Literature Review

30 systems sign on to new effort to advance age-friendly care Becker's Clinical Leadership, by Erica Carbajal; 4/17/24Thirty health systems are participating in a new collaborative through the Institute for Healthcare Improvement that aims to accelerate the adoption of age-friendly care for older adults. The Age-Friendly System-Wide Spread Collaborative is billed as a learning and action community through which systems will focus on embedding four evidence-based elements of high-quality care for older adults: what matters, medication, mentation and mobility, known as the 4Ms. Participants — which include Los Angeles-based Cedars Sinai, New York City-based Mount Sinai Health System and Atlanta-based Grady Health — will share data and collaborate to advance their own improvements in scaling age-friendly care across their sites of care. Participants also have the opportunity to be among the first to achieve a new IHI recognition for systemwide adoption of the 4Ms. 

JAMA Revisited, from May 1924: The Promise of a Longer Lifetime JAMA; 4/18/2024.Originally published May 10, 1924 | JAMA. 1924;82(19):1518-1519.Editor's Note: Yes. This article's original date is May 10, 1924; one hundred years ago, shortly after coming through the Spanish flu pandemic of 1918-1919.Modern hygiene has been described as the reaction against the old fatalistic creed that deaths inevitably occur at a constant rate. The study of vital statistics shows that there is no “iron law of mortality.” ... The New York report states that the increase in the expectation of life has been almost entirely confined to the ages before 35 years. In the future, the health officer must, of necessity, consider steps to be taken to minimize the mortality among those of middle and advanced life. There is much to encourage man today to seek to secure a normal lifetime.

Longevity: Why are we all so focused on living longer instead of living better? The Montecito Journal, by Deann Zampelli; 4/16/24 I admit it. I am an obit reader. I look at the photo first to see if I know them and then almost reflexively at their age. 89? Not bad. 76? Too early. 56. ... Recently I had a client who came to see me because she wanted to live the next chapter of her life on her own terms, not as her mother did in the last decade of life before dying at the age of 93; bed pans, caregivers, wheelchairs, numerous medications, memory loss and the utter decimation of her life savings. ... In many cultures the elders are revered and live with their families until they die. They aren’t just included, they are needed, consulted, and cherished. Not surprisingly, these are often the same cultures that enjoy the healthiest and longest lives. Sadly, Americans are not among them. ...

Reno Little Theater’s ‘The Quality of Life’ explores the complications of death and grief ThisIsReno, by Taylor Harker; 4/14/24Reno Little Theater’s “Quality of Life” brilliantly interweaves the lives of two families confronting profound grief and mortality. ... Together, ... two families navigate the turbulent waters of existential crises, each bringing their unique perspectives on faith, resilience and the ethics surrounding end-of-life decisions. ... “Quality of Life,” a dramatic comedy by Jane Anderson, explores how individuals and families confront and converse about death. The narrative is both tender and perceptive, delving into the internal conflicts and strong familial bonds that challenge and uphold them.

The art of the obit: Longtime journalist offers tips of the trade Times Colonist, by Pedro Arrais; 4/5/24 Sandra Martin has written obituaries for everyone from Queen Elizabeth II to Margaret Thatcher, Betty Fox — mother of Marathon of Hope runner Terry Fox — Nelson Mandela, Farley Mowat and Jackie Burroughs. ... When she tells the story of an individual’s life and legacy, Martin says, she does it with the reader, not the family, foremost in mind. In that way, her work is different from a family’s death notice. ... “As a journalist, I write for the reader, not the family. That means that it has to be true. What I include has to have had an effect on the subject’s life.”

Reminder: April 16 is National Healthcare Decisions Day The Conversation Project, Institute for Healthcare Improvement; ongoing until 4/16/24[Read for] specific ideas and suggestions for ways to implement National Healthcare Decisions Day (NHDD) activities in your community and at your facility. First and foremost, lead by example…be sure you have thoughtfully considered and made your own healthcare decisions known. Editor's Note: from The Conversation Project's "About Us": "The Conversation Project began 2010, when Pulitzer Prize-winning writer Ellen Goodman and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of 'good deaths' and 'hard deaths' within their own circle of loved ones."

