Literature Review

An innovative take on transforming hospice spaces with Buildner for better well-being Arch Daily; 12/19/24 Buildner has announced the results of its Hospice - Home for the Terminally Ill competition, the third in a series of architectural idea challenges focused on creating compassionate spaces for individuals facing terminal illnesses. This competition encouraged architects to move beyond traditional medical models, designing environments that prioritize comfort, dignity, and community. Participants were tasked with envisioning a facility for up to 15 visitors and five staff members, incorporating essential spaces such as a library-equipped common area, gathering room, chapel, kitchen, dining area, nurse's station, and therapy room for psychological support. Designs were grounded in theoretical sites within participants' home countries, allowing for the integration of local cultural, social, and environmental contexts. The competition highlighted how innovative, thoughtful design can provide solace and strength during life's most difficult moments. ...

Impact of transition to home palliative care on patient support and prescriptions Physician's Weekly; 12/19/24 The following is a summary of “Evaluating the Benefits of Transition to Home Palliative Care: Pharmacological Prescriptions, Social, and Psychological Support Post-Referral,” published in the November 2024 issue of Primary Care by Ribeiro et al. Community palliative care teams provide at-home care based on referral criteria that prioritize functional status and clinical complexity. They focus on patients with limited benefit from continued hospital care. Researchers conducted a retrospective study to assess the quality of referrals and the transition to community palliative care teams. ... They concluded that most complex patients were successfully monitored and died at home, with hospital deaths reserved for exceptional cases. There was no significant difference in the biopsychosocial approach between patients followed by various palliative care teams, indicating varying approaches. 

National Alliance for Care at Home and Transcend Strategy Group publish Rural American Hospice Insights Report National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 12/19/24The National Alliance for Care at Home (the Alliance) and Transcend Strategy Group published the results of new research exploring perceptions of hospice care among rural and small-town communities. This survey of 400 people is part of the Alliance’s commitment to health equity and to breaking down barriers to accessing hospice and home care through knowledge sharing, data collection, and collaborative discussion. Along with key research findings, the Rural American Hospice Insights report offers recommendations for hospice providers to help increase understanding of hospice care and help overcome barriers to access. Key findings and recommendations include:

We studied 20 places around the world and found the most common diseases linked with voluntary assisted dying Medical Xpress; by Eliana Close and James Downar, The Conversation; 12/18/24 As of 2023, 282 million people lived in regions where voluntary assisted dying is legal. Jurisdictions such as the Netherlands, Belgium and Oregon have had these laws in place for decades. Other countries, including Canada, Spain, New Zealand and Australia, have passed reforms more recently. ... Debates about voluntary assisted dying are often highly polarized. Understanding the factors driving assisted dying is essential for evidence-based debates and for improving care for people with serious conditions. In a recent study, we examined data from people accessing voluntary assisted dying in 20 jurisdictions around the world. In particular we looked at what diseases they had. ...  With an international team of researchers, we looked at the role disease plays in voluntary assisted dying. We analyzed publicly available data from 20 jurisdictions in eight countries between 1999 and 2023. Overall, most people who accessed voluntary assisted dying had cancer (66.5% of cases). Neurological diseases were the second most common (8.1%), followed by heart (6.8%) and lung (4.9%) conditions. 

Vancouver non-profit offers hope for the bereaved during holidays [The Wishing Tree] KOIN, Portland, OR; by Anthony Kustura; 12/19/24 The holiday season is a wonderful time of year for many — but for those who recently lost a loved one, it can bring lots of heartache. In Portland, The Wishing Tree near Northeast 7th Avenue and Northeast Morris Street is a towering elm that carries hundreds of paper tags with people’s hopes and dreams all year long. ... With the tie of a bow, McCoy’s wish joins a long list of others, including ones that say “I wish to be loved” and “I wish for my kids to be happy and healthy. McCoy and her husband, Jordan Jackson, know what it’s like for the holiday season to be a solemn reminder of what’s missing. “Back home, my grandfather is in hospice care right now,” Jackson said. “You know, we miss family, so it’s always like… it would be nice to be around family, celebrate with family …,” added McCoy. [Click here to view photos of "The Wishing Tree" in Portland, OR.]

Joining forces: 2024’s hospice investment, consolidation trendsHospice News; by Holly Vossel; 12/18/24 Hospice investment trends took myriad routes this year, seeing a few common threads occurring among nonprofit and for-profit entities that hint at where the market may be heading. The scope of hospice deals in 2024 encompassed joint ventures and collaborative affiliations in addition to acquisitions. Some of these transactions were fueled by value-based reimbursement and unmet needs among underserved patients. Rising demand, workforce growth and organizational culture are three significant pieces driving much of the recent hospice merger and acquisition (M&A) activity, according to Andrew Molosky, president and CEO of Chapters Health System, a large Florida-based nonprofit hospice provider. 

