Literature Review
All posts tagged with “Post-Acute Care News | Challenges.”
Families demand end to Medicare waiting period for early-onset Alzheimer’s patients
06/17/25 at 03:20 AMFamilies demand end to Medicare waiting period for early-onset Alzheimer’s patients Washington Examiner; by Elaine Mallon; 6/15/25 Jason Raubach was diagnosed at 50 years old with early-onset Alzheimer’s disease — a diagnosis that affects nearly 200,000 Americans. He received the diagnosis in 2018, completely upending life for his family. His youngest child was just a freshman in high school. ... Shortly before receiving an official diagnosis, Jason Raubach lost his job, having to move his family onto a consolidated omnibus budget reconciliation act health plan, or COBRA plan, which allows a person to keep their health insurance even after losing their job. “It wasn’t cheap,” Elizabeth Raubach said.However, once diagnosed, Jason Raubach had to wait two and a half years before he could receive coverage under Medicare, health insurance for those 65 years and older or those with qualifying disabilities. But Elizabeth Raubach, along with dozens of other caretakers for people diagnosed with Alzheimer’s, called on Congress in a letter to eliminate the 29-month waiting period required for those under the age of 65 to receive coverage under Medicare. ...
‘It’s going to be the expectation’: Alternative care models reshape home-based care
06/12/25 at 03:00 AM‘It’s going to be the expectation’: Alternative care models reshape home-based care Home Health Care News - Hospital at Home; by Joyce Famakinwa; 6/10/25 At-home care providers are looking to the future. This means seriously investing in alternative home-based care models, such as hospital-at-home and Program of All-Inclusive Care for the Elderly (PACE). DispatchHealth, Contessa Health and Alivia Care are some of the organizations that have jumped headfirst into alternative home-based care models, enabling the creation of more comprehensive care delivery models. While alternative care models come with inherent challenges, including a complex regulatory environment and higher capital investments, these models are set to become an expectation for home-based care providers.
A ‘cloak of comfort’: an integrated approach to palliative care for cancer patients
05/30/25 at 03:00 AMA ‘cloak of comfort’: an integrated approach to palliative care for cancer patients Sinai Health; 5/26/25 At Mount Sinai Hospital, palliative care is fully integrated into cancer care, providing comprehensive, person-centered support for those with advanced illness. Palliative care, derived from the Latin pallium meaning “cloak,” offers comfort and support to individuals with serious illnesses. Often misunderstood as solely end-of-life care, it actually provides relief at any stage of a life-threatening illness and can be provided in tandem with cancer treatment. This holistic approach addresses physical, emotional, and spiritual needs, aiming to improve quality of life for both patients and their families. In fact, early integration of palliative care can enhance symptom management, extend life and offer greater support to caregivers. Patients can receive care at Mount Sinai Hospital’s Cancer Care Clinic, at home through the Temmy Latner Centre’s home palliative care program, and in the palliative care unit at Hennick Bridgepoint Hospital.
From an old ambulance, they help the growing homeless population
05/28/25 at 02:30 AMFrom an old ambulance, they help the growing homeless population CT Mirror; by Ginny Monk; 5/25/25 The needs of the unhoused are becoming more complex, and the fight for state support is fierce. ... Launched in 2021, the [Neighborhood Health workers] team drives a refurbished ambulance to shelters or encampments, then provides health care on-site for people experiencing homelessness. They’re out nearly every day. In recent months, as more people, particularly seniors, have lost their housing, health workers are finding that the cases they handle are more complicated. People often have multiple diagnoses, and with older age groups, there are often health complications that make the illnesses or injuries harder to treat. Sometimes, conversations are veering to end-of-life care. These conversations between health care professionals and patients are poignant as state lawmakers debate funding for the systems that offer shelter and other services for the unhoused population. ...
