Literature Review
Regulate Artificial Intelligence in health care by prioritizing patient outcomes
02/01/24 at 04:00 AMRegulate Artificial Intelligence in health care by prioritizing patient outcomes JAMA, by John W. Ayers, PhD, MA; Nimit Desai, BS; Davey M. Smith, MD, MAS; 1/29/24Artificial intelligence (AI) holds great promise to enhance the quality of health care. Despite the aim of health care regulations to ensure high-quality care, there are few regulations governing the use of AI in health care. This dearth will soon change because a White House executive order instructed the Department of Health and Human Services to develop new AI-specific regulatory strategies addressing equity, safety, privacy, and quality for AI in health care before April 27, 2024.
Worcester hospital nurses file complaints over 'dangerous conditions'
02/01/24 at 04:00 AMWorcester hospital nurses file complaints over 'dangerous conditions' MassLive.com, by Susannah Sudborough; 1/30/24Nurses at Saint Vincent Hospital in Worcester have filed official complaints with the Massachusetts Department of Public Health and other state agencies over “dangerous conditions” they say are jeopardizing patient safety, the state’s largest nurse’s union announced Tuesday. The complaints are based on over 500 reports made by nurses over the last six months that detail issues such as staffing deficiencies and poor allocation of technology, the Massachusetts Nurses Association (MNA), which represents the nurses, said in a press release.
Today's Encouragement: from Rosa Parks
02/01/24 at 04:00 AMI had no idea that history was being made. I was just tired of giving up. – Rosa ParksEditor's Note: Hospice & Palliative Care Today honors Black History Month through our "Today's Encouragement" posts for February.
Video raises concerns about a father’s final days in senior care home
02/01/24 at 03:55 AMVideo raises concerns about a father’s final days in senior care homeThe Atlanta-Journal Constitution Online, by Allie Gross; 1/30/24A 78-year-old veteran's final days at a Georgia senior care home, Savannah Court of Lake Oconee, raise troubling questions about care at the facility and the state's oversight. The new concerns come as the facility faces possible closure with a second license revocation hearing scheduled for Jan. 30, 2024.
Breakthroughs in Alzheimer's research give cause for optimism
02/01/24 at 03:30 AMBreakthroughs in Alzheimer's research give cause for optimismKiplinger, by Elaine Silvestrini; 1/29/24... Finding a cure or even an effective treatment has been difficult. Now, after billions of dollars in research and more than 100 drug failures, advocates are celebrating breakthroughs, including drugs that for the first time treat the underlying causes of the disease. Experts are optimistic that we may be on the precipice of significant changes in how the disease is treated and potentially even prevented.
Psychedelic therapy debate returns to Missouri General Assembly
02/01/24 at 03:15 AMPsychedelic therapy debate returns to Missouri General AssemblyMissouri Independent, by Rebecca Rivas; 1/30/24Numerous clinical studies nationwide have shown positive results from using psilocybin to treat PTSD, depressiona and substance use. Republican lawmakers are once again pushing legislation that would require Missouri to conduct a clinical study on using psilocybin, more commonly referred to as “magic mushrooms,” to treat depression, substance use or as part end-of-life care. ... In the House Veterans Committee on Tuesday, Republican Rep. Aaron McMullen of Independence plans to present an amended version of the bill that would limit its scope to only veterans. The suicide rate among veterans in Missouri is nearly double the state rate and one of the highest in the country. ... McMullen, a veteran who served in a combat unit in Afghanistan, told The Independent, “While psilocybin is not a panacea for every issue, it represents a first true scientifically-validated hope that we have to address this crisis.”
Cannabis for neurodegenerative disorders
02/01/24 at 03:00 AMCannabis for neurodegenerative disordersCannabis - Science and Technology, by Ruth Fisher; 1/30/24In this blog installment, we take a deep dive into research on how cannabis affects neurodegenerative disorders such as Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease. ... The information presented in this section comes from the Cleveland Clinics, a nonprofit academic medical center.
Hospice fraud back in the spotlight, with new data also raising questions about home health care
02/01/24 at 03:00 AMHospice fraud back in the spotlight, with new data also raising questions about home health careHome Health Care News, by Robert Holly; 1/30/24The number of hospice providers enrolled in the Medicare program in four states has skyrocketed over the past few years. The jaw-dropping spike, in turn, has triggered increased oversight efforts – some of which may not be having the desired effect. A similar trend could be happening in home health care in one major county, U.S. Centers for Medicare & Medicaid Services (CMS) data suggests. In hospice, the surge of new providers and potentially fraudulent activities has been concentrated in Arizona, California, Nevada and Texas. In home health care, it’s Los Angeles County.
