Literature Review

What is an end-of-life doula? Psychology Today, by Cheralyn Leeby, PhD, LMFT; 3/31/24"The appellation ‘end-of-life doula’ (EOLD) is increasingly used as an umbrella term to identify lay people, primarily women, who provide a diversity of non-medical supports—social, emotional, practical, and spiritual—for people nearing the end of life, including those close to them" (Krawzik and Rush, 2020). The term doula is derived from the Greek word "doule," which means helper or maidservant. Families hire death coaches to facilitate, guide, and emotionally support the dying process.

Michael Dowling: 9 healthcare nuances that defy simple criticismsBecker's Hospital Review; by Michael J. Dowling; 3/28/24Those who work in healthcare should be proud of the distinct role we play in our communities and society. ... Beyond all the numbers and details, it is important to understand that healthcare is deeply human and personal. We are all potential patients — many of us have already been. ... [Click on the article's title for Dowling's 9 differences and distinctions for nonprofit healthcare.]

Retirement runway lengthens for some CEOsBecker's Hospital Review, by Alexis Kayser; 3/28/24Amid an uptick in abrupt CEO exits, some hospital leaders are drawing out their departures. ... [A] number of CEOs giving retirement notices well in advance. The reasons might seem obvious: Sudden exits, especially from a tenured leader, can disrupt entire systems. A longer transition period gives boards time to identify the right successor and even allows for some overlap in which the outgoing and incoming CEOs can exchange ideas. 

UCI Health completes acquisition of 4 Tenet hospitals Becker's Hospital Review, by Naomi Diaz; 3/27/24 Orange, CA-based UCI Health has completed its acquisition of Tenet Healthcare's Pacific Coast Network, which includes four hospitals in Southern California and their associated outpatient locations. As part of the agreement, Dallas-based Tenet's medical centers — Fountain Valley Regional Hospital, Lakewood Regional Medical Center, Los Alamitos Medical Center and Placentia-Linda Hospital — will now be part of UCI Health, according to a March 26 news release from UCI Health. The hospitals were sold for $975 million.

Killeigh mother and daughter fundraiser surpasses €10k Offaly Independent, by Geraldine Grennan; 3/28/24 A fundraiser organised by a Killeigh mother and daughter to raise money for the Irish Hospice Foundation has passed the €10,000 mark this week – despite setting an initial target of just €500.Arlene Guilfoyle Beatty from Fenter Lane in Killeigh embarked on the challenge of walking 100 miles for the month of March in memory of her beloved husband Donal, who was diagnosed with a very aggressive form of lymphoma in August 2021 and passed away seven months later. Editor's Note: €10,000 = over $16,625 US dollars

UnitedHealth Group names president Becker's Payer Issues, by Rylee Wilson; 3/29/24 UnitedHealth Group has named CFO John Rex as president of the company. Mr. Rex is taking over the president role from COO Dirk McMahon, who plans to retire. UnitedHealth Group has not announced a successor in the COO role.

Funding opportunity now available! Up to 5 grantee awards totaling $1,275,000 for health equity researchCMS Office of Minority Health; 4/1/24The Centers for Medicare & Medicaid Services Office of Minority Health’s (CMS OMH) Minority Research Grant Program (MRGP) is proud to release a Notice of Funding Opportunity (NOFO) for researchers at minority-serving institutions (MSIs). With this grant, you will partner with CMS OMH to grow your research credentials, increase public knowledge of health equity, and join the ranks of other published MRGP awardees.

Glendale, California men sentenced for role in $9M hospice fraud scheme – owner of San Gabriel Hospice and Palliative Care Inc. and Broadway Hospice Inc.Sierra Sun Times; 3/31/24The owner of two California-based hospice companies, along with his biller and consultant, were sentenced last Thursday for their respective roles in a scheme that resulted in stealing over $9 million from Medicare in false and fraudulent claims for hospice services. ... According to court documents, ...  [Gayk] Akhsharumov concealed his ownership and control over the hospice entities from Medicare, inserted nominee owners, paid kickbacks to patient recruiters, and profited from the scheme. In April 2020, after San Gabriel had ceased operations, Akhsharumov used the company to fraudulently obtain COVID-19 relief funds.

The indispensable role of critical thinking in healthcare leadership Forbes, by Dr. Hudson Garret, Jr and the Forbes Business Council; 4/1/24 In the fast-paced and complex landscape of healthcare, where decisions can have life-altering consequences, the value of critical thinking cannot be overstated. Critical thinking is not just a skill; it's a mindset—an essential tool for healthcare leaders to navigate uncertainty, make informed decisions and drive positive outcomes. ... Here are three examples of how I've applied critical thinking in leadership.

CMS releases Hospice Payment rate update proposed rule [Industry voices] HomeCare News; 3/29/24... "While the proposed rule may appear to be fairly innocuous," said NAHC President William A. Dombi, in response to the rule announcement, "the hospice community should pay attention to the information request on high cost services as it may signal an emerging interest in payment model reform. What is missing is also notable, CMS has not proposed any program integrity measures to address continued concerns on the surge in hospice growth in certain parts of the country despite the warning signs presented." ...Editor's Note: Additional responses from "industry voices" include NACH Vice President Davis Baird; NAHC's Director of Home Health and Hospice Regulatory Affairs Katie Wehri; and CEO Leading Age Katie Smith Sloan.

Hospice care for those with dementia falls far short of meeting people’s needs at the end of life ArcaMax, Maria J Silveira, University of Michigan; 4/1/24... Strikingly, only 12% of Americans with dementia ever enroll in hospice. Among those who do, one-third are near death. This is in stark contrast to the cancer population: Patients over 60 with cancer enroll in hospice 70% of the time. In my experience caring for dementia patients, the underuse of hospice by dementia patients has more to do with how hospice is structured and paid for in the U.S. than it does patient preference or differences between cancer and dementia.

I'm 34 and terminally ill, but I'm not scared of death anymore Metro / Microsoft Start, by Jyoti Smith; 3/31/24 I’ve spent the last nine years living with the idea of dying. In 2015, aged 25, I received my terminal diagnosis. ... My prognosis: three-to-five years. But here I am, almost 10 years on, at 34, and I’m living life to the fullest – if on the edge – and it’s largely down to one thing. Embracing hospice care. ... Editor's Note: Jyoti describes her journey and the care she now received from Marie Curie (hospice), in the United Kingdom.

14 Joint Commission patient safety goals for post-acute facilities Becker's Hospital Review, by Mariah Taylor; 3/21/24 The Joint Commission released a breakdown of patient safety goals for post-acute care facilities in 2024. The organization published an easy-to-read resource outlining goals for nine sectors of healthcare, including nursing facilities, surgery, hospitals and behavioral care. For post-acute facilities, the goals mostly revolved around identifying patients correctly, using medicines safely, and preventing infections and falls. Here are the patient safety goals for post-acute facilities: ...