Literature Review

New insights into older hearts  The New York Times; by Paula Span; 2/15/25 It turns out that the Isley Brothers, who sang that 1966 Motown hit “This Old Heart of Mine (Is Weak for You),” were onto something when they linked age to an aching and flagging heart. Heart disease, the nation’s leading cause of death and disability, has been diagnosed in about 6 percent of Americans ages 45 to 64, but in more than 18 percent of those over 65, according to the Centers for Disease Control and Prevention. ... [In] recent years, dramatic improvements in treatments for many kinds of cardiovascular conditions have helped reduce both heart attacks and cardiac deaths. ... That can complicate decision-making for heart patients in their 70s and beyond, however. Certain procedures or regimens may not markedly extend the lives of older patients or improve the quality of their remaining years, especially if they have already suffered heart attacks and are contending with other illnesses as well. “We don’t need to open an artery just because there’s an artery to be opened,” said Dr. Alexander, referring to inserting a stent. “We need to think of the whole person.” ...

Harbor Foundation expands mission with support for Southeast Texas students The Examiner, Beaumont, TX; by Barbara Davis; 2/18/25 Hope from heartache: For nearly two decades, the Harbor Foundation has been operating as a nonprofit dedicated to enhancing the quality of life for individuals in hospice care, as well as the patients’ families. ... In 2024, the foundation’s efforts grew to include educational support, awarding $20,000 in scholarships to area seniors. As a result of donations and fundraising success, the Harbor Foundation reported that it will award 25 $1,000 scholarships to Southeast Texas seniors this year. This one-time $1,000 award is granted to graduating high school seniors who have lost a parent. Recognizing the financial challenges that accompany such a loss, the foundation aims to alleviate some of the burdens associated with pursuing higher education. ...Editor's note: These significant "one-time" awards for high school seniors who have lost a parent can provide life-changing opportunities of support at a most critical time for these teens. Consider how your hospice--or another nonprofit--might replicate this innovative, meaningful program.

YoloCares: Breaking barriers in medicine, advancing DEI The Davis Enterprise; by Craig Dresang, Special to The Enterprise; 2/15/25 She is unassuming. She is a powerhouse. Her broad blissful smile can be disarming, but make no mistake, Jackie Clark RN, MBA, is a force of nature who knows how to get things done and how to lift people up in the process. The woman who California appointed as its first CEO for Correctional Healthcare Services, and now serves as the Board Chair for YoloCares, has some insight about the emerging challenges facing both healthcare and the country. Before her recent retirement, Clark oversaw the care of approximately 5,000 incarcerated patients annually, including one of the only hospice facilities in the country for incarcerated individuals. Clark expanded hospice care and developed a program for patients with Alzheimer’s and dementia. Recognizing the emotional impacts that an inmate’s death can have in the prison community, she also expanded an existing peer support training program to include preparing volunteers to aid hospice patients. ... Over time, Clark completely transformed the quality and delivery of healthcare in all of California’s 34 correctional facilities. ...

It’s the rough side of the mountain that’s the easiest to climb; the smooth side doesn’t have anything for you to hang on to. ~ Aretha Franklin

[England] Hundreds protest amid fears of hospice closure BBC News, Liverpool, England; by Suzanne Hailey & Rumeana Jahangir; 2/15/25 Hundreds of people have attended an emotional protest against the potential closure of a Marie Curie hospice. The 26-bed inpatient unit at the site in Woolton, Liverpool, has been temporarily shut since July amid shortages in specialised nursing staff. ... [Independent] councillor Lucy Williams, who worked at the hospice as a palliative care nurse for two years, told BBC North West Tonight the charity's management said on Friday "they were considering closure" as one of their options. At a protest outside the hospice on Saturday many people held up pictures of loved ones who had died, with some saying they were "angry" about the current state of uncertainty. Ms Williams said: "Marie Curie are going to be met with the wrath of Liverpool. The whole community is going to get behind this."

Human Services seeks proposals to expand PACE to serve older adults in all 21 counties [New Jersey] Department of Human Services - Official Site of the State of New Jersey, Trenton, NJ; 2/14/25 Human Services today issued two requests for proposals to establish a Program of All-Inclusive Care for the Elderly (PACE) in Hunterdon County and in Morris, Sussex, and Warren Counties, the remaining counties currently without a PACE program. PACE is an innovative program that provides individuals 55 years of age or older with comprehensive medical and social services. The care is coordinated and provided by an interdisciplinary team of professionals in a community-based center and in their homes. ... “PACE connects older residents with specific health needs to vital health and social services that can help delay or avoid admission to long-term care facilities. This is the last step to achieving our goal of expanding PACE as an option to older adults in every county of New Jersey,” said Human Services Commissioner Sarah Adelman.

