Literature Review
Providing culturally sensitive palliative care to children with cancer: A conversation with Justin Baker, MD
05/17/24 at 03:00 AMProviding culturally sensitive palliative care to children with cancer: A conversation with Justin Baker, MDThe ASCO Post; by Rikki Camarillo; 5/16/24In the fall of 2023, Justin Baker, MD, took on the role of Chief of the Division of Quality of Life and Pediatric Palliative Care and Director of the Quality of Life for All Program, Stanford Medicine Children’s Health, Stanford, California. He formerly worked at St. Jude Children’s Research Hospital, Memphis, as Chief of the Quality of Life and Palliative Care Division. The ASCO Post recently spoke with Dr. Baker about his new role in palliative care for the treatment of children with cancer at Stanford Children’s and the importance of culturally sensitive care for patients and their families.
Other Business Headlines of Interest, updated 5/16/24 per nasdaq.com
05/17/24 at 03:00 AMOther Business Headlines of Interest, updated 5/16/24 per nasdaq.com
The top Affordable Care Act reporting mistakes we continue to see in 2024
05/17/24 at 03:00 AMThe top Affordable Care Act reporting mistakes we continue to see in 2024 HR Blog; by Eric Gregory; 5/13/24... There are a number of mistakes—some simple and some not-so-simple—that employers should avoid to prevent receiving a panic-inducing assessment letter from the IRS.
PACE program officially launches in Greater Peoria area
05/17/24 at 03:00 AMPACE program officially launches in Greater Peoria area OSF HelathCare, Peoria, IL; by Nathan Pritzker; 5/14/24 It’s a new and exciting day for older adults receiving health care services in the Greater Peoria area. After months of preparation, the state of Illinois and the Centers for Medicare and Medicaid Services (CMS) have awarded OSF HealthCare a contract to be one of the first in the state to offer Program of All-Inclusive Care for the Elderly (PACE). Enrollment for the program, known as OSF PACE, is currently underway with services officially beginning June 1.“OSF PACE will really help the people in the Tri-County area stay in their home and community,” says Nathan Pritzker, executive director of OSF PACE.
When doctors withhold futile treatments, that isn’t ‘assisted dying’
05/17/24 at 03:00 AMWhen doctors withhold futile treatments, that isn’t ‘assisted dying’ The Guardian; by Dr. James Haslam; 5/15/24 [Commentary / Letter] I write in response to Dr Jagat Aulakh’s letter (A form of assisted dying already happens in hospitals, 8 May). It must be made clear that withholding or withdrawing futile treatments is not and never has been assisted dying. Stopping – or not starting – treatments that are not wanted, are not working or are not worthwhile is good medicine and the law of the land. Whereas “assisted dying” is the modern euphemism for physician-assisted suicide and euthanasia, both forms of medicalised killing [the author's choice of words]. ... Intentions are important. ...Editor's Note: This thoughtful response puts forth ethical support against Medical Aid in Dying (MAiD), also known as "physican assisted suicide." Likely, different opinions can be inflammatory among your hospice and palliative employees, board, community, and more personally among your family and friends. As hospice and palliative leaders, we must address this issue with respectful dialogue, critical thinking, case studies, personal beliefs and values, empathy, and humanity.
Industry professionals reflect on five years of medical marijuana in Arkansas
05/16/24 at 03:45 AMIndustry professionals reflect on five years of medical marijuana in Arkansas Arkansas Advocate; by Mary Hennigan; 5/13/24Since the launch of medical marijuana in Arkansas in 2019, more than three dozen storefronts have opened, at least 102,000 residents have registered for patient cards and revenue has topped $1.1 billion. The latest card count exceeds 102,000, and there’s no indication of a letup in new applications, ... As of June 2023, one in three Arkansans with a patient card listed post-traumatic stress disorder as their qualifying condition, ... The next highest qualifying condition was intractable pain, or pain that has not responded to ordinary medications for more than six months, at nearly 30%.
Golf tournament raises more than $16k for hospice
05/16/24 at 03:30 AMGolf tournament raises more than $16k for hospice The Villages Daily Sun (FL); by James Dinan; 5/13/24 The Women’s Guild at St. George Episcopal Church in The Villages was determined to raise lots of money for Cornerstone Hospice on May 2 through its annual Peg Busch Ladies Golf Scramble. By the time all was said and done, the guild went beyond even what its leaders expected. “We were hoping to crack the $10,000 mark for the first time,” said Dale Dreps, who helped organize this year’s tournament. “But we managed to raise $16,150 for Cornerstone Hospice this year. We couldn’t believe it.”