Sixteen years with leukemia taught me to savor life
05/22/25 at 02:00 AMSixteen years with leukemia taught me to savor life Cure; by Michelle Lawrence; 5/21/25 I’ve lived with large granular lymphocytic leukemia for 16 years and have learned to spend my energy wisely, embrace palliative care and choose joy over anger. ... It has been an exhausting journey, but I am blessed to have survived 16 years. ... In the beginning, I didn't care; I told everyone because I was treatment-focused, but now I am focused on quality of life. Cancer has robbed me repeatedly. Peers and family members are married and have careers and families. They plan birthday parties and playdates and worry about their kids’ homework. I celebrate the fact that I could take a shower and get dressed by myself. I grieve for those missed opportunities. ... I have recently, in the past couple of years, transitioned into palliative care, a choice I never dreamed of ever making. ... I am a survivor — I am more than my diagnosis. I am not Michelle, the cancer patient; I am Michelle who has cancer. ...
You might live to be 100. Are you ready?
05/21/25 at 03:00 AMYou might live to be 100. Are you ready? The Guardian; by Andrew J. Scott; 5/15/25 Ethel Caterham, at the age of 115 years, is said to be the oldest person alive. She offers the sage life advice to “say yes to every opportunity because you never know what it will lead to. Have a positive mental attitude and have everything in moderation.” When she was born in 1909, the average life expectancy of a British female was 52 years – becoming a centenarian was a remote prospect. ... Today, according to the United Nations, centenarians are the fastest growing age group. By 1950, there were an estimated 14,000 whilst today there are nearly 750,000, projected to reach nearly 4 million by 2054. ... Today, there is too large a gap between average lifespan and healthspan. The number of years we are likely to live has increased more than the number of years we are likely to remain healthy. Reducing this gap is critical for seizing the advantages of longer lives.
A dozen seniors at risk of being evicted from assisted living facilities in Stanislaus County
05/19/25 at 03:00 AMA dozen seniors at risk of being evicted from assisted living facilities in Stanislaus County NBC KCRA-3, Newman, CA; by Andres Valle; 5/15/25 The closure of two senior residential care facilities in Stanislaus County has left over a dozen older residents, including hospice patients, scrambling to find new homes with just days' notice. This decision comes after the passing of Kelsy Ramos, the licensee of Golden Age Living facilities in Turlock and Newman. Ramos, a Turlock native reported missing earlier this month, was found dead last Monday in Selma. The California Department of Social Services ordered the closure with no licensed manager in place, citing the absence of regulatory oversight.
A new era of healing: How home care is changing the healthcare landscape
05/16/25 at 02:00 AMA new era of healing: How home care is changing the healthcare landscape Repertoire Magazine; 5/13/25 Older adults often prefer receiving care in familiar surroundings, which enhances their comfort and quality of life. Home health services enable patients to age in place, reducing the need for institutional care, such as nursing homes. ... For the May issue, Repertoire Magazine spoke to several experts – from distributors to providers – on the current realities of the home care market and what’s in store in the years to come. ...
The ‘price’ of value-based care
05/15/25 at 03:00 AMThe ‘price’ of value-based care McKnights Long-Term Care News; by Micahel Wasserman; 5/14/25 The term “value-based care” is tossed around like a political football among healthcare policy makers. Nowhere is the meaning of this so variable as in nursing homes. The Nursing Home Value-Based Purchasing Demonstration project, completed over a decade ago, was not found to lower spending or improve quality. Webster’s Dictionary defines value as “the monetary worth of something,” “a fair return or equivalent in goods, services, or money for something exchanged” and “relative worth, utility or importance.” The government used performance measures such as hospitalization rates and quality measures as a proxy for value. Shouldn’t we be asking how clinicians, patients and their families define value?
‘Surprisingly hopeful’ story emerges about LGBTQ+ rights, efforts in senior living
05/15/25 at 03:00 AM‘Surprisingly hopeful’ story emerges about LGBTQ+ rights, efforts in senior living McKnights Senior Living; by Kimberly Bonvissuto; 5/14/25 ... The Human Rights Campaign Foundation and LGBTQ+ elder advocacy group SAGE on Tuesday released its 2025 Long-Term Care Equality Index, a national benchmarking tool focused on LGBTQ+ inclusion in senior living and care. The key takeaway, the organizations said, is the “defiant progress” occurring despite political attacks against inclusion efforts. As cuts to the Medicaid program — which many LGBTQ+ older adults rely on — come more into focus, participation in the latest survey jumped 37% from the 2023 report, with 274 long-term care settings across 33 states expressing commitment to inclusive care for more than 29,000 residents and 18,000 staff members. Participants included independent living, assisted living, memory care, continuing care retirement / life plan and affordable housing communities, as well as skilled nursing facilities and hospice settings.
Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds
05/15/25 at 02:00 AMRoughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.
In the wake of HICPAC: How APIC is leading the fight to preserve national infection prevention standards
05/15/25 at 02:00 AMIn the wake of HICPAC: How APIC is leading the fight to preserve national infection prevention standards Infection Control Today, Branbury, NJ; by Tori Whitacre Martonicz; 5/13/25 The Trump administration has disbanded a federal advisory committee that guided efforts to prevent the spread of infections in health care facilities. The Healthcare Infection Control Practices Advisory Committee (HICPAC) established national standards for hand hygiene, mask-wearing, and isolating patients with infectious diseases that most US hospitals adhere to.Infection Control Today® (ICT®) spoke with Connie Steed, MSN, RN, CIC, FAPIC, an infection prevention consultant and former president of the Association for Professionals in Infection Control and Epidemiology (APIC), about HICPAC's disbanding and its implications for national standards in infection control.
'Patients just get violent' | Louisville healthcare workers describe attacks on the job, calling it a crisis
05/12/25 at 02:00 AM'Patients just get violent' | Louisville healthcare workers describe attacks on the job, calling it a crisis ABC WHAS-11, Louisville, KY; by Shay McAlister, Joseph Garcia, Phillip Murrell, and MIchelle Zelli Right now Louisville’s nursing community is facing a crisis, saying they are under attack while on the job. Since March, police have been called to three different Louisville hospitals after a nurse was assaulted. But those are only the attacks that are reported, several nurses told WHAS11 they face dangerous situations daily without the necessary support. ... The three incidents of violence against nurses sit on a map of hundreds of crimes reported at or near Louisville hospitals and nearby parking garages over the last year. According to LMPD’s crime data portal, 17 assaults were reported at Norton Hospital, 10 at Jewish Hospital, and 28 at the UofL Hospital parking garage over the last 12 months. ... “Many healthcare professionals that are harmed don't report it, and they don't report it because they don't think anybody will listen. And then there are others who think that it's part of the job. It is not part of the job,” CEO of the Kentucky Nurses Association Delanor Manson said. In 2023, Manson worked with lawmakers to formalize language requiring healthcare facilities to track incidents of violence and implement violence prevention strategies. It's a crisis for the career field.
“I’m as mad as hell and I’m not going to take this anymore!”
05/10/25 at 03:45 AM“I’m as mad as hell and I’m not going to take this anymore!”JAMA Neurology; David N. Korones, MD; 4/25So shouted news broadcaster Howard Beale in the iconic 1976 film “Network” as he decried pollution, unemployment, inflation, crime, and all that was wrong in the world back then. And so shouted I, as I slammed down the phone after yet another denial from an insurance company—this time denial of treatment for an 8-year-old little girl with a brain tumor.Every day the phone, email, and text messages mount: an antinausea medication is not approved, oral chemotherapy is denied to a child because it is in liquid form, and only tablets are approved, brain surgery is denied because the patient has the misfortune of not living in the same state as the neurosurgeon who has the unique skill set to remove it, an insurance company that had previously approved an essential therapy for one of my patients now, for inexplicable reasons, denies refills half way through her prescribed course of treatment. Perhaps the more we push back, send them bills for our time, follow that up with bill collectors, call our congressional representatives, and summon our hospital leadership, we can gather a chorus of physicians, patients, hospital leaders, and politicians who all open their windows and, following Howard Beale’s lead, scream in unison that they, too, are mad as hell, and it is long past time to change this unjust system of care. To paraphrase Howard Beale, “our children, our patients are human beings, goddammit, their lives have value!”
