Literature Review



Increasing Hospice CAHPS scores through enhanced caregiver training

04/23/24 at 03:00 AM

Increasing Hospice CAHPS scores through enhanced caregiver training Hospice News, by Jim Parker; 4/19/24 Improving education and training for family caregivers may give hospices’ quality scores a boost. Maryland-based Hospice of the Chesapeake has introduced a standardized caregiver training program designed to enhance the work they had previously done in this area. After a review of scientific literature, it became clear that nationally, caregiver training was spotty, and this affected families’ perceptions of the care their loved one received, Monica Ferebee, clinical manager of hospice at Hospice of the Chesapeake ... More than 70% of hospice patients are primarily cared for by untrained family caregivers with no medical background, Ferebee found. She led Chesapeake’s change project to address these concerns, and thereby improve performance on Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. 

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Primary and specialty palliative care utilization at a regional Burn center

04/23/24 at 03:00 AM

Primary and specialty palliative care utilization at a regional Burn center Oxford Academic / Journal of Burn Care & Research; by Zoe Tao, MD, Alexandra Hoffman, BS, Anna Stecher, MD, Niknam Eshraghi, MD, FACS; 4/20/24There is little research informing appropriate specialty palliative care consultation over primary palliative care practice, or the ability of the burn surgeon to perform skills such as effective goals of care discussions. ... There is bias in diverting both primary and specialty palliative care resources toward acutely ill patients and those with less immediate projected mortality may need additional attention.

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Change in long-term care: Nursing homes across U.S. closing

04/23/24 at 03:00 AM

Change in long-term care: Nursing homes across U.S. closing limaohio.com, by Precious Grundy; 4/19/24... According to the American Health Care Association website, more than 1,000 nursing homes have closed in the United States since 2015. ... According to the Population Reference Bureau website, in 2050 the population older than 65 will increase from 58 million (in 2022) to 82 million in just a few decades. The topic of long-term care will remain in questions. The American Health Care Association also said nursing homes across the United States have closed due to staffing shortages. ... Older adults now have the option of a home health aide, assisted living facilities and family caregivers.Editor's Note: How is this trend playing out in your service area? How do these closures impact your referral sources? Your hospice patients in skilled nursing facilities and memory care units? Accuity of patient care needs in the home, assisted living?  Hospital-in-the-home? The palliative care services you provide?

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Integrating AI in Palliative Care: A comparative perspective

04/23/24 at 03:00 AM

Integrating AI in Palliative Care: A comparative perspectiveElBlog.PL - Decoding AI: Unveiling the Future of Machine Intelligence, by Roman Rember; 4/19/2Jan Gärtner (51), the head of a Palliative Center in Basel, Switzerland, recently shed light on the fundamental differences in the use of artificial intelligence (AI) in palliative care across the United States and Switzerland. ... The Swiss model emphasizes the commencement of palliative care much earlier in the patient’s journey. ...

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Today's Encouragement: If you love the work ...

04/23/24 at 03:00 AM

If you love the work you are doing, then you will love Tuesday! - Catherine Pulsifer

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Home care industry slams finalized 80-20 Rule, warns agency closures are coming

04/23/24 at 03:00 AM

Home care industry slams finalized 80-20 Rule, warns agency closures are coming Home Health Care News, by Andrew Donlan; 4/22/24 The “Ensuring Access to Medicaid Services” rule has been finalized. Most importantly, the bemoaned “80-20” provision has gone through as proposed, meaning providers will eventually be forced to direct 80% of reimbursement for home- and community-based services (HCBS) to caregiver wages. ... Organizations like the National Association for Home Care & Hospice (NAHC) and LeadingAge immediately condemned the rule being finalized on Monday. ...

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961 nurses get training on palliative care

04/23/24 at 03:00 AM

961 nurses get training on palliative careThe Daily Star - Healthcare; 4/19/24[India:] Palliative Care Society of Bangladesh (PCSB), in collaboration with Kumudini Welfare Trust of Bengal Limited, provided training to the nurses in two phases held on April 2-4 and April 18-19. ... At present, approximately 800,000 people across Bangladesh, including more than 70,000 children, are in need of palliative care.

