Literature Review

[Global Partners in Care] 25 Years of Compassion and Impact eHospice; 7/9/24 In 2024, Global Partners in Care (GPIC) celebrates its 25th anniversary. Over the past 25 years, GPIC has been dedicated to enhancing access to compassionate care for individuals and families across the globe who face serious illness, death and grief. This silver anniversary is a significant milestone in the history of the organization. Not only does it provide an occasion to reflect on the impact the organization has made, but it also provides an opportunity to consider numerous future possibilities. 

Mythbusting some misconceptions about operational improvement technology HIMSS; by Bill Siwicki; 7/10/24 Revenue cycle management is a great place for operational improvement technologies. These technologies can leverage process and task mining to give leaders a bird's-eye view of their teams' workflows. But according to 20-year healthcare veteran Todd Doze, CEO of Janus Health, a revenue cycle management technology company, there are three common myths associated with operational improvement technologies:

Spectrum Home Health & Hospice Care rebrands as Legacy Lifecare VNA & Hospice HCN Healthcare News; by HCN Staff; 7/11/24  Spectrum Home Health & Hospice Care, a care provider in Western Mass. since 1994, will now be known as Legacy Lifecare VNA & Hospice. The team, led by Madeline Presz, senior director of Home and Community-based Services, will continue to provide the same level of care. Legacy VNA & Hospice cares for patients with a broad range of conditions, including injuries, strokes, speech, memory and swallowing issues, joint replacements, neurological disorders, arthritis, traumatic brain injuries, and other debilitating conditions. 

Telehealth can drive more meaningful serious illness conversations in MDS, AML AJMC - American Journal of Managed Care; by AJMC contributor; 7/10/24 Using telehealth to have conversations about serious illnesses with patients may help increase clinician confidence in having these types of conversations, suggest findings from a small pilot study. Researchers collected feedback from 20 clinicians implementing a telehealth serious illness conversation with their patients with acute myeloid leukemia and myelodysplastic syndrome (MDS). The group found the intervention was considered simple and easy, and helped clinicians better understand the unique needs of their patients at end of life. The findings were published in JMIR Formative Research.

'Bridal bouquet turned retirement home decor': Virginia friends find ways to repurpose special event flowers WFMZ-TV 69 News, Allentown, PA; by Karin Mallet; 7/10/24 Flowers are just as nice the second time around ... where people are making sure your beautiful blooms don't end up in the trash once your event is over. It just takes a little bit of creativity. Laura Ruth and Rebecca Shelly ... were both navigating motherhood, COVID lockdowns and the loss of their fathers. Creating green spaces gave them both some much needed solace. They realized if flowers had that kind of power for them, they would likely have that kind of power for others so they created "Friendly City Florals." With their team of volunteers, they repurpose flowers from weddings, birthday parties, special events. ...  They spruce them up a bit and then bring them to schools, retirement and nursing homes, hospice and social service centers. It's a great second life for these flowers. The green bridal guide estimates the average wedding produces a staggering 400 pounds of trash.Editor's Note: An adaptation of this--used by several hospices--is to partner with a local florist for them to donate leftover/not-used flowers to the hospice for their inpatient units. A volunteer picks them up and arranges them for hospice rooms. Upon the death, family members are encouraged to take the flowers home with them.

Caregiver charged with abusing dementia patient The Freeman, Waukesha County, WI; by Freeman Staff; 7/9/24 A West Allis woman has been charged after she allegedly struck a dementia patient in her care and put a pillow over the woman’s face out of frustration. Erica Junger, 22, was charged Monday in Waukesha County Circuit Court with a count of intentionally abusing a patient, and faces up to six years in prison if convicted. She made an initial appearance in court Monday, where she was released on a $2,500 signature bond and ordered by Court Commissioner David Herring not to work in any job where she is responsible for the health care and safety of others. ... She said she "snapped" and did things she wasn’t supposed to do, but didn’t mean anything by it. ... The complaint did not identify the facility where the incident took place. But it did identify Junger as an employee of Agrace Hospice, which contracts with the facility.

DOH releases 2023 Our Care, Our Choice Annual Report State of Hawaii, Department of Health, Honolulu, HI; 7/8/24 More patients utilized the Medical Aid in Dying (MAID) program last year than in 2022, according to the 2023 Our Care, Our Choice Act (OCOCA) Annual Report, prepared by the Hawaiʻi Department of Health (DOH) Office of Planning, Policy and Program Development, July 1, 2024. Last year, 91 patients received aid-in-dying prescriptions, which is 31 more than the 2022 total. The Office of Planning, Policy and Program Development said that this is also in line with national data trends and may be due to the increased accessibility that took effect June 1, 2023. The annual report provides statistics for the OCOCA, which was enacted January 1, 2019. The act allows eligible individuals with terminal illnesses to request medicine that will help them control when and how they choose to die. Amendments to the OCOCA went into effect on June 1, 2023, resulting in the following changes: [Click on the title's link to continue reading.]