Effectiveness of an Advance Care Planning intervention in adults receiving dialysis and their families
02/01/24 at 02:30 AMEffectiveness of an Advance Care Planning intervention in adults receiving dialysis and their families: A cluster randomized clinical trialJAMA Network, by Mi-Kyung Song, PhD, RN; Amita Manatunga, PhD; Laura Plantinga, PhD; 1/29/24In this randomized clinical trial, the [Advanced Care Planning] ACP intervention implemented by health care workers at dialysis centers improved preparation for EOL decision-making but showed mixed effectiveness on bereavement outcomes. The ACP intervention implemented in dialysis centers may be an effective strategy to the dyad preparation for end-of-life care as opposed to the current focus on advance directives.
Predictors of early hospice or death in patients with inoperable lung cancer treated with curative intent
02/01/24 at 02:00 AMPredictors of early hospice or death in patients with inoperable lung cancer treated with curative intentClin Lung Cancer, by Siddharth Ramanathan, Kimberly A Hochstedler, Anna M Laucis, Benjamin Movsas, Craig W Stevens, Larry L Kestin, Michael M Dominello, Inga S Grills, Martha Matuszak, James Hayman, Peter A Paximadis, Matthew J Schipper, Shruti Jolly, Thomas P Boike; Michigan Radiation Oncology Quality Consortium; NCBI published 1/31/24Introduction: Treatment for inoperable stage II to III non-small cell lung cancer (NSCLC) involves chemo-radiotherapy (CRT). However, some patients transition to hospice or die early during their treatment course. We present a model to prognosticate early poor outcomes in NSCLC patients treated with curative-intent CRT.
Top 5 digital health priorities for health systems
02/01/24 at 02:00 AMTop 5 digital health priorities for health systemsBecker's Health IT, by Giles Bruce; 1/31/24Nearly two-thirds of health system C-suite leaders say digital health is easing access to care, though using it to improve patient experience has fallen as a tech priority for executives, a new study found. ... [According] to the Jan. 22 report from management consultant Sage Growth Partners ... [here are] the top five digital health priorities for the next 12 months, per the survey of 108 hospital and health system C-suite executives:
More Quebecers donated organs after MAID but Canada needs standardized data: study
01/31/24 at 04:05 AMMore Quebecers donated organs after MAID but Canada needs standardized data: studyThe Canadian Press, by Camille Bains; 1/29/24Quebec researchers say organ donation appears to be increasing among people who received an assisted death but they're calling for greater collaboration to support those who choose to give, along with respect for their autonomy and dignity.
Today's Encouragement: The new source of power ...
01/31/24 at 04:00 AMThe new source of power is not money in the hands of a few, but information in the hands of many. - John Naisbitt
Ethical issues in pain and palliation
01/31/24 at 04:00 AMEthical issues in pain and palliationCurr Opin Anaesthesiol, by Marco Cascella, Alessandro Laudani, Giuliana Scarpati, Ornella Piazza; 1/30/24Summary: Palliative care in the ICU should involve a multidisciplinary team, to mitigate patients suffering and futility. Providing spiritual support in the ICU is an important aspect of holistic patient care too. Increasingly sophisticated tools for diagnosing and treating pain, as those involving artificial intelligence, might favour disparities in access, cause informed consent problems, and surely, they need prudence and reproducibility. Pain clinicians worldwide continue to face the ethical dilemma of prescribing opioids for patients with chronic noncancer pain. Balancing the need for effective pain relief with the risk of opioid misuse, addiction, and overdose is a very controversial task.
Northwestern’s medical residents and fellows vote to unionize
01/31/24 at 04:00 AMNorthwestern’s medical residents and fellows vote to unionizeChicago Sun Times, by Violet Miller; 1/29/24Interns, residents, chief residents and fellows at the McGaw Medical Center voted 794 to 148 in favor of union representation, an NLRB spokesperson said.
Adventist Health re-establishes in-home and hospice care in Paradise and Butte County
01/31/24 at 04:00 AMAdventist Health re-establishes in-home and hospice care in Paradise and Butte CountyKRCR TV, by Hannah Gutierrez; 1/23/24PARADISE, Calif. — Adventist Health has announced that in-home and hospice care services have been re-established for residents in Paradise and Butte County. Adventist Health a faith-based non-profit health system, has served the Paradise community for more than half a century.
Medical aid in dying waiting period would shorten from 15 days to 48 hours under Colorado bill
01/31/24 at 04:00 AMMedical aid in dying waiting period would shorten from 15 days to 48 hours under Colorado billThe Denver Post, by Meg Wingerter; 1/28/24A bill (SB 24-068) in the Colorado legislature would shorten the mandatory waiting period for medical aid in dying from more than two weeks to two days, opening the option to more critically ill people, but raising concerns for some about rushed decisions. It would also allow people who aren’t Colorado residents to end their lives under the state’s law, and let advanced practice registered nurses prescribe the drug cocktail.Publisher's note: The Denver Post is the source article. If you run into a paywall, the Greeley Tribune is running the same story without a paywall. A similar story is running in the Colorado Sun without a paywall.
