Literature Review



Writing condolence cards supports nurses as well as deceased patients’ families

03/01/24 at 03:00 AM

Writing condolence cards supports nurses as well as deceased patients’ families ONS Voice, by Casey S. Kennedy; 2/29/24During extended treatment and end-of-life care, patients, their family and caregivers, and the healthcare team can form close bonds and relationships. Those ties are abruptly severed when a patient dies, leaving each party to grieve alone. For healthcare professionals, sending a condolence card can provide closure for themselves and support for a deceased patient’s family, a team of nurses reported in an article published in the December 2023 issue of the Clinical Journal of Oncology Nursing.

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Untangling the history, causes behind the precipitous home health aide utilization drop

03/01/24 at 03:00 AM

Untangling the history, causes behind the precipitous home health aide utilization drop Home Health Care News, by Patrick Filbin; 2/28/24In the last home health proposed rule from the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of reimbursement rates sent out a request for information on home health aide utilization. Specifically, the agency wondered why Medicare-covered home health aide visits and utilization had fallen off a cliff over the last few decades. According to the Center for Medicare Advocacy, home health aide visits declined by 90% from 1998 to 2019. 

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Music therapy could help manage the pain of bereavement

03/01/24 at 03:00 AM

Music therapy could help manage the pain of bereavementThe Conversation; 2/28/24Grief has always inspired songwriters. Popular songs including Let Me Go, by Gary Barlow, Eric Clapton’s Tears in Heaven and The Living Years by Mike and the Mechanics, were all written as a way of working through the grief of losing a loved one. ... Barlow’s Let Me Go, however, is a remarkably upbeat and joyful record, written from the perspective of the pop star’s stillborn daughter, Poppy.

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Debate intensifies over palliative care's reach: Wootton vs. Finlay's divergent views

03/01/24 at 03:00 AM

Debate intensifies over palliative care's reach: Wootton vs. Finlay's divergent viewsThe Wall Street Journal, by Getta Pillai; 2/29/24Discover the differing perspectives of Sarah Wootton and Dr. Ilora Finlay on the effectiveness of palliative care. Gain insights into the challenges and potential solutions in end-of-life care.

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Musician Mom Cat Janice dead at 31: 'Cat saw her music go places she never expected'

03/01/24 at 03:00 AM

Musician Mom Cat Janice dead at 31: 'Cat saw her music go places she never expected'People, by Jordan Green; 2/28/24In January, Janice went viral on TikTok after releasing the song "Dance You Outta My Head" inspired by her son. On Wednesday, musician Cat Janice died from cancer. The announcement of the singer-songwriter's death was made via a post on her Instagram account by her family. ... "We are eternally thankful for the outpouring of love that Catherine and our family have received over the past few months," the post continued. 

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Festival of Hearts raises over $53,000 for BCC

03/01/24 at 03:00 AM

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The Medicare Care Choices Model was associated with reductions in disparities in the use of hospice care for Medicare beneficiaries with terminal illness.

03/01/24 at 03:00 AM

The Medicare Care Choices Model was associated with reductions in disparities in the use of hospice care for Medicare beneficiaries with terminal illnessHealth Serv Res by Matthew J Niedzwiecki, Lauren Vollmer Forrow, Jonathan Gellar, R Vincent Pohl, Arnold Chen, Lynn Miescier, Keith Kranker; 2/29/24 Conclusions: Medicare Choices Model (MCCM) increased hospice use and quality of end-of-life care for model enrollees from underserved groups and reduced disparities in hospice use and having multiple emergency department visits.

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Inspirational duo: Boy with terminal condition and puppy tackle 100km challenge for hospice care

03/01/24 at 03:00 AM

Inspirational duo: Boy with terminal condition and puppy tackle 100km challenge for hospice care BNN, by Sakchi Khandelwal; 2/29/24 In Leyland, a heartwarming story unfolds as nine-year-old Jacob, diagnosed with a terminal lung condition and Down's Syndrome, takes on a monumental challenge alongside his cockapoo puppy, Ralph. The pair have committed to walking every day in February, aiming to hit the 100km mark to support Derian House, a hospice providing care for over 400 children with life-limiting conditions in the North West [United Kingdom]. Despite his non-verbal status and health hurdles, Jacob's journey with Ralph underscores the profound companionship and emotional support pets can offer. 

