Literature Review

Primary care physician's next frontier: Palliative careMedscape, by Larry Beresford; 3/5/24Palliative care, a medical specialty that focuses on clarifying the treatment goals of seriously ill patients, helping with end-of-life planning, and emphasizing pain and symptom management, has been growing in recent years. Already well-established in most US hospitals, it is also expanding in community settings, often as an extension of hospice programs. Now, by adding primary care physicians and practices to their service mix, palliative care groups are better meeting the needs of a neglected — and costly — population of frail elders.

The framework on palliative care in Canada - five years later: a report on the state of palliative care in Canada.Government of Canada; 3/5/24[From the "Minister's Message," The Honorable Mark Holland, PC, MP] As Minister of Health, I am pleased to present Health Canada’s 2023 Report on the State of Palliative Care in Canada. Since the release of the Framework on Palliative Care in Canada in 2018, there have been collective efforts to advance palliative care awareness, access to training, supports for caregivers and providers, and to stimulate research and improve data collection on palliative care. And I am especially encouraged to report that, since 2018, we have moved closer to our collective vision for palliative care in Canada. This progress is the result of collective and collaborative efforts by governments, organizations and individuals over the last five years.Editor's Note: What can we learn from our Canadian neighbors from their new five-year report "On the state of palliative care in Canada"? In our daily gleaning of articles for this newsletter, numerous articles with similar topics, ethical challenges, and core purposes appear from Canada. 

A whistleblower lawsuit cost ChristianaCare $47M. Why are whistleblower cases increasing? Delaware Online, by Esteban Parra and Xerxes Wilson; 3/4/24A 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. ... [The whistleblower reported that] hospital officials discussed a "new hospital initiative" in which suspected "brain-dead" patients would be discharged and admitted to hospice before any declaration of brain death, according to the lawsuit. The scheme allowed for prolonged billing where previous billing ended with the patient’s death, the complaint states. [Please refer to the article for details.]

InnovAge launches first PACE Center in Florida providing comprehensive healthcare program for seniors to promote independence MarketScreener, Globe Newswire; 3/4/24InnovAge Holding Corp. (“InnovAge”) (Nasdaq: INNV), the industry leader in providing comprehensive healthcare programs to dual-eligible seniors through the Program of All-inclusive Care for the Elderly (PACE) launched a new center in Tampa, its first in the state of Florida. This PACE center has the capacity to serve approximately 1,300 participants.

Creating comfort through communication: Strategies for supporting mental wellbeing in palliative careWorldHealth.net; 3/4/24... To provide comprehensive and compassionate care, this article explores the various strategies for communicating and supporting mental well-being in palliative care. 

Congress floats Medicare physician pay bump: 4 notes Becker's Hospital CFO Report, by Mackenzie Bean; 3/4/24 Physicians are set to receive a 1.7% increase in Medicare pay effective March 9 as part of a $460 billion spending package congressional leaders released this weekend. Four things to know: ... [click on the title's link for more]

Obstacles and opportunities for palliative care in the ICU Palliative Care News, by Rachel Edwards; 3/1/24A growing body of research touts the benefits of palliative care for patients, families, and even providers. However, when evaluated through randomized clinical trials, the results tend to lean toward mediocre. Palliative Care News spoke with experts in the field to unpack the reasons behind those results and identify the obstacles that are getting in the way of a more effective approach.

Pharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage. 

Colorado’s medical aid-in-dying residency requirement won’t be lifted The Colorado Sun, by Jesse Paul; 3/1/24 Out-of-state residents will continue to be prohibited from receiving medical aid in dying in Colorado after a bill aimed at loosening the regulations for terminally ill people seeking to end their lives was pared back Thursday evening. Senate Bill 68 was also changed to shrink the waiting period for people seeking medical aid in dying to seven days from 15, with the possibility to eliminate the waiting period for people who may not have 48 hours to live. 

Opinion: How death can be the chance to serve others WAtoday, by Annie Whitlock; 3/3/24 I see my death as an opportunity to serve others ... . A few years ago, I offered my corpse to the department of anatomy and physiology at the University of Melbourne. The university co-ordinates a body donor program for the purposes of anatomical examination and the precious teaching and study of anatomy to its medical students. ... To the medical students who will be learning from my body I gave the department the following letter: I give you my body. ... Learn from me this one last time. So my organs, flesh and scars tell of times and outcomes that in death I cannot utter any more. ...

Premier Hospice Phoenix exits Medicare program, impacting local healthcareBNN, by Mazhar Abbas; 3/4/24Premier Hospice in Phoenix ends its Medicare agreement, sparking concerns among patients and providers. Explore the impact and future of hospice care.

What is the appropriate response when a colleague is not following an aid-in-dying law? American Clinicians Academy on Medical Aid in Dying - Ethics Consultation Service; posted by Jean Abbott, MD, MH; originally posted 2/2/24 and emailed 3/4/24 Outline of Ethics Question: A resource practitioner for aid-in-dying care has encountered practitioners who have not followed the requirements of the laws in that state, including eligibility, documentation, and other standard legal or medical elements of aid-in-dying care. The resource practitioner wonders what ethical responsibilities should guide their response to these concerns. Definition of “resource practitioner”: An experienced prescriber who acts as a source of information or a mentor for others prescribing or consulting for patients considering aid in dying. Their role is to advise the provider on aid-in-dying best medical practices and the process required to comply with the law.