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AI-generated draft replies integrated into health records and physicians’ electronic communication

04/23/24 at 03:00 AM

AI-generated draft replies integrated into health records and physicians’ electronic communication JAMA Network; by Ming Tai-Seale, PhD, MPH; Sally L. Baxter, MD, MSc; Florin Vaida, PhD; et al; 4/15/24Objective: To investigate the association between GenAI-drafted replies for patient messages and physician time spent on answering messages and the length of replies.Conclusions and Relevance: In this QI study, GenAI-drafted replies were associated with significantly increased read time, no change in reply time, significantly increased reply length, and some perceived benefits. 

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Save A Lot donates 7,000 pounds of food and $500 to local hospice

04/23/24 at 03:00 AM

Save A Lot donates 7,000 pounds of food and $500 to local hospice Hazard Herald [KY], by Justin Begley; 4/18/24Save A Lot has once again lent its support by donating seven thousand pounds of food and water, along with a $500 gift card, to the Greg and Noreen Hospice Center. This year marks the fifth consecutive year that the grocery chain has made such a donation to hospice. Jason Smith, a district manager for Save A Lot, alongside management from other stores, was on hand to unload truckloads of supplies to replenish the hospice’s pantry ...

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[Health Care Access] Black patients with ovarian cancer had lower-quality end-of-life care, study says

04/23/24 at 02:30 AM

Black patients with ovarian cancer had lower-quality end-of-life care, study says American Journal of Managed Care (AJMC), by Brooke McCormick; 4/21/24 Non-Hispanic Black (NHB) patients with ovarian cancer (OC) received lower-quality end-of-life (EOL) care than non-Hispanic White (NHW) patients, according to a study published in Cancer Research Communications. ... Although trends and disparities in EOL care among patients with OC are well documented, the researchers noted that the role of health care access (HCA) in quality EOL care has not been well characterized; HCA is comprised of 5 distinct, interrelated care access dimensions, namely affordability, availability, accessibility, accommodation, and acceptability. 

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... Here’s how to really value doctors

04/23/24 at 02:15 AM

Forget Doctors’ Day. Here’s how to really value doctors Forbes, by Sachin H. Jain; 4/21/24 ... Here are five steps that the hospitals, health systems and other entities that employ physicians and other healthcare professionals can revalue their work and give it the prominent place of honor it deserves. 

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Man forces himself inside home, robs 2 women, including hospice patient, at gunpoint in north St. Louis

04/23/24 at 02:00 AM

Man forces himself inside home, robs 2 women, including hospice patient, at gunpoint in north St. Louis NBC 5, St. Louis; by Calrissa Cowley; 4/19/24 The victim in hospice care was unable to move on her own or call the police during the ordeal. A man is facing charges three days after forcing his way into a north St. Louis home and robbing two 60-year-old women, one of whom was in hospice care, at gunpoint. St. Louis prosecutors charged 46-year-old Ronnie Jackson on Thursday with one count of first-degree robbery, one count of burglary, one count of kidnapping and three counts of armed criminal action. Each charge is a felony.

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JAMA Revisited, from May 1924: The Promise of a Longer Lifetime

04/23/24 at 02:00 AM

JAMA Revisited, from May 1924: The Promise of a Longer Lifetime JAMA; 4/18/2024.Originally published May 10, 1924 | JAMA. 1924;82(19):1518-1519.Editor's Note: Yes. This article's original date is May 10, 1924; one hundred years ago, shortly after coming through the Spanish flu pandemic of 1918-1919.Modern hygiene has been described as the reaction against the old fatalistic creed that deaths inevitably occur at a constant rate. The study of vital statistics shows that there is no “iron law of mortality.” ... The New York report states that the increase in the expectation of life has been almost entirely confined to the ages before 35 years. In the future, the health officer must, of necessity, consider steps to be taken to minimize the mortality among those of middle and advanced life. There is much to encourage man today to seek to secure a normal lifetime.

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Clinician burnout and effectiveness of guideline-recommended psychotherapies

04/22/24 at 03:00 AM

Clinician burnout and effectiveness of guideline-recommended psychotherapies JAMA Network - Psychiatry; by Nina A. Sayer, PhD; Adam Kaplan, PhD; David B. Nelson, PhD; et al; 4/17/24 Importance: Clinician burnout has been associated with clinician outcomes, but the association with patient outcomes remains unclear. Conclusions: This prospective cohort study suggests that clinician burnout was negatively associated with patient outcomes from evidence-based psychotherapies. Findings support research to test the hypothesis that interventions to reduce burnout may improve outcomes from guideline-recommended psychotherapies for PTSD. Future work should determine when and how burnout is associated with intervention delivery and patient outcomes.Editor's Note: Most research on hospice and palliative clinician burnout focuses on physicians and nurses. Examine this in light of your psychosocial/spiritual professionals, i.e. social workers, chaplains/spiritual care, and bereavement counselors. 

