Literature Review
Today's Encouragement: from Sheryl Lee Ralph
02/27/24 at 03:00 AMBe kind to yourself and others. We're all walking our own unique path. - Sheryl Lee Ralph
Being there for a loved one's final breaths
02/27/24 at 03:00 AMBeing there for a loved one's final breaths NextAvenue, by Elaine Soloway; 2/26/24"I'll be downstairs," I told him one night. "And I'll be up to kiss you goodnight before I go to sleep." He smiled and squeezed my hand. I had barely settled on the couch when the hospice worker appeared at the top of the stairs. "He's gone," she said. I learned this pause is not unusual. Hospice workers report that some people who are dying wait to be alone for their final breaths.
Compassus certified to provide palliative care
02/27/24 at 03:00 AMCompassus certified to provide palliative care Tahlequah Daily Press; 2/25/24Compassus, a leading nationwide provider of integrated home-based care services, including palliative care, is now certified to provide palliative care under the Veterans Administration benefit in Oklahoma. The Community Care Network credential is awarded by the U.S. Department of Veterans Affairs to community providers that demonstrate high-quality standards and a commitment to offering veterans the best possible care.
'Goes beyond words': UNC Health incorporates music in health care
02/27/24 at 03:00 AM'Goes beyond words': UNC Health incorporates music in health careThe Daily Tar Heel, by Akash Bhowmik; 2/25/24At UNC Health, music is a space for emotional and physical support and remains an important strategy for improving and humanizing patient care during times of crisis, music therapists Maryrose Nelson and Joyu Lee said. ... [Music therapists at UNC Health] help achieve clinical therapeutic goals – including treating pain and physiological injuries, promoting mental health outcomes and providing end-of-life care. Therapies are managed by licensed professionals who have graduated with a degree in music therapy, completed an internship experience and passed a national exam supervised by the Certification Board for Music Therapists.
How new CEOs play tough hands
02/27/24 at 02:30 AMHow new CEOs play tough handsBecker's Hospital Review - Leadership & Management, by Kelly Gooch and Alexis Kayser; originally posted 2/16/24, redistributed 2/26/24 It's a rare CEO that doesn't dream of a seamless transition. Unfortunately, the healthcare industry is riddled with seams. In addition to long-standing systemic challenges, each hospital and health system comes with its own set of concerns that may include high turnover, financial losses and/or recent job cuts. What's more, trust is paramount — but fragile — in the early days of a CEO's tenure. The responsibility can be tough to navigate as employees express doubts based on the past and boards bring demands for the future.
VITAS® Healthcare continues its pathway of success and promotes two key operations executives
02/27/24 at 02:05 AMVITAS® Healthcare continues its pathway of success and promotes two key operations executives Investors Observer; 2/23/24 Two executive leaders at VITAS Healthcare have been promoted to top operational roles. Joel Wherley now serves as president and chief operating officer (COO) and Bryan Wysong as executive vice president (EVP) of operations for the nation’s leading end-of-life care provider.
[Updated] CMS crackdown on fraudulent hospice providers in full effect in 2024, expert says
02/27/24 at 02:00 AM[Updated] CMS crackdown on fraudulent hospice providers in full effect in 2024, expert says McKnights Product Theater, by Adam Healy; 2/22/24In recent years, unscrupulous hospice providers have cropped up in California and other states. In response, the Centers for Medicare & Medicaid Services has prepared a slew of tools to curtail the fraud. States continue to feel the effects. As an example, a California hospice operator last week was convicted in a Medicare fraud scheme for billing nearly $3 million for services that patients did not need, according to the Department of Justice.
Trends in pediatric palliative care research: February 2024 list
02/27/24 at 02:00 AMTrends in Pediatric Palliative Care Research: February 2024 ListPedPalASCNET, editor Hal Siden, MD, MHSc, FRCPC; email; 2/26/24PedPalASCNET: A network for accessible, sustainable, and collaborative research in pediatric palliative care. Trends in Pediatric Palliative Care Research, 2024, Issue 01.
CMS updates Hospice Care Compare
02/27/24 at 02:00 AMCMS updates Hospice Care CompareCMS website; 2/22/24Hospice care dataset updates; updated 2/1/24, released 2/21/24.
