Literature Review

National Alliance for Care at Home and Transcend Strategy Group publish Rural American Hospice Insights Report National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 12/19/24The National Alliance for Care at Home (the Alliance) and Transcend Strategy Group published the results of new research exploring perceptions of hospice care among rural and small-town communities. This survey of 400 people is part of the Alliance’s commitment to health equity and to breaking down barriers to accessing hospice and home care through knowledge sharing, data collection, and collaborative discussion. Along with key research findings, the Rural American Hospice Insights report offers recommendations for hospice providers to help increase understanding of hospice care and help overcome barriers to access. Key findings and recommendations include:

Why good leaders turn bad and harm their teams Forbes; by Benjamin Laker; 12/17/24 Leadership is often idealized as a force for good—driving positive change, inspiring teams and achieving ambitious goals. However, leadership also has a darker side. Power, ambition and the pressures of professional life can push even well-intentioned leaders into behaviors that harm their teams, their companies and, in many cases, themselves. Understanding why and how leaders succumb to the darker aspects of leadership is not just an academic exercise—it’s also a practical challenge for anyone navigating today’s workplaces.

Which skills will survive the AI onslaught? National Association of Corporate Directors (NACD), Arlington, VA; by Vivek Sharma and David C. Edelman; 12/17/24 ... Boards and CEOs are inundated with reports projecting doomsday scenarios of job displacement due to AI. For example, according to the World Economic Forum's The Future of Jobs Report 2020, automation and AI are expected to displace 85 million jobs globally by 2025, especially in industries such as manufacturing, data entry, and customer service due to the repetitive nature and predictable processes of these fields. AI is already disrupting many roles hitherto considered firmly within the human domain. ... Irreplaceable Human Dimensions ... In analyzing a wide range of articles on the topic, when a job scores high along any of the following three dimensions, it creates significant hurdles for displacement by AI:

How UCSF Health is rebuilding an 'instrumental' management layer Becker's Hospital Review; by Kelly Gooch; 12/17/24Middle managers have long played a crucial role in industries across the U.S. However, a November article from global management consulting firm Korn Ferry describes "a disappearing layer of middle management," particularly among professional-service firms that are "delayering" to improve flexibility and responsiveness. ...  [Data] shows that in 2023, middle managers accounted for 31.5% of all layoffs, with an average of 22% between 2018 and 2022. While Mitul Modi, Korn Ferry senior client partner in the firm's global healthcare services practice, said layoffs of managers have occurred at various health systems in 2024, he told Becker's he is not seeing this occur with patient-facing roles. Instead, he has observed an increased emphasis on developing middle managers. ... One example of this is San Francisco-based UCSF Health. ... UCSF Health's efforts center around investing in a management core training program.[Click on the title's link to continue reading.]

Agency Information Collection Activities: Proposed collection; Comment request Federal Register - United States Government; A Notice by the Centers for Medicare & Medicaid Services, Health  and Human Services; 12/16/24 The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Embracing life when nearing death The Aspen Times - Snowmass Sun; Aspen, CO; by Allison Daily; 12/13/24 Receiving a terminal diagnosis is one of life’s most profoundly difficult moments — a collision of disbelief, fear, and uncertainty. With some diseases, there’s a glimmer of hope for a miracle; with others, the focus shifts to navigating the process ahead. When Rita Hunter first asked to meet with me, I had no idea she had been diagnosed with Amyotrophic Lateral Sclerosis (ALS) or Lou Gehrig’s Disease. As we settled into my office, she got straight to the point: “I want you to help me with this last part of my life.” I left our first session rattled, but we established a clear understanding over time. She needed someone with whom she could be brutally honest — someone to discuss, without judgment, what she was willing and unwilling to endure. ... In her final days, her body let her know when it was time, and she showed extraordinary grace. She was a gift to this community, and she was a gift to me. She taught me more than I could ever give to her. Rita had become a model of how to live fully, even in the face of an unchangeable reality. Editor's note: Click on the title's link to read this inspirational story, and to learn this clinician's "treehouse" imagery intervention.

