Literature Review
When the American Dream becomes survival: Short doc chronicles rural healthcare crisis
03/19/24 at 03:00 AMWhen the American Dream becomes survival: Short doc chronicles rural healthcare crisis PBS - KET, by Nathan Duke; 3/17/24 Director Ramin Bahrani’s acclaimed films ... focus on people struggling to survive due to economic challenges or failing to achieve the mythologized American Dream. His latest, the short documentary If Dreams Were Lightning: Rural Healthcare Crisis, is a startling look at the challenges facing rural communities in which hospitals are closing and leaving residents without options for care. The film incorporates themes from Bahrani’s previous work, but its subjects’ struggles are far from fictional.
Dual eligibles, PACE expansion bill draws bipartisan support, industry endorsements
03/19/24 at 03:00 AMDual eligibles, PACE expansion bill draws bipartisan support, industry endorsements McKnights Home Care, by Adam Healy; 3/18/24A bipartisan group of senators introduced legislation that would improve care coordination for dual-eligible beneficiaries and expand the Program of All-Inclusive Care for the Elderly to a larger share of people. The legislation’s primary function would be to require every state to develop a comprehensive, integrated health plan for dual-eligible beneficiaries, according to a summary. The bill also would require every state to allow PACE programs to be established, open up enrollment to any time in a given month, and extend PACE coverage to people under 55 years of age.
Palliative Care as ‘Personalized Medicine’
03/19/24 at 03:00 AMPalliative Care as ‘Personalized Medicine’Hospice News, by Jim Parker; 3/18/24The term “personalized medicine” is often used to describe health needs based on a patient’s genetics. However, more stakeholders are applying the term to palliative care. Personalized medicine is a step away from a “one-size-fits-all” approach to health care. The model uses information gathered from a patient’s genome to plan for care, treatment and services, and to some extent, predict a likely health trajectory, according to the National Human Genome Research Institute, part of the National Institutes of Health.
Art Ellison has one dying wish: Feed all New Hampshire students
03/19/24 at 03:00 AMArt Ellison has one dying wish: Feed all New Hampshire students Concord Monitor, by Michaela Towfighi; 3/15/24 Art Ellison isn't one to mince words. With red blanket over his lap and a "support public education" t-shirt on, he has one final request as he rests at the Granite VNA hospice house. ...
Navigating difficult conversations with patients with terminal cancer diagnoses
03/19/24 at 02:00 AMNavigating difficult conversations with patients with terminal cancer diagnoses Oncology Nursing News, by Darlene Dobkowski, MA; 3/18/24 Although oncology nurses need strong communication skills to help all of their patients navigate their cancer journeys, it is critical to have the ability to have difficult conversations with patients who received a terminal diagnosis, ... Betty Ferrell, Ph.D., M.S.N., CHPN, director and professor in the Division of Nursing Research and Education in the Department of Population Sciences at City of Hope in Duarte, California, said in an interview with Oncology Nursing News. For the past 24 years, her institution has been directing a project called the End-of-Life Nursing Education Consortium (ELNEC), which is a palliative care training program and includes a module focused on communication. ... “One of the things that we teach nurses is … that your No. 1 job is to listen,” Ferrell said. “Another thing that we say to nurses is, it is not your job to have all the answers. Patients ask very unanswerable questions. ‘Why me?’ is not an answerable question. But when a patient says, ‘Why me,’ then we want nurses to have good communication skills to say, ‘I can imagine why you're asking that question. Because as you've shared with me, you had no idea that you might be diagnosed with cancer, or you're the first person in your family to ever have cancer.’”
Use of machine learning to optimize referral for early palliative care: Are prognostic predictions enough?
03/19/24 at 02:00 AMUse of machine learning to optimize referral for early palliative care: Are prognostic predictions enough Journal of Clinical Oncology - Editorials; by Gary E. Weissman, MD, MSHP; Joseph A. Greer, PhD; and Jennifer S. Temel, MD; 3/15/24 The Takeaway In the article that accompanies this editorial, [Weissman] et al used a machine learning (ML) algorithm to identify patients with advanced cancer who were receiving non–curative-intent treatment and at risk of death within 1 year to allocate early palliative care services at least 6 months before death as a means to increase use of early palliative care in the context of limited resources. While ML prognostic models are one promising strategy for triaging palliative care services, initiation of palliative care based exclusively on estimated survival and in the months before death likely excludes patients who would benefit from early palliative care initiated at the time of diagnosis, regardless of their estimated survival.
Should the DOJ break up UnitedHealth Group?
03/19/24 at 02:00 AMShould the DOJ break up UnitedHealth Group? MedCity News, by Marissa Plescia; 3/17/24 The U.S. Department of Justice has reportedly recently launched an antitrust investigation of UnitedHealth Group, which begs the question of whether the healthcare giant should be broken up. Experts have varying opinions.