Where hospices are investing their 2024 recruitment, retention dollars
02/27/24 at 02:00 AMWhere hospices are investing their 2024 recruitment, retention dollars Hospice News, by Holly Vossel; 2/20/24As hospices zero in on their investments in staff engagement and operational efficiencies, organizational culture is becoming a higher priority. ... Some have leveraged technology to streamline their operations and reduce documentation burdens, while others have poured resources into sculpting their organizational culture and developing training and career pathways.Notable mentions: Tanya Marion, Enhabit; Craig Dresang, YoloCares; Cooper Linton, Duke HomeCare & Hospice.
Health care workers push for their own confidential mental health treatment
02/26/24 at 03:50 AMHealth care workers push for their own confidential mental health treatmentKFF Health News, by Katheryn Houghton; 2/22/24States are redefining when medical professionals can get mental health treatment without risking notifying the boards that regulate their licenses. Montana is among the states looking to boost confidential care for health professionals as long as they’re not deemed a danger to themselves or patients. In recent years, at least a dozen states have considered or created confidential wellness programs to offer clinicians help early on for career burnout or mental health issues. ... The changes are modeled after Virginia legislation from 2020.
10 states where 'nurse burnout' is Googled most
02/26/24 at 03:40 AM10 states where 'nurse burnout' is Googled most Becker's Clinical Leadership, by Mariah Taylor; 2/21/24Betternurse.org used Google Trends from Oct. 21, 2023 to Jan. 23, 2024, to gauge the relative search interest for the term "nurse burnout." Arizona had the highest search for nurse burnout, while Los Angeles was the metro area with the most burnout searches. The week in 2023 with the most searches for burnout was Nov. 26 to Dec. 2. On average in the last five years, November was the highest search month for nurse burnout. [Click on the title's link for states with the highest scores for "nurse burnout" searches.]
How many docs are feeling burned out? Almost all of them, survey finds
02/26/24 at 03:35 AMHow many docs are feeling burned out? Almost all of them, survey findsMedPageToday, by Joyce Frieden; 2/22/24More than half of survey participants (56%) said they've thought about either staying in medicine but no longer seeing patients, or leaving the field entirely, the poll found. Primary care doctors expressed more frustration than specialists, with a higher percentage considering leaving the field entirely (54% vs 42%). Only 30% of respondents overall said they were optimistic about the future.
C-suites, clinicians are burning out at both ends
02/26/24 at 03:30 AMC-suites, clinicians are burning out at both endsBecker's Hospital Review, by Alexis Kayser; 2/22/24C-suite leaders and clinicians often feel they are on opposite sides of an ever-expanding chasm. But they actually have a lot in common, according to Bruce Cummings and Paul DeChant, MD — a former executive and a former practicing physician, respectively, and perhaps an unlikely pair. Executives and physicians are both knowledge workers. Both are trained to spot and solve problems. Both crave the autonomy to fix those problems — but often, neither feels they truly have it. Both are far strides from the bright-eyed, difference-driven graduates they once were. Both are exhausted, and neither really knows how to talk about it.
The employment outlook for hospice aides
02/26/24 at 03:25 AMThe employment outlook for hospice aidesHospice News, by Holly Vossel; 2/23/24Rising wages, reimbursement pressures and immigration policies are fueling high turnover rates for hospice and personal care aides. Similar trends are proliferating among hospitals and health systems that provide these services. Current reimbursement structures for aide services represent the most significant challenge in maintaining a sufficient workforce, according to Kenneth Albert, president and CEO of Maine-based Androscoggin Home Healthcare + Hospice.
RiverStone Health closing hospice facility in Billings
02/26/24 at 03:00 AMRiverStone Health closing hospice facility in Billings MTN News; 2/23/24RiverStone Health Home Hospice will close this summer in Billings, the agency announced Friday, largely because of struggles to raise enough money to support operations and find enough employees. RiverStone officials said in a news release they will instead focus efforts on providing hospice care to patients at their own homes, regardless of their ability to pay.