Hidden at Home: Alarming questions, few state investigations of NJ group home deaths
05/07/25 at 03:00 AMHidden at Home: Alarming questions, few state investigations of NJ group home deaths app., North Jersey.com, part of the USA Today Network; by Ashley Balcerzak and Jean Rimbach; 5/3/25 Fourteen. That’s how many times Michael Lombardi tried to dial 911 in the hours before he was found dead at age 39 in a state-licensed group home for adults with disabilities. ... Key Points:
How a Butler University and Community Health Network partnership helped save 420 lives and $4.3 million
05/05/25 at 03:00 AMHow a Butler University and Community Health Network partnership helped save 420 lives and $4.3 million Butler Stories, Indianapolis, IN; by Katie Palmer Wharton; 4/30/25 For healthcare professionals, data is more than just numbers—it is the foundation of better patient care, smarter decisions, and more efficient hospitals. But for many, data can feel overwhelming and difficult to use effectively. That’s why Butler University’s Office of Continuing and Professional Education teamed up with Community Health Network to create a hands-on professional development course that demystifies data and equips healthcare workers with practical analytics skills. Since launching in spring 2022, the program has empowered 185 Community Health Network professionals to break down data barriers, make informed decisions, and drive meaningful change in their organization. ... Armed with new data skills, Community Health Network employees built a dashboard to streamline the process. The results were nothing short of remarkable:
Understanding Conservatory Care Services: A comprehensive overview
04/29/25 at 03:00 AMUnderstanding Conservatory Care Services: A comprehensive overview Articlescad.com; by Jonassen Randall; 4/27/25 As the population ages and healthcare requires evolve, conservatory care services have become a crucial part of the continuum of care for numerous individuals. Unlike standard medical treatment environments, conservatory care services focus on supporting people with persistent conditions or impairments, providing a holistic technique that promotes self-respect and quality of life. This short article will explore what conservatory care services entail, who can benefit from these services, and the various kinds they can take.
7 signs at home care is needed for someone with dementia
04/29/25 at 02:00 AM7 signs at home care is needed for someone with dementia VeryWell Health; by Christopher Bergland; 4/25/25 ... At-home dementia care can look different for every family. Some people live alone and may get by with periodic check-ins from professionals in the dementia care community throughout the week. Others might require daily visits from Alzheimer's home care dementia services. Sometimes, a paid caregiver comes to the house daily, or unpaid loved ones provide 24/7 in-home care.
As the ‘Silver Tsunami’ hits the Flathead Valley, dementia diagnoses are rising while caregivers reach a breaking point
04/24/25 at 03:00 AMAs the ‘Silver Tsunami’ hits the Flathead Valley, dementia diagnoses are rising while caregivers reach a breaking point Flathead Beacon, Kalispell, MT; by Maggie Dresser; 3/23/25 ... As baby boomers age and Americans live longer than previous generations, the elderly population will continue to grow and overwhelm many local resources, which includes nursing homes and memory care facilities. ... According to 2020 Census data, the national demographic of people ages 65 and over grew nearly five times faster than the total population over the 100-year period stretching from 1920 to 2020, and the population segment has recently reached 55.8 million. But Montana’s senior citizen population is disproportionately higher than many other states, ranking No. 6 overall, with 19.7% of its population considered geriatric, according to 2020 Census data. Of this population, 9.8% of individuals in Montana suffer from Alzheimer’s.Editor's note: Click here for the national 2024 Alzheimer's Disease Facts and Figures - Special Report: Mapping a Better Future for Dementia Care Navigation.
Prevention of acute hospital transfers for long-term care residents at the end of life
04/24/25 at 02:00 AMPrevention of acute hospital transfers for long-term care residents at the end of life American Journal of Hospice and Palliative Medicine (AJHPM); by Kirsten Lanpher, DMS, MSPA, PA-C and Kirsten Brondstater, DMS, MSPAS, PA-C; 3/24/25 Findings: Long-term care residents are a vulnerable population with advanced comorbidities who often require high acuity care and are subject to preventable transfers to the hospital at the EOL. These disruptions in EOL care cause harm and complications, negatively impacting quality of care. The consequences of these events can be mitigated with early advance care planning to include documentation of EOL care goals, onsite medical clinicians to make critical decisions and provide care within LTC facilities, and adequate staffing with proper palliative and hospice care training. Conclusion: Immediate action is needed to advocate for this high risk population and implement interventions to prevent hospital transfers at the EOL, therefore improving quality of care and positively influencing LTC residents’ EOL experience.
