Literature Review

Providence and hospital doctors reach tentative agreement in Oregon's 27-day health care strike Access WDUN 75, Portland, OR; by The Associated Press; 2/6/25 Providence and dozens of doctors at a hospital in Portland, Oregon, have reached a tentative agreement after 27 days of strike, bringing what has been described as the state's largest health care strike closer to a potential end, depending on union ratification. The tentative agreement with hospital doctors and palliative care physicians working with patients with serious illness or injury at Providence St. Vincent Medical Center was announced by the Oregon Nurses Association union and Providence in news releases late Wednesday [2/5/25]. Key provisions of the tentative agreement include pay raises, more sick time and a commitment to reform staffing models, the union said.

Immigration policies’ ‘chilling effect’ on the hospice workforce Hospice News; by Holly Vossel; 2/5/24 The White House recently issued several executive orders that have ramped up the nation’s immigration enforcement policies. The health care sector may be facing a host of staffing and operational challenges as the regulatory moves unfold, according to Hannah Liu, manager of immigration advocacy at Asian Americans Advancing Justice (AAJC). A tightening of immigration policies has come with “concern, panic and confusion” across diverse communities nationwide, Liu stated. “As the effects of these hostile immigration policies play out, patients may also face the life-or-death situations that arise from interruptions in care caused by staffing shortages,” Liu told Hospice News in an email. “Immigrants in the health care industry may fear the possibility of arrest and detention, including in workplaces like hospitals, palliative care facilities and clinics.” 

US flu cases are peaking for a second time this season. Now you can test for the virus at home CNN; by Neha Mukherjee; 2/5/25 The United States is seeing a second peak in flu cases this season. After doctor’s office visits for flu dipped early this year, they jumped past the previous season peak at the end of last month, with a 30% test positivity rate — and there are still months to go. The US Centers for Disease Control and Prevention estimates that there have been at least 20 million cases and 11,000 deaths from flu so far this season. Hospitalizations are rising too, with an estimated 38,255 hospitalizations from flu last week alone. It’s not the only illness spreading, either ... But there are some new tools to help this respiratory virus season: over-the-counter tests that can identify whether an illness is Covid-19 or influenza. The tests are available for purchase at most pharmacies or online ... The tests won’t check for every respiratory virus, but they mark the first time the public can test for flu at home.  

Former Apex Hospice director can proceed with retaliation suit Bloomberg Law; by Daniel Seiden; 1/31/25 A former medical director at Illinois-based Apex Hospice and Palliative Care can move forward with her claim that the company violated the False Claims Act by firing her in retaliation for calling attention to Medicare fraud, a federal district court said. [She] adequately alleged that Apex fired her because she refused to certify patients who would be covered by Medicare but were otherwise ineligible for hospice care, Judge Virginia M. Kendall of the US District Court for the Northern District of Illinois said Thursday.

Maine communities struggle with nurse practitioner shortage NBC News Center Maine; by Brianna Bush; 1/29/25 According to U.S. News & World Report, nurse practitioner is the No.1 ranked job for 2025. The study says that's because of work-life balance, high pay, and job growth potential. Despite this, communities in Maine are lacking enough nurse practioners to support patients. ... According to the Maine Nurse Practitioner Association, there are more than 3,100 nurse practitioners in Maine. 

Homecare industry facing crisisWFMZ-TV 69 News, Allentown, PA; by Christina Lengyel; 1/28/25 ...  [Providers] across the state are struggling to hire enough staff to cover the needs of the state’s 300,000 homecare recipients. Unable to offer comparable hourly wages, the industry is losing its potential recruiting pool to gig work and jobs in the service industry. “We are in crisis. The crisis isn’t coming. We are not planning for it. It’s actively here,” said Mia Haney, CEO of the Pennsylvania Homecare Association at a meeting of the House Aging and Older Adult Services Committee. The average hourly wage for homecare workers in the state is between $13 and $14, making it hard to compete with other industries. Even within healthcare, counterparts performing the same tasks from within care facilities earn more. Home care advocates say the discrepancy doesn’t add up given the value of homecare.

Main Line Health cuts 200 administrative roles Becker's Health IT; by Naomi Diaz; 1/22/25 Bryn Mawr, Pa.-based Main Line Health has eliminated approximately 200 administrative and management positions, including roles in IT, The Philadelphia Inquirer reported Jan. 22. The majority of the cuts targeted administrative support areas such as information technology, finance, human resources, revenue cycle, and accounting, according to Main Line Health CEO Jack Lynch. "The landscape in healthcare is awful, and it's only getting worse," Mr. Lynch told the publication. He cited several factors driving the decision, including inadequate payment increases from Medicare and Medicaid — which account for 65% of the system's patient coverage — rising insurance denials, and the delayed arrival of $25 million in federal COVID-19 aid. 