Palliative care, mental health services underutilized in pancreatic cancer Healio; by Jennifer Byrne; 12/19/24 Individuals with pancreatic cancer underutilized palliative care and mental health services, according to a retrospective analysis. ... Researchers from Saint Louis University used electronic health record data from Optum’s Integrated Claims-Clinical Data set to identify 4,029 patients with newly diagnosed pancreatic cancer. The investigators then used ICD-9/10 codes to identify subsequent diagnoses of anxiety and depression, as well as palliative care consultations. ... Results showed higher prevalence of anxiety (33.9% vs. 22.8%) and depression (36.2% vs. 23.2%) among patients who had palliative care consultations than those who did not have documented consultations. ... Healio: Did any of your findings surprise you? Divya S. Subramaniam, PhD, MPH: It was unexpected to see that palliative care consultations, despite identifying higher levels of anxiety and depression, did not increase treatment rates for these mental health conditions. This suggests mental health might not yet be a central focus in palliative consultations, which often concentrate on managing physical symptoms.

Why good leaders turn bad and harm their teams Forbes; by Benjamin Laker; 12/17/24 Leadership is often idealized as a force for good—driving positive change, inspiring teams and achieving ambitious goals. However, leadership also has a darker side. Power, ambition and the pressures of professional life can push even well-intentioned leaders into behaviors that harm their teams, their companies and, in many cases, themselves. Understanding why and how leaders succumb to the darker aspects of leadership is not just an academic exercise—it’s also a practical challenge for anyone navigating today’s workplaces.

What Gen Z wants from employers Becker's Hospital Review; by Kristin Kuchno; 12/16/24 Each new generation entering the workforce brings unique challenges for management, and Generation Z is no exception. Leaders may find themselves puzzled by what Gen Z workers want from their employers and what drives their retention. This generation includes individuals born between 1997 and 2012, making the oldest members 27 years old. [Here] are 16 common priorities of Gen Z workers, as reported by Becker's in 2024: 1. Company culture ... 2. Team dynamics ... 3. Career paths ... 4. Mental health resources ... 5. Student loan repayment options ... 6. Full-time commitment ... 7. Wise feedback ... 8. Work-life balance ... 9. Purpose-driven roles ... 10. Flexible work ... 11. Growth opportunities ... 12. Feedback and validation ... 13. Retention by role ... 14. AI skepticisim ... 15. Timely pay ... 16. Authenticity ...

Oregon will review Providence's handoff of hospice, home health to private equity-backed firm The Lund Report; by Nick Budnick; 12/17/24Providence Health’s plan to hand over hospice and home health services affecting thousands of patients to private equity-backed Compassus Health will undergo state review following questions raised by the Oregon Nurses Association, workers and members of the public. ... Now, after the Oregon Nurses Association sent a letter to the health authority’s director, Sejal Hathi, and members of the public weighed in with public comment, the Oregon Health Authority has decided to review the joint venture to see if it will hurt costs of care, access or employment and working conditions. The health authority’s decision to wade in on the latest deal is significant because the merger affects thousands of patients across multiple states, and yet Oregon has stronger legal authority than most states to stop it. The decision by the health authority represents the highest-profile known instance in which the agency has stepped in to require companies to formally apply for approval after they’d previously opted not to. 

Greater education needed to bring palliative care to cancer patients Hospice News; by Jim Parker; 12/18/24 Cancer patients generally need palliative care, but widespread misperceptions often stand in their way, both among the public and many clinicians themselves. This is according to Nadine Barrett, president of the Association of Cancer Care Centers (ACCC). The organization has been holding a series of webinars designed to better educate the oncology community about palliative care. The association is also in the process of studying racial and ethnic gaps in advance care planning, among other projects funded by its research arm, the ACCC Community Oncology Research Institute. Palliative Care News sat down with Barrett to discuss the barriers that cancer patients often experience when it comes to accessing palliative care. [Click on the title's link to read more.]

Things CIOs and CTOs need to do differently in 2025 Information Week; by Lisa Morgan; 12/18/24 As CIOs and CTOs head into a new year, they always have priorities. Greater agility is a key theme in 2025. ... “Keep ahead or at least on top of the cybersecurity, artificial intelligence, and data analytics skills that are needed. Acquire talent and develop that talent so your company remains competitive,” says [Loren Margolis, faculty, Stony Brook University]. “Find ways to use [AI and analytics] to become even more agile so you remain competitive. Also embrace them as opportunities to train and develop your workforce. Make sure your organization is a place where great tech talent can come to develop and use their skills.” The following are some other priorities for 2025:

Bill would require prisons to notify families of inmate deaths Henry Herald, Washington, DC; by Staff; 12/18/24 U.S. Sen. Jon Ossoff, D-Georgia, recently announced the introduction of a bipartisan bill aimed at helping ensure family members are notified in a timely and compassionate manner in the event of the death or serious illness or injury of a loved one in custody. Ossoff and U.S. Sen. John Kennedy, R-La., recently introduced the bipartisan Family Notification of Death, Injury, or Illness in Custody Act. U.S. Rep. Sydney Kamlager-Dove, D-Calif., is leading the companion bill in the U.S. House of Representatives.