Literature Review
Part payer, part provider: VNS Health embraces the future
02/20/25 at 03:00 AMPart payer, part provider: VNS Health embraces the futureHome Health Care News; by Joyce Famakinwa; 2/18/25As one of the biggest home-based care organizations in New York, VNS Health is leaning into its size and capabilities. ... “Our real challenge is, how do we leverage the large number of programs and services we already offer to ensure a seamless journey through the most difficult times in a person’s life,” VNS Health CEO and President Dan Savitt told Home Health Care News. ... "Being both a payer and provider allows us an opportunity to work with people in our community throughout their health care journey." ... "We use analytics to identify home care patients with late stage conditions who can benefit from enrollment in our advanced illness management program. Then we use analytics to determine when it may be appropriate to consider moving this patient population into hospice care."
Change Healthcare data breach: Industry 'not fine' 1 year later
02/20/25 at 03:00 AMChange Healthcare data breach: Industry 'not fine' 1 year later Modern Healthcare; by Lauren Berryman; 2/19/25 It’s been one year since the unprecedented Change Healthcare cyberattack crippled hospitals, medical groups, payers and pharmacies. For some providers, troubles linger. The industry continues to grapple with the aftermath of the breach of UnitedHealth Group's technology subsidiary, which exposed data on 190 million consumers. Core functions, including claims processing, prescription management, payment, prior authorization and insurance verification froze after UnitedHealth disconnected systems Feb. 21, 2024, following the hack by ransomware group BlackCat.
Mayo Clinic Hospice to present improv show on end-of-life care at Marion Ross theater
02/20/25 at 03:00 AMMayo Clinic Hospice to present improv show on end-of-life care at Marion Ross theater Albert Lea Tribune; 2/18/25 In honor of Mayo Clinic Hospice celebrating 45 years of service to Southeast Minnesota, in collaboration with Danger Boat Productions, the Naeve Health Care Foundation, and the Mayo Clinic Dolores Jean Lavins Center for Humanities in Medicine, invites the community to attend “End-of-Life: Live and Unscripted.” The event will be held at the Marion Ross Theatre from 6 to 7 p.m. March 27, with doors opening at 5:30 p.m. This unique improv show aims to bring the community together for an evening of laughter and learning. Attendees will gain insights into advanced care planning, important end-of-life care considerations and ways to support the community during end-of-life stages.Editor's note: Though readers surely will not be able to attend, we post this to spark your collaborations for community engagement and education through the arts.
Today's Encouragement: Life is not a spectator sport ...
02/20/25 at 03:00 AMLife is not a spectator sport. If you’re going to spend your whole life in the grandstand just watching what goes on, in my opinion, you’re wasting your life. ~ Jackie RobinsonHonoring Black History Month 2025
ViVE 2025: Improving clinical workflows amid workforce shortages
02/20/25 at 03:00 AMViVE 2025: Improving clinical workflows amid workforce shortages HealthTech; by Teta Alim; 2/18/25 As the U.S. braces for a dearth of physicians and nurses, healthcare organizations are transforming processes to attract and retain talent. By 2034, experts have projected, there will be a shortage of between 17,800 to 48,000 primary care physicians. For full-time registered nurses, 2030 projections are even steeper. Healthcare organizations are well aware of these forecasts and have been testing and deploying solutions to improve employee satisfaction and retention and attract new talent. At ViVE 2025 in Nashville, Tenn., industry leaders discussed how improvements supported by artificial intelligence (AI) are offering promising results for streamlining workflows. [Click on the title's link to read this discussion.]
800 Geisinger nurses strike: 5 things to know
02/20/25 at 03:00 AM800 Geisinger nurses strike: 5 things to know Becker's Hospital Review; by Kelly Gooch; 2/19/25Members of Service Employees International Union Healthcare Pennsylvania began a five-day strike Feb. 17 at Geisinger's Luzerne County facilities in Pennsylvania, union and health system spokespeople confirmed to Becker's. Five things to know:
[Netherlands, UK, Canada, Australia] The green ICU: how to interpret green? A multiple perspective approach
02/20/25 at 03:00 AMThe green ICU: how to interpret green? A multiple perspective approach Critical Care; by Elisabeth Smale, Heather Baid, Marko Balan, Forbes McGain, Scott McAlistar, Jan J. de Waele, Jan Carel Diehl, Erik van Raaij, Michel van Genderen, Dick Tibboel & Nicole Hunfeld; 2/18/25Mitigating environmental impacts is an urgent challenge supported by (scientific) intensive care societies worldwide. However, making green choices without compromising high-quality care for critically ill patients may be challenging. ... To put this challenge of achieving quality care standards with sustainable use of resources into perspective, the current paper pinpoints a three-step approach towards a green ICU by (I) measuring environmental sustainability, (II) outlining strategies to improve sustainability and (III) elaborating on how to communicate results to create a synergy of sustainability initiatives within ICUs. Editor's note: With its focus on care for critically ill patients, how might this three-step approach be applied to hospice GIP settings?
