Literature Review

CMS unveils services available to patients in the GUIDE Model, integrates palliative care principles Hospice News; by Jim Parker; 8/12/24 The U.S. Centers for Medicare & Medicaid Services (CMS) has outlined the range of services that will be available to patients aligned with the agency’s Guiding an Improved Dementia Experience (GUIDE) payment model. The payment model is designed to improve quality of life for dementia patients and their caregivers by addressing care coordination, behavioral health and functional needs. While the model does not use the term “palliative care,” it does incorporate principles and practices traditionally associated with those services, such as interdisciplinary care and caregiver support, among others. ... Nearly 400 health care organizations are developing Dementia Care Programs (DCPs) to potentially serve hundreds of thousands of Medicare beneficiaries nationwide, the CMS stated in a fact sheet. 

A D-AI-alogue: What the leading edge of AI in PR looks like PRovoke Media; by Paul Holmes; 8/12/24 We talked to several leading agencies about how they are using AI to transform their business and improve communication effectiveness. ... I invited representatives of six firms on the leading edge of AI usage to talk about how AI is already impacting corporate communications. ... [From Chris Perry:]  The greatest impact I’ve seen is less on what we can do more efficiently (like using GenAI to write press releases), and more on what we can do to better, like using GenAI to understand how information now travels, making sense of cultural chaos, crafting resonant stories, and identifying others than help translate and tell them. The ultimate value is being faster and better at what we do. Not replacing jobs or reducing costs. ...

Are there bedbugs and busted equipment at your Florida hospital? What inspectors found Miami Herald; by Michelle Marchante; updated 8/12/24 Bed bugs. Broken equipment. Staffing challenges. Fewer patients. And a pile of hazardous waste. These are just some of the problems spotted by patient care ombudsmen during visits to Florida hospitals owned by Steward Health Care System and now up for sale. ... Key takeaways: 

Transforming healthcare: Enabling change through tailored change management strategies Healthcare Dive; by Brad Cauthen and Jenny Denver, and Scott Madden; 8/12/24In the fast-paced and demanding healthcare environment, where every moment focuses on patient care, introducing and managing operational changes—such as implementing a new system or altering an existing process—can be particularly challenging. ... Here are some tips for creating effective change management initiatives tailored to the operational realities of the healthcare setting and fostering a change-ready environment. ...

9 powerful lessons on life you can learn from experts on death Forbes; by Robert Pearl, MD; 8/12/24 As a physician, I have been present at the end of many lives, witnessing the profound agony families face during a loved one’s final moments. While most family members express deep gratitude for the care provided by doctors and nurses, some recount harrowing stories of unnecessary pain their loved ones endured in the final days. These distressing accounts highlight a troubling ambiguity in the care we provide, blurring the line between compassionate treatment and what can feel like unbearable torture. Motivated by my encounters with grieving families, I dedicated the ninth season of the Fixing Healthcare podcast to exploring life’s final chapter and addressing the shortcomings in end-of-life care. ...

Top news stories of the month, July 2024Teleios Collaborative Network (TCN); podcast by Chris Comeaux and Mark Cohen; 8/7/24 In this week’s podcast, Mark Cohen joins me once more for the Top News Stories for the prior month from Hospice & Palliative Care Today... The conversation covers various topics including private equity in healthcare, the increasing scrutiny of for-profit hospitals, fraud in hospice care, and the importance of trust in the hospice sector. The principal themes include the playbook of private equity playbook, the challenges faced by for-profit hospitals and their potential the impact on the Hospice sector, and the erosion of trust due to fraud.

Alzheimer’s prognosis models should expand data sources McKnights Senior Living; by Kristen Fischer; 8/12/24 Integrating data from nursing home electronic health records and claims in addition to the minimum data set — data required for nursing home residents — could be better than just relying on the MDS sources to produce an accurate prognosis for nursing home residents with Alzheimer’s disease and related dementias, according to a report published Thursday in the Journal of the American Geriatrics Society. ... The authors of the report noted that a recent review of prognostic models for late-stage ADRD found that assessments commonly used to evaluate prognosis-based eligibility for hospice weren’t reliable. ... Only 15% of people enrolled in hospice have a primary diagnosis of ADRD. That’s because it’s challenging to estimate the six-month prognosis required to be eligible for hospice, and dementias have a prognosis of 12 to 18 months when they are in the late stage, the authors pointed out.

Rescue from above: How drones may narrow emergency response timesKFF Health News; by Michelle Andrews; 7/22/24Starting in September, if someone in Clemmons, North Carolina, calls 911 to report a cardiac arrest, the first responder on the scene may be a drone carrying an automated external defibrillator, or AED. “The idea is for the drone to get there several minutes before first responders,” such as an emergency medical technician or an ambulance, said Daniel Crews, a spokesperson for the sheriff’s office in Forsyth County, where Clemmons is located. The sheriff’s office is partnering on the project with local emergency services, the Clinical Research Institute at Duke University, and the drone consulting firm Hovecon. “The ultimate goal is to save lives and improve life expectancy for someone experiencing a cardiac episode,” Crews said.Publisher's note: As with all things tech, when and how might drones be used in hospice?

Fearless hospice patient takes joyrideWest Valley View (AZ); by Lin Sue Flood; 8/7/24Don Tamuty, a beloved former Madison Unified School District teacher, had one thing left on his bucket list. The 95-year-old shared with his hospice nurse, Monisha Roe, that he would love to ride in a driverless car. Monisha and the rest of Don’s Hospice of the Valley care team knew exactly how to fulfill that wish! They booked a driverless cruise on Waymo One to take Don out to a nice restaurant.

Home Instead Totton launches expedited home care service to meet growing needsKMLK (AR) press release; 8/7/24Home Instead Totton has announced the launch of its new expedited home care service... This new service aims to cut down waiting times, helping clients get the care and support they need quickly and efficiently. The service is designed to meet various needs of the local community, offering a wide range of home care options. These include home visits, specialised care, health care, and live-in care. Each service is designed to address specific client needs, from daily activities to complex health conditions.Publisher's note: Is there need / opportunity for "expedited" hospice care?

Palliative care is important in managing cardiovascular diseaseNJToday; 8/8/24Implementing patient-centered palliative care therapies, including prescribing, adjusting or discontinuing medications as needed, may help control symptoms and improve quality of life for people with heart disease, according to “Palliative Pharmacotherapy for Cardiovascular Disease,” a new scientific statement from the American Heart Association, published in the journal, Circulation: Cardiovascular Quality and Outcomes.

New England hospital CEOs warn lawmakers of crisis in rural health care systemMainebiz; by Laurie Schreiber; 8/8/24MaineHealth’s CEO was one of three in the Northeast who recently told federal lawmakers that rural health care systems are in crisis. “As a family physician by training, it has been difficult to watch our rural communities struggle to maintain access to high-quality care for their residents,” said Dr. Andrew Mueller. “Our proposals align with, and support, our MaineHealth vision of ‘working together so our communities are the healthiest in America.’”

Butte hospice workers help patients focus on livingKBZK7 (MT); by Meagan Thompson; 8/7/24Hospice care is generally seen as a last resort for the end of life but for Bonnie Dwyer and her husband John, the hospice care she has been receiving has provided reassurance and even joy... Leighann McCauley, the director of nursing at Honeybee Hospice was on call the weekend Bonnie’s condition became severe. Thanks to some quick thinking and creativity, McCauley and her team addressed the wound and her continuing care with the Honeybee staff has made a difference in her life.