Literature Review

4 ways to drive transformational change in sustainabilityAmerican Hospital Association; 3/26/24Like a growing number of health care organizations, New Jersey’s Hackensack Meridian Health (HMH) system has been on a journey for some time now to reduce its environmental impact and boost sustainability practices. Recent achievements include:

The burden of getting medical care can exhaust older patients Navigating Aging, by Judith Graham; 3/27/24 [Ishani Ganguli] is the author of a new study showing that Medicare patients spend about three weeks a year having medical tests, visiting doctors, undergoing treatments or medical procedures, seeking care in emergency rooms, or spending time in the hospital or rehabilitation facilities. ... [Additionally,] more than 1 in 10 seniors, including those recovering from or managing serious illnesses, spent a much larger portion of their lives getting care — at least 50 days a year. ... When [treatment burden becomes overwhelming], people stop following medical advice and report having a poorer quality of life, the researchers found.

Group homes: Pros and cons for senior care US News & World Report - Health, by Lisa Esposito; 3/25/24 You won’t walk lengthy corridors with identical rooms, or see a calendar chock-full of structured activities – but you may smell a home-cooked meal. For some older adults who need long-term care, group homes are providing a more family-style alternative to nursing homes or assisted living facilities. As with other long-term care options, group homes are licensed in their state and must meet certain standards.

Eisenhower Health purchases Neuro Vitality Center in Palm Springs [for new PACE Center] InvestorsObserver, PR Newswire; 3/25/24Made possible through generous philanthropic support, Eisenhower Health has purchased the Neuro Vitality Center (formerly the Stroke Recovery Center). In partnership with Los Angeles Jewish Health (LAJHealth), Eisenhower will provide a Program of All-Inclusive Care for the Elderly (PACE) at the former Neuro Vitality Center location. After a renovation, the site is expected to open with a new name and focus in the next 12 to 18 months. "Eisenhower Health is committed to addressing the long-term health care needs for low-income seniors through this new Center and PACE program," says Martin Massiello, President and Chief Executive Officer, Eisenhower Health.

Last Dance: Holland Home throws prom for retirees, end-of-life patients Fox 17 West Michigan, by Sam Landstra; 3/23/24 The timeless nature of the suit and tie was again proven on Saturday by senior promgoers at Holland Home as they danced with their longtime dates at the Grand Rapids retirement home and hospice care facility. ... Donning formal wear donated by Belding Beauties & Bro's, residents walked and wheeled down a fourth floor hallway in Holland Home, gathering in a room decorated with streamers and disco balls.

Eight nurses from St. Vincent Hospital filed suit yesterday in Worcester Superior Court against Tenet Healthcare for wrongful termination after blowing the whistle on unsafe patient care conditions ABC WATE.com 6 / Cision PR Newswire; by Massachusetts Nurses Association; 3/22/24 Eight registered nurses represented by the Massachusetts Nurses Association at St. Vincent Hospital filed a lawsuit yesterday in Worcester Superior Court against the hospital and its owner, Dallas-based for-profit owner Tenet Healthcare alleging they were fired for exercising their legal and professional obligation to report "unsafe and illegal conduct and conditions" that jeopardized the health and dignity of the patients under their care. ... last month the nurses' claims were validated by The Joint Commission, which conducted an investigation into the nurses' complaints and found the hospital to be "non-compliant with applicable Centers for Medicaid and Medicare Services (CMS) Conditions."

Lessons for skilled nursing and assisted living facilities from the ‘largest health care fraud case’ JD Supra, by Callan Stein and Rebecca Younker; 3/22/24 Phillip Esformes, the alleged mastermind of one of "the largest single criminal health care fraud cases ever brought against individuals by the Department of Justice," has finally reached a plea deal with the Department of Justice (DOJ), concluding the eight-year-long case. ... 

A Western Slope program is helping older Coloradans maintain independence The Colorado Trust, by Nancy Lofhholm; 3/20/24 [Case example of a 74-year-old widow, wheelchair, who can live alone in her home because of PACE.] ... The center houses the HopeWest PACE program, which delivers wide-ranging services for older adults. HopeWest PACE is a local fulfillment of a national Centers for Medicare & Medicaid Services program known as PACE, which stands for Program of All-Inclusive Care for the Elderly. HopeWest PACE is one of 150 programs nationwide that carry out the PACE mandate to keep qualifying older adults like Powell living in their homes by providing them with a holistic bundle of health care and social and emotional support. It includes primary and specialty medical care, prescription medications, physical and occupational therapy, recreation, dietary counseling, and mental health counseling.

Home-focused PACE model continues to gain traction across US Home Health Care News, by Joyce Famakinwa; 3/19/24 A Georgia House Bill that would create a Program of All-Inclusive Care for the Elderly (PACE) was passed by the state senate earlier this month. House Bill 1078 passed in a 49 to 1 senate vote.Specifically, the bill creates a new adult day center licensure exclusion in order to authorize the Department of Community Health to establish and implement PACE in Georgia as part of the state’s medical assistance program. The Department of Community Health would manage the program. 

SNFists found to reduce ‘burdensome’ end-of-life care McKnights Long-Term Care News, by Josh Henreckson; 3/18/24 Advanced practice clinicians who specialize in skilled nursing care help reduce the use of unnecessary care at end of life, according to new study results released Friday in JAMA Network Open. These physicians, nurse practitioners and physician assistants — who provide at least 80% of their evaluation and care visits in nursing homes — were referred to collectively as “SNFists” by the report authors. They reduced the burdensome care transitions that many residents face, benefiting both caregivers and their patients, the study confirms.

For-profit nursing homes are cutting corners on safety and draining resources with financial shenanigans − especially at midsize chains that dodge public scrutinyThe Conversation, by Sean Campbell and Charlene Harrington; 3/14/24 ... Overall, private-equity investors wreak havoc on nursing homes, slashing registered nurse hours per resident day by 12%, outpacing other for-profit facilities. The aftermath is grim, with a daunting 14% surge in the deficiency score index, a standardized metric for determining issues with facilities, according to a U.S. Department of Health and Human Services report.The human toll comes in death and suffering. A study updated in 2023 by the National Bureau of Economic Research calculated that 22,500 additional deaths over a 12-year span were attributable to private-equity ownership, equating to about 172,400 lost life years. The calculations also showed that private-equity ownership was responsible for a 6.2% reduction in mobility, an 8.5% increase in ulcer development and a 10.5% uptick in pain intensity.

Long-term care costs can cripple families with aging loved ones. Turlock has a solution - Opinion The Modesto Bee, by Jeffrey Lews and Francesa Rinaldo; 3/17/24The sudden closures of the Brandel Manor nursing home and Cypress Place Assisted Living have left many in Turlock and the surrounding communities wondering where they will find quality care for their loved [ones]. ... The Turlock City Council approved a $400,000 grant to support the Legacy Health Endowment Person-Centered Care (PCC) program, an innovative initiative offering comprehensive in-home support services for families looking after aging loved ones. The program aims to assist families by providing care while safeguarding against premature placement into a nursing home or the fear of re-hospitalization.