Literature Review

Rural hospitals embrace ‘grow your own’ approach to staffingModern HealthcareDecember 15, 2023Always on the hunt for staff, some rural hospitals have been trying a less common recruitment setting: K-12 classrooms. The hospitals hope that by interesting local children in healthcare careers and investing in their education, the students will one day return to work as full-fledged providers. It’s a long game, but one that could help rural hospitals better compete for clinicians with urban health systems that have the budgets for higher salaries and bigger sign-on bonuses.

Lawmakers bring PACE expansion bill back into playMcKnight’s Home Care DailyDecember 15, 2023Two members of Congress reintroduced a bill that would strengthen and expand the Program of All-Inclusive Care for the Elderly. Reps. Debbie Dingell (D-MI) and John Moolenaar (R-MI) introduced the PACE Expanded Act on Dec. 5. The sweeping legislation, if passed, would promote the expansion of existing PACE programs, make it easier to establish new programs, make PACE more affordable for Medicare beneficiaries and create a pilot program for testing the PACE model within new populations. 

Falling short—99% of Mississippi nursing homes don’t meet new staffing regsMississippi TodayDecember 13, 2023... In Mississippi, all but two of the 200 skilled nursing facilities—those licensed to provide medical care from registered nurses—would need to increase staffing levels under federal regulations the Biden administration proposed in September, according to data analyzed by Mississippi Today, USA TODAY and Big Local News at Stanford University. That’s in line with the national trend: Over the first quarter of 2023—from January to March—less than 1% of skilled nursing facilities in the U.S. met the draft rule’s two core standards of provider care. 

Baptist Health Baptist Hospital Launches Inspirational Space for Patients and VisitorsSouth Florida Hospital NewsDecember 14, 2023Baptist Health Baptist Hospital launched the Inspiration Hall, powered by national leader in hospice and palliative care services, VITAS Healthcare. Located on the first floor near the hospital’s imaging center waiting room, the Inspiration Hall is an immersive experience where patients, visitors and hospital team members can submit, read or watch messages of comfort and support that will inspire others in their health journey. 

Home Health Spending Begins To Climb Again Post-PandemicHome Health Care NewsDecember 13, 2023After stalling in 2021, spending on home health care returned to a more normalized growth rate in 2022, according to a new analysis from the Office of the Actuary at the Centers for Medicare & Medicaid Services. Specifically, national health expenditures on home health care increased by 6% to $132.9 billion in 2022. 

Nursing Home and CCRC Spending Grew 5.6% to $191.3B in 2022—After Dropping 7.8% in 2021Skilled Nursing NewsDecember 13, 2023Nursing homes and continuing care retirement communities made up $191.3 billion of national health expenditures in 2022, an increase from $181.1 billion in 2021, reaching levels close to the onset of the Covid-19 pandemic. Pre-pandemic, such expenditures sat between $162 billion and $174.1 billion between 2016 and 2019, according to a survey published by Health Affairs. 

Report spots care planning gaps for nursing home residentsMcKnight’s Long Term Care NewsDecember 12, 2023A new report looks at what’s working to help residents in long-term care communities prioritize care planning and advanced care planning, or ACP. The study was published on Dec. 6 in The Journal of Long-Term Care. Researchers set out to look at studies and surveys on care planning interventions for older adults in long-term care communities. The team wanted to understand what types of programs are being used to drive better care planning overall

Fitch downgrades Butler Health System’s bond debtPittsburgh Post-GazetteDecember 12, 2023Butler Health System’s financial challenges continued Monday with a ratings downgrade of its bond debt. Fitch Ratings issued a one-notch downgrade to ‘BBB-,’ outlook negative, because of accelerating losses and a “weaker than budgeted operating loss” of $12.97 million for the three months ending Sept. 30, up from a $1.6 million loss posted for the same quarter in 2022. BHS, a subsidiary of Independence Health System, is seeking a waiver from a debt service coverage requirement from bondholders, which otherwise could lead to a default. 

Brookdale sees 25 consecutive months of occupancy growth in NovembeMcKnight’s Senior LivingDecember 11, 2023Brentwood, TN-based Brookdale Senior Living wrapped up November with its 25th consecutive month of year-over-year weighted average occupancy growth, the company reported Friday. The company said that November’s weighted average occupancy was an increase of 40 basis points year over year, to 78.4%. Month over month from October to November, weighted occupancy dipped slightly, from 78.6% to 78.4%. Brookdale noted, however, that third-quarter occupancy was 77.6%, compared with the second quarter, which saw 76.5% average weighted occupancy.

Fix needed now—America’s long-term care financing system is brokenBy Katie Smith SloanThe HillDecember 11, 2023Nonprofit providers of aging services have been warning for decades that America’s system for financing long-term care is dangerously broken. The dedicated professionals serving older adults in nursing homes, home health agencies, hospice programs, and senior living communities have toiled side-by-side with families across the country to cobble together care and services for parents, friends, and neighbors—connecting the tattered pieces of our patchwork long-term care system in an effort to ensure dignity, comfort and independence as the needs of our loved ones change. The New York Times KFF Health News’ series “Dying Broke” aptly illustrates the impact of the United States’ insufficient approach to financing of long-term services and supports. It’s an important and unflinching look at how our country is failing us. ... We can do better. A comprehensive and equitable long-term care financing system would make all the difference. The longer lives that many Americans will enjoy offers enormous potential for our nation. We must seize this opportunity and ensure that potential isn’t squelched by an oppressive and unfair long-term care financing system. The solutions are complicated—but smart approaches abound. The variable is political will. ... I urge our leaders to listen to the voices of their constituents, and join us in creating solutions. All of our futures depend on it.

Novant Health makes third round of layoffs in 2023 as it outsources IT services to Indian firmTriad Business Journal (Greensboro/Winston-Salem, NC)December 11, 2023Amid C-suite changes and large acquisition deals, Novant Health is making its third round of layoffs in 2023. The Winston-Salem health system is outsourcing some of its IT operations to Wipro, a technology company based in India. Novant declined to say how many employees would be affected but said it would “fluctuate based on individual interests... [with] some having the opportunity to consider newly assigned roles and responsibilities with the redesign of this new model.” ... In 2023, Novant has cut more than 200 jobs—the largest workforce reduction for the health system in nearly a decade.

Aging population requires ‘bold leadership’ to protect human dignity—LeadingAge to House SpeakerMcKnight’s Senior LivingDecember 11, 2023The growing population of older adults requires “bold leadership” to ensure aging with dignity, as well as access to care and support, according to an open letter from LeadingAge to Speaker of the House Mike Johnson (R-LA). The changing demographics and need to support older adults where they live and receive services presents a unique opportunity for Johnson to demonstrate leadership and commitment to “protecting human dignity,” according to the letter from LeadingAge President and CEO Katie Smith Sloan. ... “The US healthcare system is navigating a new and unfamiliar landscape in the wake of the COVID-19 public health emergency,” Sloan wrote. “Three years of sustained stress and increasing workloads have caused a dramatic shift in staffing patterns and an alarming rise in burnout across health professions.”