Literature Review

Local care specialists launch first-ever ‘memory cafe’ in the Upstate WSPA Greenville, SC; by Simone Jameson; 3/3/25 Some Upstate care providers are bringing a new concept to the region they said will benefit families of adults with dementia. The Blake at Hollingsworth Park Assisted Living and Think Different Dementia are two partners behind a first of its kind ‘memory cafe’ in Greenville. ‘The Upstate Memory Cafe’ provides a community setting where people living with dementia and their caregivers can bond. ... Organizers told 7NEWS the ‘memory cafe’ offers a space where attendees play cards, make flowers and do other activities together. They said ten to twelve home health care and hospice representatives are present for each meeting and educate families on best dementia care practices, while offering them support and respite services.

7 hospital closures in 2025 Becker's Hospital CFO Report; by Madeline Ashley; 2/25/25 ... Following a trend of 25 hospital closures reported on by Becker's in 2024, many facilities are being forced to close their doors due to changing community needs, rising operational costs and evolving care models. Becker's has reported on seven hospital and emergency department closures in 2025:

Home health patients, caregivers lack understanding of palliative care, researchers find McKnights Long-Term Care News; by Adam Healy; 2/25/25 Home healthcare patients, caregivers and clinicians have significant knowledge gaps surrounding palliative care, which are contributing to poorer health outcomes for sick patients, according to a new study published in Home Healthcare Now. ... Healthcare providers, including home care agencies, are partially responsible for this limited public awareness, according to the researchers. The majority of survey participants agreed that it is the responsibility of doctors and nurse practitioners to inform seriously ill patients about palliative care. However, Medicare policy may be at the heart of this issue, Ashley Chastain, the study’s lead author, said.

Relaxing licensing, training requirements during pandemic didn’t improve nursing home staffing: study McKnights Long-Term Care News; by Zee Johnson; 2/24/25 A new study of more than 15,000 nursing homes found no link between relaxed certified nurse aide training and licensing protocols during the pandemic and improved staffing levels. During COVID-19, 19 states loosened their training requirements (the “treatment” group), and 31 states did not (“control” group). However, both recorded nearly the same CNA hours per resident per day, according to the study by researchers at the University of Iowa. ... During the pandemic, direct caregivers were at extreme risk for contracting the deadly virus, which killed more than 200,000 nursing home residents and workers. But more often than not, they were left without basic benefits such as paid sick leave, Mehboob said. 

Human Services seeks proposals to expand PACE to serve older adults in all 21 counties [New Jersey] Department of Human Services - Official Site of the State of New Jersey, Trenton, NJ; 2/14/25 Human Services today issued two requests for proposals to establish a Program of All-Inclusive Care for the Elderly (PACE) in Hunterdon County and in Morris, Sussex, and Warren Counties, the remaining counties currently without a PACE program. PACE is an innovative program that provides individuals 55 years of age or older with comprehensive medical and social services. The care is coordinated and provided by an interdisciplinary team of professionals in a community-based center and in their homes. ... “PACE connects older residents with specific health needs to vital health and social services that can help delay or avoid admission to long-term care facilities. This is the last step to achieving our goal of expanding PACE as an option to older adults in every county of New Jersey,” said Human Services Commissioner Sarah Adelman.

57 health systems on Forbes' list of best large employers Becker's Hospital Review; by Kelly Gooch; 2/13/25 Forbes released its annual ranking of America's best large employers Feb. 12, and it included 57 hospitals and health systems. The publication partnered with market research firm Statista to compile lists of the top large and midsize employers in the U.S. after surveying more than 217,000 employees working at companies within the U.S. that employ more than 1,000 people. Companies with more than 5,000 employees were considered for the large employers ranking. Survey participants were asked whether they would recommend their employer to others and to rate it based on criteria such as pay, work environment, training programs and advancement opportunities. [The top 5 include the following. Click on the title's link for the full list and links to more info.]

'Just wonderful': Clients praise benefits of new senior care facility The Winchester Star, Winchester, VA; by Brian Brehm; 2/5/25 Just five months after opening, Blue Ridge Independence at Home is already improving the lives of its clients. Over lunch on Monday, Berryville residents Darlene Hamby and David Rogan talked about their affection for the 15,000-square-foot social and medical support center that began operations in September ... “It’s just wonderful,” said Hamby, who was one of the first four clients to enroll at Blue Ridge Independence at Home (BRIH). ... The new center was created by Blue Ridge Hospice to support a local Program of All-Inclusive Care for the Elderly (PACE), a national initiative that provides medical and socialization services for people who are 55 or older and can live safely at home. It is one of 14 PACE programs in Virginia.

