Literature Review



Biden administration says Medicare negotiated price discounts on 10 prescription drugs

08/16/24 at 03:00 AM

Biden administration says Medicare negotiated price discounts on 10 prescription drugs USA Today; by Ken Alltucker; 8/15/24 ... The Biden administration announced Thursday that Medicare had negotiated discounts with pharmaceutical companies on 10 drugs prescribed to treat blood clots, cancer, heart disease and diabetes. The drugs are Eliquis, Jardiance, Xarelto, Januvia, Farxiga, Entresto, Enbrel, Imbruvica, Stelara, and the insulins Fiasp and NovoLog. The discounts will range from 38% to 79% when the negotiated prices take effect in 2026. The bargaining will save Medicare $6 billion when the price cuts are implemented in two years, according to U.S. Department of Health and Human Services estimates. 

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Staff education an anchor amid widespread hospice audits

08/16/24 at 03:00 AM

Staff education an anchor amid widespread hospice audits Hospice News; by Holly Vossel; 8/14/24 ... More than half of hospice providers reported having multiple types of audits within a six-month span in a survey earlier this year. ... Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE) audits are among the most common types of audits that hospices undergo simultaneously alongside others. ... Staff need a firm understanding around the potential red flags on regulators’ radars and how to avoid common compliance errors in their roles, ... Compliance training should be focused on staff’s overall responsibilities alongside the larger bottom line of quality, she said. ... Notable mentions: Jason Bring, co-chair of post-acute and long-term care at the law firm Arnall Golden Gregory LLP (AGG)l; Megan Turby, vice president of quality and compliance at Gulfside Healthcare Services; Dr. Lisa Barker, chief medical officer at Gulfside Healthcare Services

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Factors associated with Do Not Resuscitate status and palliative care in hospitalized patients: A national inpatient sample analysis

08/16/24 at 03:00 AM

Factors associated with Do Not Resuscitate status and palliative care in hospitalized patients: A national inpatient sample analysis Palliative Medicine Reports; by Jean-Sebastien Rachoin, Nicole Debski, Krystal Hunter, Elizabeth CerceoIn the United States, the proportion of hospitalized patients with DNR, PC, and DNR with PC increased from 2016 to 2019. Overall, inpatient mortality and LOS fell, but hospital charges per patient increased. Significant gender and ethnic differences emerged. Black patients and males were less likely to have DNR status and had higher inpatient mortality, LOS, and hospital charges.

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Franciscan Health opens new senior wellness center in Greenwood [PACE]

08/16/24 at 03:00 AM

Franciscan Health opens new senior wellness center in Greenwood [PACE] Daily Journal; by Ryan Trares; 8/12/24 The Franciscan Senior Health & Wellness Center, part of the Program of All-Inclusive Care for the Elderly, also known as PACE, is a newly opened facility in Greenwood [IN] focused on providing older adults with all-encompassing care. ... Exercise bikes, balance bars and massage tables fill a spacious fitness area. A primary care clinic is available in case seniors need to meet with a physician for medical conditions. Camaraderie and friendship is forged with daily activities, music, games and more inside a spacious day center.

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Aligning local marketing strategies with organizational vision

08/16/24 at 03:00 AM

Aligning local marketing strategies with organizational vision Forbes; by Emily Burroughs; 8/15/24 ... In today’s interconnected world, achieving a cohesive and impactful narrative requires that local marketing strategies align with the organization’s broader vision. However, silos within a company can complicate this process, impeding clarity and effectiveness. Here’s how to bridge these gaps and foster a unified message. 

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Study: AI adoption spends jump among enterprises as eliminating data privacy concerns remains a foremost opportunity for driving long-term growth and ROI

08/16/24 at 03:00 AM

Study: AI adoption spends jump among enterprises as eliminating data privacy concerns remains a foremost opportunity for driving long-term growth and ROI BusinessWire, San Francisco, CA; by Kayla Spiess; 8/14/24  Searce, a modern technology consulting firm that empowers businesses to be future-ready, today released its State of AI 2024 report. Polling 300 C-suite and senior technology executives – including Chief AI Officers, Chief Data & Analytics Officers, Chief Transformation Officers, and Chief Digital Officers – from organizations across the US and UK with at least $500 million in revenue, the report examines some of the biggest trends, successes and challenges facing businesses in their decision-making, strategy and execution as they try to unlock AI growth. [Key takeaways:]

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Commentary: Prognostication in Alzheimer's disease and related dementias

08/16/24 at 03:00 AM

Commentary: Prognostication in Alzheimer's disease and related dementias Journal of the American Geriatrics Society / Early View; by Natalie C. Ernecoff PhD, MPH, Kathryn L. Wessell MPH, Laura C. Hanson MD, MPH; 8/8/24  ... Hospice provides comfort-oriented care, emphasizing patient-tailored elements of quality of life, including time with family, access to nature, and music. In late-stage ADRD, studies show that a majority of families prioritize comfort-oriented treatment, and understanding prognosis may help them align treatments accordingly. Yet, only 15% of people enrolled in hospice with a primary diagnosis of ADRD. This is due to difficulty estimating 6-month prognosis required for hospice eligibility—ADRD carries a prognosis of 12–18 months in the latest stage. While low rates of live discharges from hospice are a regulatory requirement for hospices, people who are increasingly experiencing ADRD progression lose access to those beneficial hospice services. ...

