Literature Review

Study highlights financial burden of dementia on older adults, familiesGeorgia State University - School of Public Health, by Sam Fahmy; 2/7/24A team of researchers from the Georgia State University School of Public Health, the University of Washington School of Pharmacy and the University of California San Francisco analyzed data from a national sample of more than 4,500 adults aged 70 and older to arrive at what are thought to be the first comparisons of out-of-pocket expenses by dementia status and care setting. The researchers found that the median adult with dementia in residential facilities such as assisted living centers spent 97% of their monthly income on long-term care. People with dementia in nursing homes spent nearly 83% of their monthly income on long-term care.

Arizona legislators call for more transparency, improved safety in assisted livingMcKnight's Senior Living, by Kimberly Bonvissuto; 1/30/24Arizona has joined a growing list of states where governments are calling for more transparency from assisted living communities through legislation following local media reports questioning resident safety in the setting.

FTC sues to block proposed CHS-Novant hospital saleModern Healthcare, by Alex Kacik; 1/25/24The Federal Trade Commission on Thursday sued to block Novant Health’s planned $320 million acquisition of two North Carolina hospitals from Community Health Systems, alleging the deal could increase costs and reduce care quality. In February, CHS and Novant signed a definitive acquisition agreement involving Lake Norman Regional Medical Center in Mooresville and Davis Regional Medical Center in Statesville, which is transitioning from an acute-care hospital to an inpatient behavioral health facility.

[Home Health] Agencies score high on professionalism, lower on patients’ likelihood to recommend to others: CAHPS reportMcKnight's Home Care, by Adam Healy; 1/30/24Home health agencies across the U.S. were graded highly on their professionalism, but many patients have indicated they might not be likely to recommend their services to others, according to the Home Health Consumer Assessment of Healthcare Providers and Systems program’s most recent report. A total of 998,092 HHCAHPS surveys spanning more than 7,000 agencies were completed between July 2022 and June 2023, according to the report released by the Centers for Medicare & Medicaid Services.

Rural hospitals caught in aging-facility dilemma Lexington Herald Leader, by Markian Hawryluk; 2/6/24... Rural hospital closures dropped during the pandemic, from a record-high 18 in 2020 to eight in 2021 and 2022 combined, according to the University of North Carolina–Chapel Hill, as emergency relief funds kept them open. But that life support has ended.

Patient-centered focus is key to reducing hospitalizations, value-based success, experts sayMcKnights Home Care, by Adam Healy; 2/6/24To keep hospitalization rates low — and thereby produce better results within the Home Health Value-Based Purchasing (HHVBP) model — providers need a good understanding of patients’ goals to tailor care to meet their unique wants and needs. ... Keeping these goals at the forefront of care can reduce their chances of being hospitalized, according to Cindy Campbell, senior director of advisory services at healthcare technology firm WellSky. But defining patients’ goals is not just a recommendation, she noted: It’s mandated by the Centers for Medicare & Medicaid Services.

How does care coordination promote senior health & longevity?MediaFeed.org, by Kara Lewis; 2/2/24... Care coordination offers several fundamental benefits to seniors, according to an American Nurses Association report:

Private equity’s growing footprint in home health care draws scrutinyAlabama Reflector, by Anna Claire Vollers; 1/31/24Critics point to Help at Home’s departure from Alabama as a cautionary tale for what can happen when states that spend little on health care rely on private equity-owned providers to care for their most vulnerable residents.

Team of caring nurses help end-of-life patients fulfill wedding dreams by arranging hospital ceremoniesPeople, by Erin Clack; 1/30/24Natasha Steels-Webb and her colleagues came up with the idea to create boxes filled with wedding essentials to pull off hospital ceremonies. "Myself and a colleague decided to create the wedding box after a patient we were caring for had become very unwell and it was clear she was not going to recover," Steels-Webb said in a post on the North West Anglia NHS Foundation Trust's website. "She had been with her current partner for many years, but they just hadn't got around to getting married — and this was something they both wanted," she continued.

CMS must ‘ease burdens’ if it wants more long-stay residents in value-based care: report McKnights Long-Term Care News, by Kimberly Marselas; 1/29/24The Centers for Medicare & Medicaid Services must do more to move states away from an “extremely bifurcated” Medicare and Medicaid system that sometimes leaves dually eligible beneficiaries confused about their care and coverage, analysts said Monday. Roughly 1 million long-stay nursing home residents are eligible for both Medicare and Medicaid. In its new report, ATI Advisory found that they were more likely to be hospitalized and have a Medicare-covered SNF stay than their community-dwelling peers.

Regular primary care nurse visits can improve home care outcomes, study findsMcKnights Home Care, by Adam Healy; 1/23/24A planned visit program involving primary healthcare nurse practitioners (PHCNPs) can reduce rates of hospitalization and emergency department use among home care patients, researchers found in a recent study published by the Journal of Evaluation in Clinical Practice.

Senate probes the cost of assisted living and its burden on American familiesKFF Health News, by Jordan Rau; 1/25/24A U.S. Senate committee on Thursday launched an examination of assisted living, holding its first hearing in two decades on the industry as leaders of both parties expressed concern about the high cost and mixed quality of the long-term care facilities. The federal government has minimal oversight of assisted living, which is regulated by states, unlike skilled nursing homes.