Vancouver hospital asked wrong family whether to pull the plug on patient
02/26/24 at 03:00 AMVancouver hospital asked wrong family whether to pull the plug on patientKGW8 NBC News; 2/21/24In a terrible case of mistaken identity that has never been publicly disclosed, KGW found PeaceHealth Southwest Medical Center in Vancouver allowed a family to pull the plug on the wrong man. “We made life-ending decisions for a person we don’t even know,” said Danielson’s husband, Gary.
Today's Encouragement: from Oprah Winfrey
02/26/24 at 03:00 AMLeadership is about empathy. It is about having the ability to relate to and connect with people for the purpose of inspiring and empowering their lives. - Oprah Winfrey
How immersive technology became a Veteran’s dying wish At the end, he wanted to “fly over” the Virgin Islands
02/26/24 at 03:00 AMHow immersive technology became a Veteran’s dying wish At the end, he wanted to “fly over” the Virgin Islands VA News, by Dr. Anne Lord BaileyImmersive technology gave one Veteran a last chance to experience his homeland. Mr. Tito, an Army Vietnam Veteran and Virgin Islands native, lived in the Phoenix VA Health Care System Community Living Center (CLC) for four years.
UnitedHealth unplugs change healthcare information systems to contain cyber attack
02/26/24 at 03:00 AMUnitedHealth unplugs change healthcare information systems to contain cyber attackManaged Healthcare Executive, by Peter Wehrwein; 2/23/24UnitedHealth Group disconnected Change Healthcare's information system to contain a cyberattack that the company says is from an unnamed “nation-state associated cyber security threat actor.”
Palliating serious illness during disasters and public health emergencies
02/26/24 at 03:00 AMPalliating serious illness during disasters and public health emergenciesAm J Nurs, by Masako Mayahara, Djin L Tay, Jeannette Kates, William E Rosa; 2/23/24, ahead of print 3/1/24The increase in disasters and public health emergencies in recent years is a serious public health concern. The needs of suffering victims can be multifaceted, particularly the needs of those who are from systematically marginalized populations. Palliative care nurses play a vital role in mitigating the suffering of those affected by these events.
Growing palliative care a key priority for Amedisys in 2024
02/26/24 at 03:00 AMGrowing palliative care a key priority for Amedisys in 2024 Hospice News, by Jim Parker; 2/23/24Amedisys is pushing forward on palliative care growth in 2024 through its innovation arm, Contessa. The company acquired Contessa in 2021 for $250 million. ... The company has been making substantial investments in building out its palliative care services, particularly through risk-based contracts.
MA [Medicare Advantage] may be worth the gamble: How agencies can win at a new game
02/26/24 at 03:00 AMMA may be worth the gamble: How agencies can win at a new game HomeCare, by Lindsay Doak; 2/23/24 Over the past decade, a major shift has occurred in the Medicare market that many of us didn’t see coming: the takeover of Medicare Advantage (MA). ... This is a true game changer for the home health and hospice industry. ... So, how can agencies successfully contract with MA plans, while ensuring their costs are covered? This is where I like to refer to the wise words of Kenny Rogers’ “The Gambler,” who said, “If you’re gonna play the game…You gotta learn to play it right.”
Understanding the discordance about prognosis between clinicians and terminally ill patients and their surrogates
02/26/24 at 03:00 AMUnderstanding the discordance about prognosis between clinicians and terminally ill patients and their surrogates: A conversation with Douglas B. White, MD, MASThe ASCO Post, by Jo Cavallo; 2/25/24Research shows that about half of adults near the end of life in the United States are too ill to participate in decisions about whether to accept life-prolonging treatment, requiring family members and other proxies to serve as surrogate decision-makers for their critically ill loved ones. However, research also shows that surrogates of patients with advanced illness often have optimistic expectations about prognosis, which often lead to the increased use of invasive treatment (including life support) in dying patients and delays in the integration of palliative care.
Eagle Scout keeps hospice patients warm
02/26/24 at 03:00 AMEagle Scout keeps hospice patients warm ABC News KAALTV, by Rachel Mantos; 2/23/24A service project for one Rochester Eagle Scout ended with a heart-warming friendship after a kind gesture to Mayo Clinic hospice patients. Lars Ingram got the idea to help out hospice patients for his Eagle Scout project from his father, a Mayo Clinic hospice physician. ... After the blankets were delivered to 100 patients, Ingram received word one of them was also a former Eagle Scout.