HHS proposal slashes Medicare SHIP funds
04/23/25 at 03:00 AMHHS proposal slashes Medicare SHIP funds MSN; by Mary Helen Gillespie; 4/22/25 The Trump administration is proposing federal budget cuts to Medicare State Health Insurance Assistance Programs (SHIP) and seven additional elder health care safety net programs that assist older Americans. ... SHIP programs have been under the umbrella of the Health and Human Services agency Administration for Community Living. The pre-decisional budget lists funds for seven other ACL programs that would be eliminated are:
Do automated reminders decrease no-show visits in an outpatient palliative medicine clinic?
04/23/25 at 03:00 AMDo automated reminders decrease no-show visits in an outpatient palliative medicine clinic? Sage Journals - American Journal of Hospice and Palliative Medicine; by Ruth L. Lagman, MD, MPH, MBA, Renato V. Samala, MD, MHPE, Ahed Makhoul, MD, Kyle Neale, DO, Chirag Patel, MD, Elizabeth Weinstein, MD, Wei Wei, MS, and Xiaoying Chen, MS; 3/23/25 Individuals who do not show up for medical appointments can lead to unfavorable outcomes for both patients and health systems. Automated methods are available to confirm appointments in addition to patient service coordinator (PSC) telephone calls. This study aims to determine the no-show rates for automated methods of confirmation, in-person and virtual visits, and patients living in underserved areas.Conclusion: PSC telephone calls, individuals living within COZ and virtual visits had higher no-show rates.
Attorneys general challenge Trump’s deportations, citing impact on home health workforce
04/21/25 at 03:00 AMAttorneys general challenge Trump’s deportations, citing impact on home health workforce McKnights Home Care; by Adam Healy; 4/16/25 Nineteen state attorneys general filed an amicus brief Monday challenging President Donald Trump’s deportation policies. Among their arguments, they contended that deportations would have an outsized, negative impact on the home health industry’s ability to deliver care. “From a public health perspective, [states] depend on noncitizen healthcare workers who, like other immigrants, are forced to live in a climate of fear — nationwide over 1 million immigrants work in healt hcare, including 40% of home health aides and 18% of nursing home staff,” the brief said. The brief aims to block the administration’s so-called “ideological deportation policy,” established by executive orders 14161 and 14188. These orders intimidate workers, impair healthcare delivery and harm states’ economies, the attorneys general argued.
Death matters: Is there really no place like home when it comes to dying?
04/18/25 at 03:20 AMDeath matters: Is there really no place like home when it comes to dying? Sequim Gazette, Sequim, WA; by Jeanette Stehr-Green Volunteer Hospice of Clallam County; 4/16/25 While not everyone has the chance to decide where they will die, most Americans say that given the choice, they would prefer to die at home. For most people, home is familiar and comfortable. It is more private than a room in a hospital or nursing facility, and more likely to allow intimate gatherings with family and friends. In the home, the dying person and their caregivers are more in control, deciding when to have visitors, eat, drink, or take medications. ... Planning, realistic expectations, and adequate support are key to keeping a dying person at home. Consider the following steps: ... Home might not be best ...
Without support, seniors aging in place may elect facility-based care, study finds
04/18/25 at 03:00 AMWithout support, seniors aging in place may elect facility-based care, study finds McKnights Home Care; by Adam Healy; 4/16/25 Older adults aging in place may rethink whether they want to receive care at home if they do not receive certain aging-in-place supports from their care providers and loved ones, according to a new study published in the Journal of the American Geriatrics Society. The researchers interviewed nearly 300 older adults receiving care at home and in long-term care facilities. ... The first theme was participants’ personal health experiences. ... Similarly, loss of health of loved ones and friends may also influence where patients want to receive care. ... The final factor influencing older adults’ aging preferences was time, the study found.