Literature Review



Deal or No Deal: The futures of 3 home-based care companies

03/25/24 at 03:00 AM

Deal or No Deal: The futures of 3 home-based care companiesHome Health Care News; by Andrew Donlan; 3/21/24 Most buyers in home health and personal care are signaling they'll be more active in the M&A market this year. There are three major home-based care deals that have happened, or may happen, in the near-term future. All of them could have significant ripple effects. 

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Record funding raised for Tidewell Hospice, Empath Health

03/25/24 at 03:00 AM

Record funding raised for Tidewell Hospice, Empath Health HomeCare News; 3/21/24 Nearly 600 people attended the Tidewell Foundation’s Crystal Anniversary Signature Luncheon on Friday, March 1, at The Ritz-Carlton in Sarasota. The 15th Annual event, the Tidewell Foundation’s largest fundraiser, raised a record $434,558 to benefit Tidewell Hospice and Empath Health services that reach more than 10,000 people each year in Charlotte, DeSoto, Manatee and Sarasota counties in Florida. Health advocate, movie, TV and Broadway actress, five-time Golden Globe nominee, New York Times best-selling author and memory expert Marilu Henner was the keynote speaker. Henner is a spokesperson for Alzheimer's disease awareness. She has been a vocal advocate for hospice care, and in 2019 she became a spokesperson for the National Hospice and Palliative Care Organization. 

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Lessons for skilled nursing and assisted living facilities from the ‘largest health care fraud case’

03/25/24 at 03:00 AM

Lessons for skilled nursing and assisted living facilities from the ‘largest health care fraud case’ JD Supra, by Callan Stein and Rebecca Younker; 3/22/24 Phillip Esformes, the alleged mastermind of one of "the largest single criminal health care fraud cases ever brought against individuals by the Department of Justice," has finally reached a plea deal with the Department of Justice (DOJ), concluding the eight-year-long case. ... 

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How the healthcare sector is handling cybersecurity training

03/25/24 at 03:00 AM

How the healthcare sector is handling cybersecurity trainingModern Healthcare, by Mari Devereaux; 3/21/24... Healthcare entities should use the Change Healthcare incident as a lesson on how to strengthen their own cybersecurity and an opportunity to have conversations about third-party risk, contingency planning and vendor backups, said John Riggi, national adviser for cybersecurity and risk at the American Hospital Association. ... Both executives and lower-level staff need to be trained on how to spot a potential social engineering attack, best practices around cyber hygiene, and how to enact downtime procedures in the event that third party services are lost for up to 30 days or longer, Riggi said.

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Report: Alzheimer's and dementia caregivers total 840K in Florida, bear heavy burden

03/25/24 at 03:00 AM

Report: Alzheimer's and dementia caregivers total 840K in Florida, bear heavy burden NPR WMFE, by Joe Byrnes; 3/22/24The number of Floridians serving as caregivers for people with Alzheimer's and other dementias is an estimated 840,000, an increase of 13,000 in just one year, according to an annual report from the Alzheimer's Association. Caregiving takes a toll on families hit by the degenerative brain disease, but a new program from the Centers for Medicare and Medicaid Services could lessen that burden. ... [This] promising resource in the works is the Guiding an Improved Dementia Experience Model, an approach that includes the patient and caregiver. The GUIDE Model -- through the Centers for Medicare & Medicaid Services -- starts in July. 

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AI scribe saves doctors an hour at the keyboard every day

03/25/24 at 03:00 AM

AI scribe saves doctors an hour at the keyboard every dayAMA, by Andis Robeznieks; 3/18/24 When a health system rolls out new technology that it insists will make physicians’ lives easier, the announcement is typically met with skepticism. But the use of augmented intelligence (AI)—often called artificial intelligence—has changed that. The Permanente Medical Group’s rollout of ambient AI scribes to reduce documentation burdens has been deemed a success, saving most of the physicians using it an average of one hour a day at the keyboard. ... Refinement of the tool, however, is ongoing. ... For example, one physician mentioned scheduling a patient’s prostate exam, but the AI scribe recorded that the exam had been performed. 

