Literature Review
Kaiser closes Geisinger Health acquisition, forming Risant Health
04/08/24 at 03:00 AMKaiser closes Geisinger Health acquisition, forming Risant Health Modern Healthcare, by Caroline Hudson; 4/2/24Kaiser Permanente has acquired Geisinger Health and folded it into Risant Health, a new nonprofit formed to create a national value-based care network.
Medical marijuana laws benefit patients without harming public mental health, study finds
04/08/24 at 03:00 AMMedical marijuana laws benefit patients without harming public mental health, study finds ScienceBlog, University of Basel; 4/4/24 A study by researchers at the University of Basel has found that the approval of marijuana for medical use in the United States has had little impact on the mental health of the general population, while benefiting those for whom it is intended. The study, which analyzed data from nearly eight million people, sheds light on the ongoing debate surrounding the effects of marijuana legalization on public well-being and its therapeutic value.
Major unions, including SEIU, maintain momentum following 2023 strike upswing
04/08/24 at 03:00 AMMajor unions, including SEIU, maintain momentum following 2023 strike upswing McKnights Long-Term Care News, by Josh Henreckson; 4/5/24 New analysis of US Department of Labor data shows that large unions such as the SEIU were able to leverage heightened labor activity to recruit new workers in 2023. In a year characterized by headline-grabbing strikes across multiple industries, the long-term care sector has not been without its share of labor activity — such as recent strikes organized by the SEIU to demand higher wages. With so many providers’ staffing and funding woes poised to remain at the forefront of sector concerns, some experts suggest that unions may be able to gain even more momentum in the months and years ahead.
How a CU biostatistician is helping improve palliative care research
04/08/24 at 03:00 AMHow a CU biostatistician is helping improve palliative care research University of Colorado - Anschutz Medical Campus, by Tayler Shaw; 4/3/24
In the spirit of Ramadan: Diverse access to palliative care
04/08/24 at 03:00 AMIn the spirit of Ramadan: Diverse access to palliative care Medscape UK, by Dr. Mohammed Sattar; 4/4/24 St. Gemma’s Hospice hosted their first ever Ramadan community iftar in Moortown, Leeds on March 19, with almost 100 guests in attendance. For me, this was a historic moment. This iftar was about creating a sense of community. ... [I've] seen the visionary leadership that is provided by St. Gemma’s senior team, ... taking careful consideration of what hospice and palliative care services should look like in an ever-changing Leeds population. The team members ask themselves some difficult questions about how to become an inclusive service for all and no faiths. The iftar, the sunset meal when Muslims break their daily fast, was a testament to that. ...
Hospice wedding a declaration of love in the face of medical challenge
04/08/24 at 03:00 AMHospice wedding a declaration of love in the face of medical challenge Penticton Western News, by Alistair Taylor; 4/4/24 The essence of hospice philosophy – emphasizing the significance of cherishing every moment and embracing life to the fullest – was exemplified by the touching and beautiful wedding of Sean Adelberg and Mary Davidson at Campbell River’s Hospice House on Tuesday, April 2. ... “This journey to the altar accompanies Mary’s heroic battle with stage 4 Glioblastoma—an incurable brain cancer. Despite the odds, we’re seizing this incredible chance to celebrate our love,” Adelberg said.
Today's Encouragement: Everybody on a championship team ...
04/08/24 at 03:00 AMEverybody on a championship team doesn’t get publicity, but everyone can say they are a champion. - Magic Johnson
Malnutrition, thyroid cancer result in high rates of death among home care, hospice patients, studies finds
04/08/24 at 02:15 AMMalnutrition, thyroid cancer result in high rates of death among home care, hospice patients, studies finds McKnights Home Care, by Adam Healy; 4/5/24 Two separate studies analyzing disparities in patients’ place of death revealed high death rates related to malnutrition and thyroid cancer among patients receiving care at home and in hospice. The first study, “Disparities in Place of Death Among Malnourished Individuals in the United States,” found that more than 31,000 malnutrition-related deaths occurred among home care and hospice patients between 1999 and 2020. ... Another study, “Disparities in the Place of Death for Patients With Malignant Neoplasms of the Thyroid Gland,” discovered that roughly half of all patients who died of thyroid cancer between 1999 and 2020 did so in home care or hospice.
It’s past time for an upgrade to the Medicare Hospice Benefit
04/08/24 at 02:00 AMIt’s past time for an upgrade to the Medicare Hospice BenefitHealth Affairs, by Cara L. Wallace and Stephanie P. Wladkowski; 4/5/24When most people think about hospice care, they imagine someone such as the late Rosalynn Carter, who enrolled onto hospice and died within a few days. Jimmy Carter’s long hospice stay, now more than a year, has shown a different model for hospice—one that supports its mission to help people live well, with dignity and quality of life, for whatever time remains. However, current policy restrictions to enroll and remain on hospice make it difficult for many hospice recipients to receive hospice care for “whatever time remains,” as 17.2 percent of Medicare hospice patients are discharged alive. Editor's Note: Many hospices used Jimmy Carter's one-year anniversary as a marketing tool that hospice is not really for the "dying." Many--if not most--of these articles were not transparent in identifying any type of recertification, decertification, or revocation processes. Yes, while it may be past time for CMS to upgrade the Hospice Benefit, it's also past time for hospice marketing to be more transparent with the public.
