Literature Review
Today's Encouragement: Spring brings new growth ...
03/26/24 at 03:00 AMSpring brings new growth; weed out the bad and make room for something beautiful! - Unknown
Nominate an influential clinical executive today
03/26/24 at 03:00 AMNominate an influential clinical executive todayModern Healthcare; 3/20/24 Modern Healthcare is seeking nominations through April 15 for our annual 50 Most Influential Clinical Executives awards. The recognition program recognizes clinical leaders across the industry who are paving the way to better health through their executive responsibilities, leadership qualities, innovative ideas, community service and achievements inside and outside of their organizations. Nominations are open.
Regulatory reference links for home health care, hospice and durable medical equipment
03/26/24 at 03:00 AMRegulatory reference links for home health care, hospice and durable medical equipment National Association for Home Care & Hospice; per email 3/25/24 Includes reference descriptions and links to the following:
Personal health companies up for sale as costs rise
03/26/24 at 03:00 AMPersonal health companies up for sale as costs rise Modern Healthcare, by Diane Eastabrook; 3/26/25 Labor shortages, tighter access to capital and low reimbursements from some payers could force more healthcare providers to shed non-core operations, such as personal care and post-acute care, according to analysts. ... More than three-quarters of 51 active buyers of home health, hospice and personal care companies said they planned to increase acquisitions in 2024, ...
The do's and don'ts after an abrupt exec resignation
03/26/24 at 03:00 AMThe do's and don'ts after an abrupt exec resignation Becker's Hospital Review, by Kelly Gooch; updated 3/21/24 Turnover among hospital and health system CEOs and other executives is to be expected, and many times they involve planned retirements or advance notice of departures for new roles. However, there are also times when a leader abruptly exits their role. ... There is also no one-size-fits-all approach when it comes to preparing C-suite members for what comes next when an abrupt executive exit occurs. However, Dr. Dunkle and leaders at executive search firms provided some general do's and don'ts.
Incurable but not hopeless: How hope shapes patients’ awareness of their advanced cancer prognosis
03/26/24 at 03:00 AMIncurable but not hopeless: How hope shapes patients’ awareness of their advanced cancer prognosis The Conversation, by Jean Mathews and Michael Brundage; 3/24/24Hope is defined as the expectation of achieving a future good. Patients with cancer, whether it is curable or not, prioritize cure as their highest hope. ... Previous research indicates that less than half of patients with incurable cancer are aware of their prognosis. This is often attributed to a failure of communication. ... In the context of advanced cancer, the relationship between hope and hopelessness is balanced by acceptance, which can re-direct hope to new goals beyond cure, such as hope for connection with others and enjoyment of daily pleasures.
4 things nobody tells you about watching a loved one die of cancer
03/26/24 at 03:00 AM4 things nobody tells you about watching a loved one die of cancer The New York Post; by Jessica Ariel Wendroff; 3/23/24 ... “The surgery was successful. However, tests after the operation found cancer had been present,” the Princess of Wales, 42, revealed in a bombshell videotaped statement Friday. ... While the royal insisted she is “well and getting stronger every day,” other patients’ real pain begins when the cancer has spread too far and chemotherapy and radiation no longer work, so doctors stop treatment. As the daughter of a Stage 4 bladder cancer patient, I’ve empirically learned four realities that people usually don’t talk about ...
Digital avatars and personalized voices—How AI is helping to restore speech to patients
03/26/24 at 03:00 AMDigital avatars and personalized voices—How AI is helping to restore speech to patients JAMA Network, by Samantha Anderer and Yulin Hswen, ScD, MHP; 3/22/24 This conversation is part of a series of interviews in which JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, and expert guests explore issues surrounding the rapidly evolving intersection of artificial intelligence (AI) and medicine. As a specialist in advanced brain mapping methods, Edward Chang, MD, set out to understand the mechanisms that turn our thoughts into words. Now, with the help of AI, his team at the University of California, San Francisco (UCSF) Weill Institute for Neurosciences has demonstrated that the brain signals associated with speech-related sensory and motor processes could grant a new voice to patients who have lost the ability to speak.
Midwest nursing home operator files for bankruptcy
03/26/24 at 03:00 AMMidwest nursing home operator files for bankruptcy Modern Healthcare; 3/21/24 Nursing facility operator Petersen Health Care filed for reorganization Wednesday in U.S. Bankruptcy Court in Delaware, citing between 5,000 and 10,000 creditors in its petition. The Peoria, Illinois-based company, which operates 62 nursing homes in Illinois and Missouri, listed assets between $100 million and $500 million in its Chapter 11 filing and between $100 million and $500 million in liabilities.
Nurse managers' 4-day workweeks: How it's going at Mount Sinai
03/26/24 at 03:00 AMNurse managers' 4-day workweeks: How it's going at Mount Sinai Becker's Clinical Leadership, by Mariah Taylor; updated 3/22/24In fall 2022, New York City-based Mount Sinai Health System launched its four-day workweek program for nurse managers. More than a year later, the program continues to improve staff engagement, satisfaction and has become an important retention strategy, Beth Oliver, DNP, RN, chief nurse executive for the system, told Becker's. Dr. Oliver added, experienced nurse managers play a critically vital role in supporting staff retention and engagement, championing organizational culture, and ensuring quality and safety of patient care.
