Literature Review

Marin County Office of Education, Novato Unified School District & By the Bay Health partner to address healthcare talent shortage PR Newswire, San Rafael, CA and Novato, CA and Larkspur, CA; by By The Bay Health; 12/3/24The Marin County Office of Education (MCOE), the Novato Unified School District (NUSD), and By the Bay Health, Northern California's largest independent nonprofit hospice provider, are joining forces to launch a strategic workforce initiative to address the growing healthcare talent shortage in the County. Starting in Spring 2025, MCOE, NUSD, and By the Bay Health will pilot a new Career Technical Education (CTE) course at San Marin High School in Novato to introduce students to healthcare careers. The CTE course, Introduction to the World of Healthcare, will be the first high school course of its kind in the County designed to provide a comprehensive introduction to career opportunities in the healthcare field, including a focus on careers in community-based care in the home. An elective for 11th and 12th grade students, the curriculum will cover a range of topics from healthcare professions to medical ethics, communication, public health, and emerging trends in healthcare.

11 top health system C-suite priorities for better patient care in 2025 Becker's Hospital Review; by Laura Dyrda; 12/2/24 ... Becker's collected insights from 94 health system executives highlight a collective commitment to transforming care delivery through innovation, accessibility, and patient-centered strategies. These leaders, representing a diverse range of hospitals and health systems across the country, are focusing on priorities such as leveraging advanced technology, strengthening workforce resilience, enhancing health equity, and reimagining care models to meet the needs of their communities. ... Below, we summarize the top 11 priorities identified by these executives to improve patient care in the years ahead.

[Recommendations] OIG Report finds that the Medicare Program improperly paid acute-care hospitals for outpatient services provided to hospice enrollees JDSupra; by Michelle Huntsman; 12/3/24 On November 12, 2024, OIG published a report concluding that the Medicare program overpaid acute-care hospitals an estimated $190 million over five years for outpatient services provided to hospice enrollees. ... OIG made six recommendations to CMS to prospectively address the issues identified:  

Decoding complexity for leadership: 7 essential qualities to develop Forbes; by Gregory Crawford; 12/3/24 ... Leading large organizations involves managing intricate connections and interactions that yield both thorny challenges and thrilling achievements. ... As a university president, I lead an organization that feels like a conglomerate or perhaps a city; ... After nine years, I've identified a set of high-level leadership qualities essential for navigating such a complex environment: agility, delegation, consultation, breadth, communication, purpose and recognition.

18 questions for CEOs to ask themselves Becker's Hospital Review; by Molly Gamble; 11/25/24 McKinsey senior partners developed a CEO performance questionnaire informed by in-depth interviews with more than 70 successful chief executives across industries. The checklist is meant to assess CEOs' performance in six dimensions: setting direction, aligning the organization, mobilizing through leaders, engaging the board, connecting with stakeholders and managing personal effectiveness. "Sure, CEOs have an abundance of financial, operational, and organizational metrics to look at, but what CEOs should be doing to influence those metrics wasn't exactly clear," the authors noted. The checklist serves as both a self-assessment tool and a framework for gathering honest feedback from board members, executives and trusted advisors. [Click on the title's link for] a condensed list of the questions, with commentary and more explanation of each available in the full article from McKinsey here. [Questions address:] 1. Vision. ... 2. Strategy. ... 3. Resource allocation. ... 4. Culture. ... 5. Organizational Design. ... 6. Talent. ... 7. Team composition. ... 8. Teamwork. ... [More]

