Literature Review
What are ageing and death from a biological point of view?
03/15/24 at 02:00 AMWhat are ageing and death from a biological point of view? Polytchnique insights, by Alexis Gautreau and Clemence Guillermain; 3/12/24 Linking philosophy and biology may seem strange. Yet there are many subjects where the two disciplines come into play and are, in turn, essential to understanding them. Death is a perfect example. This biological reality remains an abstract concept until we experience it in our own lives. But, however abstract it may be, death is based on a biological reality.
A fond farewell: Musings on the end of the Medicare Advantage Hospice Carve-In Demonstration
03/15/24 at 01:00 AMA fond farewell: Musings on the end of the Medicare Advantage Hospice Carve-In Demonstration Husch Blackwell, podcast with Meg Pekarske and Chris Comeaux; 3/14/24It came as a surprise to our team when we learned that the Centers for Medicare & Medicaid Services (CMS) was ending the hospice component of Value-Based Insurance Design (VBID) on December 31, 2024. Upon learning this, Husch Blackwell’s Meg Pekarske contacted Chris Comeaux, the president and CEO of Teleios Collaborative Network, to see if he wanted to share his thoughts on this unexpected turn of events and what may be on the horizon. This is a forward-looking conversation where we explore how the lessons learned can galvanize new advocacy on the best ways to care for patients with advanced illnesses.
All-inclusive senior care center opens first Florida facility in Tampa
03/14/24 at 03:45 AMAll-inclusive senior care center opens first Florida facility in Tampa Tampa Beacon, by Mike Camunas; 3/11/24 It’s a one-stop shop for senior medical services — and social activities. On March 4, InnovAge unveiled its new, state-of-the-art Senior Care Center in Tampa, marking the medical service provider’s first facility in Florida. The 33,500-square-foot facility in a renovated building provides doctor visits, dental care, social activities, and even transportation for seniors. The facility ... can serve up to 1,300 patients or participants through PACE, or Program of All-Inclusive Care for the Elderly, a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility.
Jimmy Carter has spent over a year in hospice care. How has he defied the odds?
03/14/24 at 03:00 AMJimmy Carter has spent over a year in hospice care. How has he defied the odds? Northeastern Global News, by Tanner Stening; 3/12/24 End-of-life advocates and experts cite Carter’s stay in hospice as having a positive impact on the discourse of end-of-life care, which Northeastern University experts say many people put off until it’s too late. ... According to the National Institutes of Health, more than 90% of patients who enter hospice care die within the first six months. Roughly 36% of patients die within a week of entering hospice.Editor's Note: This article includes an important, transparent piece of information that many articles about President Carter's 1-year hospice anniversary have not mentioned: "If the patient lives past six months, the medical professionals would need to recertify the patient for continued care." Click here for the CMS "Face-to-Face Requirement Affecting Hospice Recertification."
Today's Encouragement: Change the way ...
03/14/24 at 03:00 AMChange the way you look at things and the things you look at change. ― Wayne W. Dyer
Providers push lawmakers to make telehealth provisions permanent
03/14/24 at 03:00 AMProviders push lawmakers to make telehealth provisions permanent McKnights Home Care, by Foster Stubbs; 3/11/24 More than 200 healthcare organizations including LeadingAge and the National Association for Home Care & Hospice recently signed a letter to congressional leadership urging the permanent adoption of telehealth provisions affecting Medicare beneficiaries. Current provisions, which are set to expire at the end of the year, allow beneficiaries to access telehealth services in their home.
Antidepressant prescribing practices of pediatric palliative care providers
03/14/24 at 03:00 AMAntidepressant prescribing practices of pediatric palliative care providers Journal of Palliative Medicine, by Teresa Venta; 3/12/24 Objective: This study seeks to describe the antidepressant prescribing practices of PPC providers and describe their level of training and comfort in assessing for anxiety and depression and prescribing psychotropic medications. Conclusions: Limited training in assessing mental health concerns, prescribing, and managing psychopharmacology suggests an opportunity for more targeted education for pediatric PC providers regarding antidepressant prescribing practices.
Health networks in nursing: limitless possibilities
03/14/24 at 03:00 AMHealth networks in nursing: limitless possibilities
Few hospitals follow recommended practices for evidence-based suicide care
03/14/24 at 03:00 AMFew hospitals follow recommended practices for evidence-based suicide care Pew, by Farzana Akkas; 3/12/24 In 2022, suicide claimed the lives of an estimated 49,449 people in the United States. ... Research has shown that almost half of those who die by suicide interact with the health care system within four weeks of their deaths. And those who are hospitalized for suicide risk face an elevated risk of dying by suicide post-discharge, making this a critical time for these patients to have access to resources, support, and care that can keep them safe in the event of a suicidal crisis. But new research shows that only 8% of hospitals in the U.S. have instituted all the key components of evidence-based, best-practice interventions to help at-risk patients who are discharged after receiving care. In fact, more than 1 in 4 are not conducting any of these interventions.