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Many older adults don't receive palliative care before death

03/01/24 at 03:00 AM

Many older adults don't receive palliative care before deathMedScape, by Marilynn Larkin; 2/28/24 "One of the challenges and a barrier to accessing palliative home care is the difficulty of predicting survival," Amy Hsu, PhD, an investigator at the Bruyère Research Institute in Ottawa, Ontario, Canada, told Medscape Medical News. "Clinicians are good at prognosticating when a patient might be entering their last 3-6 weeks of life, but they have a harder time predicting if someone will survive 6 months or longer."  The team developed the Risk Evaluation for Support: Predictions for Elder-life in their Communities Tool (RESPECT) to see whether access to predicted survival data could inform conversations about a patient's status and palliative care needs. The study was published online on February 26 in the Canadian Medical Association Journal.

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How to help elderly parents from a distance: Tech can ease logistical, emotional burden

03/01/24 at 03:00 AM

How to help elderly parents from a distance: Tech can ease logistical, emotional burden USA Today, by Marc Ramirez; 2/28/24 As a neuropsychologist trained in developing technology for cognitively impaired older adults, Alyssa Weakley’s research at the University of California, Davis, made her acutely aware of the challenges of long-distance caregiving. ... Soon, she and her family found themselves in a position shared by nearly 6 million other Americans, acting as caregivers from a complicated and often distressing distance. According to a 2020 AARP report, long-distance caregivers represent more than 1 in 10 of the country’s estimated 53 million family caregivers, meaning they live an hour or more from their care recipient; on average, they live about 450 miles away. Editor's Note: What systems do you have in place to communicate with and support family members who live long-distance, who never have the opportunity to meet with any hospice team members in person? 

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The devil’s in the details: Hospice providers face Claim Denials for Election Statement technicalities

03/01/24 at 03:00 AM

The devil’s in the details: Hospice providers face Claim Denials for Election Statement technicalities JDSupra, by Lanchi Nguyen Bombalier and Charmaine Mech; 2/29/24Since the Centers for Medicare & Medicaid Services (“CMS”) paused much of its audit activity during the COVID Public Health Emergency, the most recent rounds of Medicare audit activity may represent the first “look” at the new Election Statement forms that many hospice providers adopted under the new Medicare election statement requirements effective in October 2020. Unfortunately, these initial audit results from the Medicare Administrative Contractors (“MACs”) suggest that hospice providers and MAC reviewers may not necessarily see eye-to-eye on what information must be included in the new Election Statement.

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Why not-for-profit health systems need positive margins: Deloitte

03/01/24 at 03:00 AM

Why not-for-profit health systems need positive margins: Deloitte Becker's Hospital CFO, by Andrew Cass; 2/28/24Health system margins are the "lifeblood of a healthy, patient-centered, innovative health care system and community," according to a report from consulting firm Deloitte.  "Claims that profits are not important in fact undermine the ability to fund the mission, serve the community, and deliver better, equitable care," Deloitte said in the report. ... "[Systems] should consider a holistic approach that integrates margin drivers to create a balanced transformation portfolio, according to the report. Timing and sequencing are important within each driver and "a full understanding of the dollar impact and priority of each is necessary for margin improvement to be successful."

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Today's Encouragement: March is a tomboy with touseled hair

03/01/24 at 03:00 AM

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Today's Encouragement: March is a tomboy with touseled hair

03/01/24 at 03:00 AM

March is a tomboy with touseled hair, a mischievous smile, mud on her shoes, and a laugh in her voice. - Hal Borland

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Bilingual patient navigation can improve palliative care outcomes for Hispanic patients

03/01/24 at 03:00 AM

Bilingual patient navigation can improve palliative care outcomes for Hispanic patients Hospice News, by Holly Vossel; 2/28/24Bicultural and bilingual palliative patient navigator interventions may be a key to improving access to goal concordant care among Hispanic populations with serious illness, according to recent research. Researchers in a recent clinical trial sought to address whether integration of bilingual patient navigation interventions could improve palliative care outcomes in Hispanic patients with serious, noncancer illnesses.