How music is rewriting end-of-life care
02/20/25 at 03:00 AMHow music is rewriting end-of-life care The Daily Iowan; by Madison Schuler; 2/18/25 The form of therapy relieves not only patients but also family members. Over the years, music has been used to express emotions for some while creating connections and memories for others. Listening to a certain song can take people back to a specific moment. Whether it elicits joy, pain, anger, or sadness, music has a different effect on each individual. Music stays with people throughout their lives, always bringing forth those emotions or memories. For those in end-of-life care, music can do the same. ... Today, hospitals and hospice centers are seeing an increase in the use of music therapy, specifically in end-of-life care. [Click on the title's link to learn more.] Editor's note: Click here for the national directory of CBMT board certified music therapists. Click here for my 2005 book in Routledge's Series in Death, Dying and Bereavement, Music of the Soul - Composing Life Out of Loss.
Juniper House on National Historic Register
02/20/25 at 03:00 AMJuniper House on National Historic Register K103, Portland, OR; 2/18/25 The Juniper House is among Oregon's latest entries in the National Register of Historic Places ... for its statewide significance as Oregon's first end-of-life care home dedicated exclusively to residents with HIV/AIDS [May 1987] and for its substantial impact on statewide healthcare and LGBTQ+ history. ... In addition to caring for residents, the work of Juniper House included advocacy and educational efforts that were crucial in shaping public opinion and responses to HIV/AIDS.
Improving quality of life and end-of-life care: Standardizing goals of care notes in EHRs
02/20/25 at 03:00 AMImproving quality of life and end-of-life care: Standardizing goals of care notes in EHRs EurekAlert! - American Association for the Advancement of Science (AAAS), Indianapolis, IN; Regenstrief Institute, peer-reviewed publication; 2/19/25 ... A new study by researchers from Regenstrief Institute, the Indiana University School of Medicine and Indiana University Health presents the standardized goals of care note they developed, deployed and evaluated as a quality improvement initiative at IU Health, a large, statewide healthcare system. ... The study authors report:
Addressing overtreatment in end-of-life cancer care
02/20/25 at 02:30 AMAddressing overtreatment in end-of-life cancer care Medscape; by David J. Kerr, CBE, MD, DSc; 2/19/25 ... What do we mean by overtreatment? This means that many patients who are approaching the end of life receive treatments, like directed anticancer therapies, that are unlikely to provide clinically meaningful benefits and may do more harm than good. This is an expression that I use often in the clinic when I'm explaining to patients that we have reached the end of the road in active interventions, such as chemotherapeutic drugs, that will do more harm than good. It doesn't stop us from doing our very best to look after patients. We focus on improving the quality of life and maintaining that for as long as we can, while continuing to care and look after the patients. ... Overtreatment may even, one would argue, accelerate death when you consider those 1% or 2% mortality rates that can be associated with some treatments that we offer. ...
[UK] An interview with Clinical Psychologist (retired) Johanne de Montigny, M.A.Ps.
02/20/25 at 02:00 AMAn interview with Clinical Psychologist (retired) Johanne de Montigny, M.A.Ps. ehospice; interview between Dr. Stefanie Gingras and Johnne de Montigny; 2/14/25 Ahead of her February 19, 2025 lecture entitled “What I’ve learned about accompaniment, death and bereavement: 29 years of psychological services at the heart of an MUHC care team (1986-2015)”, part of the McGill National Grand Rounds programme, Johanne de Montigny shared her thoughts with Program Director and palliative care physician Dr. Stéfanie Gingras.Dr. Stéfanie Gingras (SG): How did you first become interested in the field of palliative care?Johanne de Montigny (JdM): It was a very profound and sudden experience where I almost died that guided me in this choice. I survived a plane crash, in which 17 people (out of 24) died. After this event, I asked myself what I was going to do with my life. For me, that meant choosing a profession that would be meaningful. After returning to school to study psychology, I chose to become a palliative care psychologist. After being confronted with sudden death, I wanted to understand how people reacted when they learned that they were going to die, that they still had time, and how to live with it. ... In those moments, I remembered that before I died – because I thought I was going to die – the young flight attendant who, in the space of a minute before the crash, had managed to help us contain the shock and give us some hope. She told us, “Whatever happens, we’re together and we’re going to get through this together.” That one relational minute made all the difference. It enabled us, I believe, to survive psychically before dying physically. She was my first carer just before she died. ... As for the family, what was most striking for me was the realization that the end of life is a time of unparalleled intimacy. Editor's note: This rich life-reflection provides powerful insights in light of many recent plane tragedies.