5 hospitals seeking CEOs
03/14/24 at 03:00 AM5 hospitals seeking CEOs Becker's Hospital Review, by Kelly Gooch; 3/11/24 Here are five hospitals that recently posted job listings seeking CEOs.|
What are important ethical implications of using Facial Recognition Technology in health care?
03/14/24 at 03:00 AMWhat are important ethical implications of using Facial Recognition Technology in health care? AMA Journal of Ethics, by Nicole Martinez-Martin, JD, PhD; orig post 2/24, redistributed 3/13/24Applications of facial recognition technology (FRT) in health care settings have been developed to identify and monitor patients as well as to diagnose genetic, medical, and behavioral conditions. The use of FRT in health care suggests the importance of informed consent, data input and analysis quality, effective communication about incidental findings, and potential influence on patient-clinician relationships. Privacy and data protection are thought to present challenges for the use of FRT for health applications.
[ALS] Controlling what can be controlled: Palliative Care
03/14/24 at 03:00 AM[ALS] Controlling what can be controlled: Palliative Care ALS Association [Amyotrophic Lateral Sclerosis, commonly known as "Lou Gehrig's Disease]; 3/13/24 “Palliative care specialists can help people determine and define what are the ‘everyday things’ that matter to them. Some people may already know what these are but may not have had an opportunity to share this information with their health care team,” Dr. Mehta says. “Others may not know they can share this with their health care team. They may not know where to find help with these ‘everyday things.’ [Dr. Ambereen K. Mehta, MD, MPH, FAAHPM, associate professor of palliative care in the Departments of Medicine and Neurology at the Johns Hopkins School of Medicine]Editor's Note: Are your palliative care services connected with your local ALS Association? This page on the ALS website describes beautifully the benefits of palliative care as soon as the diagnosis occurs.
Colorado Senate passes bill to shorten ‘Medical-Aid-in-Dying’ waiting period
03/14/24 at 03:00 AMColorado Senate votes to shorten ‘Medical-Aid-in-Dying’ waiting period Colorado Newsline, by Sara Wilson; 3/8/24 The Colorado Senate approved a bill Friday that would alter the state’s medical aid-in-dying law by shortening the required waiting period and allowing more medical professionals to prescribe the medication. ... Senate Bill 24-68 would tweak the law by shortening the waiting period between a patient’s first and second request for the medication from 15 to seven days. ... Statistics from Denver Health’s medical aid-in-dying program show that about 1 in 4 patients died from their illness during the current 15-day waiting period.
79 best hospitals for patient experience, safety: Healthgrades
03/14/24 at 03:00 AM79 best hospitals for patient experience, safety: Healthgrades Becker's Clinical LeadershipHealthgrades recognized 832 hospitals with its 2024 Patient Safety Excellence Awards and Outstanding Patient Experience Award. Only 79 of those hospitals received both awards. The dual recipients spanned 27 states. Texas had the most dual recipients with 13 honorees — including four Baylor Scott and White Health and four Houston Methodist hospitals. [Click here for] the 79 hospitals that received both Patient Safety Excellence and Outstanding Patient Experience awards, listed by state.
Celebrating Hospice & Palliative Social Workers: March is Social Work Month!
03/14/24 at 03:00 AMCelebrating Hospice & Palliative Social Workers: March is Social Work Month!The National Association of Social Workers' 2024 theme for Social Work Month is Empowering Social Workers! Click here for information and ideas.
Death Cafes in Duluth aim to make end of life something more normal to talk about
03/14/24 at 03:00 AMDeath Cafes in Duluth aim to make end of life something more normal to talk about ABC WDIO; 3/11/24 Talking about death can be difficult and daunting. A Duluth woman who’s an estate attorney wants to change that. Amy Kuronen just hosted her first Death Cafe. Nine people attended, and it was an open ended conversation without an agenda. ... It’s not a grief support group, although you can mention your grief. It’s more about connecting and sharing. Editor's Note: Are you aware of Death Cafes in your area? Do their representatives have relevant information about your hospice and palliative care services?
The U.S. prison population is rapidly graying. Prisons aren’t built for what’s coming
03/14/24 at 03:00 AMThe U.S. prison population is rapidly graying. Prisons aren’t built for what’s coming Wisconsin Public Radio, by Meg Anderson; 3/12/24 ... "You don't usually build prisons with nursing home-type housing." The proportion of state and federal prisoners who are 55 or older is about five times what it was three decades ago. In 2022, that was more than 186,000 people. ... Prison systems across the U.S. have a constitutional obligation to provide adequate health care, and they’re racing to figure out how to care for the elderly in their custody — and how to pay for it.Editor's Note: This article provides current data and focuses on nursing home type care. For depth information, pair this data with a clinical journal chapter, "Palliative and End-of-Life Care in Prison" - Aston, L. (2023). Palliative and End-of-Life Care in Prison. In: Brooke, J. (eds) Nursing in Prison . Springer, Cham. https://doi.org/10.1007/978-3-031-30663-1_8
Home Care costs continue to increase, outpacing other long-term care settings
03/14/24 at 03:00 AMHome Care costs continue to increase, outpacing other long-term care settings Home Health Care News, by Andrew Donlan; 3/12/24 The pricing increases in home care have again outpaced other long-term care sectors, according to Genworth’s annual cost of care report.
