Literature Review
Editorial: ‘Right to die’ debate comes to Illinois. Both sides have merit, but we would vote no.
03/11/24 at 03:00 AMEditorial: ‘Right to die’ debate comes to Illinois. Both sides have merit, but we would vote no.
Western Slope lawmakers introduce bill to license funeral home operators
03/11/24 at 03:00 AMWestern Slope lawmakers introduce bill to license funeral home operatorsGrand Junction (CO) Daily Sentinel, by Elliott Wenzler; 3/6/24[CO Senate Bill 173] would address one glaring issue with the funeral home industry in Colorado — it’s the only state in the country that doesn’t license funeral home operators.Publisher's note: This legislative action is part of a broad response to the Return to Nature Funeral Home felony charges following discovery of 189 improperly stored bodies detailed in this Colorado Springs Gazette story.
Programmatic palliative care consultations in pediatric heart transplant evaluations
03/11/24 at 03:00 AMProgrammatic palliative care consultations in pediatric heart transplant evaluations Pediatr Cardiol, by Erika J Mejia, Rui Xiao, Jennifer K Walter, Chris Feudtner, Kimberly Y Lin, Aaron G DeWitt, Meeta Prasad Kerlin; 3/8/24 Guidelines advocate for integrating palliative care into the management of heart failure (HF) and of children with life-limiting disease. The potential impact of palliative care integration into pediatric HF on patient-centered outcomes is poorly understood. The present study sought to assess the association of programmatic implementation of palliative care into the heart transplant evaluation process with hospital-free days (HFD) and end of life (EOL) treatment choices.
Podcast: Outcomes post-cardiac arrest and palliative medicine consultation for seriously ill patients
03/11/24 at 03:00 AMPodcast: Outcomes post-cardiac arrest and palliative medicine consultation for seriously ill patientsThe Rounds Table Podcast, Episode 81; recorded 3/7/24 This week, Drs. Mike and John Fralick discuss two recent papers exploring patient outcomes after in-hospital cardiac arrest and the role of default Palliative Medicine consultation for seriously ill hospitalized patients. Two papers, here we go!
The states where most Medicare beneficiaries have Medicare Advantage plans
03/11/24 at 03:00 AMThe states where most Medicare beneficiaries have Medicare Advantage plans Becker's Payer Issues, by Andrew Cass; 3/6/24 Twenty-six states now have more than half of their Medicare enrollees in Medicare Advantage plans, according to a March 5 report from Chartis, a healthcare advisory services firm. Nationwide, half of Medicare-eligible beneficiaries are now enrolled in Medicare Advantage plans. [Click on the title's link for] the 26 states where Medicare Advantage market penetration exceeds 50%.
Compassionate extubation and beyond: Is there a need for more guidance in managing end-of-life in the intensive care unit?
03/11/24 at 03:00 AMCompassionate extubation and beyond: Is there a need for more guidance in managing end-of-life in the intensive care unit? Chest Physician, by Angela L. Birdwell, DO, MA; Nehan Sher, MD Approximately 20% of deaths in the United States occur during or shortly after a stay in the ICU and approximately 40% of ICU deaths involve withdrawal of artificial life support (WOALS) or compassionate extubation. ... How the team approaches WOALS can make a difference to both patients and decision-makers. Unfortunately, there is striking variation in practice and lack of guidance in navigating issues that arise at end-of-life in the ICU.
100+ hospitals, health systems among Newsweek's greatest workplaces for women
03/11/24 at 03:00 AM100+ hospitals, health systems among Newsweek's greatest workplaces for women Newsweek / Becker's Hospital Review, by Kelly Gooch; 3/7/24 Newsweek has published its 2024 "America's Greatest Workplaces for Women" ranking, which includes hospitals and health systems. ... The best companies in the tiers of large companies (5,000+ employees), mid-size companies (1,000 to 4,999 employees) and small companies (500 to 999 employees) were recognized among the 1,000 greatest workplaces for women. ... [Click on the link above to the list gleaned by Becker's of hospitals and health systems.]