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Today's Encouragement: Chag Pesach ...

04/22/24 at 03:00 AM

Chag Pesach Kasher Vesame’ach (pronounced: CHAG PEH-sach kah-SHER ve-sah-MAY-ach) - Have a joyful and kosher Passover - Begins at sundown Monday April 22, 2024 and ends at sundown Tuesday April 30, 2024

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Remote access technologies expose home care firms to cybersecurity vulnerabilities, experts say

04/22/24 at 03:00 AM

Remote access technologies expose home care firms to cybersecurity vulnerabilities, experts sayMcKnights Home Care, by Adam Healy; 4/18/24 Some of the most commonly used technologies in home care are also among the easiest for criminals to exploit. ... Remote access systems include any technology that allows users to connect to and access a computer, server or network remotely. Within home care, this could be tools such as remote patient monitoring devices, secure messaging apps, telehealth platforms, cloud-based applications or systems that allow users to remotely access patient data, according to the Department of Health and Human Services. And while these technologies bring efficiency, they can also expose providers and their patients to risk.

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Global assessment of palliative care need: Serious health-related suffering measurement methodology

04/22/24 at 03:00 AM

Global assessment of palliative care need: Serious health-related suffering measurement methodologyJournal of Pain and Symptom Management; by Xiaoxiao J Kwete, Afsan Bhadelia, Héctor Arreola-Ornelas, Oscar Mendez, William E Rosa, Stephen Connor, Julia Downing, Dean Jamison, David Watkins, Renzo Calderon, Jim Cleary, Joe Friedman, Liliana De Lima, Christian Ntizimira, Tania Pastrana, Pedro E Pérez-Cruz, Dingle Spence, M R Rajagopal, Valentina Vargas Enciso, Eric L Krakauer, Lukas Radbruch, Felicia Marie Knaul; 4/16/24Inequities and gaps in palliative care access are a serious impediment to health systems especially low- and middle-income countries and the accurate measurement of need across health conditions is a critical step to understanding and addressing the issue. Serious Health-related Suffering (SHS) is a novel methodology to measure the palliative care need and was originally developed by The Lancet Commission on Global Access to Palliative Care and Pain Relief. ... The discussion encompasses opportunities for applying SHS to future policy making assessment of future research priorities particularly in light of the dearth of data from low- and middle-income countries, and sharing of directions for future work to develop SHS 3.0.

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5 ways the AMA is fighting for physicians in 2024

04/22/24 at 03:00 AM

5 ways the AMA is fighting for physicians in 2024 AMA - American Medical Association; by Kevin B. O'Reilly; 4/18/2024 ... Physicians face far too many challenges that interfere with patient care. That’s why the AMA is advocating to keep doctors at the head of the health care team, reform the Medicare physician payment system, relieve the burden of overused prior authorizations and so much more. These advocacy initiatives are part of the AMA Recovery Plan for America’s Physicians, which includes:

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Connecticut home care safety bill would create administrative burdens, hospices say

04/22/24 at 03:00 AM

Connecticut home care safety bill would create administrative burdens, hospices sayMcKnights Home Care, by Adam Healy; 4/19/24 Some hospices are fighting to be carved out of a Connecticut state bill that would impose stricter safety policies for home-based healthcare providers. The legislation’s burdensome administrative requirements could affect patient care, they argue. ...  The bill’s introduction comes only months after a visiting nurse was killed on the job while providing care through a Connecticut home care agency. ... By the time a hospice could produce background checks and safety reports for a client, it may be too late to provide effective treatment, according to Barbara Pearce, chief executive officer of Connecticut Hospice.Editor's Note: For more information, see the articles we posted on 

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The Green Wave: Medical marijuana patient enrollment grew 610% since 2016

04/22/24 at 03:00 AM

The Green Wave: Medical marijuana patient enrollment grew 610% since 2016 InvestingDaily, by John Persinos; 4/18/24 The Centers for Disease Control and Prevention (CDC), the Department of Veterans Affairs (VA), and the University of Michigan recently issued a report about a staggering surge in enrollment in state-sanctioned medical marijuana programs across the nation. The report was published last week by the journal Annals of Internal Medicine. Between 2016 and 2020, the number of patients enrolled in medical marijuana programs in the U.S. grew “dramatically,” the report says, rising from about 678,000 in 2016 to more than 3 million in 2020. “This analysis indicates a 610% increase in patient number in the United States from 2016 to 2022,” the report states.