Qualitative analysis of initial palliative care consultations in amyotrophic lateral sclerosis
04/08/24 at 02:00 AMQualitative analysis of initial palliative care consultations in amyotrophic lateral sclerosis Journal of Pain and Symptom Management; by Christine L Watt, Ian C Smith, Jill Rice, Rebekah Murphy, Ari Breiner, Maria Duff, Danica Nogo, Shirley H Bush, Susan McNeely, Usha Buenger, Belinda Zehrt, Jocelyn Zwicker; 4/2/24, online ahead of print Background: Palliative care (PC) benefits patients with amyotrophic lateral sclerosis (ALS), however the needs of patients and caregivers and the optimal timing of PC discussions remains unclear. This study reports the analysis of PC consult notes from a larger feasibility trial. The specific aims of this analysis were to i) identify the PC needs of patients with ALS via qualitative analysis and ii) identify characteristics of patients and caregivers that could predict specific PC needs.
Proposed hospice rule offers key quality improvement changes, experts offer
04/08/24 at 02:00 AMProposed hospice rule offers key quality improvement changes, experts offer McKnights Home Care, by Adam Healy; 4/4/24While the recently proposed 2025 hospice payment update included a payment adjustment that stakeholders have perceived as inadequate, it also introduced valuable new tools to address hospice quality and more, according to industry regulatory experts. One of the proposed rule’s most enticing features is the Hospice Outcomes and Patient Evaluation (HOPE) tool, which next year will replace the current Hospice Item Set (HIS) measurement system used by the Centers for Medicare & Medicaid Services to track hospice quality.
Lutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations
04/07/24 at 03:45 AMLutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations McKnights Senior Living, by Kathleen Steele Gaivin; 3/29/24 Diakon Senior Living operations and its four continuing care retirement / life plan communities will become part of Lutheran Senior Services under an agreement ... that the organizations say will create one of the largest nonprofit senior living and care organizations in the country. The transaction is pending regulatory approvals and is expected to close this summer.
9 health systems join digital startup venture with Northwell Health
04/07/24 at 03:40 AM9 health systems join digital startup venture with Northwell HealthBecker's Health IT, by Giles Bruces, 4/2/24 Nine health systems are partnering with a venture studio aiming to launch digital health startups. The systems will work with Aegis Ventures, a startup incubator that has built four companies over the past three years with New Hyde Park, N.Y.-based Northwell Health. John Noseworthy, MD, emeritus president and CEO of Rochester, MN-based Mayo Clinic, will serve as chair of the new Digital Consortium. The group says its goal is to develop solutions "built for health systems by health systems." The nine founding members of Aegis Ventures' Digital Consortium are:
Home care providers hail bill establishing standard classification for direct support workers
04/07/24 at 03:35 AMHome care providers hail bill establishing standard classification for direct support workers McKnights Home Care, by Adam Healy; 4/3/24 The Senate last week passed legislation that would address the dire shortage of direct support workers with the establishment of a classification to help stakeholders collect workforce data. Specifically, if signed into law, the Recognizing the Role of Direct Support Professionals Act would require the Office of Management and Budget to consider establishing a standard occupational classification (SOC) for direct support professionals (DSPs). This classification would make it easier for policymakers to gather useful data about these workers and help them better address critical workforce challenges.
How’s Your Soul?
04/07/24 at 03:30 AMHow’s Your Soul? JAMA Network, by Daivd Vermette, MD, MBA, MHS; 3/28/24 "Brother David, how’s your soul?” The question took me by surprise. It was time for my first advisement meeting with my residency program director. In medicine, the machine runs on competence and achievement of “milestones.” Yet, as I braced for a meeting to trudge through performance evaluations and in-training exam scores, I awoke to humanity. ... Medical education has numerous models for coaching, advising, and mentoring. While these models helped develop my professional life, they missed the fundamental core of who I am: a human being. Perhaps instead we could embrace a model in medical education built on the tenets of pastoral care. ...
Bereaved Parent Support Study: Seeking Participants
04/07/24 at 03:25 AMBereaved Parent Support Study: Seeking Participants Sylvester Comprehensive Cancer Center/University of Miami Miller School of Medicine, Memorial Sloan Kettering Cancer Cancer, St. Jude Children's Hospital, and Children's Hospital of Philadelphia; 4/2/24This program is offered as a research study examining three types of support for bereaved parents who have lost a child to cancer. This is a National Institutes of Health-funded trial taking place at Sylvester Comprehensive Cancer Center/University of Miami Miller School of Medicine, Memorial Sloan Kettering Cancer Center, St. Jude Children's Hospital, and Children's Hospital of Philadelphia; however, families need not have received care from one of these institutions. ... For those assigned to receive counseling, services will be provided through videoconferencing, and all study activities can be completed from the participant’s home. ... There will be no charge for any support offered through the study. ... [Click on the title's link for more information.] Editor's Note: If your hospice does not have bereavement services tailored to the needs of parents who have lost a child, consider this opportunity for free support from these reputable sources. Click on the title's link for eligibility requirements and descriptions.