Medicaid Health Plan will reimburse Health Equity Certification
03/26/24 at 03:00 AMMedicaid Health Plan will reimburse Health Equity Certification HealthPayerIntelligence, by Kelsey Waddill; 3/22/24 Meridian Health Plan of Illinois, Inc.—a wholly-owned subsidiary of Centene Corporation that offers Medicaid coverage—announced that it will cover part of the fee hospitals must pay to undergo health equity certification through the Joint Commission. ... The health plan’s goal in offering this aid is to support providers’ efforts to reduce local care disparities.
Improving the Quality of Quality Metrics
03/26/24 at 03:00 AMImproving the Quality Of Quality Metrics Health Affairs; by Aditya Narayan, Bob Kocher, and Nirav R. Shah; 3/19/24... The landscape of health care quality measures is dynamic, reflecting efforts to enhance patient care, safety, and outcomes. These measures are developed and reimbursed by a variety of stakeholders, including government agencies such as the Centers for Medicare and Medicaid Services (CMS), health care organizations, and independent bodies such as the National Quality Forum and the Agency for Healthcare Research and Quality (AHRQ). The development process involves rigorous research, stakeholder engagement, and consensus-building to ensure measures are evidence-based, applicable across different health care settings, and meaningful to patient care.Editor's Note: Read and share this informative, big-picture article about the evolution of healthcare's quality metrics, its tools, and best practices.
15 top health system workplaces, per USA Today
03/26/24 at 03:00 AM15 top health system workplaces, per USA Today Becker's Hospital Review, by Giles Bruce; 3/21/24 Fifteen health systems were named top workplaces in the U.S. by USA Today and human resources technology company Energage. Released March 20, the Top Workplaces USA 2024 list was determined using Energage's confidential employee engagement surveys and participating company benchmarks that take into account years of workplace culture research. [Click on the title's link to view these 15 health systems]Editor's Note: Each of these health systems has a hospice and/or palliative program. We honor your commitments and innovations to ensure "top workplace cultures" for your employees.
My Mother is in Hospice Care
03/26/24 at 02:30 AMMy Mother is in Hospice Care Reformed Journal, by Doug Browser; 3/25/24 My 96-year-old mother entered hospice care a few months ago. For a while, it seemed as though she would go on forever, even though we knew that was unlikely. ... [Here’s] the thing, maybe the most striking thing I’ve learned while sitting with my mom over these last few months. Loss of memory can sometimes be a gift. ... I realize that there can be a kind of grace in not remembering a few things. ... We don’t have to go back and revisit any of it. We have this time together. ... And together we are a mom and a son, present in the moment, a moment with a surprising amount of grace. I never expected to get there.
Researchers advocate for more home-based options for end-of-life care
03/26/24 at 02:00 AMResearchers advocate for more home-based options for end-of-life care McKnights Home Care, by Adam Healy; 3/25/24 As older adults increasingly prefer to receive end-of-life care in their homes, new, community-based options will be critical to help patients achieve a home death, according to a new research review published in Palliative Care and Social Practice. ... The researchers analyzed 28 studies conducted between 2002 and 2023 related to factors that affect patients’ abilities to achieve a home death. One persistent issue, they found, was a lack of available home palliative care services.
‘I’m kinder and more compassionate’: actor Greg Wise on men and grief
03/26/24 at 02:00 AM‘I’m kinder and more compassionate’: actor Greg Wise on men and grief The Guardian, by Tim Jonze; 3/24/24 How the tragic death of his beloved sister, Clare, gave Greg Wise a new outlook on navigating the end of life. ... Wise is best known as an actor. He met [his wife, Emma] Thompson on the set of 1995’s Sense and Sensibility and has notched up more than 30 years in film and TV. But these days he has carved out a niche for himself as someone who wants to change the way we think, and talk, about the end of our lives. “Not having a proper relationship with one’s grief is one of the great ills of the world,” is how he puts it. "[Without] witnessing and accepting our own pain, we can’t have empathy – proper empathy. I don’t think we can see someone else’s suffering until we can see our own.”
AI scribe saves doctors an hour at the keyboard every day
03/25/24 at 03:00 AMAI scribe saves doctors an hour at the keyboard every dayAMA, by Andis Robeznieks; 3/18/24 When a health system rolls out new technology that it insists will make physicians’ lives easier, the announcement is typically met with skepticism. But the use of augmented intelligence (AI)—often called artificial intelligence—has changed that. The Permanente Medical Group’s rollout of ambient AI scribes to reduce documentation burdens has been deemed a success, saving most of the physicians using it an average of one hour a day at the keyboard. ... Refinement of the tool, however, is ongoing. ... For example, one physician mentioned scheduling a patient’s prostate exam, but the AI scribe recorded that the exam had been performed.