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Help Serenity Hospice workers win their union

04/22/24 at 03:00 AM

Help Serenity Hospice workers win their unionSEIU503; 4/18/24Workers at Serenity Hospice have been organizing for pay equity, adequate raises, affordable health care, regular hours, PTO, and the ability to manage trauma and compassion fatigue. The workers unanimously decided to form a union, and asked management to voluntarily recognize them. Serenity’s parent company (Addus Healthcare) already has SEIU-represented employees at its home health agency in Eugene. Instead, Addus hired one of the most expensive union-busing law firms in the country, and has been paying them hundreds of dollars per hour to spread anti-union propaganda. Workers are sticking together and staying strong, and plan to vote YES in their union election next week. Editor's Note: Hospice & Palliative Care Today's posting of this article denotes neither support nor opposition to this action. Rather, we are reporting it for hospice and palliative care leadership awareness. Unions and strikes among healthcare professionals--for these same cited reasons--continue to be a growing trend, nationwide.

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[Unique Grief Program] Stillwater Hospice offers grief hikes

04/22/24 at 03:00 AM

[Unique Grief Program] Stillwater Hospice offers grief hikesTimes Union Online, Fort Wayne, IN; by Stillwater Hospice; 4/18/24 Time spent in nature has been associated with improved mental health and overall well-being. Walking and movement can be helpful in processing emotions that are a part of the grieving process. Grief hikes are designed to combine these benefits through mindful movement and immersion in nature. The Peggy F. Murphy Community Grief Center in collaboration with ACRES Land Trust will be hosting Grief Hikes on the third Friday every month from May through September. ... Each hike will be held at a different ACRES location, accessible within the Stillwater Hospice service area.

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Seasons Hospice is expanding beyond Rochester

04/22/24 at 03:00 AM

Season Hospice is expanding beyond Rochester KIMT 3 News, Rochester, MN; by Saral Khare; 4/18/24Earlier this April Seasons Hospice has already begun to provide at home hospice care to one patient in Owatonna. Seasons Hospice Executive Director, Kristina Wright-Peterson says it’s important to go out to rural communities and give hospice to those who need it. Wright-Peterson says residents who get hospice can focus on what truly matters. 

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$1 billion class action settlement will trigger transition of 2,400 nursing home residents to other settings

04/22/24 at 03:00 AM

$1 billion class action settlement will trigger transition of 2,400 nursing home residents to other settingsMcKnights Senior LIving, by Kimberly Bonvissuto; 4/19/24The $1 billion settlement of a class action lawsuit has the potential to see 2,400 Massachusetts nursing home residents move into other residential and community settings in the next decade. The options include assisted living communities, although state senior living experts say that it’s unlikely many of those transitions will be to assisted living. The state agreed to settle the suit, initially filed in 2022 by six disabled nursing homes residents who argued that a lack of state resources “trapped” them in nursing homes despite their wishes to return to community-based care settings.

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Terminally ill pediatric patients and the grieving therapist

04/22/24 at 03:00 AM

Terminally ill pediatric patients and the grieving therapist Psychotherapy.net, by Sara Loftin, LPC-S, RPT-S; 4/18/24 A pediatric clinician shares the rewards and challenges of working with terminally ill children and their families. When asked about the favorite aspect of my (dream) job, I could talk for hours. I feel passionate about working in a pediatric hospital setting with chronically ill children and their families. Each day brings new challenges. ... Experiencing the death of a child is the most painful part of my job, and it will never make sense to me although logically, I know this happens. On the other hand, I feel honored to be a small part of the most vulnerable time in a family’s life, and to walk alongside them in their journey of grief and loss. ... It has been impossible for me to not be deeply impacted working in this arena. [This article includes:]

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