It is going to be a bad year (or more) for the Medicare business
01/31/24 at 04:00 AMIt is going to be a bad year (or more) for the Medicare businessWall Street Journal, by David Wainer; 1/25/24America’s seniors are going to keep up their elevated use of the medical system throughout the year. That is the message from Humana’s earnings release on Thursday, which is sending stocks of insurance giants sliding.
Has Medicare Advantage lost its luster?
01/31/24 at 04:00 AMHas Medicare Advantage lost its luster?Becker's Payer Issues, by Rylee Wilson; 1/29/24Though Medicare Advantage enrollment keeps climbing, the program may not have the profitability it once did for insurers. In a January analysis shared with Becker's, Moody's analysts wrote that the program "seems to be losing some of its luster," facing a significant increase in medical costs and lower reimbursement rates from CMS. Earnings in Medicare Advantage shrunk by 2.1% among the insurers Moody's rated from 2019 to 2022, despite premiums and members growing by 40% in the same time period.
Increasing access to care: Designing a blended curriculum to educate adult hospice nurses in caring for pediatric patients
01/31/24 at 04:00 AMIncreasing access to care: Designing a blended curriculum to educate adult hospice nurses in caring for pediatric patientsNursing Forum, by Paige L. McDonald, Samia M. Abdallah, Laurie B. Lyons, and Deborah Fisher; 1/29/24Access to care for pediatric hospice patients is inhibited by a lack of providers specifically educated to care for pediatric patients. Education that seeks to address this gap in care must develop the specific knowledge and skills required to care for pediatric patients, and this education must also be delivered in a format that enables convenient access to providers.
NJ Governor signs Medicaid palliative care bill into law
01/31/24 at 04:00 AMNJ Governor signs Medicaid palliative care bill into lawC+TAC press release; 1/23/24New Jersey Governor Phil Murphy signed AB 5225 into law on December 21, 2023, requiring the development of a palliative care services benefit aimed to improve the quality of life for Medicaid beneficiaries with serious illness and their caregivers.
Love, Valentines … and snacks
01/31/24 at 04:00 AMLove, Valentines … and snacksjournal-news.net; 1/29/24In just a couple of short weeks, Hospice of the Panhandle’s Education Center, once again will turn into a Valentine snack center. And the end result will be that thousands of snacks, ranging from granola bars to raisins to potato chips to candy, will be distributed to Hospice providers and supporters as a thank you during Valentine’s season.
Introducing the expanded JAMA Internal Medicine Editorial Fellowship
01/31/24 at 04:00 AMIntroducing the expanded JAMA Internal Medicine Editorial FellowshipJAMA Intern Med, by Michael A. Incze, MD, MSEd; Kenneth E. Covinsky, MD, MPH; Sharon K. Inouye, MD, MPH; 1/29/24We are pleased to announce the launch of our new Editorial Fellowship program at JAMA Internal Medicine. Educating clinicians and future leaders in internal medicine is a core part of JAMA Internal Medicine’s mission, and the journal has had a robust Fellowship program for medical trainees since 2015. This year, we will grow our Fellowship program, inviting early-career faculty to apply for an immersive 1-year program that provides longitudinal mentorship and hands-on experience in learning how to work as a member of the editorial team at a leading, widely read, high-impact internal medicine journal.
8-year-old girl with terminal illness becomes honorary K-9 officer
01/31/24 at 04:00 AM8-year-old girl with terminal illness becomes honorary K-9 officer BNN, by Wojciech Zylm; 1/28/24Eight-year-old Elayah Chance, a Plainfield resident living with a terminal genetic condition, had her dream come true as she was sworn in as an honorary K-9 officer. This heartwarming event was a joint effort by the Make-A-Wish Foundation of Ohio, Kentucky, and Indiana and the Plainfield Police Department. Partnered with Officer Rob Prichard and his K-9 companion, Jocko, Elayah spent an unforgettable Saturday responding to calls and serving her community in a way she had always dreamt of.
New, grant-funded health care high schools aim to help address N.C. staffing shortages
01/31/24 at 04:00 AMNew, grant-funded health care high schools aim to help address N.C. staffing shortagesNC Health News, by Jennifer Fernandez; 1/30/24Efforts in Durham, Charlotte will graduate hundreds of students who are ready to fill jobs in health care professions facing shortages. ... A new $29.5 million grant from Bloomberg Philanthropies will provide more opportunities for students in Durham Public Schools to explore health care careers. Those students will be able to get jobs that pay well right out of high school.