Flat MaineCare rates force home health company to discharge pediatric patients NBC News Center Maine, Lewiston, ME; by Vivien Leigh; 2/7/25 A home health company is lobbying state health officials to adopt a funding plan to ensure kids with severe health needs don't fall through the cracks. Andwell Health Partners provides nursing, therapy, and services to nearly 900 children across six counties. The majority of those kids are on MaineCare, the state's version of Medicaid. But the company said it has no choice but to discharge patients because of a lack of increase in reimbursement rates. ... Lindsay Hammes, spokesperson with Maine DHHS, released a statement to News Center Maine. "... MaineCare has been working with providers and partners, including Andwell, on a palliative care model that would, among other populations, cover children with medical complexity. We are in the rate-setting stage for this model." 

Family caregivers who support older relatives are on the rise due to aging-in-place preferences HousingWire; by Chris Clow; 2/5/25 The number of family caregivers who support older relatives in either home-based or residential care settings increased by 32% between 2011 and 2022 ... Researchers also say this could be partially tied to rising preferences for aging in place. This is according to a joint study from the Johns Hopkins Bloomberg School of Public Health and the University of Michigan’s Institute for Social Research. Additional support came from the National Institute on Aging, a division of the National Institutes of Health (NIH). The raw number increase went from 18.2 million in 2011 to 24.1 million in 2022. The study also found that the number of care hours provided by family and other unpaid caregivers increased by 50% during that time. The average number of weekly hours for such care stood at 21.4 in 2011, but it jumped to 31 in 2022, nine hours short of what is widely considered a full-time weekly work schedule.

UNC Health, Duke Health to build children's hospital Modern Healthcare; by Alex Kacik; 1/28/25 UNC Health and Duke Health will build a freestanding children’s hospital in the Piedmont, North Carolina, area. The academic health systems plan to build a 500-bed children’s hospital, a pediatric outpatient center and a children’s behavioral health facility. The project, fueled by a $320 million investment by the state, is set to break ground in 2027 and take six years to complete, the organizations said in a Tuesday news release. 

Best small footprint design of 2024: PACE Center with homelike charm Senior Housing News; by Andrew Christman; 1/27/25 Healthcare and social connections blend seamlessly in a new Program for All-Inclusive Care for the Elderly (PACE) location in Winchester, Virginia. The organization behind the project, Blue Ridge, was inspired by the “community village” concept in its new concept, which is a PACE center that conjures a more homelike than clinical atmosphere. The program resides within a compact footprint of 15,540 square feet, according to SueAnn Myers, executive director and project lead for Blue Ridge Independence at Home. Prioritizing accessibility and ease of movement, the location features wide hallways, ramps and “thoughtfully placed” handrails. Recessed carpets reduce issues for visitors with wheelchairs and the building features a warm contemporary aesthetic that draws inspiration from the surrounding Blue Ridge Mountains. Blue Ridge Independence at Home’s PACE center design in a small package snagged it the top spot in the small footprint category of the 2024 Senior Housing News Architecture and Design Awards.

Utah home care association sounds alarm on HCBS access crisis McKnight's Home Care; by Adam Healy; 1/17/25The Homecare and Hospice Association of Utah (HHAU) is calling for greater Medicaid support of home- and community-based services as beneficiaries in the state face worsening access barriers. “Our biggest concern, and the most pressing one, is with the HCBS waiver rates,” Matt Hansen, executive director of HHAU, said Wednesday in an interview with McKnight’s Home Care Daily Pulse. “If [providers] are still participating in the HCBS waivers, they’re doing it as a charity in most cases. We’ve had 64% of providers exit these programs between December 2022 and December 2023, so that’s 64% fewer providers.”

University of Rochester Medical Center plans hospital-at-home program Becker's Health IT; by Giles Bruce; 1/21/25 Rochester, N.Y.-based UR Medicine plans to launch a hospital-at-home program in summer 2025. CMS approved the health system's flagship Strong Memorial Hospital in Rochester for acute hospital care at home in June 2024. The six-hospital system has since taken a "pragmatic and deliberate approach" to building the initiative, said Justin Hopkin, MD, chief of hospital medicine at University of Rochester Medical Center. "We are listening closely to what community members want and need, while observing how other health systems overcome challenges as they scale up their hospital-at-home programs," Dr. Hopkin told Becker's.