Executive Personnel Changes - 12/13/24 

The biggest lesson physicians learned in 2024 Becker's Physician Leadership; by Patsy Newitt; 12/10/24 Five physician leaders joined Becker's to discuss the biggest lesson they learned in 2024. ... [Summary topics include:]

Why introverted leaders outperform extroverts by 28% Forbes; by Cynthia Pong, JD; 12/8/24 Move over, charismatic showboats—introverted leaders drive 28% higher productivity from proactive, engaged teams compared to their extroverted counterparts, according to research by Adam Grant from Wharton, Francesca Gino from Harvard Business School and David Hofmann from UNC-Chapel Hill’s Business School. The finding runs counter to conventional wisdom about what makes an effective leader. While extroverts often steal the spotlight at work, introverted leaders are quietly revolutionizing modern workplaces by demonstrating how thoughtful competence can outshine performative leadership any day of the week. ... The secret sauce to introverted leaders’ success? They’re mastering:

Edward D. Viner, celebrated chief physician and medical pioneer, has died at 89 The Philadelphia Inquirer, Philadelphia, PA; by Gary Miles; 12/10/24 Edward D. Viner, 89, of Haverford, retired and celebrated acting chief of medicine at Pennsylvania Hospital, chief of medicine emeritus at Cooper University Hospital, hospice and inpatient care pioneer, expert in hematology and oncology, longtime physician to the Philadelphia Orchestra and Philadelphia Flyers, mentor, and veteran, died Sunday, Dec. 1, of acute myeloid leukemia at his home. ... He established the nascent hospice program at Pennsylvania Hospital in 1975 after facing his own catastrophic medical situation in 1972 and became its chief advocate and fundraiser. ...  In 2015, Dr. Viner established and directed the Center for Humanism at the Cooper Medical School of Rowan to “foster the development of humanistic and professional health care practitioners.” In July 2024, center officials renamed it the Edward D. Viner Center for Humanism. [Click on the title's link to continue reading Dr. Viner's significant contributions to end-of-life care.]

Fierce 50 Award presented to NPHI CEO at New York Gala National Partnership for Healtcare and Hospice Innovation - NPHI, Washington, DC; Press release; 12/9/24The National Partnership for Healthcare and Hospice Innovation (NPHI) and Tom Koutsoumpas, CEO, were honored with a Fierce 50 Award at the 2024 Fierce 50 Awards Gala in New York City on December 5. Hosted by Fierce Life Sciences and Fierce Healthcare, the event celebrated fifty trailblazers—individuals and organizations driving transformative change in healthcare, biopharma, and biotech. NPHI and Tom were recognized in the Innovation category for a bold commitment to healthcare innovation and for leadership in hospice, palliative, and advanced illness care through NPHI’s network of mission-driven, nonprofit providers. ... “It was such an honor to be in New York to celebrate this outstanding achievement, and to be surrounded by other major innovators across healthcare,” said Tom Koutsoumpas, NPHI CEO who gave an acceptance speech. “This recognition reflects the passion and dedication of our nonprofit members in setting standards of quality for hospice and end-of-life care. It was inspiring to share the evening with leaders who, like us, are deeply committed to transforming healthcare to better serve patients, families, and communities.” Editor's note: NPHI is a sponsor of our newsletter.

How hospice CNAs provide comfort in end-of-life care Intelligent Living; by Jennifer Barns; 12/8/24 End-of-life care is one of the most challenging yet meaningful services that healthcare professionals can offer. During such a delicate time, the role of a hospice CNA becomes essential. ... Table of Contents:

5 principles of servant leadership Forbes; by Nancy Padberg; 12/3/24 Servant leadership isn’t just a philosophy; it’s a choice that redefines what leadership should feel like. It’s about prioritizing your associates first. Servant leadership shifts the focus from the traditional leadership model—where the leader’s primary goal is to accumulate power and control—to one where the leader prioritizes the needs of their team, community and organization. This approach builds a healthy workplace culture through collaboration, trust and empowerment. Here are some ways you can embody the principles of servant leadership to improve your company culture from the top down.