Hospice rationale should be reassessed, says ethicist Medscape; by Arthur L. Caplan, PhD, Medical Ethics at NYU’s Grossman School of Medicine; 1/23/25 ... Decades ago, I first found out about the idea that came from England and a nurse, Cicely Saunders, to change the setting in which people die. ... I think that was a wonderful idea, and it has revolutionized end-of-life care. We have many excellent, superb hospice programs. ... The hospice institution is decades old, and it’s time to take another look at what’s going on there.  ... Private equity is all over this area, buying up hospice chains and home care hospice — looking to make big profits but not looking to maintain the quality requirements that ought to be there or to do more than is minimally required to set up and staff hospice. ... ... For reasons of serving the best interests of hospice patients, we should be rechecking the fairness of reimbursement, not overburdening families with care that ought to be provided by hospice programs, and making sure that those who are dying are monitored adequately and receiving checkups regularly. ...

Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice for comfort therapies in 2024 The Chronical, Centralia, WA; by The Chronicle; 1/22/25 The Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice in 2024 to deliver essential comfort therapies to end-of-life patients across Washington state, the foundation announced Wednesday. "Since the partnership began in 2002 with a $600 grant, the program has expanded significantly, reaching hundreds of patients and their families each year," the Visiting Nurses Foundation said in a news release. Comfort therapies — including acupuncture, massage, music therapy, guided imagery and animal-assisted therapy — are proven to reduce pain, foster relaxation and enhance overall quality of life, the news release stated.

Care Dimensions receives $10,000 grant from ACM Lifting Lives to support music therapy program MassNonprofit News; 1/22/25Care Dimensions, the largest hospice and palliative care provider in Massachusetts, is proud to announce receiving a $10,000 grant from ACM Lifting Lives®, the philanthropic partner of the Academy of Country Music. ... “Dealing with memory loss can be such an unmooring experience,” noted Care Dimensions Creative Arts Therapy Coordinator Li Kynvi, who is a board-certified music therapist. “One of the magical things about music therapy, especially for those with dementia, is that music lives in them in a whole different way than even the last five minutes does, which enables them to not only engage with a song, but engage with the person sharing it, and delivers a feeling of connection and competence often difficult for dementia patients to experience.”Editor's note: Providing patient care from a board certified music therapist is far superior to simply having a musician perform. Music therapy focuses on the person: physically, mentally, emotionally, socially, spiritually. Music therapy engages memories and meanings for the present moment, and ahead. For more information, examine the Certification Board for Music Therapy. Click here for their directory.

How it feels to be a hospice nurse Post Independent; by Oanh Hoang, Hospice of the Valley; 1/22/25 If someone had asked me this question seven years ago, when I was a new graduate nurse, I would have said it felt terrifying, depressing, frightening, and sad. However, my feelings have changed since I became a hospice nurse 4.5 years ago. ... If someone were to ask me how it feels to be a hospice nurse now, I would tell them to grab a soda, popcorn, and snacks, and get comfortable because I could talk for hours about what it’s like. My feelings start with gratitude. I am grateful to be a part of the final phase of my patients’ lives, walking alongside them and their families toward a peaceful end. For all my hospice patients, time is the most valuable thing they have. ... Along with all these rewarding feelings, I also feel sadness when my patients pass away. But this sadness is different from the sadness I felt seven years ago. 

If you’ve overcome these 9 challenges in life, you’re more resilient than you think Personal Branding Blog; by Lucas Graham; 1/21/25 Resilience isn’t always about being unshakable or invincible. Sometimes, it’s just about surviving the chaos, picking yourself up after the mess, and somehow finding the courage to keep going. In the moment, it’s hard to see how strong you really are—you’re just trying to make it through. But when you pause and look back, you realize the grit it took to get here. ... [If] you’ve been through these nine challenges and made it out, you’re way more resilient than you give yourself credit for.

2025 ushers new era in physician unions Becker's Hospital Review; by Kelly Gooch; 1/17/25 While unionization among healthcare workers and professionals is a familiar phenomenon, resident physicians and fellows joining unions has only grown in recent years. Indeed, since the start of 2025 alone, at least five groups of resident physicians and fellows have opted to form unions at their health systems. "Physician unionization has massively increased since 2020, especially among interns and residents," Rebecca Givan, PhD, associate professor of labor studies and employment relations at Rutgers in New Brunswick, N.J., told Becker's. ... Dr. Givan pointed to an increasing number of staff physicians unionizing as well. In 1998, the American Medical Association estimated that between 14,000 and 20,000 physicians belonged to unions. That number grew to 46,689 in 2014, and reached 67,673 in 2019.