LTC planning’s power lies in relationships, not revenue Insurance NewsNet, by John McWilliams; 4/1/24 Long-term care planning is having a moment right now. There was a time when conversations with clients about their long-term care needs were like pulling teeth. No one wants to confront the point in their lives at which they will no longer be able to do the things they associate with independent life as an adult. Long-term care was a talk to have with people in their 60s. Now, I have those talks with folks in their 40s and 50s. What happened? 

The process of dealing with death is experiencing rebirth in a less-religious Pittsburgh Digital Daily; by Med St-Esprit, PublicSource; 3/24/24 Tanisha Bowman, of the North Side, a palliative care social worker for Butler Health System and a “death walker,” walks amongst the old graves in St. Mary’s Cemetery. ... From green burial to glass orbs containing ashes, the norms of funerals and burials are broadening as religious affiliation declines. ... According to a 2021 survey by Pew Research, 3 in 10 American adults are religiously unaffiliated. Data compiled by Pew Research about the Pittsburgh metro region found that 50% of adults in the region describe religion as “very important” and nearly 20% consider themselves not religious. Shifts in faith and worship mean families as well as businesses related to death and dying have had to alter their approaches.

Legendary healthcare researcher John E. Wennberg, who shaped efforts to reform the nation’s healthcare system, dies at 89Dartmouth Geisel School of Medicine, by Susan Green; 3/18/24John E. (Jack) Wennberg, MD, MPH, founder and director emeritus of The Dartmouth Institute for Health Policy and Clinical Practice, the Peggy Y. Thomson Professor in the Evaluative Clinical Sciences Emeritus at the Geisel School of Medicine, and founding editor of the Dartmouth Atlas of Health Care, died March 10, 2024. He was 89 years old. “His work pioneered a field that has grown into an entirely new academic discipline in medicine,” Duane Compton, PhD, Geisel School of Medicine dean, says. ... Wennberg focused on improving decision quality by combining better clinical evidence with informed patient preferences. The introduction of shared decision-making between clinicians and patients to preserve warranted variation due to patient preferences is now embedded in health policies across the globe.

Doctor with terminal cancer shares the three things everyone should consider doing to prepare for deathYour Tango, by Alexandra Blogier; 3/12/24Kim is a resident doctor who was diagnosed with metastatic sarcoma when she was 28 years old. She invites people to see what her life is like, as both a medical resident and a cancer patient, focusing on the practice of gratitude and being present. ... Kim revealed the three most important things she’s done as a cancer patient to get the administrative side of her affairs in order, which she recommends everyone do, even if they're not sick.

Opportunity uncovered: How COVID-19 accelerated healthcare transformation Managed Healthcare Executive; by Patrick Horine, MHA; 3/6/24The COVID-19 pandemic left an indelible mark on the healthcare landscape, spotlighting critical areas for improvement while accelerating transformations that were already underway. From addressing disparities in equity and access to adopting digital health strategies, the pandemic has forced healthcare to move swiftly to meet urgent needs. First, let us look at some of the issues we had been facing and how these were changed by the unprecedented challenges of the pandemic. ...

At Frieze LA, Gary Tyler finds resilience after prison—in each stitch of his poignant quilts ARTnews, by Steven Vargas; 2/29/24 Los Angeles–based artist Gary Tyler has been making quilts for close to 15 years but has yet to exhibit them in his hometown. This week, he will debut several of his intricate and emotionally packed pieces at Frieze Los Angeles, after having been named the winner of the fair’s Impact Prize. His quilts document the 42 years he spent in prison following a wrongful conviction of murder at age 17. His journey to receiving the prize may be unconventional, but for him, it is a reminder of the resilience of an artist.Publisher's note: This article features another quilter from the Angola Prison Hospice Project.

Death can be isolating and dehumanizing. But what if it didn’t have to be?City Life, by Ben Seal; 2/17/24... In the three years since Elaine’s passing, I’ve longed for a world where more people could be given the chance to die as she did — with the fullness of life surrounding her, and with complete support, emphasizing the emotional and spiritual, not just the medical. In Philadelphia and beyond, a growing community of death-care workers — doulas, nurses, grief counselors, social workers, even funeral directors — is trying to build that world. They are reclaiming death and dying from the institutional model that has become the norm over the past century. Editor's Note: Has hospice now become so institutionalized and medical/regulatory focused that we have lost sight of "emphasizing the emotional and spiritual, not just the medical"? I ask the question, but do not draw judgment, as answers must be contextualized.