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NH House passes medical aid in dying: Debate isn't over yet

03/25/24 at 03:00 AM

NH House passes medical aid in dying: Debate isn't over yet Portsmouth Herald, by Margie Cullen; 3/22/24 The End of Life Options Act, which would allow terminally ill people in New Hampshire to access medical aid in dying, narrowly passed in the House of Representatives Thursday. While versions of this bill have been brought to the legislature in past years, this is the first time it has passed the House. It comes after it gained its first victory in the House Judiciary Committee, where it was recommended to pass 13-7 for the first time. In the House Thursday, it passed 179-176.

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HHS Secretary Becerra: We’re with you on telehealth flexibilities

03/25/24 at 03:00 AM

HHS Secretary Becerra: We’re with you on telehealth flexibilities Hospice News, by Jim Parker; 3/21/24 Telehealth flexibilities must become permanent U.S. Health and Human Services (HHS) Secretary Xavier Becerra indicated in a congressional hearing [Wed]. At the end of this year, telehealth flexibilities implemented during the pandemic are slated to expire. In a hearing before the U.S. House Ways and Means Committee Becerra said that HHS was willing to make them permanent. However, he said this would require closer collaboration with state governments. “We’re with you. We can’t allow those flexibilities to expire, and we need to work closer with our state partners, because much of the flexibility that comes from telehealth means being able to go over state lines,” Becerra said.

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A $400M incentive drives hospitals to meet health equity goals

03/25/24 at 03:00 AM

A $400M incentive drives hospitals to meet health equity goalsModern Healthcare, by Kara Hartnett; 3/21/24 Hospitals across Massachusetts are building infrastructure to examine health disparities and address social needs, driven by new incentives within the state's Medicaid program. The program is authorized to pay out $400 million annually to private acute-care hospitals, divided among those that comply with an evolving set of operational and quality standards related to health equity. Eventually, healthcare organizations will receive distributions based on their ability to close gaps in care.

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Today's Encouragement: March Madness ...

03/25/24 at 03:00 AM

March Madness is like a rollercoaster – even if your bracket is busted, the ride is still thrilling.

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"A strong reason why I enjoy coming to work": Clinician acceptability of a palliative and supportive care intervention (PACT) for older adults with acute myeloid leukemia and their care partners

03/25/24 at 03:00 AM

"A strong reason why I enjoy coming to work": Clinician acceptability of a palliative and supportive care intervention (PACT) for older adults with acute myeloid leukemia and their care partners Journal of Geriatric Oncology; by Ayomide Okanlawon Bankole, Natasha Renee Burse, Victoria Crowder, Ya-Ning Chan, Rachel Hirschey, Ahrang Jung, Kelly R Tan, Susan Coppola, Mackenzi Pergolotti, Daniel R Richardson, Ashley Leak Bryant; 3/20/24 Introduction: ... In this study, we examined clinician acceptability of a NIH-funded interdisciplinary PAlliative and Supportive Care inTervention (PACT) for older adults with acute myeloid leukemia (AML) and their care partners that transcends both inpatient and outpatient settings. Results: ... Five themes were identified in the thematic analysis: (1) Emotions and affect towards the intervention, (2) Intervention coherence and self-efficacy, (3) Barriers, burden, and opportunity costs of delivering the intervention, (4) Usefulness and effectiveness of the intervention, and (5) Recommendations to improve intervention delivery.

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Cancer: It’s not like the movies

03/25/24 at 03:00 AM

Cancer: It’s not like the moviesUCI Health, by Heather Shannon; 3/21/24Movies have the power to make fictional stories seem so vivid they leave an impression and a feeling that lasts forever. That’s especially true for films about someone diagnosed with cancer who ultimately meets a tragic end. “Patients often come in with an image in their head based on the movies they’ve seen that had a cancer patient in it,” says UCI Health medical oncologist Dr. Arash Rezazadeh Kalebasty. ... Rezazadeh and his co-authors found several problems with how cancer was characterized in the movies, including: Cancer type ...; Curability ...; Palliative care ...

