Literature Review
CMS hears you, hospice providers
03/14/24 at 02:00 AMCMS hears you, hospice providersMcKnights Home Care, by Liza Berger; 3/8/24 Rarely does the Centers for Medicare & Medicaid Services succeed in shocking us. The large bureaucracy, which is not exactly known for its nimbleness, managed to do so this week when it abruptly cancelled the hospice component of the Value-Based Insurance Design Model. ... For those who wonder whether advocacy works, I’d chalk this up to a win for providers — and a clear example of advocacy in action.
Vitas To Buy Hospice Assets of Covenant Care in Florida and Alabama
03/14/24 at 01:00 AMChemed's Vitas Healthcare plans $85M acquisition to expand Florida footprint
New book addresses prolonged grief disorder diagnosis and treatment
03/13/24 at 03:30 AMNew book addresses prolonged grief disorder diagnosis and treatmentHospice Foundation of America, press release 2/26/24Hospice Foundation of America (HFA) today announced the publication of Understanding Prolonged Grief Disorder, written and edited by some of the nation’s leading grief experts and healthcare professionals. Prolonged grief disorder (PGD) is a new diagnosis in the most recent version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.) Inclusion of PGD validates the occurrence of a disorder characterized by the persistence of pervasive, intense grief. With the possible exception of posttraumatic stress disorder (PTSD), this is the first time a loss-related condition has been identified as a diagnosable condition.
NH End of Life Act to allow medical aid in dying moves closer to passage
03/13/24 at 03:15 AMNH End of Life Act to allow medical aid in dying moves closer to passage Gannett / Aol., by Margie Cullen, Portsmouth Herald; 3/8/24 The End of Life Options Act, which would allow terminally ill people in New Hampshire to choose to receive medical aid in dying, gained its first victory in the House Judiciary Committee on Wednesday. Both Republicans and Democrats voted in favor of House Bill 1283, sending it to the full House of Representatives with a recommendation to pass, 13-7.
Certified Nurses Day is March 19, 2024
03/13/24 at 03:00 AMCertified Nurses Day is March 19, 2024
Is extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology'
03/13/24 at 03:00 AMIs extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology' CBC News, by Amina Zafar and Christine Birak; 3/11/24 People may celebrate a 2-week improvement in survival without acknowledging costs. When a treatment buys a few weeks or months but comes with with a lot of side-effects, then the perspectives of people with cancer may differ, says Dr. Christopher Booth. ... The goal of what they call "common-sense oncology" is to prioritize treatments that meaningfully improve survival and quality of life. They aim to address what they see as problems in the field, such as a lack of critical thinking in oncology training, falling standards for drug approvals and avoidance of end-of-life discussions.
Hospice of the Valley offering services in Tucson
03/13/24 at 03:00 AMHospice of the Valley offering services in TucsonTucson.com, by Debbie Shumway, Executive Director of Hospice of the Valley; 3/4/24We are honored to share that Hospice of the Valley is now serving patients and families in Tucson. Our nonprofit agency was founded by a group of volunteers in 1977 and our mission has never wavered: Bringing comfort, dignity and compassionate care to our community.
Healthcare technology regulatory update - March 2024
03/13/24 at 03:00 AMHealthcare technology regulatory update - March 2024 JD Supra, by Justin Chavez and Vimala Devassy; 3/8/24Federal and state agencies are actively proposing and enacting health technology-related legislation and regulations.
Today's Encouragement: A single sunbeam ...
03/13/24 at 03:00 AMA single sunbeam is enough to drive away many shadows. - Francis of Assisi
Navigating Aging: Does our society simply not care about our vulnerable older population?
03/13/24 at 03:00 AMNavigating Aging: Does our society simply not care about our vulnerable older population? KFF Health News, by Judith Graham; 3/10/24 ... The pandemic made things worse. Prejudice against older adults is nothing new, but “it feels more intense, more hostile” now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University. “I think the pandemic helped reinforce images of older people as sick, frail, and isolated — as people who aren’t like the rest of us,” he said. “And human nature being what it is, we tend to like people who are similar to us and be less well disposed to ‘the others.'"