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Capitalizing palliative care startups

08/16/24 at 03:00 AM

Capitalizing palliative care startups Hospice News; by Jesse Floyd; 8/14/24 As a sector, most standalone palliative care providers are still maturing from startups into long-term, sustainable businesses. ... This means gathering the necessary startup capital to take a new palliative care provider from idea to execution is often the first tangible goal for hopeful entrants into the space. When Jonathan Fluhart and Tiffany Hughes set about getting PalliCare, their Texarkana, Texas-based palliative care provider from theory to reality, they ran headlong into this obstacle. ... “Initially, what we thought we would do is build a palliative program that would nest between the home health and hospice,” Fluhart said. “We started to go into the community to talk with facilities and places that we felt would benefit from our services. Once they learned that we were tied to a home health provider, especially a hospice, it turned them off.” They decided the answer was two-fold: Sever ties with the hospice care provider they worked for; then start casting about for investors. ... 

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15 Employee engagement examples to inspire you in 2024

08/16/24 at 03:00 AM

15 Employee engagement examples to inspire you in 2024 Academy to Innovate HR (AIHR); by Andrea Boatman; 8/14/24 Employers should heed Apple’s former Senior VP Angela Ahrendts’ words: “Everyone talks about building a relationship with your customer. I think you build one with your employees first.” But how can HR help foster this relationship? ... Incorporate the examples in this article into your company’s employee engagement plan for positive long-term results. ...

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Hospice of Greater Cleveland: A new partnership between Judson and McGregor Senior Living Communities

08/16/24 at 02:30 AM

Hospice of Greater Cleveland: A new partnership between Judson and McGregor Senior Living Communities Morningstar, Cleveland, OH; by PR Newswire; 8/15/24 For Judson and McGregor Senior Living Communities, organizational aspirations have always been to provide continuity of care and quality service through our dedicated teams. ... We are pleased to announce that the two organizations have embarked on a new joint venture. ... This strategic partnership, built on the strengths of both organizations, is designed to provide the utmost comfort, dignity, and support to our hospice residents during their end-of-life journey, ensuring a seamless and enhanced experience for all. ... Hospice of Greater Cleveland will begin its work on August 15, 2024. This partnership reflects the ongoing support of our collective organization and the missions that drive our commitment to seniors in Northeast Ohio.

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Health group expands to Presque Isle

08/16/24 at 02:30 AM

Health group expands to Presque Isle The County, Presque Isle, ME; 8/14/24 Andwell Health Partners (formerly Androscoggin Home Healthcare + Hospice) has expanded its hospice services to Aroostook County. “As Maine’s largest non-profit home and community-based healthcare and care management organization, we are driven to meet the growing and evolving needs of individuals and families,” said Ken Albert, president and CEO, Andwell Health Partners, who has deep family roots in Aroostook County. ... Serving all ages of hospice patients, from infancy to those who have lived full lives, Andwell’s hospice services are available to individuals regardless of ability to pay.

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Person-centered, goal-oriented care helped my patients improve their quality of life

08/16/24 at 02:15 AM

Person-centered, goal-oriented care helped my patients improve their quality of life Journal of the American Board of Family Medicine; by Lee A. Jennings and James W. Mold; orignially posted 5/24 issue, again on 8/15/24 When the goal is to help patients improve their quality of life, it makes sense to focus directly on the activities and relationships that are most important to each patient. This can be accomplished most effectively by following a three-step process that includes 1) connecting with the patient around what matters to them, 2) co-creating a goal-oriented plan, and 3) collaborating with patient, family, team members, and consultants to increase the probability of success. Once this approach has been mastered and the necessary systems, processes, and relationships are in place, this should not take more time than a problem-oriented approach, and it will almost certainly be more satisfying for both physician and patient. Editor's Note: Simple. Effective. Meaningful.

