Literature Review

Aging is not an illness: Exploring geriatricians' resistance to serious illness conversationsJournal of Pain and Symptom Management, by Alexis Drutchas MD; Deborah S. Lee MD; Sharon Levine MD; Jeffrey L. Greenwald MD; Juliet Jacobsen MD, MPH; 9/23Three key themes emerged that help explain the reluctance of clinicians caring for older patients to have or document serious illness conversations: 1) aging in itself is not a serious illness; 2) geriatricians often focus on positive adaptation and social determinants of health and in this context, the label of “serious illness conversations” is perceived as limiting; and 3) because aging is not synonymous with illness, important goals-of-care conversations are not necessarily documented as serious illness conversations until an acute illness presents itself.

Saturday Newsletters: Research literature is the focus of Saturday newsletters - enjoy!

Tour a room at Quiet Oaks Hospice House video WJON News, St. Cloud, MN; 3/6/24 Even though Quiet Oaks Hospice House has been in our community for over 15 years now, many of us have never actually visited the home. They have eight rooms with all suites similar in size and layout. Executive Director Linda Allen says they have a large-sized hospital bed so loved ones can sleep together. Other room amenities include a TV, radio, and wifi. ... The rooms are equipped with a call button for help and have a camera monitoring system.Editor's Note: This simple, warm, practical video can help allay fears of hospice patients, caregivers, and family members. This type of visual information can be especially supportive to long distance family members who might be grappling with the news of moving their loved one to a hospice facility.

Here comes the sun. And I say, it's all right. - The Beatles 

Transforming tragedy into triumph: Lynne Hughes creates grief camp, helping 24,000 children BNN, by Emmanuel Abara Benson; 3/6/24Lynne Hughes' journey from personal tragedy to establishing Comfort Zone Camp (CZC) spotlights the transformative power of empathy and support. Losing both parents by age 12, Hughes navigated her grief with little support, a struggle that later fueled her mission to ensure no child felt as isolated in their sorrow as she did. Today, CZC stands as a beacon of hope, having supported over 24,000 grieving children across the United States. 

Lamont negotiates big pay hike for CT home health aides: Wages would rise nearly 26% by 2025-25 to $23 per hour CT Mirror, by Keith M. Phaneuf; 3/5/24 Gov. Ned Lamont and Connecticut’s largest health care workers union announced a tentative three-year contract Tuesday that would boost minimum wages for home health aides by 26% to $23 per hour by the 2025-26 fiscal year. But the package, which also would provide longevity bonuses, expand paid time off and reduce health insurance costs for an industry long seeking a major compensation adjustment, puts the General Assembly in a quandary. 

UNE medical school students donate $2,000 to local hospice center Portland Press Herald; 3/4/24Students at the University of New England’s College of Osteopathic Medicine (COM) have donated $2,000 to the Gosnell Memorial Hospice House in Scarborough, building upon a successful partnership between the two organizations that has lasted nearly 10 years. The money was raised during a fundraising dinner held by the UNE COM American Geriatrics Society/Gerontological Society of America Student Chapter for Geriatrics and Palliative Care last November. The event, a “murder-mystery” dinner, featured several students and faculty performing a script written by chapter members. Over 160 people attended the dinner. 

Lubbock salon owners deliver hope with hospice manicure for cancer fighter Norma Hernandez BNN, by Shivani Chauhan; 3/4/24In an inspiring act of kindness, John Dawkins and his wife, owners of Absolute Nails in Lubbock, Texas, visited Norma Hernandez in the hospital to offer her a manicure and pedicure. Battling cancer and facing uncertain days ahead, Norma's simple wish was to have her nails done, a request that was turned down by other salons until Debbie, a close friend of Norma's, reached out to the Dawkins. Moved by the story, they decided to fulfill Norma's wish, bringing not just nail polish but also much-needed joy and comfort to her hospital room.

Why healthcare cyberattacks last so long Becker's Health IT, by Giles Bruce; 3/7/24 The cyberattack on Change Healthcare that has caused disruptions across a wide swath of the industry has entered its third week. But why do these IT outages last so long? 

House-passed funding bill makes Medicare hospice benefit a ‘piggybank,’ provider groups argue McKnights Home Care, by Adam Healy; 3/7/24 To keep the government open in fiscal year 2024, hospice partially may be bankrolling it — and providers are not pleased about this prospect. The House late Wednesday passed a newly released appropriations bill that includes an extension of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). This act which would effectively allow the Medicare hospice benefit to act as a pay-for for nonhospice legislative priorities. 

Bringing the hospital homePenn Medicine News, by Mary Beth Budnyk; 3/5/24Since his 2020 diagnosis with multiple sclerosis, Steve Lengle has had good and bad days. The bad days are becoming more frequent as his condition continues to decline, causing debilitating pain, weakness, and fatigue, and affecting everything from his memory to his ability to walk. The Lengles found the help they needed through Penn Medicine Advanced Home Health (PMAHH), a new program that aims to prevent hospitalizations by providing a higher level of in-home care to patients who are experiencing an acute medical concern. Editor's Note: This article describes an example of the fairly new Acute Hospital Care At Home program, launched by CMS in November 2020. 

Lower reimbursement a leading cause for poor margins, CFOs say Becker's Hospital CFO Report, by Madeline Ashley; 3/6/24 A recent report from the Healthcare Financial Management Association and Eliciting Insights, a healthcare strategy and marketing research company, found that 84% of health systems have cited lower payer reimbursements as a leading cause for low operating margins. [Click on the title's link for six more findings from the report.]