CHI Memorial awards nonprofit grants [$80k to Home of Chattanooga]
03/18/24 at 03:45 AMCHI Memorial awards nonprofit grants Hamilton County Herald; 3/15/24 ... Welcome Home of Chattanooga, which provides hospice and respite care to marginalized populations, received $80,852 to expand its social services, access to mental health treatment and nutritional support.
Healthcare workers' mental well-being among ECRI's top patient safety concerns
03/18/24 at 03:30 AMHealthcare workers' mental well-being among ECRI's top patient safety concerns Becker's Behavioral Health, by Rylee Wilson; 3/14/24 The mental and physical well-being of the workforce is one of the ECRI's top 10 patient safety concerns for 2024. The nonprofit organization published its annual list detailing the biggest threats to patient safety March 12. "Rampant physical and emotional exhaustion" has led some healthcare workers to leave the workforce, creating stress on those who remain and possibly threatening patient care, according to ECRI's report.
We Honor Veterans: Examples and resources from partners
03/18/24 at 03:30 AMWe Honor Veterans: Examples and resources from partners NHPCO; 3/14/24 This webpage has been designated for partners to share any resources they created to share with others. Includes:
Expanding horizons: New palliative care services introduced in Valparaiso
03/18/24 at 03:00 AMExpanding horizons: New palliative care services introduced in Valparaiso ABNewswire; 3/14/24 South Valparaiso Immediate & Urgent Care Clinic is proud to announce the expansion of its healthcare services with the introduction of comprehensive palliative care. ... The South Valparaiso palliative care team consists of highly skilled professionals, including physicians, nurses, social workers, and chaplains, who work collaboratively to develop personalized care plans for each patient.
Preventing adverse drug events in hospice care
03/18/24 at 03:00 AMPreventing adverse drug events in hospice care Hospice News, by Holly Vossel; 3/15/24 Documentation errors and a fragmented health system pose the greatest risks for adverse drug events among hospices. ... Evaluating these risks involves having solid medication reconciliation processes in place — both at the time of a patient’s admission and throughout their end-of life care experience, according to Mary Lynn McPherson, professor and executive program director of advanced post-graduate education in palliative care at the University of Maryland’s School of Pharmacy. McPherson also serves on the board of the American Academy of Hospice and Palliative Medicine (AAHPM).
Sylvester researchers, collaborators call for greater investment in bereavement care
03/18/24 at 03:00 AMSylvester researchers, collaborators call for greater investment in bereavement care NewsWise, by Sylvester Comprehensive Cancer Center; 3/15/24The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater risk for many adverse outcomes, including mental health challenges, decreased quality of life, health care neglect, cancer, heart disease, suicide, and death. ... Wendy G. Lichtenthal, PhD, FT, FAPOS, who is Founding Director of the new [Sylvester Comprehensive Cancer] Center and associate professor of public health sciences at the University of Miami Miller School of Medicine, noted, “We need a paradigm shift in how healthcare professionals, institutions, and systems view bereavement care. Sylvester is leading the way by investing in the establishment of this Center, which is the first to focus on bringing the transitional bereavement care model to life.”
Care Alternatives, whistleblowers resolve hospice fraud suit
03/18/24 at 03:00 AMCare Alternatives, whistleblowers resolve hospice fraud suitBloomberg Law, by Daniel Seiden; 3/15/24
Specialized nursing facility clinicians improve end-of-life care
03/18/24 at 03:00 AMSpecialized nursing facility clinicians improve end-of-life care Cornell Chronicle, by Marijke Vroomen Durning, Weill Cornell Medicine; 3/15/24 Specialized nursing facility clinicians, or SNFists, may decrease the likelihood of nursing home residents experiencing stressful hospitalizations and improve the quality of life in their last days, according to researchers from Weill Cornell Medicine. The paper, published March 15 in JAMA Network Open, examined how SNFists uniquely impacted the care of nursing home residents in their last 90 days, compared with those cared for by other clinicians. This large-scale study is the first of its kind.
When Medicaid comes after the family home
03/18/24 at 03:00 AMWhen Medicaid comes after the family home The New York Times, by Paula Span; 3/16/24Federal law requires states to seek reimbursement from the assets, usally home, of people who died after receiving benefits for long-term care. ... The letter came from the state department of human services ... It expressed condolences for the loss of the recipient's mother, who had died a few weeks earlier at 88. ... Medicaid estate recovery means surviving family members may have to sell the home of a loved one to repay Medicaid, or the state may seize the property. Editor's Note: Please share this article with your hospice bereavement counselors. (Access might be limited, per NYT subscriptions.)