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Hospice and Palliative Nurses Foundation receives $1.2 million impact grant

08/16/24 at 02:00 AM

Hospice and Palliative Nurses Foundation receives $1.2 million impact grant Hospice & Palliative Nurses Association (HPNA); August 2024 newsletter, with webpage posted 7/8/24 The Hospice and Palliative Nurses Foundation (HPNF) is thrilled to announce that it has been awarded a transformative $1.2 million impact grant from the Hospice and Palliative Credentialing Center (HPCC). The Sandra Lee Schafer Impact Grant, given in memory of the late Sandra Lee Schafer, MN, RN, AOCN®, will empower HPNF to create a legacy of sustainable giving, which will impact the hospice and palliative care community for years to come. “We are deeply honored and grateful to receive this impact grant from HPCC, given in tribute of Sandy,” said Virginia (Ginger) Marshall, MSN, ACNP-BC, ACHPN®, FPCN, chief executive officer of HPNF. Sandra was an unwavering advocate of specialty nursing certification. ... Sandra served as the director of credentialing of the Hospice and Palliative Credentialing Center from 2004 until her sudden passing in 2018.

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8-year-old boy's dream of skydiving finally comes true after lazy eye led to terminal cancer diagnosis (exclusive)

08/16/24 at 02:00 AM

8-year-old boy's dream of skydiving finally comes true after lazy eye led to terminal cancer diagnosis (exclusive) People; by Angela Andaloro; 8/14/24 "In those moments, he's not a cancer kid," mom Amanda tells PEOPLE of Paxton's big adventures. ... Faced with limited time, Paxton's family are helping make his bucket list dreams, like skydiving, come true and tell PEOPLE about what it means to be able to do so. ... [Click on the title's link to see photos and read more.]

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Thrive Alliance donates robotic pets to our hospice dementia patients

08/15/24 at 03:30 AM

Thrive Alliance donates robotic pets to Our Hospice dementia patients Local News Digital, Columbus, IN; by LND Staff; 8/13/24 Our Hospice of South Central Indiana has announced that it has received a generous donation from Thrive Alliance that will significantly improve the quality of life for dementia patients. The donation includes several lifelike robotic animals designed to provide sensory-based stimulation and comfort to patients experiencing dementia. The innovative pets calm patients, encouraging them to smile, hug, and stroke the robotic animal’s fur. ... President of Our Hospice Steph Cain said, “These robotic animals will make the transition from home to our care center much smoother. They not only provide comfort but also act as a catalyst for social connection, sparking positive interactions with staff, visitors, and fellow patients.”

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Want to keep talent? Develop your leaders

08/15/24 at 03:15 AM

Want to keep talent? Develop your leaders Forbes; by Roberat Matuson; 8/12/24 You're investing heavily in recruitment, yet your top talent might be slipping away. Why? Because 7 in 10 U.S. workers are ready to leave if they have a bad manager. Younger employees are leading this charge, as highlighted in LinkedIn's latest Workforce Confidence survey. With gig work on the rise and many young professionals living at home, they have the freedom to choose jobs that value them. The solution? Transform your managers into leaders worth following. ... 5 Ways to Develop Your Managers into Strong People Leaders:

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Virtual palliative care improves quality of life in advanced lung cancer

08/15/24 at 03:00 AM

Virtual palliative care improves quality of life in advanced lung cancer MedPage Today; by Greg Laub; 8/13/24 In this exclusive MedPageToday video, Roy Herbst, MD, PhD, of Yale Cancer Center in New Haven, Connecticut, discusses a studyopens in a new tab or window presented at the recent American Society of Clinical Oncology (ASCO) meeting, which showed that patients with advanced non-small cell lung cancer receiving palliative care via video consultation had outcomes comparable to those treated in person. Following is a transcript of his remarks: ... 

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The tangled web of pediatric palliative care payment and policy

08/15/24 at 03:00 AM

The tangled web of pediatric palliative care payment and policy Hospice News; by Holly Vossel; 8/13/24 A complex web of state regulations and reimbursement systems can challenge pediatric palliative care access for seriously ill children and their families. The nation’s fragmented health care system lacks clear guidance when it comes to navigating chronic, complex conditions in children, adolescents and young adults, according to Jonathan Cottor, CEO and founder of the National Center for Pediatric Palliative Care Homes. Much of the current state palliative regulations and reimbursement pathways focus on adult patient populations, representing a significant barrier to improved quality and support in the pediatric realm, Cottor said.

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3 components of virtual nursing

08/15/24 at 03:00 AM

3 components of virtual nursing MarketScale, Dallas, TX; by David Jastrow; 8/12/24 As healthcare adopts digital innovations, virtual nursing is increasingly significant. This study delves into the key components driving this transition, analyzing the benefits, and exploring future trends. [The 3 key components identified include:]

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Death is inevitable. It's time we learned to talk about it.