April 21-27, 2024 National Volunteer Week: NHPCO's outreach suggestions & recognition ideas
04/07/24 at 03:20 AMApril 21-27, 2024 National Volunteer Week: NHPCO's outreach suggestions & recognition ideasNHPCO website, for April 21-27, 2024The U.S. hospice movement was founded by dedicated volunteers and volunteer commitment continues to be a core part of the Medicare Hospice Benefit today. This National Volunteer Week, April 21 – 27, 2024, we’re shining a light on the dedicated, compassionate volunteers who brighten the lives of the patients and families we collectively serve.Editor's Note: Download and use NHPCO's pdf for numerous In-Person Recognition Ideas and Virtual Recognition Ideas.
[Utilization] Hospice care for those with dementia falls far short of meeting people’s needs at the end of life
04/07/24 at 03:15 AM[Utilization] Hospice care for those with dementia falls far short of meeting people’s needs at the end of life The Conversation, Maria J Silveira, University of Michigan; 4/1/24... Strikingly, only 12% of Americans with dementia ever enroll in hospice. Among those who do, one-third are near death. This is in stark contrast to the cancer population: Patients over 60 with cancer enroll in hospice 70% of the time. In my experience caring for dementia patients, the underuse of hospice by dementia patients has more to do with how hospice is structured and paid for in the U.S. than it does patient preference or differences between cancer and dementia.
What home health providers need to know about the Medicare TPE Audit Process
04/07/24 at 03:15 AMWhat home health providers need to know about the Medicare TPE Audit ProcessHome Health Care News, by Joyce Famakinwa; 4/2/24... TPE is a medical review program that began for the home health and hospice settings in December 2017. The goal of the program is to weed out improper payments by zeroing-in on providers with high claims denial rates or unusual billing practices. ... TPE has three pillars. Target refers to errors or mistakes that are identified through data in comparison to providers or peers. Probe is the examination of 20 to 40 claims. ... Education means helping providers reduce claim denials and appeals through one-on-one individualized education.
Fostering respect and appreciation seen as keys to retaining direct care workers
04/07/24 at 03:05 AMFostering respect and appreciation seen as keys to retaining direct care workersMcKnights Online Forum, by Kimberly Bonvissuto; 3/27/24 Expressions of appreciation and respect can go a long way in addressing senior living’s direct care workforce crisis, according to a panel of direct workers and employers who addressed what makes employees want to stay — or go. ... Nate Hamme, president and executive director of the Ceca Foundation, ... said that the most important part of employee recognition is listening to people. ... He added that there is a science to recognition backed by research into what motivates people and implementing programs around that. ... Recognition programs, Hamme added, should focus on IMPACT: inclusive, mission-aligned, public, authentic, consistent and timely.
Mortality, hospice use rates differ in assisted living communities depending on whether memory care is offered
04/07/24 at 03:00 AMMortality, hospice use rates differ in assisted living communities depending on whether memory care is offeredMcKnights Senior Living, by Kimberly Bonvissuto; 4/4/24Assisted living communities that provide memory care services may attract residents closer to the end of life or promote hospice use at the end of life compared with assisted living communities without such services, according to the findings of a new study. ... Researchers from the Brown University School of Public Health, the University of Melbourne and the Johns Hopkins University School of Nursing examined whether end-of-life outcomes — mortality and hospice use — differed between assisted living facilities with and without memory care services among 15,152 residents who moved into larger communities between 2016 and 2018.Editor's Note: Click here for the source article, "Do end-of-life outcomes differ by assisted living memory-care designation?"
Sunday newsletters
04/07/24 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Today's Encouragement
04/07/24 at 03:00 AMYou can’t go back and change the beginning, but you can start where you are and change the ending. ~CS Lewis
HPNA and HPNF President's message : My path to leadership
04/06/24 at 03:00 AMHPNA and HPNF President's message : My path to leadershipJournal of Hospice & Palliative Nursing, by Lynn Reinke; 4/24Reflecting on my professional life, I recall several seminal experiences that made me believe I possessed basic leadership skills and that encouraged me to develop them. I advanced my skills in 3 ways:
Too soon or too late: Rethinking the significance of six months when dementia is a primary diagnosis
04/06/24 at 03:00 AMToo soon or too late: Rethinking the significance of six months when dementia is a primary diagnosisThe Hastings Center Report, by Cindy L. Cain, Timothy E. Quill; 1/24In the case of people living with advanced dementia, six months is both too early in the trajectory to facilitate conversations and too late in the trajectory to ensure decision-making capacity. This essay encourages scholars and policy-makers to consider how cultural narratives may limit what they think is possible in care for people living with dementia.