Center for Hospice Care's BreatheEazy Program supports patients with respiratory issues LaporteCounty.Life; by Garrett Spoor; 2/13/25 One of the toughest health challenges a person can face is the trouble of breathing. Center for Hospice Care comes across a lot of patients who experience this issue and encourages many of them to become a part of their BreatheEazy program. Dr. Karissa Misner, medical director at Center for Hospice Care, considers the BreatheEazy program to be a monumental boost for patients who might have respiratory issues. “This is a specialized pulmonary program for our patients with chronic obstructive pulmonary disease,” Misner said. “It can also be used for many other terminal diagnoses that affect the lungs. Whenever there is any type of illness that causes difficulty in breathing, we can utilize this program.”

5,200 job cuts at HHS: What to know Becker's Hospital Review; by Madeline Ashley; 2/14/25 The Trump administration on Feb. 13 ordered HHS to lay off "nearly all" of its 5,200 probationary employees, The Associated Press reported Feb. 14. In a National Institutes of Health department meeting recording obtained by the AP, an NIH office director said some probationary employees with specialized skills might be retained. Affected employees were notified via email on the afternoon of Feb. 13. Many probationary employees are people who have worked for the federal government for about one to two years, before gaining civil service protections. Some probationary employees are veteran staffers who may have been recently promoted, according to the AP.

New House resolution would throw out 2025 home health rule McKnights Home Care; by Liza Berger; 2/14/25 Rep. Andrew Clyde (R-GA) on Wednesday introduced a resolution for Congress to disapprove of the 2025 home health payment rule. The resolution was referred to the Committee on Ways and Means in addition to the Committee on Energy and Commerce. Home health providers and advocates have  been pushing for Congress to stop the rule, which gives an aggregate 0.5% bump for home health providers but inflicts a permanent behavioral adjustment of -1.975%. ...  In 2023, the National Association for Home Care & Hospice (now the National Alliance for Care at Home) sued the Department of Health and Human Services to block Medicare rate cuts. 

Local hospice clinic reacts to doctor’s death NBC 11, CBS 13, Fox 9, Yuma, AZ; by Miriam Ordonez and Dillon Fuhrman; 2/12/25 A Yuma physician has been identified as the victim of a fatal vehicle crash that took place early Monday morning. 75-year-old William Michael Shea, a longtime doctor at Hospice of Yuma, was struck while crossing S. James Drive at East 24th Street. Authorities say the driver, a 65-year-old woman, was turning onto James Road from 24th Street when the accident happened. Shea was rushed to Onvida Health, where he later died from his injuries. Hospice of Yuma shared their sadness over Dr. Shea's passing, calling him a beloved leader whose "dedication, compassion and leadership touched countless lives."

Hospice provider sues to demand denied employee retention credit Bloomberg Law; by Tristan Navera; 2/13/25 Hospice healthcare provider Passages LLC is contesting the IRS denial of a $663,000 employee retention credit, arguing that it’s eligible for the coronavirus incentive program due to the disruptions it faced during the pandemic. The New Orleans-based company said the IRS wrongly denied its claim for the ERC credit—a program that reimbursed companies for keeping workers on the payroll during the economic disruption caused by Covid-19—for one quarter of 2021. The company endured partial suspension of its operations and should qualify, it told the US District Court for the Eastern District of Louisiana.

How medtech is meeting the demand for hospital-at-home care Modern Healthcare; by Lauren Dubinsky; 2/13/25 Medtech companies have their eye on the growing hospital-at-home market, which is driven largely by the rising elderly population, the prevalence of chronic diseases and favorable reimbursement policies. There have been hiccups but some of the largest health systems have leaned into providing hospital-level care at home. ... The desire to safely provide care for patients at home is creating a ripe opportunity for companies like Masimo, Cardinal Health, Medline Industries and McKesson, despite some uncertainty. The global home healthcare market was valued at $257 billion in 2023 and is projected to reach nearly $531 billion by 2032, according to a Vantage Market Research report published in September.