Manatee County hospice volunteer celebrates patients' birthdays dressed in costumes
05/16/24 at 03:30 AMManatee County hospice volunteer celebrates patients' birthdays dressed in costumes Specturm News 9, Manatee County, FL; by Rick Elmhorst; 5/13/24 A Manatee County woman is bringing joy to people in hospice care by celebrating their birthdays. Pam Freas volunteers with Chapters Health Lifepath Hospice by dressing in costumes and visiting patients for their birthdays. She also helps manage the supplies for milestone birthday celebrations, including packing birthday bags full of blankets and pillows. Freas recently visited a young boy named Jackson who was in home hospice care. She dressed as a dinosaur since Jackson loves dinosaurs. Although Jackson has a difficult time communicating, Freas spent time talking with him to brighten his day.
Today's Encouragement: The secret of change ...
05/16/24 at 03:00 AMThe secret of change is to focus all of your energy not on fighting the old, but on building the new.” — Socrates, philosopher
Care Synergy appoints Dr. Pradeep Rai as Chief Medical Officer
05/16/24 at 03:00 AMCare Synergy appoints Dr. Pradeep Rai as Chief Medical Officer Care Synergy Network; 5/13/24 Care Synergy announced the selection of Dr. Pradeep Rai, MD, as the company’s chief medical officer. Additionally, Dr. Rai will serve as The Denver Hospice’s (TDH) medical director as well. As Chief Medical Officer, Dr. Rai will lead clinical operations across all of Care Synergy’s hospice, palliative care, and home health affiliates. These affiliates include The Denver Hospice, Pikes Peak Hospice & Palliative Care in Colorado Springs, Pathways Hospice in Fort Collins, and the Colorado Visting Nurses Association (CVNA) which serves patients across the Front Range. He will also spearhead medical operations for Colorado PACE upon its anticipated Q4 2024 launch.
Making AI actionable in healthcare – a high-level guide
05/16/24 at 03:00 AMMaking AI actionable in healthcare – a high-level guide Becker's Hospital Review; by Calum Yacoubian, MD, Director Healthcare AI Strategy, IQVIA; 5/14/24 Never has there been more interest and excitement around the potential of Artificial Intelligence (AI) in healthcare. The advent of Generative AI and LLMs, popularized by OpenAI with ChatGPT, has opened many people’s eyes to what might be possible. Yet, the translation of this promise to patient impact is only in its infancy, and while it is a path with huge potential, as healthcare professionals, we must tread carefully and responsibly. In this article, we discuss the importance of the ecosystem in which healthcare AI must exist, to be successful. That ecosystem is made up of people, process, and technology.
Amazon seeks nonprofit healthcare, EHR expertise
05/16/24 at 03:00 AMAmazon seeks nonprofit healthcare, EHR expertise Becker's Helath IT; by Laura Dyrda; 5/13/24 Amazon is looking to hire leaders with experience in nonprofit healthcare and EHRs, according to recent job postings on the tech giant's website. Amazon Web Services has a listing for "Senior Solutions Architect, Healthcare, Nonprofit Health, Nonprofit Healthcare" seeking an individual with a passion for helping nonprofit healthcare providers implement cloud computing solutions. ... [Amazon] is also hiring for an account executive focused on nonprofit healthcare and global nonprofit healthcare. The company is searching for a "proven business executive in the NP healthcare sector to lead and continue to expand the business with some of our most important healthcare customers and develop new customers across a targeted greenfield market."
Comprehensive Care in South Valparaiso: Clinical bridges urgent and palliative needs
05/16/24 at 03:00 AMComprehensive Care in South Valparaiso: Clinicl bridges urgent and palliative needs ABNewsWire; 5/14/24 ... South Valparaiso – Immediate & Urgent Care Clinic’s expansion into palliative care signifies a positive step towards a more comprehensive healthcare landscape in South Valparaiso. Here’s a look at some potential implications of this development:
Humana, Aetna likely to lose Medicare Advantage members
05/16/24 at 03:00 AMHumana, Aetna likely to lose Medicare Advantage members Modern Healthcare; by Nona Tepper and Lauren Berryman; 5/14/24 Industry heavyweights CVS Health Aetna and Humana foresee Medicare Advantage membership losses next year. Anticipated changes to health plan offerings and benefit design to achieve long-term business profitability could mean losing a significant portion of their Medicare Advantage membership, executives told investors at the Bank of America Securities Healthcare Conference on Tuesday. ... Headed into next year, Aetna may adjust benefits, tighten its prior authorization policies, reassess its provider networks and exit markets, CVS Health Chief Financial Officer Tom Cowhey told investors. ... [Humana Chief Financial Officer Susan Diamond] anticipates losing about 5% of its 6.1 million Medicare Advantage members, ... Conversely, UnitedHealth Group’s UnitedHealthcare insurance business appears to be better positioned for growth heading into 2025 ... , executives said. UnitedHealth Group CEO Andrew Witty said, ... “The thing we don't want is unsustainable ups and downs in our performance in any particular regard. ... You should just expect more of the same from us in terms of what we’re doing.”