'It's been really inspiring': Grace House continues end-of-life care despite challenges
03/14/24 at 03:00 AM'It's been really inspiring': Grace House continues end-of-life care despite challenges Akron Beacon Journal, by Kelsie Horner; 3/13/24Through a flood and financial challenges, an Akron nonprofit has continued to provide end-of-life care and companionship for people who might otherwise die alone. Since opening its doors 1½ years ago, Grace House has cared for 66 residents during their final days. ... Grace House is one of only three organizations in the nation to provide free, “non-barrier” end-of-life care for people who are unhoused or alone.
Can we make more accurate prognoses during last days of life?
03/14/24 at 03:00 AMCan we make more accurate prognoses during last days of life?Journal of Palliative Medicine; by Sylvie Bouchard, Andreea Paula Iancu, Elena Neamt, François Collette, Sylvie Dufresne, Patricia Maureen Guercin, Suganthiny Jeyaganth, Desanka Kovacina, Taliá Malagón, Laurie Musgrave, Marilisa Romano, Jenny Wong, Sybil Skinner-Robertson; 3/8/24Background: ... Established methods (Palliative Performance Scale [PPS], Palliative Prognostic Index [PPI]) have been validated for intermediate- to long-term prognoses, but last-weeks-of-life prognosis has not been well studied. Patients admitted to a palliative care facility often have a life expectancy of less than three weeks. Reliable last-weeks-of-life prognostic tools are needed. Conclusions: ... Using SPS [Short-Term Prognosis Signs] along with PPS and PPI during the last weeks of life could enable a more precise short-term survival prediction across various end-of-life diagnoses. The translation of this research into clinical practice could lead to a better adapted treatment, the identification of a most appropriate care setting for patients, and improved communication of prognosis with patients and families.
By 2022, COVID pandemic had shaved 1.6 years from global life expectancy, research reveals
03/14/24 at 03:00 AMBy 2022, COVID pandemic had shaved 1.6 years from global life expectancy, research reveals University of Minnesota CIDRAP, by Mary Van Beusekom, MS; 3/12/24 ... About 131 million people around the world died from any cause in 2020-2021 combined, with 15.9 million more deaths than expected due to COVID-19 infection or pandemic-related social, economic, or behavioral factors, such as delays in seeking healthcare. ... Global life expectancy climbed 22.7 years from 1950 to 2021, from 49.0 to 71.7 years, but from 2019 to 2021, it dropped 1.6 years, reversing historical trends.
Film Festival and local organizations partner to present ‘Lily’ March 21
03/14/24 at 03:00 AMFilm Festival and local organizations partner to present ‘Lily’ March 21 Sedona.Biz; 3/9/24Accord Hospice & Palliative Care is continuing their educational efforts by partnering with the Hospice Foundation of America (HFA) to marry theater and Advance Care Directive education through the AD Project – a series of 10-minute plays that feature different relationships and settings to illustrate the importance of putting your medical wishes in writing. ...Playwright Bryan Harnetiaux has worked with HFA for years developing a series of shows that depict real life scenarios involving all different family dynamics. The show “Lily” will present a divorced couple who are embarking on a very real dilemma – who to choose to be your voice when you can no longer speak for yourself.
[Updated] Inefficient, unfair audits continue to burden hospices, new survey report finds
03/14/24 at 02:15 AM[Updated] Inefficient, unfair audits continue to burden hospices, new survey report findsMcKnights Home Care, by Adam Healy; 3/12/24Clunky audit processes have long strained hospice providers’ time and money, and though regulators have made some improvements, many agencies still report glaring issues with investigations, according to a new report released Tuesday by four major hospice organizations. ... Many audits have failed to meet their expressed purpose: Reining in noncompliance. ...
Nearly 53% of hospices undergo multiple audits simultaneously
03/14/24 at 02:05 AMNearly 53% of hospices undergo multiple audits simultaneouslyHospice News, by Jim Parker; 3/12/24Program integrity and an onslaught of audits are top of mind for many hospice providers in 2024. The nation’s four largest hospice industry organizations — LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI) — in late 2023 conducted a 133-respondent provider survey focused on regulation. ... About 52.9% reported having multiple audits, each of a different type, within six months of one another, and 31% said they were required to submit the same charts for each of these audits.
CMS Statement on continued action to respond to the cyberattack on change healthcare
03/14/24 at 02:00 AMCMS Statement on continued action to respond to the cyberattack on change healthcareCMS.gov Press Release; 3/9/24 The Centers for Medicare & Medicaid Services (CMS) is continuing to monitor and assess the impact that the cyberattack on UnitedHealth Group’s subsidiary Change Healthcare has had on all provider and supplier types. Today, CMS is announcing that, in addition to considering applications for accelerated payments for Medicare Part A providers, we will also be considering applications for advance payments for Part B suppliers.