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(Private Equity Issue) Anesthesiology group must cut ties with 5 hospitals: Colorado AG

03/01/24 at 03:00 AM

(Private Equity Issue) Anesthesiology group must cut ties with 5 hospitals: Colorado AGBecker's Hospital Review, by Alan Condon; 2/27/24Colorado Attorney General Phil Weiser has announced an agreement with U.S. Anesthesia Partners that resolves the private equity-backed company's alleged anticompetitive business practices that drove up prices for consumers receiving surgical anesthesia services.Publisher's note: Private equity concerns have impacted hospices the past few years. Private equity concerns in other fields are also catching our attention.

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Report of Hospice Election for Part D (Response File)

03/01/24 at 03:00 AM

Report of Hospice Election for Part D (Response File) U.S. Dept. of Health & Human Services - Guidance Portal; 2/26/24 The purpose of this Change Request (CR) is to define the response file related to CR 13202. [Click on the title's link and follow prompts to download the Guidance Document.]

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"The great escape": How an incident of elopement gave rise to trauma informed palliative care for a patient experiencing multiple disadvantage

03/01/24 at 03:00 AM

"The great escape": How an incident of elopement gave rise to trauma informed palliative care for a patient experiencing multiple disadvantage BMC Palliat Care, by Sam Quinn, Libby Ferguson, Derek Read, and Naomi Richards; 2/28/24Background: This case report ... illustrates how unresolved traumatic experiences across the life course can affect a patient's engagement with palliative care and offers insights into the flexibility and adaptations necessary for taking a trauma informed approach to care for an individual experiencing multiple disadvantage. 

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Why not-for-profit health systems need positive margins: Deloitte

03/01/24 at 02:00 AM

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NIA is leading efforts to coordinate NIH palliative care research

03/01/24 at 02:00 AM

NIA is leading efforts to coordinate NIH palliative care researchNational Institute on Aging, by Chandra Keller and Alexis Bakos; 2/28/24

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CMS finalizes important changes to Medicare enrollment requirements for hospice, home health providers

03/01/24 at 01:00 AM

CMS finalizes important changes to Medicare enrollment requirements for hospice, home health providersJDSupra; 2/28/24The US Centers for Medicare & Medicaid Services (CMS) finalized important changes to the Medicare enrollment regulations applicable to hospices and home health agencies (HHAs), including increasing the level of screening that hospice providers are subject to and limiting a Medicare-enrolled hospice’s ability to change majority ownership to once every 36 months.

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With Amedisys deal pending, Justice Department opens antitrust investigation into UnitedHealth Group

02/29/24 at 03:30 AM

With Amedisys deal pending, Justice Department opens antitrust investigation into UnitedHealth Group Home Health Care News, by Andrew Donlan; 2/27/24The Department of Justice is targeting UnitedHealth Group (NYSE: UNH) in an antitrust investigation, The Wall Street Journal reported Tuesday. Specifically, the Justice Department is interviewing subjects around interactions between UnitedHealth Group and its health care provider services arm, Optum.

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How death doulas support entire families

02/29/24 at 03:00 AM

How death doulas support entire familiesCure, by Alex Biese; 2/27/24... Death doulas, also known as end-of-life doulas, “provide companionship, comfort, and guidance to those facing a terminal illness or death” via non-medical holistic support encompassing “emotional, spiritual, and practical care,” according to the International End-of-Life Doula Association.

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Palliative care startups require creativity, flexibility

02/29/24 at 03:00 AM

Palliative care startups require creativity, flexibility Hospice News, by Audrie Marton; 2/27/24 According to the World Health Organization, each year, an estimated 56.8 million people need palliative care. Worldwide, only about 14% of people who need this care currently receive it. ... Tiffany Hughes, chief operating officer of Texas-based PalliCare, found that the secret to a successful palliative care model is creating a continuum of care between home health and hospice for patients within the last 18 to 24 months of life.

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Unexpected Fatality Review Committee Report UFR-23-017

02/29/24 at 03:00 AM

Unexpected Fatality Review Committee Report UFR-23-017Washington State Legislature; 2/27/24... The purpose of the unexpected fatality review is to develop recommendations for Department Of Corrections (DOC) and the legislature regarding changes in practices or policies to prevent fatalities and strengthen safety and health protections for incarcerated individuals in DOC’s custody. ... Consultative remarks that do not correlate to the cause of death but should be considered for review by the Department of Corrections: DOC should continue implementing the end-of-life care program. Editor's Note: 

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