Musician grants dying wish to hospice patient
05/16/24 at 03:00 AMMusician grants dying wish to hospice patient The Platte County Citizen; by Rimsie McConiga; 5/14/24 Jazz musician Stanton Kessler was surprised when he was contacted recently by his friend, a hospice nurse, who reached out to him with an unusual request. A patient at the Kansas City hospice where she works told her his last wish would be to hear his favorite song, ‘Feels So Good’ before he died. During their conversations Kessler’s impression was that this was his friend’s first experience with a request such as this. “There was an element of urgency,” Kessler said. “She said he was near death.” ... An incredibly emotional and rewarding moment followed when Kessler began to play the patient’s beloved song. The man’s eyes remained closed, but his fingers began to move. ...Editor's Note: For research-based, hospice clinical stories, and rich music metaphors for ways use music with the dying and bereaved, examine the book, Music of the Soul, Chapter 7 "The Final Cadence," in Routledge's international Series in Death, Dying, and Bereavement (series edited Robert A. Neimeyer), authored by Joy S. Berger, DMA, FT, BCC, MT-BC (editor for this newsletter).
Early palliative care perceptions by patients with cancer and primary caregivers: metaphorical language
05/16/24 at 03:00 AMEarly palliative care perceptions by patients with cancer and primary caregivers: metaphorical languageBMJ Supportive & Palliative Care; by Elena Bandieri, Sarah Bigi, Melissa Nava, Eleonora Borelli, Carlo Adolfo Porro, Erio Castellucci, Fabio Efficace, Eduardo Bruera, Oreofe Odejide, Camilla Zimmermann, Leonardo Potenza, Mario Luppi; 5/13/24Methods: Data were collected through a pen-and-paper questionnaire on respondents’ perceptions of the disease, its treatment and their idea of death, before and after receiving EPC [early palliative care]. The data were analysed by identifying all metaphorical uses of language, following the ‘metaphor identification procedure’ proposed by the Praggjelaz Group.Results: Metaphors were used from a variety of semantic fields. EPC was described using spiritual terms, to indicate that this approach was instrumental in ‘restoring life’, ‘producing hope’ and making patients feel ‘accompanied’. The most recurrent metaphors were those referring to light and salvation; spatial metaphors were used to describe the treatment and the hospital as a ‘safe haven’ and ‘an oasis of peace’.
Nurses’ Union reaches labor agreement with PeaceHealth for hospice, home health workers
05/16/24 at 03:00 AMNurses’ Union reaches labor agreement with PeaceHealth for hospice, home health workers Hospice News; by Jim Parker; 5/14/24 After more than a year of negotiations, the Oregon Nurses Association (ONA) labor union has reached an agreement with PeaceHealth. Priorities among the hospice and home nurses include wage increases, raising safety standards, ensuring affordable and accessible home health care delivery, equitable pay protection and addressing clinical staffing crises by increasing recruitment and retention of skilled caregivers.
5 tips to support employees with unexpected illness or disability
05/16/24 at 03:00 AM5 tips to support employees with unexpected illness or disability Forbes; by Diane Winiarski; 5/14/24 When employees experience an unexpected illness or a disabling condition, it can be traumatic for them and unsettling for their managers. It is important for employers to demonstrate support and an understanding of each situation. Another way to show support is by pointing them to the federal disability program created to help in this specific instance. ... These five suggestions can help managers be better equipped to support their team members who are dealing with illnesses, accidents or disabilities.
End-of-life doulas’ growing value proposition in hospice
05/16/24 at 03:00 AMEnd-of-life doulas’ growing value proposition in hospice Hospice News; by Holly Vossel; 5/14/24 Hospices and other health care providers are increasingly recognizing the value proposition of end-of-life doulas. Organizations are taking varied routes to leverage doula’s skills to improve quality. End-of-life doulas support patients and their families in a number of broad and diverse ways, according to Erin Collins, program director of The Peaceful Presence Project. Collins is also a certified hospice and palliative care nurse and end-of-life doula. She serves as vice-chair of the National Hospice and Palliative Care Organization’s (NHPCO) End-of-Life Doula Advisory Council. Editor's Note: Caution. What training, professional experience, credentials, referrals, and other qualifications does the individual, end-of-life care doula bring? Not bring? What gaps in your services (for which a doula might be called) indicate that your organization needs to "step up" your community education, caregiver/family resources, psychosocial support, and volunteer presence?