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Racial/ethnic differences in care intensity at the end of life for patients with lung cancer

03/25/24 at 03:00 AM

Racial/ethnic differences in care intensity at the end of life for patients with lung cancer The ASCO Post, by Matthew Stenger; 3/21/24 The study used data from the California Cancer Registry linked to patient discharge data abstracts. The primary outcome measure was intensity of care in the last 14 days before death, with greater intensity defined as any hospital admission or emergency department visit, intensive care unit (ICU) admission, intubation, cardiopulmonary resuscitation (CPR), hemodialysis, and death in an acute care setting. ... The authors concluded: “Compared with [non-Hispanic White] patients, [Asian/Pacific Islander], Black, and Hispanic patients who died with lung cancer experienced higher intensity of [end-of-life] care. Future studies should develop approaches to eliminate such racial and ethnic disparities in care delivery at the [end of life].”

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Medical marijuana law does not impair employers’ right to drug-free workplace

03/25/24 at 03:00 AM

Medical marijuana law does not impair employers’ right to drug-free workplace Insurance Journal, by Andrew G. Simpson; 3/22/24 A Connecticut employer has the right to terminate an employee who is impaired by medical marijuana in the workplace. The Connecticut Appellate Court on March 19 upheld the dismissal of a lawsuit brought against a nonprofit pre-school by a teaching assistant who used medical marijuana for treatment of her disability and was fired for violating the school’s drug-free workplace policy by showing up for work impaired. 

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36 rural hospitals have closed since 2020

03/25/24 at 03:00 AM

36 rural hospitals have closed since 2020 Becker's Hospital CFO Report, by Alan Condon; 3/21/24 The closures highlight the heightened financial challenges that rural hospitals face amid persisting workforce shortages, rising costs and leveling reimbursement. In addition, only 45% of rural hospitals now offer labor and delivery services, and in 10 states, less than 33% do, according to the Center for Healthcare Quality and Payment Reform. [Listed in the article] are the 36 rural hospitals that closed since 2020, beginning with the most recent.

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New legislation proposes national expansion of integrated care models

03/25/24 at 03:00 AM

New legislation proposes national expansion of integrated care modelsHealth Affairs, by Laura M. Keohane; 3/20, 24 This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the state and federal levels to advance integrated care for those dually eligible for Medicare and Medicaid.  ... On March 14, a bipartisan group of senators—members of the Senate Duals Working Group—released legislation (The DUALS Act: Delivering Unified Access to Lifesaving Services Act of 2024) that commits to ambitious goals for aligning Medicare and Medicaid coverage ... Would the integration measures proposed in this bill be more successful [than previous programs] in achieving these goals? This Forefront article highlights the key components of the legislation and assesses its ability to advance better outcomes for dual-eligible beneficiaries.

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8 likely next in-demand nursing roles, per Tampa General's chief nurse

03/25/24 at 02:15 AM

8 likely next in-demand nursing roles, per Tampa General's chief nurse Becker's Clinical Leadership, by Laura Dyrda; 3/15/24 ... "In the next two to three years, the nursing team may require new roles and skills to adapt to the changing healthcare landscape," said Wendi Goodson-Celerin, DNP, APRN, senior vice president and chief nursing executive at Tampa (Fla.) General Hospital. Dr. Goodson-Celerin outlined potential roles and skills that may be in demand over the next two to three years:

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Physicians often shy away from preparing their patients to die

03/25/24 at 02:00 AM

Physicians often shy away from preparing their patients to dieToday'sHospitalist, by Colleen Poggenburg, MD, MS; 3/22/24 There's beauty in death if we can tolerate looking. ... The beauty in death is the reflections that occur in the weeks, days and minutes prior to it, which together make up a summary of someone’s life. Why then do physicians view this time-honored decline as a series of clustered medical problems, when it really is just someone moving toward death? Are we so concerned about treating just one more condition, and do we actually think it will solve the growing list of medical problems that dying patients have? ... I compared dying to pregnancy to “soften” the description of this decline. Here’s how I see that comparison: ...Editor's Note: The author offers a fascinating, meaningful comparison of physician/patient conversations with someone who is pregant versus someone who is dying. I encourage you to share this article with your clinical leaders (and adapt it for staff), as this model beautifully reframes important conversations that can empower patients and their families.