08/15/24 at 03:00 AM

Death is inevitable. It's time we learned to talk about it. MedPageToday; by Nidhi Bhaskar; 8/13/24 By fostering honest and compassionate discussions, we can provide patients with more dignity. Years ago, in a busy emergency department, I found myself joining my mentor at the bedside of an elderly man experiencing chest pain. After completing the physical exam, the doctor unceremoniously changed gears to abruptly ask our patient, "If your heart were to stop beating, do you want us to do everything?" Between the stress of the situation and the vague and awkward delivery of the question, our patient seemed (understandably) overwhelmed. So was I. ... End-of-life conversations can feel like a "word soup" of sorts ... it is easy for patients and providers alike to feel lost. ... Providers must also consider the nuances of cultural attitudes towards death; the location and family arrangements surrounding a person at the end of life; and the varying emotional responses and feelings of decision paralysis surrounding how one dies and how one feels about dying.Editor's Note: For a related article in our newsletter today, read "Examining the relationship between rural and urban clinicians’ familiarity with patients and families and their comfort with palliative and end-of-life care communication."

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Today's Encouragement: Back to school ...

08/15/24 at 03:00 AM

For all back-to-school parents, grandparents, and more: You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose. ~ Dr. Seuss, Oh the Place You'll Go!

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Inside one hospice’s battle for survival as it faces ‘incoming tsunami’ of need

08/15/24 at 03:00 AM

Inside one hospice’s battle for survival as it faces ‘incoming tsunami’ of need SwiftTeleca in South Boston, Virginia, with this article about Swindon, United Kingdom; by Shawn Butlere; 8/13/24Swindon’s Prospect Hospice is facing a £1million deficit this year. Hospices are receiving “woefully inadequate” funding to deal with an “incoming tsunami” of patients needing end-of-life care, a desperate sector leader has warned. ... Chief executive Jeremy Lune ... said: “Hospice funding is woefully inadequate at the moment – that is a fact. In the last 10 years, the amount that we receive from the NHS has not increased in real terms at all. “The cost of living crisis and so on mean that in real terms, it has decreased. And the need for hospice services is increasing. With an ageing population, people are living longer, they’re living with more conditions, and the funding simply doesn’t reflect that.”Editor's Note: USA hospice leaders, what themes and potential threats to our hospices are you seeing, especially in light of the new CMS Hospice Final Rule?

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Blue Ridge Hospice moves forward with new PACE Program

08/15/24 at 03:00 AM

Blue Ridge Hospice moves forward with new PACE ProgramHospice News; by Jim Parker; 8/12/24 Blue Ridge Hospice is launching its first Program of All-Inclusive Care for the Elderly (PACE) program, which will begin accepting participants on Sept. 1. The program is branded as Blue Ridge Independence at Home, designed to offer seniors a “comprehensive” suite of services to address medical and nonmedical needs and help them stay in their homes, the organization indicated. The launch reflects a longstanding trend of hospices diversifying their services to include upstream care, an area in which PACE programs are gaining ground. “Our desire to get into the PACE program was driven by a need to make the continuum of care more smooth for the frail aging population, ...” Jason Parsons, CEO of Blue Ridge Hospice, told Hospice News.Editor's Note: Blue Ridge Hospice is in Winchester, VA. 

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Perfecting healthcare’s 360° consumer-centric strategy

08/15/24 at 03:00 AM

Perfecting healthcare’s 360° consumer-centric strategy Guidehouse; 8/13/24 To ably compete in today’s healthcare environment while meeting their mission of quality patient care, health systems must make patient access and the consumer experience a core value across their entire organization. That means placing a relentless focus on reducing friction to meet customer expectations and aligning people and tech resources with standardization and scale. ... 

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‘The Last Ecstatic Days’ one day screening strives to teach the world how to die without fear

08/15/24 at 03:00 AM

‘The Last Ecstatic Days’ one day screening strives to teach the world how to die without fear Bangor Daily News, Bangor, ME; by BDN Community; 8/13/24 Hospice Volunteers of Waldo County invites Greater Waldo County to a single night screening on Tuesday, Aug. 20 at 7 p.m. Post-screening, there will be a Community Conversation with Hospice and Palliative Care Physician Aditi Sethi, MD and Director of the Center for Conscious Living & Dying/Hospice Volunteers of Waldo County’s Flic Shooter. Sethi, MD’s end-of-life palliative work is featured in the film. “The Last Ecstatic Days” focuses on a young man with terminal brain cancer (Ethan Sisser) as he sits alone in his hospital room. When Sisser starts live-streaming his death journey on social media, thousands of people around the world join to celebrate his courage. Still, he envisions more–to teach the world how to die without fear. To do that, Sisser needs to film his actual death. What unfolds next is a rarely-glimpsed perspective of how a community of strangers helps a young man die with grace.Editor's Note:  This movie has been featured on PBS. The Boston Globe describes, "... courageous end-of-life chronicle, which overflows with compassion." The Louisiana Mississippi Hospice & Palliative Care Organization shared this as a viewing and discussion at their July 2024 conference. For the trailor and more information, click here. 

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