Literature Review

After 138 years, the Visiting Nurses Association of Greater Philadelphia will shut down all health care services next month PBS WHYY NPR; by Nicole Leonard; 9/16/24 The Visiting Nurses Association of Greater Philadelphia, a nonprofit home health care provider, is shutting its doors after a 138-year run. All services, including hospice and palliative care, will cease Oct. 28. Complete details on reasons for the closure, and the long-term effects on patients and employees, are scarce at the moment, but in a statement on its website, the organization said “unsustainable financial losses” led to the decision. Nonprofit leaders said they are working to transition patients and families to new placements and care providers.

Breaking the barriers in information sharing: Changing the discussion from legal risk to C-suite opportunity N2K; by Rick Howard; 9/16/24 In the evolving landscape of cybersecurity, sharing information among institutions is critical to bolster defenses against increasingly sophisticated threats. Cooperation between organizations can strengthen everyone’s defenses, but such an approach requires openness and transparency, something that many organizations have been reluctant to do. ... The C-suite – comprising top executives such as the CEO, CFO, CIO, CISO, and others – plays a critical role in shaping an organization's approach to cybersecurity. In the context of information sharing, the C-suite's role is pivotal in driving the cultural and operational changes necessary to transition from a risk-averse stance to one that recognizes the strategic value of collaboration and information exchange. One of the most successful initiatives that C-suite leaders can champion is participation in industry-specific Information Sharing and Analysis Centers (ISACs). ... [Following discussions include:] The business case for information sharing ... Enhanced risk management ... Cost savings and resource efficiency ... Compliance and legal benefits ... Innovation ... Professional Development ... Challenges to information sharing ... Legal and regulatory complexities ... Risk of exposure and misuse ... Trust issues among organizations ... Technical barriers ... Cultural and organizational obstacles ... Sharing information ... Categorize information by sensitivity ... Assess recipients ... Vet the data ... Monitoring and oversight ... Engaging in industry-wide collaboration ... Real world examples - Health-ISAC and the faulty CrowdStrike update ... The path forward ... [Click on the title's link for the full article and a whitepaper.]

Talk about death, but live your life: What people working in end-of-life care have learned Yahoo Life; by Elena Sheppard; 9/16/24 Eventually, we are all going to die. It’s a reality that most people are uncomfortable with and do everything they can to avoid thinking about. But for people who work in end-of-life care, such as hospice workers and death doulas, death is both a fact of the job and a part of their everyday reality. While the work may sound grim, those who do it say that their daily proximity to death doesn't cast a shadow over their lives; rather, it has enabled them to more purposefully celebrate life’s beauty. ... Yahoo Life spoke to hospice professionals to hear the life lessons they’ve learned by working so closely with death. Here’s what they said. ...

The patient care experience on full display Modern Healthcare; by Mary Ellen Podmolik; 9/13/24 Art exhibits can promote a visceral reaction. The one that just opened along a hallway of windows on Thomas Jefferson University’s health sciences campus certainly does just that. The installation includes five hospital beds, life-sized mannequins inside large pill bottles, personal possessions and deeply personal quotes from five unnamed people who’ve gone through life-threatening trauma — a miscarriage, a pulmonary embolism, a wait for a kidney transplant, a case of undiagnosed paralysis and cancer. The Philadelphia artist behind the exhibit, Pepón Osorio, is the cancer patient. “Convalescence” is a complex and compelling exhibit of patient pain, reliance on drugs and inequitable care — part of the patient experience that can get lost in the daily tussle between providers and payers. “It is a critique of the healthcare system,” Megan Voeller, director of health humanities at the university, told me.

Crossroads Hospice & Palliative Care is primed for continued success 9/13/24; Business Wire - Crossroads Hospice & Palliative Care; by Lisa Simon; 9/13/24 Crossroads Hospice & Palliative Care, the leading end-of-life care company, is affirming its commitment to growing its four Ohio locations in Cleveland, Northeast Ohio, Cincinnati and Dayton along with two others, one outside Philadelphia, Pennsylvania and one in Memphis, Tennessee. “We are committed to building our remaining locations and we have the depth of talent and proven standards for the highest quality care and the most time spent bedside, including attended deaths, compared with any other hospice. This is an opportunity for Crossroads to reach its highest potential.” That’s after selling five locations in Missouri, Kansas, Oklahoma and Georgia to Spartanburg, SC-headquartered Agape Care Group, a portfolio company of Ridgemont Equity Partners, earlier this week. Crossroads had been considering a strategic sale of some locations for a number of reasons. Now company leaders are viewing the future of the 29-year-old leader in hospice and palliative care with enthusiasm as they become a more streamlined company with a smaller geographic footprint. “The potential for innovation has never been higher,” said Crossroads CEO and Co-Founder Perry Farmer. “We are committed to building our remaining locations and we have the depth of talent and proven standards for the highest quality care and the most time spent bedside, including attended deaths, compared with any other hospice." ... COO and Co-Founder Clayton Farmer agreed while acknowledging how entrenched Crossroads is in the markets where it operates. “We want our valued referral partners in Ohio, Pennsylvania and Tennessee to know we are here to continue serving their patients and families and we will strive to continue to beat all national averages on key hospice industry metrics.” 