Facing dementia: clarifying end-of-life choices, supporting better lives
03/13/24 at 03:00 AMFacing dementia: clarifying end-of-life choices, supporting better lives EurekAlert!, by The Hastings Center; 3/11/24A new Hastings Center special report considers how America’s aging society responds to the needs and concerns of people facing dementia. ... Three essays reconsider familiar ways of thinking and talking about decision-making and care concerning people nearing the end of life to better reflect the needs and concerns of people facing dementia. For example, “Too Soon or Too Late: Rethinking the Significance of Six Months When Dementia Is a Primary Diagnosis” takes a critical look at the “six-month rule.”
Whistleblower cases on the rise nationwide; Sarbanes-Oxley, Dodd-Frank laws open door for more to speak out
03/13/24 at 03:00 AMWhistleblower cases on the rise nationwide; Sarbanes-Oxley, Dodd-Frank laws open door for more to speak out PressReader, Herald-Tribune; by Esteban Parra and Xerxes Wilson; 3/10/24A former medical director specializing in neurosurgery at southern Delaware's largest health care provider claims in a lawsuit that Bayhealth Medical Center misclassified "brain-dead" patients in order to overbill for services.
Cooperman Barnabas Medical Center recognizes Certified Nurses Day
03/13/24 at 03:00 AMCooperman Barnabas Medical Center recognizes Certified Nurses DayRWJ Barnabas Health Blog; 3/11/24In honor of Certified Nurses Day, March 19, 2024, Cooperman Barnabas Medical Center (CBMC) acknowledges the 500 members of our Magnet-recognized nursing staff who have achieved and maintained national board certification during 2023 in their nursing specialty. Editor's Note: Congratulations to these certified nurses and to Cooperman Barnabas Medical Center for honoring them in such visible, meaningful way! For your organization, though time is short, what can you doto honor your certified nurses?
ACC updates HFrEF Decision Pathway, reinforcing the Four Pillars of Therapy
03/13/24 at 03:00 AMACC updates HFrEF Decision Pathway, reinforcing the Four Pillars of Therapy
Spiritual care key to addressing disparities among underserved black communities
03/13/24 at 03:00 AMSpiritual care key to addressing disparities among underserved black communities Hospice News, by Holly Vossel; 3/11/24Spiritual hospice care providers are an important link to building bridges of access and trust among underserved African American populations. ... Having a historical context of understanding around the faith-based barriers among African American populations is a significant part of improving utilization, according to Wayman Scott, associate director of diversity, equity, inclusion and community relations at Maryland-based Gilchrist. Scott also has a background in hospice chaplaincy and serves as chair of the diversity committee at the Hospice & Palliative Network of Maryland.
Telehealth preferences among patients with advanced cancer in the post COVID-19 vaccine era
03/13/24 at 03:00 AMTelehealth preferences among patients with advanced cancer in the post COVID-19 vaccine eraJournal of Pain and Symptom Management; by Kawoswi K Shih, MD; Adrienne B Arechiga; Xi Chen PhD; Diana L. Urbauer, MS; Aline Rozman De Moraes, MD; Ashley J Rodriquez; Lisa Thomas; Penny A Stanton; Eduardo Bruera, MD; and David Hui MD; 3/10/24 Background: Few studies have examined patient preferences for telehealth in palliative care after the availability of COVID-19 vaccines. We examined patient preferences for video versus in-person visits and factors contributing to preferences in the post-vaccine era. Conclusion: Patients expressed strong preference for video over in-person visits in the outpatient palliative care setting.