Beautiful people: Busy 14-year-old still finds time to volunteer for local hospice [creating legacy books]
03/18/24 at 03:00 AMBeautiful people: Busy 14-year-old still finds time to volunteer for local hospice [creating legacy books]
Today's Encouragement: You think winter will never end ...
03/18/24 at 03:00 AMToday's Encouragement: You think winter will never end, and then, when you don’t expect it, when you have almost forgotten it, warmth comes and a different light.” ― Wendell Berry
The identity dilemma: Navigating rebranding decisions in home health M&A
03/18/24 at 03:00 AMThe identity dilemma: Navigating rebranding decisions in home health M&A Home Health Care News, by Patrick Filbin; 3/14/24 ... While some companies swiftly integrate acquired businesses into their brand and splash their logo, marketing materials and likeness on the newly acquired assets, others opt to maintain the selling company’s identity. In home-based care, the decision to “rebrand or retain” takes into account a number of factors, sources told Home Health Care News. They include operational efficiency, patient/client retention, market positioning and more.
HIMSS24: Change Healthcare outage is the elephant in the room
03/18/24 at 03:00 AMHIMSS24: Change Healthcare outage is the elephant in the room Modern Healthcare - Digital Health, by Brock E.W. Turner; 3/14/24 There's certainly buzz about the Change Healthcare data breach at the Healthcare Information and Management Systems Society’s annual conference. But getting executives to talk openly about it is a non-starter. The breach, which has hobbled systems nationwide, has put even greater emphasis on the topics of cybersecurity and protecting patient data. But many attendees at the event in Orlando, Florida, have been unwilling to discuss it on the record, citing their relationship with the claims processing company owned by UnitedHealth Group.
Telehealth study investigates reimbursements for rural health care delivery
03/18/24 at 03:00 AMTelehealth study investigates reimbursements for rural health care deliveryMedical Xpress, by Vincent Jacobbi, Mayo Clinic; 3/15/24A recent Mayo Clinic study published in the American Journal of Hospice and Palliative Medicine investigated how telehealth in palliative care may provide value for rural caregivers, health care teams and their patients. Researchers were particularly interested in determining what billing models were most cost-effective and sustainable for health care teams and caregivers transitioning patients from hospital to home care
Hospices stepping up performance on visits-in-last-days-of-life measure
03/18/24 at 03:00 AMHospices stepping up performance on visits-in-last-days-of-life measure Hospice News, by Jim Parker; 3/14/24 Hospices, in aggregate, are showing improvement on the quality measure for visits in the last days of life. The number of registered nurse and social worker visits during a patient’s final week is one of the seven quality measures that CMS uses to evaluate providers. In Calendar Year 2021, the share of hospice care days with nurse visits in the last seven days of life rose to 63%, up from 62% year over year, according to the National Hospice and Palliative Care Organization (NHPCO).
Breast cancer palliative care and metastatic disease: Looking beyond end of life
03/18/24 at 03:00 AMBreast cancer palliative care and metastatic disease: Looking beyond end of life MedPage Today, by Shalmali Pal; 3/15/24 ... It is important to inform patients that they can receive palliative care at any timeopens in a new tab or window during their treatment, from the time of diagnosis to end of life. ... At some juncture, the options for metastatic breast cancer treatment become limited. Progression can be classified into four general types:
Institutional effforts to address legacies of slavery—Implications for the health care system
03/18/24 at 03:00 AMInstitutional effforts to address legacies of slavery—Implications for the health care system JAMA Health Forum; by Sara N. Bleich, PhD; Jose F. Figueroa, MD, MPH; Martha Minow, JD; 3/14/24... Health care systems across the country are increasing their efforts to help address structural racism. For example, the Healthcare Anchor Network (HAN), which launched in 2017, includes 40 health systems in 45 states and Washington, DC, that have committed to address structural racism and the corresponding public health disparities. HAN aims to improve community health by leveraging key assets such as hiring, purchasing, and place-based investment strategies.
Hines VA introduces new monitoring system for hospice and nursing home Veterans
03/18/24 at 03:00 AMHines VA introduces new monitoring system for hospice and nursing home Veterans VA Press Release; 3/15/24 Edward Hines Jr. VA Hospital has begun integrating a new patient monitoring system to improve Veteran health and assist medical staff. The AvaSure© Continuous Video Monitoring System places portable cameras in patients’ rooms who may need closer monitoring. Staff can observe up to 15 patients simultaneously through a virtual interface to monitor for issues such as a patient out of bed or patient-caused medical device interference. ... The monitoring system will be used in Hines VA’s Community Living Center (CLC), which includes short- and long-term nursing home care and hospice.