Carolina Caring Robin Johnson House welcomes new patient in aftermath of Hurricane Helene Hickory Daily Record, Hickory, NC and Carolina Caring; by Carolina Caring; 11/27/24 A hospice patient seeking immediate safety after the devastating impacts of Hurricane Helene received vital care thanks to the newly established partnership between CaroMont Health and Carolina Caring. ...  Among those affected was 84-year-old Grace, a hospice patient requiring critical medications and oxygen. She was airlifted from her hometown of Burnsville, NC, to temporary shelter at the Catawba Valley Community College Tarlton Complex in Hickory, NC. In dire need, Catawba County Emergency Medical Services reached out to Carolina Caring for assistance, as Grace was rapidly depleting her medication and oxygen supplies. Within 48 hours of the initial call, Grace was successfully transferred to hospice care at the Carolina Caring Robin Johnson House. Though she felt anxious upon her arrival, Grace was comforted by the attentive support of Carolina Caring staff. When asked about the quality of care that she received, Grace described her experience as “wonderful.” “I don’t like being away from home even when I’m sick,” she shared. “... I felt wanted and loved. If I could say anything to the nurses, it’s that I love and appreciate what they’ve done.” This accommodation was made possible by a recent partnership established between CaroMont Health and Carolina Caring. On October 1st, CaroMont Health and Carolina Caring launched a strategic partnership, with Gaston Hospice now operating under the name Carolina Caring. ...

Nurse diagnosed with blood cancer fulfills dying wish to see new ‘Wicked’ movie Fox 13 Tampa Bay, FL: by Jennifer Kveglis; 11/26/24 A Tampa Bay area nurse who was diagnosed with blood cancer had one dying wish – to see the new movie "Wicked" in theaters. With the help of friends and family, that wish was fulfilled on Monday. Misty Steffen is a wife and mother, and she was also HCA Florida South Shore's chief of nursing. "I've loved every day of my life being a nurse," she said. "Twenty-six years that I got to be one and serve and love and decrease anxiety and increase trust and explain." ... [Description of her serious illness trajectory ...] "It's not what I thought would be the end of my story, but I'm at peace knowing whether I live or whether I die," she said. Steffen said she, her daughter and her husband always sang songs from "Wicked" in the car. Together, they've seen the musical on Broadway twice. Her last wish was to see the new movie in theaters. "The next thing I know he's [her husband] rented out the whole room in the theater," she said. HCA Florida Brandon paramedics, where Steffen worked too, as the assistant chief of nursing, transported her in their ambulance at no charge. "He's like we've got people who are going to come take you in an ambulance to ‘Wicked,’" she said. "I just started balling and I go...'what? Why am I so deserving of that?'" Steffen will spend the coming days surrounded by loved ones, many of whom flew in from all over the country. Editor's note: While this story appears to be focused on the movie "Wicked," it's more about relationships, meaning-making, quality of life, and ... her husband rented out the "whole room in the theater"! If you--like I--enjoy this movie weekend, Misty Steffen's story gives a new meaning to giving thanks, creating new memories from old for now and ahead. From Part 2 of Wicked, "... because I knew you, I have been changed for good."

Liberty Hospice provides Thanksgiving for 7 families Lake Gaston Gazette-Observer, Gaston, NC; by Mark Mathews; 11/27/24 Liberty Hospice volunteers recently traveled to the Pleasant Hill Christian Church kitchen in Gasburg to prepare Thanksgiving meals for seven families. “The families were selected as those who would benefit the most by our wonderful Liberty Hospice Health Care team,” Liberty Hospice Regional Volunteer Coordinator Esther Harris said. “As it turned out, two of the families preferred to have us bring all the fixings to them and they were going to the cooking themselves for Thanksgiving.” ...  Harris approached DrugCo Discount Pharmacy Chief Financial Officer Neal White about helping her group with the Thanksgiving meals. She received a better-than-expected response. “I was looking for help to buy some turkey and maybe some ham,” Harris said. “Mr. White asked me how much I thought it would cost to do the entire meal for each of the seven families. I gave him a number and they donated the entire amount. So we thank DrugCo who is just a wonderful community partner.”