Paintings by famous artists reimagined in exhibition showcasing end-of-life care
03/13/24 at 03:00 AMPaintings by famous artists reimagined in exhibition showcasing end-of-life care
Costs of long-term care: ‘Financial ruin is baked into the system’
03/13/24 at 03:00 AMCosts of long-term care: ‘Financial ruin is baked into the system’ KFF Health News, by Jordan Rau and Reed Abelson; 3/9/24 Thousands of readers reacted to the articles in the “Dying Broke” series about the financial burden of long-term care in the United States. They offered their assessments for the government and market failures that have drained the lifetime savings of so many American families. And some offered possible solutions. In more than 4,200 comments, readers shared their struggles in caring for spouses, older parents, and grandparents. They expressed anxieties about getting older themselves and needing help to stay at home or in institutions like nursing homes or assisted living facilities.
Oncology hospitalists improve hospice transitions for patients with advanced cancers
03/13/24 at 03:00 AMOncology hospitalists improve hospice transitions for patients with advanced cancers Yale School of Medicine, by Osman Moneer; 3/11/24Unplanned hospitalizations for patients with advanced cancer often trigger discussions about care goals and transitions to hospice. Late referrals to hospice, particularly near the end of life, have been associated with reduced quality of life and increased healthcare costs. A new research study published in Cancer investigates the impact of oncology hospitalists on the timing of hospice transitions for patients with advanced cancers.
NHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans
03/13/24 at 03:00 AMNHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans NHPCO Press Release; 3/11/24 The National Hospice and Palliative Care Organization (NHPCO) and its We Honor Veterans (WHV) program responded to the Centers for Medicare & Medicaid Services’ (CMS) clarification on concurrent care eligibility for Veteran beneficiaries. Under Change Request 13523 issued by CMS on February 22, 2024, the Medicare Benefit Manual is updated to clarify that a Veteran beneficiary who elects hospice services under the Medicare benefit may still receive services that are not included on the hospice plan of care and are furnished and paid under the beneficiary’s Department of Veterans Affairs (VA) benefits, in addition to hospice services.
Aid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms
03/13/24 at 03:00 AMAid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms ArcaMax / Pioneer Press, by Alex Derosier; 3/10/24... “Medical aid in dying” or “physician-assisted suicide” is an emotional issue for many, with a January [Minnesota] House hearing on the bill drawing an audience of hundreds on either side. Lawmakers heard hours of testimony from cancer patients with only months to live, and families of people who suffered painful deaths from disease. There also were people concerned legal elective death could eventually become an option for people with disabilities and negatively affect care. But it isn’t just a debate on medical ethics. There’s also an ongoing discussion in medicine, academia, journalism and law over what society should call the practice.
Palliative care cuts costs for metastatic cancer
03/13/24 at 03:00 AMPalliative care cuts costs for metastatic cancer
What deathbed visions teach us about living
03/13/24 at 03:00 AMWhat deathbed visions teach us about livingDNYUZ; 3/12/24Chris Kerr was 12 when he first observed a deathbed vision. His memory of that summer in 1974 is blurred, but not the sense of mystery he felt at the bedside of his dying father. ... It would be more than 40 years before Kerr felt compelled to speak about that evening in the hospital room. He had followed his father, and three generations before him, into medicine and was working at Hospice & Palliative Care Buffalo, where he was the chief medical officer and conducted research on end-of-life visions.
Hospice provider experience underscores urgency of program integrity efforts
03/13/24 at 02:00 AMHospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice 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)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act.
In the ICU, what is a good death? Understanding why clinicians and patients' families may disagree in Intensive Care Unit
03/13/24 at 02:00 AMIn the ICU, what is a good death? Understanding why clinicians and patients' families may disagree in Intensive Care Unit Northwestern Now, by Marla Paul; 3/7/24What is a good death for a patient in the Intensive Care Unit (ICU)? The answer to that question may depend on whether you ask a family member of a patient or the physician, who are not necessarily aligned. ... Approximately 20-30% of people who die in the U.S., die in the ICU, according to previous research. Nearly 60% of ICU admissions result in death. Wide discrepancies have been documented between a patient’s stated preferences and the end-of-life care actually delivered.