36 rural hospitals have closed since 2020
03/25/24 at 03:00 AM36 rural hospitals have closed since 2020 Becker's Hospital CFO Report, by Alan Condon; 3/21/24 The closures highlight the heightened financial challenges that rural hospitals face amid persisting workforce shortages, rising costs and leveling reimbursement. In addition, only 45% of rural hospitals now offer labor and delivery services, and in 10 states, less than 33% do, according to the Center for Healthcare Quality and Payment Reform. [Listed in the article] are the 36 rural hospitals that closed since 2020, beginning with the most recent.
Massachusetts makes paid family leave more accessible, offering services in Spanish, Portuguese
03/25/24 at 03:00 AMMassachusetts makes paid family leave more accessible, offering services in Spanish, Portuguese New England Public Media, by Elizabeth Roman; 3/22/24... The state passed a law in 2018 which provides paid family and medical leave (PFML) for serious injury or illness whether personal or a family member, as well as time for parental leave, but found that people whose primary language is not English were unaware of, or hesitant, to apply for the services. ... While the state portal for applying for PFML services now has options in various languages, some people are still overwhelmed by filling paperwork out online. ... There are representatives who speak Spanish and Portuguese and the state also works with an interpretation service for many other languages.
Record funding raised for Tidewell Hospice, Empath Health
03/25/24 at 03:00 AMRecord funding raised for Tidewell Hospice, Empath Health HomeCare News; 3/21/24 Nearly 600 people attended the Tidewell Foundation’s Crystal Anniversary Signature Luncheon on Friday, March 1, at The Ritz-Carlton in Sarasota. The 15th Annual event, the Tidewell Foundation’s largest fundraiser, raised a record $434,558 to benefit Tidewell Hospice and Empath Health services that reach more than 10,000 people each year in Charlotte, DeSoto, Manatee and Sarasota counties in Florida. Health advocate, movie, TV and Broadway actress, five-time Golden Globe nominee, New York Times best-selling author and memory expert Marilu Henner was the keynote speaker. Henner is a spokesperson for Alzheimer's disease awareness. She has been a vocal advocate for hospice care, and in 2019 she became a spokesperson for the National Hospice and Palliative Care Organization.
End-of-life care in heart failure
03/25/24 at 03:00 AMEnd-of-life care in heart failure MedPageToday; by Crystal Phend, reviewed by Andrew Perry, MD; 3/22/24 Palliative care has a perception problem. It's often associated with end of life or advanced cancer. However, cardiovascular disease actually accounts for a higher proportion of adults in need of palliative care than does cancer (38.5% vs 34%), according to the World Health Organization. Patients with heart failure (HF) have a median survival of about 5 years -- on par with many types of cancer, yet patients with cancer are much more likely to be referred to palliative care.
Top 10 patient safety threats of 2024: Helping new clinicians, maternal care barriers, AI, and more
03/25/24 at 03:00 AMTop 10 patient safety threats of 2024: Helping new clinicians, maternal care barriers, AI, and more Chief Healthcare Executive, by Ron Southwick; 3/21/24 When ECRI unveiled its list of the leading threats to patient safety for 2024, some items are likely to be expected, such as physician burnout, delays in care due to drug shortages or falls in the hospital. However, ECRI, a nonprofit group focused on patient safety, placed one item atop all others: the challenges in helping new clinicians move from training to caring for patients. ... ECRI’s top 10 threats to patient safety for 2024:
HHS Secretary Becerra: We’re with you on telehealth flexibilities
03/25/24 at 03:00 AMHHS Secretary Becerra: We’re with you on telehealth flexibilities Hospice News, by Jim Parker; 3/21/24 Telehealth flexibilities must become permanent U.S. Health and Human Services (HHS) Secretary Xavier Becerra indicated in a congressional hearing [Wed]. At the end of this year, telehealth flexibilities implemented during the pandemic are slated to expire. In a hearing before the U.S. House Ways and Means Committee Becerra said that HHS was willing to make them permanent. However, he said this would require closer collaboration with state governments. “We’re with you. We can’t allow those flexibilities to expire, and we need to work closer with our state partners, because much of the flexibility that comes from telehealth means being able to go over state lines,” Becerra said.
Today's Encouragement: March Madness ...
03/25/24 at 03:00 AMMarch Madness is like a rollercoaster – even if your bracket is busted, the ride is still thrilling.
How the healthcare sector is handling cybersecurity training
03/25/24 at 03:00 AMHow the healthcare sector is handling cybersecurity trainingModern Healthcare, by Mari Devereaux; 3/21/24... Healthcare entities should use the Change Healthcare incident as a lesson on how to strengthen their own cybersecurity and an opportunity to have conversations about third-party risk, contingency planning and vendor backups, said John Riggi, national adviser for cybersecurity and risk at the American Hospital Association. ... Both executives and lower-level staff need to be trained on how to spot a potential social engineering attack, best practices around cyber hygiene, and how to enact downtime procedures in the event that third party services are lost for up to 30 days or longer, Riggi said.