Home care, hospice firms selected among top workplaces in senior care servicesMcKnight's Home Care; by Adam Healy; 9/13/24Fortune magazine’s best workplaces list for 2024 included 15 aging services providers specializing in home-based care and hospice... [Hospice providers included] Butte Home Health and Hospice [CA, #4], Avow Hospice [FL, #10], Haven Hospice [FL, #13], and Chapters Health System [FL, #15].

Kaiser Permanente to exit skilled nursing business Modern Healthcare; by Diane Eastabrrok; 9/11/24 Kaiser Permanente is getting out of the nursing home business, closing its lone skilled nursing facility, a spokesperson confirmed in an email Wednesday. The nonprofit health system is shutting down the 176-bed nursing home in San Leandro, California in November, which will displace approximately 250 workers, the spokesperson said. He added that staff are working to transition patients either to their homes or to other skilled nursing facilities in the area.

The 9 college majors that lead to the most fulfilling careers ... NBC 7 San Diego, CA; by Kamaron McNair; 9/14/24 If you want your degree to help you land a fulfilling job, consider studying music therapy. The medical and therapeutic fields are among the college majors helping graduates get jobs that make the world a better place, according to graduates surveyed in a recent Payscale report.24/7 San Diego news stream: Watch NBC 7 free wherever you are Alumni with bachelor's degrees in music therapy are most likely to do this kind of fulfilling work, with 95% of degree-holders saying their work makes the world a better place, Payscale finds. Music therapy programs cover coursework in music, music therapy, science and psychology, according to the American Music Therapy Association. ... Music therapists may work in traditional settings, offering services to clients working through physical disabilities or mental health issues. People in hospice care, substance abuse programs and cancer treatment centers have also benefited from music therapist visits, according to the AMTA.Editor's note: Click here for facts and descriptions about "Music Therapy in Hospice Care," by the American Music Therapy Association (AMTA). To recruit a certified music therapist for hospice (or other setting), visit AMTA's Job Hotline.  

CMS submits 75,000 pages to federal court to justify nursing home staffing mandate McKnights Long-Term Care News; by Kimberly Marselas; 9/15/24 The Department of Health and Human Services filed more than 75,000 pages of rule-making records with a federal court Friday, beginning its formal defense of its controversial nursing home staffing mandate. The submission of the administrative record is the first significant advance in the case since the American Health Care Association brought its challenge to the minimum staffing standard in late May. The Texas Health Care Association, three Texas providers and LeadingAge are also part of the case. In another development, District Court for the Northern District of Texas Judge Matthew Kacsmaryk on Sept. 10 agreed to fold in a separate federal challenge against the staffing mandate filed by the state of Texas. He noted that the two cases “share common questions of law or fact, consist of similar parties, the same claims, and [have] the same relief sought.”

Here's what for-profit systems are watching as 2025 approaches Modern Healthcare; by Caroline Hudson; 9/9/24 Large for-profit healthcare systems are investing in new facilities to meet patient demand and navigating changes in reimbursement rules to ensure those care sites remain stable. Executives from HCA Healthcare, Tenet Healthcare, Community Health Systems and Universal Health Services joined insurers, pharmaceutical companies and others in the spotlight ... at the annual Wells Fargo Healthcare Conference in Boston. ... Here are five takeaways from the for-profits' discussions.

The persistent stigma attached to dementia encourages denial InForum; by Carol Bradley Bursack; 9/14/24 Dear Carol: ... At age 70, I was diagnosed with mild cognitive impairment (MCI). Theoretically, that diagnosis means that I have a few more memory glitches than normal for my age. A percentage of people with MCI will develop Alzheimer’s disease, but not all. Yet, some family members treat me like I shouldn’t make decisions beyond what I want for dinner. ...Dear Al: The stigma attached to mental illness, cognitive decline, and even aging, illustrates widespread ignorance of facts. The more people like you speak up the better the future will be for others. ... For now, work on educating your family about MCI.  ... Here's a start: 

As a nonprofit, Hospice of Dubuque among minority of similar entities Telegraph Herald; by Lavonne Noel; 9/15/24   Last month, HBO and Max aired an episode of “Last Week Tonight with John Oliver” in which the satirist discussed hospice care in America. Although raunchy, the episode highlighted some of the positives of hospice care with the commentator noting that “at its best, it’s great.” The episode also underscored concerns with fraud, abuse and program integrity, which stem from a profit motive that has taken hold in hospice. Oliver noted, “Hospices can be big business,” pointing out that “today, of the country’s nearly 6,000 providers, three-quarters are for-profit.” Unfortunately, this does not align with the roots of the hospice movement. ... [Click on the title's link to continue reading this important response to "Last Week Tonight with John Oliver" episode.]