The strength it takes to suffer [MAID story of J. Randall Curtis, MD, MPH, intensive care and palliative medicine pioneer]
03/11/24 at 03:00 AMThe strength it takes to suffer JAMA Intern Med., by Alice Curtis, Amy Hamblin, MA, and William E. Rosa, PhD, MBE, APRN; 3/4/24J. Randall Curtis, MD, MPH—my dad (A.C.) and my husband (A.H.)—was an intensive care and palliative medicine pioneer whose impact as a researcher, mentor, and humanist was legend long before his death. When Randy first revealed his diagnosis publicly, he said it was exhausting being strong. ... Throughout his career and illness [ALS], Randy came to appreciate medical aid in dying (MAID) as an ethical way for physicians to care for patients. The moral edict of medicine—first, do no harm—does not mean, nor can it mandate, the ultimate prevention of death, but rather that the physician’s role is to ease suffering at all stages of living and dying. For Randy, the only end to his extreme suffering while ALS was surely killing him was the overwhelming act of hastening his own death. In his case, he was his own most compassionate physician.Editor's Note: For the other perspective, see this newsletter's article "Editorial: 'Right to Die' debate comes to Illinois."
How CON laws influence hospice quality, program integrity
03/11/24 at 03:00 AMHow CON laws influence hospice quality, program integrityHospice News, by Holly Vossel; 3/8/24Variations in hospice certificate of need (CON) state laws are raising program integrity concerns.Notable mentions: Susan Ponder-Stansel, President and CEO of Alivia Care; Paul Ledford, President and CEO of the Florida Hospice & Palliative Care Association; Eddie Belluomini, COO of 1Care Hospice & 1Care Kids; Paula Sanders, Executive Director of the Georgia Hospice and Palliative Care Organization; Matt Hansen, Executive Director of the Homecare & Hospice Association of Utah.
Scary ‘state’: Two-thirds of nursing home operators fear closure without staffing relief
03/11/24 at 03:00 AMScary ‘state’: Two-thirds of nursing home operators fear closure without staffing relief McKnights Long-Term Care News, by Josh Henreckson; 3/6/24Of nearly 450 nursing home providers surveyed, two-thirds are concerned that escalating workforce challenges may force them to close their facility. More than 70% of nursing homes reported staffing levels lower than before the COVID-19 pandemic, with fully 99% saying they are hiring for open positions.
Medicare Hospice – exploding in size but riddled with quality concerns
03/11/24 at 03:00 AMMedicare Hospice – exploding in size but riddled with quality concerns Penn LDI, by Hoag Levins; 3/8/24 Five top experts on hospice care convened in a virtual discussion of the Medicare Hospice program. This video is the full session.
Today's Encouragement: What lies behind us ...
03/11/24 at 03:00 AMWhat lies behind us and what lies before us are tiny matters compared to what lies within us. - Henry S. Haskins
Nursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study
03/11/24 at 03:00 AMNursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study McKnights Long-Term Care News, by Josh Henreckson; 3/8/24 As much as 63% of nursing home profits in Illinois were hidden from state regulators using related party transactions in 2019, according to the results of a new study from UCLA and Lehigh University researchers. Those results are likely indicative of a nationwide trend that has continued through the pandemic and into 2024, experts told McKnight’s Long-Term Care News Thursday.
Samaritan gala raises record amount: Event helps fund services to the seriously ill and their families
03/11/24 at 03:00 AMSamaritan gala raises record amount: Event helps fund services to the seriously ill and their families The Sun Newspapers, by Christine Harkinson; 3/7/24 Samaritan’s 2024 Celebration of Life Gala in Cherry Hill raised $275,000 last month to support the nonprofit’s life-enhancing services. ... Founded in Moorestown in 1980 as one of the first hospices in the country, Samaritan is now among New Jersey’s leading providers of hospice care, palliative (comfort) medicine, at-home primary care, grief support and other services.
‘Nothing less than a crisis’ as 45 percent of SNFs cite serious financial issues in AHCA survey
03/11/24 at 03:00 AM‘Nothing less than a crisis’ as 45 percent of SNFs cite serious financial issues in AHCA survey McKnights Senior Living, by Kathleen Steele Gaivin; 3/6/24 Forty-five percent of skilled nursing facility participants in a new survey said they are “either operating in the red or barely breaking even.” The American Health Care Association survey of 441 nursing home providers, the results of which were released Tuesday, found that 42% of SNFs are operating on a total margin of 0% to 3%, and only 13% are operating with a total margin that is greater than 3%. AHCA’s State of the Sector Report also found that staffing challenges remain.
Why Northwell wants to buy Nuvance
03/11/24 at 03:00 AMWhy Northwell wants to buy Nuvance Modern Healthcare, by Caroline Hudson; 3/6/24 The deal would create a system with 28 hospitals and more than 1,000 care sites across New York and Connecticut.Editor's Note: Access to this article requires a subscription.