The intersection of medicine and humanity in palliative care
02/20/25 at 02:00 AMThe intersection of medicine and humanity in palliative care Michigan Technology News; Guest Column; 2/19/25 Palliative care stands as a testament to the intricate balance between medical science and human compassion. ... The human side of palliative care is as vital as its clinical aspect. Patients in palliative care are not just medical cases; they are individuals with personal histories, emotions, and relationships that require acknowledgment and respect. ... This approach necessitates a deep level of empathy and an understanding that every patient’s journey is unique. ...
Celebrating Black History Month: 12 Black American medical pioneers
02/20/25 at 02:00 AMCelebrating Black History Month: 12 Black American medical pioneers Brighton Hospice; blog from 2/24/21, still relevant todayThese trailblazing clinicians, researchers, inventors, and advocates broke barriers, shattered stereotypes, and advanced medicine in this country and beyond.
Today's Encouragement: There are two ways of exerting strength: One is ..., the other is ...
02/19/25 at 03:00 AMThere are two ways of exerting one’s strength: one is pushing down, the other is pulling up. ~ Booker T. WashingtonHonoring Black History Month 2025
The hidden curriculum in medical school: What they don’t teach you
02/19/25 at 03:00 AMThe hidden curriculum in medical school: What they don’t teach you Medscape; by Roni Robbins; 2/14/25... For Krastein and other medical students, there’s a hidden curriculum in medical school: Unwritten, informal lessons, and values learned outside of formal academic settings that shape the culture of medicine, influence behavior, and how to approach patient care and professional relationships. ... These lessons may unfold in informal moments, conversations during rounds or with patients, observing faculty handling difficult cases, or seeing how peers and mentors navigate challenges. [Identified themes include the following:]
Influenza vaccination cuts deaths by up to four times
02/19/25 at 03:00 AMInfluenza vaccination cuts deaths by up to four times Medscape Medical News; by Olga Fernandez Castro; 2/17/25 Influenza vaccination significantly reduces flu-related morbidity and mortality across all age groups, according to a large-scale Spanish study analyzing data from more than 38 countries and 6.5 million patients. ... The analysis confirms that vaccination against the influenza A (H1N1) virus and the influenza B virus (IBV) effectively reduces infection rates and flu-related complications in children aged under 5 years, individuals aged 5-65 years, and older adults aged over 65 years. However, protection against influenza A (H3N2) virus appears lower in older adults, despite being effective in younger children. Editor's note: Click here for the Centers for Disease & Prevention Control (CDC) "Weekly Influenza Surveillance Preport," with a map for flu activity levels for each state and drilled down to counties. Click on the "CBSA" button to change from the state view to the counties' view and downloadable data.
Cancer, aging, and meaning: Navigating psychosocial challenges
02/19/25 at 03:00 AMCancer, aging, and meaning: Navigating psychosocial challenges The ASCO Post (Association for Clinical Oncology); by Ramy Sedhom, MD; 2/18/25 I’ve learned a lot about medicine over the years, but one thing I wasn’t taught was how to guide someone through the existential weight of dying. My education centered on diagnosing, curing, or at least managing disease—not on the delicate art of helping people and their loved ones cope with what cannot be cured. Now, several years into my career as an oncologist, primarily caring for older adults, I recognize that providing cancer care for the whole patient requires deep attention to their psychosocial health needs. ...
17 coaches on how to address leadership blind spots
02/19/25 at 03:00 AM17 coaches on how to address leadership blind spots Forbes; by Expert Panel - Forbes Coaches Council; 2/12/25 ... Here, 17 Forbes Coaches Council members discuss leadership blind spots they encounter in their work with leadership clients and strategies for addressing them. Their insights below provide tools for becoming a more self-aware, adaptive and effective leader.