Supporting the grieving child and family: Clinical reportAmerican Academy of Pediatrics; by David J. Schonfeld, MD, FAAP; Thomas Demaria, PhD; Arwa Nasir, MBBS, MSc, MPH, FAAP; Sairam Kumar, MD, FAAP; Committee on Pyschosocial Aspects of Child and Family Health; Council on Children and Disasters; 6/17/24At some point in their childhood, the majority of children will experience the death of a close family member or friend. Approximately 1 in 20 children in the United States experiences the death of a parent by the age of 16. ... The death of someone close to a child often has a profound and lifelong effect on the child and results in a range of both short- and long-term reactions. ... This clinical report offers practical suggestions on how to talk with grieving children to help them better understand what has happened and its implications. An understanding of guilt, shame, and other common reactions as well as an appreciation of the role of secondary losses and the unique challenges facing children in communities characterized by chronic trauma and cumulative loss will help the [healthcare professional] to address factors that may impair children’s adjustment and to identify complicated mourning and situations when professional counseling is indicated. Advice on how to support children’s participation in funerals and other memorial services and to anticipate and address grief triggers and anniversary reactions is provided. ...Editor's Note: This significant article can be downloaded and shared with your organization's clinicians. For additional, ongoing resources, explore the National Alliance for Children's Grief. If your hospice provides specialized children's grief services, are they listed on the NACG's "Find a Support Center or Camp Near You" search engine? Click here to add or update your listing.

10 recent healthcare industry lawsuits, settlements Becker's Hospital Review; by Andrew Cass; 7/8/24... Here are 10 healthcare industry lawsuits, settlements and legal developments Becker's reported since June 26:

Gen Z prefers burial over cremation, reversing decades of preferences trending toward cremationPR Newswire; by National Funeral Directors Association; 7/9/24 There is no shortage of social commentary on how Gen Z is redefining norms and challenging older generations to think differently, from fashion to workplace culture. But what about their perspective on death and dying? A first-of-its-kind survey conducted by the National Funeral Directors Association (NFDA) offers definitive data to show how Gen Z thinks differently about end-of-life matters for themselves and their loved ones – as well as similarities with older generations. Notable differences between the generations highlight Gen Z's unique perspective, even compared to Millennials who are the closest in age, highlighting a pivot in end-of-life preferences to come:

Health systems oppose new cybersecurity rules Becker's Health IT; by Giles Bruce; 7/8/24 Health systems and industry trade groups are objecting to new cybersecurity reporting requirements proposed by the Cybersecurity and Infrastructure Security Agency. The recommended rule under the Cyber Incident Reporting for Critical Infrastructure Act of 2022 would, among other things, require covered entities to report cyberattacks within 72 hours and ransom payments within 24 hours. The proposal, which is estimated to cost the industry $1.4 billion, would exempt small and critical access hospitals.

Provider of in-home imaging services and 24/7 radiologist access raises $200M Radiology Business; by Marty Stempniak; 7/9/24 HarmonyCares, a provider of in-home X-ray services that spans 15 states, has raised $200 million in new capital, leaders announced Monday. Based in Nashville, Tennessee, the company is focused on physician-led care for vulnerable patients who cannot travel to a traditional healthcare facility. HarmonyCare Diagnostics brings the latest digital X-ray technology to patients’ homes or long-term care facilities, offering rapid results with board certified radiologists “available 24/7.”

[United Kingdom] Hospices on the brink of financial meltdown warn of service cuts and mass redundancies Daily Express, United Kingdom; by Giles Sheldrick; 7/7/24 The growing crisis engulfing the hospice sector has led to another major facility closing beds and warning of widespread redundancies. Hospiscare, which helps those with terminal illnesses in Devon, has been forced to change its end-of-life service in response to “insufficient funding and rising costs.” It  is the latest to act on an emergency that is having a major impact on the families it helps. The hospice has already taken drastic steps, including slashing the number of beds on its ward in Exeter. It is now having to change how it delivers part of its at-home care for patients during the last days of their lives, which is likely to result in staff redundancies. ... Most facilities providing end-of-life care are operating in the red and look set to follow suit in a crisis that would flood the NHS. Toby Porter, chief executive of Hospice UK, said: “We’ve recently seen the worst financial results for the sector in 20 years, with hospices facing a collective deficit of £77million.