Beloved teacher dies of rare illness, students raise enough money to put her children through college
03/11/24 at 02:00 AMBeloved teacher dies of rare illness, students raise enough money to put her children through college NBC News 10, Rochester, NY; by Jennifer Lewke; 3/6/24 A school of students, devastated by the sudden loss of a favorite teacher, worked together to ensure her legacy lives on. Emily Casey died less than a month after being diagnosed with a rare and frightening disease. In the two weeks since she passed, her students at Our Lady of Mercy School have raised more than $150,000 in her memory.
Description and outcomes of a palliative care pharmacist-led Transitions of Care program
03/11/24 at 02:00 AMDescription and outcomes of a palliative care pharmacist-led Transitions of Care program J Palliat Med, by Connor McCormick, Mamta Bhatnagar, Robert M Arnold, Maria Felton Lowry; 3/6/24Background: Patients with palliative care needs are at high risk of medication errors during transitions of care (TOC). Palliative Care Pharmacist Interventions surrounding Medication Prescribing Across Care Transitions (IMPACT) program was developed to improve the TOC process from hospital to community setting for cancer patients followed by palliative care. Conclusion: Our pilot study demonstrates that integrating a pharmacist in TOC for seriously ill patients is feasible and valuable.
Frontline hospice staff need to understand new CMS survey methods
03/11/24 at 02:00 AMFrontline hospice staff need to understand new CMS survey methodsHospice News, by Holly Vossel; 3/5/24Ensuring staff are educated around revisions to hospice survey processes will be key to navigating ongoing regulatory changes in the industry. This year will bring further implementation of survey validation activities, but also new regulatory oversight processes, according to Kim Skehan, vice president of accreditation for the Community Health Accreditation Partner (CHAP) organization.
CMS to end Hospice MA Carve-In: Insights for home-based care providers
03/11/24 at 02:00 AMCMS to end Hospice MA Carve-In: Insights for home-based care providers Home Health Care News, by Andrew Donlan; 3/7/24Grand opening, grand closing. Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. At the end of 2024, the “hospice carve-in” model will cease. ... In this week’s exclusive, members-only HHCN+ Update, I dive into what CMS’ ditching of the hospice carve-in means for home health and hospice providers generally. I’ll also get into what it may mean for that space between home-based care providers and MA plans moving forward.
Palliative care across the spectrum of heart failure
03/11/24 at 01:45 AMPalliative care across the spectrum of heart failure JACC Heart Fail; y Laura P Gelfman, Moritz Blum, Modele O Ogunniyi, Colleen K McIlvennan, Dio Kavalieratos , Larry A Allen; online ahead of print 2/27/24; print 3/8/24 Persons with heart failure (HF) often suffer from poor symptom control, decreased quality of life, and poor communication with their health care providers. ... New models are required that are better informed by high-quality data, engage a range of health care providers in primary palliative care principles, and have clear triggers for specialty palliative care engagement, with specific palliative interventions tailored to patient's illness trajectory and changing needs.
Home-based palliative care shows promise in reducing ER visits, hospitalizations
03/10/24 at 03:50 AMHome-based palliative care shows promise in reducing ER visits, hospitalizationsHome Health Care News, by Patrick Filbin; 2/28/24Patients who receive home-based palliative care (HBPC) services experience fewer emergency department visits, fewer hospitalizations and lower costs once they start receiving services. That’s according to a recent study conducted by the West Health Research Institute of Blue Shield of California.
Why not-for-profit health systems need positive margins: Deloitte
03/10/24 at 03:45 AMWhy not-for-profit health systems need positive margins: Deloitte Becker's Hospital CFO, by Andrew Cass; 2/28/24Health system margins are the "lifeblood of a healthy, patient-centered, innovative health care system and community," according to a report from consulting firm Deloitte. "Claims that profits are not important in fact undermine the ability to fund the mission, serve the community, and deliver better, equitable care," Deloitte said in the report. ... "[Systems] should consider a holistic approach that integrates margin drivers to create a balanced transformation portfolio, according to the report. Timing and sequencing are important within each driver and "a full understanding of the dollar impact and priority of each is necessary for margin improvement to be successful."
Maryland: Medical aid-in-dying legislation won’t pass this year
03/10/24 at 03:40 AMMaryland: Medical aid-in-dying legislation won’t pass this yearThe Baltimore Banner, by Pamela Wood; 3/1/24The Maryland General Assembly will not vote this year on a bill that would allow terminally ill residents to be prescribed medication they could take to initiate their own death. Versions of the proposal have been considered, but not passed, in Maryland since 2015.