Pet Peace of Mind program alleviates stress for hospice patients Poteau Daily News; by Ashley Torres; 11/26/24 Heart of Hospice in Poteau has announced a new program that will be helping with pet care while patients are on hospice care. The Pet Peace of Mind program, which began at Heart of Hospice Poteau on Nov. 15, aims to support the bond between pets and hospice patients during their final days. According to Heart of Hospice, the Pet Peace of Mind program “recognizes and actively supports the unique bond between hospice patients and their pet,” and “aligns with the Heart of Hospice mission to provide exceptional care and unparalleled service to the patients and families who have placed their trust in us.” The program is funded through donations, and the work is done by volunteers.  ... The Pet Peace of Mind program is aptly named, because it is all truly done to alleviate the anxiety and stress that hospice patients often feel while worrying about what will happen to their beloved pets when they are gone. Knowing that their pet’s needs are being met while they are on hospice care, and knowing that their pet will be taken care of even afterwards, allows the patient to focus on their own comfort during their last days.

Hologram technology wows rural care patients Becker's ASC Review; by Francesca Mathewes; 11/25/24 Cancer patients in rural Tennessee are testing virtual visits from hologram health consultants, Fox 26 News reported Nov. 23. The technology allows healthcare providers, in this case a physician, to consult with patients via a lifelike hologram. Clay Jackson, MD, a palliative care specialist in Germantown, Tenn., said that the technology has expanded access to care in the rural area, where patients might otherwise have to travel more than 100 miles for in-person care. "Two words: blown away. My patients can't believe how great the technology is," said Dr. Jackson in the report. "They may be a one-car family, it may be patients for whom additional travel would cause additional pain or discomfort or stress, especially those who are undergoing active treatment for their cancer," he added. The device and AI-powered spatial computing platform cost $29,000. The technology has been used in the entertainment industry and in professional sports, but this marks the first time the technology has been used in health consultations.

Family caregivers deserve to be a valued part of the healthcare continuum MedCity News; by Cara McCarty Abbott; 11/20/24 Family caregivers are a critical part of the healthcare system. Not only are they part of America’s safety net, but they are also critical partners to hospice providers when caring for loved ones with serious illnesses or at end of life. With 53 million U.S. caregivers actively involved in healthcare decisions for their loved ones, enhancing support for these caregivers can contribute to patient clinical outcomes and improve a sense of well-being among families facing a difficult experience. ... When caregivers aren’t supported, it’s not only the people who suffer; it’s also the organizations that they most interact with during the caregiving process. ... Hospice providers cannot turn this tide alone. This complex, systemic issue requires a comprehensive approach. ...

Stewarding loss Stanford Social Innovation Review; by Camille Acey; 11/19/24 - "Winter 2025" What happens when organizations and institutions need to die? And why is this part of the work often overlooked in systems change and social innovation practice? ... Stewarding Loss is a field-building initiative focused on the process of closure, ending, and dismantling as a journey to be designed. Over the course of several years, Stewarding Loss has engaged in a range of activities, from creating “loss circles” as spaces where people anticipating organizational closures can come to share stories and concerns; to conducting interviews with a range of practitioners involved in end-of-life care, including ritual and ceremonial hosts, grief therapists, and death doulas so we could learn how to translate practices across different contexts; to hosting roundtables with philanthropic foundations and speaking at numerous events to allow us to gather insight and feedback regarding ideas and needs for this work; to prototyping a Farewell Fund to learn what type of invitation and application might encourage organizations to become proactive about closing, and what supports might be needed by people on the journey to closure.

Hospice of Northwest Ohio will operate ProMedica's palliative care services CBS WTOL 11, Toledo, OH; by Karmann Ludwig; 11/18/24 Hospice of Northwest Ohio will operate ProMedica's palliative care services at the start of next year, according to a press release from Hospice released Monday. The company said ProMedica's patients who remain in palliative care will be transferred to Sincera Supportive Care and Symptom Relief, one of Hospice of Northwest Ohio's services. Sincera will also take over responsibility for ProMedica's palliative care outpatient clinics, Hospice of Northwest Ohio said.