The case for a 4-day workweek for nurse managers
02/19/25 at 03:00 AMThe case for a 4-day workweek for nurse managers Becker's Clinical Leadership; by Kelly Gooch: 2/18/25 Four-day workweeks lead to an improved work-life balance for nurse managers, nurse leaders at Philadelphia-based Fox Chase Cancer Center argue in a new paper shared with Becker's. "A 4-Day Workweek for Nurse Leaders: Unveiling the Lessons Learned" is based on a study conducted at the 100-bed specialty cancer center. The study aims to evaluate the influence of a four-day workweek on nurse leaders' perceptions of workload and job satisfaction. Results of the study were published Feb. 17, and included 24 care delivery units and 43 nursing directors, managers and assistant nurse managers.
HHS job cuts mount: 4 notes
02/19/25 at 03:00 AMHHS job cuts mount: 4 notes Becker's Hospital Review; Madeline Ashley; 2/18/25 HHS saw further job cuts on Feb. 15 across agencies including the CDC, FDA and National Institutes of Health, including around 1,000 NIH terminations, after a Trump administration order to eliminate "nearly all" HHS probationary employees, Bloomberg reported Feb. 16. Here are four things to know: [click on the title's link to continue reading]
As hospitalists’ role grows, so do the ethical dilemmas
02/19/25 at 03:00 AMAs hospitalists’ role grows, so do the ethical dilemmas Medscape; by Donavyn Coffey; 2/17/25 Margot Eves, JD, clinical ethicist for Cleveland Clinic, was called in for an emergency consult: A man in his early 50s was asking doctors to take him off the ventilator. Just 24 hours before, the man with chronic obstructive pulmonary disease (COPD) okayed the life-saving treatment. The hospitalist over his care expected him to come off the ventilator in a few days, but 24 hours was too soon. He wouldn’t survive. With head nods and in writing the patient signaled that he was fully aware — he understood this would end his life. Eves was called in to help weigh the options: Honor the patient’s wishes or help him survive. These kinds of ethical dilemmas have become common to the burgeoning hospitalist profession. ....
Still Waters Hospice hosts "Sweet Treats Celebration" for Valentine’s Day
02/19/25 at 03:00 AMStill Waters Hospice hosts "Sweet Treats Celebration" for Valentine’s Day ABC KLAX 31, Alexandria, LA; by Sarah Drell; 2/17/25Still Waters Hospice in Alexandria, Louisiana, hosted a "Sweet Treats Celebration" on Valentine’s Day, bringing joy to patients and their families. ... Sarah Zito, Owner, Nurse Practitioner, and Administrator of Still Waters explained why they hosted this lovely event. “We wanted to put this on today because not everyone's Valentine's Day looks the same. And we have a lot of people in our community that are celebrating their first Valentine's Day without their loved ones. And we have a roomful of people and that situation. And so we wanted to take this opportunity and show them that they are still love and we value them and we grieve with them.” ... The "Sweet Treats Celebration" was more than just an event; it served as a testament to the hospice’s dedication to holistic care.
8 emerging trends that will shape recruiting in 2025
02/19/25 at 03:00 AM8 emerging trends that will shape recruiting in 2025 ERE Media; by Caitlyn McDonough and Jamie Kohn; 2/18/25 In 2025, CEOs have set their sights on driving growth through transformation. At the same time, organizations are struggling with efficiency pressures, sustained talent shortages, and an unpredictable regulatory landscape. ... In the context of all these challenges, we’ve identified eight key trends that will influence talent acquisition strategies in 2025.
Tech resilience for healthcare providers: Inaction has a heavy toll
02/19/25 at 03:00 AMTech resilience for healthcare providers: Inaction has a heavy toll McKinsey & Company; by Brian Shimabukuro and Sriram Sekar with Angela Botner and Rut Patel; 2/18/25 Cyberattacks and tech outages at provider organizations have reached an all-time high. To stem the tide, providers need strong plans to prevent, detect, and recover from attacks and disruptions. The outages that result from these attacks can have severe, long-lasting effects on health systems and patients. Globally, healthcare provider organizations incur the highest cost for data breaches of any industry, averaging $9.8 million per incident ... Tech resilience encompasses capabilities to monitor, prevent, detect, and recover from disruptions. ... [Click on the title's link for detailed challenges and strategies.]