: Former president's experience shines light on program The Atlanta Journal-Constitution; by Shelia Poole; 9/27/24 The Rev. Tony Lowden recently visited former President Jimmy Carter at his Plains home, where he is under hospice care. Carter, who turns 100 on Tuesday, was doing “good, fantastic,” said Lowden, who has been Carter’s personal pastor for seven years. Few would have expected such news about Carter, who has been under home hospice care for roughly 19 months.Only 10% of people on Medicare who died while under hospice care were in the program for 275 days or longer in 2022, according to MedPAC, an independent agency that advises Congress on issues affecting the Medicare program. Carter’s longevity while under hospice care continues to defy the odds, but that doesn’t surprise those who know his grit. ... Facts and Figures About Hospice Care: