Literature Review

4 key trends for hospices to watch in 2024 Hospice News, by Jim Parker; 2/26/24Hospice operators in 2024 are navigating a rapidly transforming environment. Four key trends hospices should watch this year:

C-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. 

Making a case for palliative care: Creating less stressful and timelier transitions to hospiceHealthcare Tech Outlook, by Sarah DiPadova, MSN; 2/21/24When patients and their families hear the word "hospice," they panic. Misconceptions, myths and lack of education about what hospice is have resulted in patients being admitted to hospice later in the dying process than recommended. Because of this delay, quality care and valuable support are also delayed. A referral to palliative care could be the key to ensuring a timelier transition into hospice for patients and their families.Editor's Note: Sarah DiPadova, MSN, is the Director of Clinical Operattions for Hospice and Palliative Care Programs at Redeemer Health

Embodied decisions unfolding over time: a meta-ethnography systematic review of people with cancer's reasons for delaying or declining end-of-life careBMC Palliat Care, by Jessica Young, Antonia Lyons, Richard Egan, and Kevin Dew; 2/19/24Conclusions: Decisions about when (and for some, whether at all) to accept end-of-life care are made in a complex system with preferences shifting over time, in relation to the embodied experience of life-limiting cancer. Time is central to patients' end-of-life care decision-making. ... The integration of palliative care across the cancer care trajectory and earlier introduction of end-of-life care highlight the importance of these findings for improving access whilst recognising that accessing end-of-life care will not be desired by all patients.

Rural hospital alliance aims to increase access via telehealthModern Healthcare, by Alex Kacik; 2/14/24Rural hospitals are teaming up to provide specialty care to patients via a new telehealth program. Editor's Note: Full access to the article requires a subscription.

Looking at the challenges involving hospice careNPR WOSU PBS, podcast by All Sides with Anna Staver; 2/19/24Hospice care prioritizes comfort and quality of life by reducing pain and suffering for patients facing the end of life. However, physicians are voicing concerns about a prevalence of serious deficiencies in hospice care and believe it is in need of fixing.Host: Mike Thompson, WOSU chief content director of radioGuests: Dr. Ira Byock, palliative care physician and advocate; Dr. Jennifer Hirsh, hospice & palliative medicine specialist, Mt. CarmelEditor's Note: Originally aired 7/24/23; reposted 2/19/24

'A blessing': Sarasota family shares importance of hospice care after losing 5-year-old to cancerCBS News 10 Tampa Bay, by Jenny Dean; 2/16/24While the average time in hospice is 70-80 days, some people defy the odds. And that's largely due to the changes in hospice care over the years. A Sarasota family knows how difficult that decision can be. They lost their 5-year-old daughter to cancer and now say hospice care is something they wish they would have gotten sooner.

Healthcare's Oppenheimer moment Becker's Health IT, by Laura Dyrda; 2/16/224The thing that makes C-suite executives most excited about the future is also making them incredibly nervous: artificial intelligence. AI exploded in healthcare over the last 18 months as ChatGPT ushered in a new era of capabilities to automate repetitive tasks, analyze data and generate sophisticated chatbot communications. But there are risks with AI, including trained biases, information security and accuracy.

Changes in hospice care experiences during the COVID-19 pandemicRand, Journal of the American Geriatrics Society; by Maria DeYoreo, Rebecca Anhang Price, Ann C. Haas, Anagha Alka Tolpadi, Joan M. Teno, Marc N. Elliott; 2/12/24Demand for hospice and palliative care services increased during the COVID-19 pandemic. Hospices strove to meet this demand despite staffing shortages and visitation restrictions that sometimes prevented family members and hospice staff from visiting patients in institutional settings such as nursing homes, assisted living facilities, and hospitals. We examine how the COVID-19 pandemic may have influenced the characteristics of patients receiving hospice care, the settings in which they received care, and their care experiences using national data from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey. The survey is completed by bereaved family caregivers following the death of the hospice patient, and is the national standard for assessing patient- and family-centeredness of hospice care.

Using patient narratives to evaluate a hospice serviceNursing Times - Patient Experience, by Val Stangoe and Steve Mee; 2/12/24Questionnaire surveys at a hospice proved ineffective as a tool to identify areas for service improvement, but narrative inquiry with patients and their families identified important deficits that offered clear guidance for service development. This method needed a careful, respectful approach, as well as significant time and resources, but proved to be invaluable. Many of the patients enjoyed having an opportunity to tell their stories, while nursing staff could be involved in the project, thereby enhancing their skills and raising their ambitions.

Explore the enormous benefits of multigenerational living in this essential guide for the modern American familyNewsDirect; 2/5/24In today's rapidly evolving world, the modern American family encounters unprecedented challenges without a roadmap for guidance. Addressing this pressing need, Under One Roof (River Grove Books, Feb. 5, 2024) emerges as a comprehensive guidebook authored by Emily K. Graham, Angel L. Vargas, and John L. Graham. With a wealth of experience and insights, the authors present innovative approaches to multigenerational living, shedding light on its opportunities and complexities.

Medicare Advantage profitability on the decline, Moody's findsHealthcare Finance, by Jeff Lagasse; 2/2/24A significant spike in utilization is putting cost pressure on insureres, which will likely affect earnings. While Medicare Advantage remains attractive to the healthcare industry due to strong growth, high revenue and earnings per member, profitability is on the decline, according to a new analysis by Moody's Investor Service.