When families fight over a relative with dementia, it’s time to call in the mediator
05/16/24 at 03:00 AMWhen families fight over a relative with dementia, it’s time to call in the mediator The New York Times; by Paula Span; 5/13/24 Trained negotiators can help families struggling with vexing elder-care issues. The four adult children were in agreement. Their father, William Curry, a retired electrical engineer and business executive, was sinking deeper into dementia. ... [But their mother] remained determined to continue caring for her 81-year-old husband at home, despite the increasing toll on her own health. ... As the weeks passed, “we were really at an impasse,” [a daughter] said. “Do you override your mother?” ... [Increasingly,] families seek elder mediation privately, before disputes land in court and imperil or destroy family relationships. [Continue reading for descriptions of how mediation differs from arbitration, from family therapy, and for cautions about this being "a fairly new field with no nationwide certification or licensing requirements."]Editor's Notes: Executive leaders, what community education and resources are you providing for Advance Directives? What family systems education and and problem-solving are you providing for your interdisciplinary team members and grief counselors? Family conflicts are inherent--in some form or fashion--with almost anyone needing dementia care, especially when paired with palliative or hospice care. (If in doubt, ask your seasoned, front-line professionals.)
Arden Home Health & Hospice acquires Mid-Delta Home Health, solidifying its coverage footprint to over 90% of Mississippi
05/16/24 at 03:00 AMArden Home Health & Hospice acquires Mid-Delta Home Health, solidifying its coverage footprint to over 90% of MississippiNewswire, Hattiesburg, Miss.; 5/14/24Arden Hospice is proud to announce its recent acquisition of Mid-Delta Home Health, a 40+ year family-owned, Mississippi business covering predominantly the Mississippi Delta and surrounding areas. As of May 1, 2024, Arden is now the largest home health and hospice company that is proudly owned, headquartered, and operating in the State of Mississippi.
Medicare Advantage will 'sink' rural hospitals, experts warn
05/16/24 at 03:00 AMMedicare Advantage will 'sink' rural hospitals, experts warn Modern Healthcare; by Michael Mcauliff; 5/14/24Studies by Chartis [Center for Rural Heaalth] and others paint the bleak picture for rural hospitals. According to a recent estimate by the nonprofit Center for Healthcare Quality and Payment Reform, about 700 rural hospitals are at risk of closing. A recent Chartis report estimated 167 rural hospitals have closed since 2010, with another 418 vulnerable to closure now. [Click on the title's link for patient care examples and more stats.]
End of life outcomes following Comfort Care Orders: A single center experience
05/16/24 at 03:00 AMEnd of life outcomes following Comfort Care Orders: A single center experience The American Journal of Hospice & Palliative Care; by Matthew Tucker, Dayna Hovern, John Liantonion, Elizabeth Collins, Adam F Binder; 5/13/24 Conclusions: The majority of patients placed on comfort care died during their hospitalization demonstrating a real need for comprehensive end of life care and immediate hospice services. For those discharged with hospice services, they spent an excessive amount of time in the hospital waiting for services to be arranged.
Have EHRs been good for healthcare?
05/15/24 at 03:00 AMHave EHRs been good for healthcare? Becker's Health IT; by Giles Bruce; 5/3/24 Fifteen years after meaningful use incentives propelled the shift to EHRs, health system leaders told Becker's that digitizing medical records has been a net positive for the industry — with some caveats. "Regardless of your position, there is no doubt that EHRs have changed the face of healthcare," said Sandra Hales, associate vice president for IT clinical applications at Phoenix-based Banner Health. "Patients now have timely access to records and data that is simplified for understanding, and there's a level of inclusivity and responsibility for patients to engage in their own care."
Potential progress at Optum Tri-State complicated by corporate care crisis: 'It's bonuses for bodies'
05/15/24 at 03:00 AMPotential progress at Optum Tri-State complicated by corporate care crisis: It's bonuses for bodies' The Examiner News; by Adam Stone; 5/13/24 'It's Bonuses for Bodies' This is the 16th installment in an investigative series, launched in December 2022, about CareMount/Optum/UnitedHealth and broader concerns about corporate medical care. ... I know this piece is a long ride to the larger point but buckle up and pretend you’re reading a few book chapters instead of a newspaper column, because all of the context matters, and interconnects. ...