Literature Review

A leading authority in senior care and services: Seniors Blue Book Iowanews Headlines; 4/23/24Seniors Blue Book, a trusted name in senior care and services, has been recognized as a leading authority in the industry. With a dedication to improving the lives of seniors and their families, Seniors Blue Book has consistently demonstrated its commitment to providing high-quality, reliable information and resources for the senior community. ... For over 40 years, Seniors Blue Book has been at the forefront of the senior care and services industry, offering a wide range of resources and solutions designed to improve the lives of older adults and their families. 

Skepticism is healthy, but in medicine, it can be dangerous The New York Times, Guest Essay, by Dr. Daniela J. Lamas; 4/24/24 I arrived at the hospital one recent morning to find a team of doctors gathered just outside a patient room. The patient was struggling — his breaths too fast and too shallow. For days we had been trying to walk the line between treating the pain caused by his rapidly growing cancer and prolonging his life. [The author describes interactions with the family.] ... We are at a crossroads in medicine when it comes to public trust. After a pandemic that twisted science for political gain, it is not surprising that confidence in medicine is eroding. ... Our medical system relies on trust — in face-to-face meetings as well as public health bulletins. Distrust can lead doctors to burnout and can encourage avoidable negative outcomes for our patients.Editor's Note: For a patient/caregiver/family to agree to a hospice admission, they must first trust the physician who refers them to your organization. Before that, the referring physician must trust your organization. Too often, "trust" is diluted as a "soft skill." "Trust"--as described in this article--is a cornerstone, a foundation of strength, endurance, and integrity in the hardest, most conflicted times of decisions about living and dying that a person (and family) might face.

Operator hopes to expand residents’ digital literacy with unique tech concierge program McKnights Senior Living, by John O'Connor; 4/22/24Beginning in June, residents in some BHI Senior Living communities will be able to take advantage of a unique tech concierge program. For residents, the new service will feature on-demand tech support, alongside virtual assistance, in-home appointments and a curriculum of tailored enrichment classes and training sessions. For the operator, the program will deliver immediate tech support while also gathering and analyzing data that can be used to inform future technology investments and strategic moves.Editor's Note: How might you adapt this creative service for the persons you serve? What differences might it make in patient care? In hospice caregiver/family satisfaction? What tech support do you have for your staff, especially when they are making home or other in-the-field visits? Relating this to today's articles on the importance of "trust" and "nurses' negativity about AI," do your innovative technologies improve or impede the patient/family's needs and experiences with you?

CMS increases hours to 3.48 in final staffing rule McKnights Long-Term Care News, by Kimberly Marselas; 4/22/24 Nursing homes will be required to deliver 3.48 hours of daily direct care per patient under a final staffing mandate issued this morning. A White House statement on the rule [4/22] said that 3.0 hours must be split between registered nurses at 0.55 hours and 2.45 hours for certified nurse aides. The remaining time was not immediately defined by the White House release, and the full rule text was not available.

What the ‘fundamentally contradicting’ Medicaid Access Rule includes Home Health Care News, by Andrew Donlan; 4/22/24 The White House teased the finalized Medicaid Access Rule early Monday, and the Centers for Medicare & Medicaid Services (CMS) later revealed more intricate details attached to the rule. [The] timeline of the rule is now clear. Specifically: ... [Click on the title's link for more]

Debates begin in the Assembly on the “end of life” bill; Catherine Vautrin calls for a “spirit of humanity, listening and respect”Times.News - France; The Minister of Labor, Catherine Vautrin, and the president of the special commission, Agnès Firmin Le Bodo, on April 22 at the Assembly; 4/22/24At the opening of the work of the special committee of the National Assembly, ... on the “end of life” bill, the Minister of Health, Catherine Vautrin, called on the deputies to have a parliamentary debate which takes place in “a spirit of humanity, listening and respect.” ... At the heart of the questions is the fact of offering certain patients the means of committing suicide ... This “assisted dying” will be reserved for adult patients, born in France or residing in the country for a long time, and able to clearly express their wishes. ... “I have heard fears to which I hope we can respond point by point, a strong demand for clarity and precision, an expectation of vigilance with regard to the sensitivity of the subject”, assured Ms. Vautrin. ... Hoping for a debate full of “humility, seriousness and respect for all convictions” ... [From MP Carline Fiat,] “We can disagree but we have to be careful with the words we say,” she told the deputies present in this committee.

Medicare Advantage fight shifts to 340B arena Modern Healthcare, by Alex Kacik; 4/22/24Hospitals' fight to boost Medicare Advantage reimbursement has extended to plans' pay for 340B drugs. The hospitals’ plea to adjust Medicare Advantage pay stems from regulation aimed at making providers that participate in the drug discount program whole after the Supreme Court reversed 340B rate cuts that were in place from 2018 to 2022.

[Maine] Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) implementation delayed until further noticeState of Maine Department of Health and Human Services; 4/22/24 As of March 15, 2023, MaineCare temporarily excluded hospice services from EVV requirements as a delayed enforcement of our approved State Plan requirements. On December 1, 2023, we announced our plan to implement EVV requirements for hospice services starting July 1, 2024. following enactment of P.L. 2023, ch. 576 (LD 2055), An Act to Prohibit the Department of Health and Human Services from Implementing Electronic Visit Verification for Hospice Providers Within the MaineCare Program Unless Mandated by the Federal Government, the Department is delaying the implementation of EVV requirements for hospice services until further notice.

Providence employees awarded $98M in wage suit Modern Healthcare, by Hayley Desilva; 4/22/24 A jury awarded more than $98 million to Providence Health and Services employees in a class action lawsuit over claims the health system illegally denied meal breaks and pay for time worked. King County Superior Court Judge Averil Rothrock, who presided over the case, also ruled Thursday that the health system willfully withheld wages, which under Washington state law could entitle workers to double the amount of damages awarded.

Every day may not be good, but there is something good in every day. - Alice Morse Earle

Behind the stethoscope: Exploring nursing ethics Noozhawk, Santa Barbara County, by Green Shoot Media; 4/22/24 The American Nurses Association developed a Code of Ethics for Nurses in the 1950s. It has been revised over the years to respond to technological advances and changes in society and the nursing field. Gallup takes a poll every year asks how the public ranks various professions for having high honesty and ethics. For 22 straight years, nurses come in as the most respected in terms of honesty and ethics. In 2024, 78% of the poll takers perceived them as honest.

Analysts not ruling out Cigna, Humana mergerBecker's Payer Issues, by Rylee Wilson; 4/22/24A merger between Humana and Cigna could still be in the cards according to one analyst, Bloomberg reported April 22. "The math now works for a [Cigna and Humana] fusion," Jeffries analyst David Windley wrote April 22. Since the two companies abandoned a proposed merger in December, Cigna's stock prices have risen by 37% and Humana is down 31%, according to Bloomberg. Cigna could strike a deal to acquire Humana for around $420 per share, Mr. Windley wrote in a note to clients. An acquisition would add to Cigna's growth if it does not pay more than $470 per share for the company, according to Jeffries.

Mercy Hospital surgeon teaches high school student future of surgical medicine CBS News TV 13 Sacramento, CA; 4/21/24 A unique experience for high school students, taking a step into the world of robotic surgery. Mercy Hospital hosted students to learn the ins and outs of the future of surgical medicine.