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Inside Jefferson's push to engage retired nurses

03/25/24 at 02:00 AM

Inside Jefferson's push to engage retired nurses Becker's Clinical Leadership, by Mariah Taylor; 3/21/24 Philadelphia-based Jefferson Health is keeping more retired nurses connected to the system through its Nurse Emeritus program. ... The program offers retirees an opportunity to reenter the workforce and provide guidance to new nurses and help nurses at the bedside. To participate, retired nurses must have an active New Jersey nursing license, work at least eight hours per month and have retired in the last three years. Nurse Emeritus participants work in an education-based role and do not perform hands-on clinical care or medication administration. 

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Preventing adverse drug events in hospice care

03/24/24 at 03:55 AM

Preventing adverse drug events in hospice care Hospice News, by Holly Vossel; 3/15/24 Documentation errors and a fragmented health system pose the greatest risks for adverse drug events among hospices. ... Evaluating these risks involves having solid medication reconciliation processes in place — both at the time of a patient’s admission and throughout their end-of life care experience, according to Mary Lynn McPherson, professor and executive program director of advanced post-graduate education in palliative care at the University of Maryland’s School of Pharmacy. McPherson also serves on the board of the American Academy of Hospice and Palliative Medicine (AAHPM).

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What are ageing and death from a biological point of view?

03/24/24 at 03:50 AM

What 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. 

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Medicaid Fraud Control Units Fiscal Year 2023 Annual Report

03/24/24 at 03:45 AM

Medicaid Fraud Control Units Fiscal Year 2023 Annual ReportU.S. Department of Health and Human Services, Office of Inspector General; 3/14/2024Medicaid Fraud Control Units (MFCUs or Units) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. [This 32 page, downloadable document includes:]

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The identity dilemma: Navigating rebranding decisions in home health M&A

03/24/24 at 03:40 AM

The identity dilemma: Navigating rebranding decisions in home health M&A Home Health Care News, by Patrick Filbin; 3/14/24 ... While some companies swiftly integrate acquired businesses into their brand and splash their logo, marketing materials and likeness on the newly acquired assets, others opt to maintain the selling company’s identity. In home-based care, the decision to “rebrand or retain” takes into account a number of factors, sources told Home Health Care News. They include operational efficiency, patient/client retention, market positioning and more.

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Responding to Soul Injury: Tools for hope and healing

03/24/24 at 03:35 AM

Responding to Soul Injury: Tools for hope and healing Journal of Hospice & Palliative Nursing; by Deborah Grassman, Abi Katz, Luann Conforti-Brown, Josephine F Wilson, Angie Snyder; 3/13/24Soul Injury is defined as a wound that separates a person from their real self, caused by unmourned loss and hurt, unforgiven guilt and shame, and fear of helplessness or loss of control. Tools and interventions have been developed to guide people impacted by Soul Injury. This study assessed the effectiveness of 12 tools and interventions, ... The Anchor Your Heart tool was the most frequently used tool and had the most enduring utilization across time and settings.Editor's Note: Click here for The Anchor Your Heart Tool identified in this article. Share this research and article with your clinical teams and bereavement counselors.

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How the analytics of care can balance workforce capacity

03/24/24 at 03:30 AM

How the analytics of care can balance workforce capacity MedCity News, by Derek Streat; 3/19/24 U.S. healthcare is experiencing a supply and demand crisis as it races to keep pace with an aging population amidst a workforce shortage and mounting financial pressures. And the situation appears unlikely to improve anytime soon. In fact, recent projections anticipate a shortfall of 139,000 physicians in the next decade, according to the Association of American Medical Colleges. One limiting factor preventing the efficient management of workforce resources is a lack of data interoperability. ... 

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