Literature Review

CDC releases new profile of assisted living residents McKnights Long-Term Care News; by Kimberly Bonvissuto; 8/10/24 Residents living in assisted living and other residential care communities in 2022 mostly were female (67%), white (92%) and 85 or older (53%), according to a new report from the Centers for Disease Control and Prevention’s National Center for Health Statistics. The CDC said that data from the National Post-acute and Long-term Care Study outlined in the profile of residential care community residents in 2022 would help inform policymakers, providers, researchers and consumer advocates planning to help meet the needs of a rapidly growing older adult population. 

Home Instead Totton launches expedited home care service to meet growing needsKMLK (AR) press release; 8/7/24Home Instead Totton has announced the launch of its new expedited home care service... This new service aims to cut down waiting times, helping clients get the care and support they need quickly and efficiently. The service is designed to meet various needs of the local community, offering a wide range of home care options. These include home visits, specialised care, health care, and live-in care. Each service is designed to address specific client needs, from daily activities to complex health conditions.Publisher's note: Is there need / opportunity for "expedited" hospice care?

Violent dementia patients leave nursing home staffers and residents ‘scared to death’KFF Health News; by Jordan Rau; 8/9/24Violent altercations between residents in long-term care facilities are alarmingly common. Across the country, residents in nursing homes or assisted living centers have been killed by other residents who weaponized a bedrail, shoved pillow stuffing into a person’s mouth, or removed an oxygen mask. A recent study in JAMA Network Open of 14 New York assisted living homes found that, within one month, 15% of residents experienced verbal, physical, or sexual resident-on-resident aggression. Another study found nearly 8% of assisted living residents engaged in physical aggression or abuse toward residents or staff members within one month. Dementia residents are especially likely to be involved in altercations because the disease damages the parts of the brain affecting memory, language, reasoning, and social behavior.

Steward to lay off more than 1,200 Massachusetts hospital workersModern Healthcare; by Alex Kacik;8/5/24Dallas-based Steward plans to cut 753 workers at Carney Hospital in Dorchester and 490 employees at Nashoba Valley Medical Center in Ayer on Aug. 31, according to two Worker Adjustment and Retraining Notification Act filings.

Tenet to sell majority stake in 5 hospitals in $910M dealModern Healthcare; by Caroline Hudson; 8/5/24Tenet Healthcare is selling its majority stake in Brookwood Baptist Health to Florida-based Orlando Health in a $910 million cash deal. The transaction is expected to close this fall and involves five Alabama hospitals: Brookwood Baptist Medical Center, Princeton Baptist Medical Center, Walker Baptist Medical Center, Shelby Baptist Medical Center and Citizens Baptist Medical Center, as well as affiliated physician practices and other operations, according to a Monday news release.

Cancer care deserts are spreadingBecker's Hospital Review; by Mariah Taylor; 8/2/24Cancer treatment deserts are growing as more rural hospitals close and cut services, CBS News reported Aug. 1. Many hospitals are discontinuing essential services, such as chemotherapy and labor and delivery, due to financial strains and staffing challenges. Between 2014 and 2022, 382 rural hospitals halted chemotherapy services, Charis, a health analytics and consulting firm, found in a report published this spring. Texas had the highest percentage of rural hospitals that eliminated chemotherapy services at 47%. Next came Alabama (46%), Mississippi (45%), Tennessee (44%), and Florida (39%).Publisher's note: Cancer care deserts impact hospice referrals, and raise the question of "hospice deserts".

Steward Health finds buyers for 2 hospitals amid Senate probeModern Healthcare; by Jonathan Randles; 7/22/24Bankrupt Steward Health said it found buyers for two of its hospitals in Arkansas and Louisiana, as the nation’s largest for-profit health system braces for a bipartisan Senate investigation into its financial woes. Steward is selling the Wadley Regional Medical Center in Hope, Arkansas, to Pafford Health Systems Inc. and Glenwood Regional Medical Center in West Monroe, Louisiana, to an affiliate of American Healthcare Systems.

Owner of home health care company convicted of multimillion dollar health care fraud schemeDOJ press release; 7/22/24[Boston] Faith Newton, 56, was convicted of one count of conspiracy to commit health care fraud, one count of health care fraud, and three counts of money laundering. The jury found the defendant not guilty on one count of money laundering conspiracy... “Newton orchestrated a massive $100 million health care fraud scheme that targeted the Medicaid program, funding her lavish lifestyle at the expense of the American taxpayers,” said Roberto Coviello, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). “Today’s guilty verdict underscores the commitment of HHS-OIG and our partners to protecting the integrity of our federal health care system, and it should also serve as a stern warning to criminals who contemplate engaging in similar illegal schemes.”

UnityPoint to open PACE senior center in Bettendorf Quad Cities News; by Linda Cook; 7/29/24 UnityPoint Health celebrates the opening of its second Program of All-Inclusive Care for the Elderly (PACE) site in Iowa, ... The new UnityPoint Health PACE Senior Care – Bettendorf includes a medical clinic, day center, therapy gym and other amenities under one roof. ... As a federal and state-funded program, PACE participants must meet certain medical and financial eligibility requirements. For more information, visit here.

Military veterans honored during special ceremony at Sarasota adult day center Sarasota Herald-Tribune, Sarasota, FL; by Noelle Fox; 7/29/24 Twenty military veterans were honored recently at a special pinning event and remembrance ceremony at Town Square Sarasota jointly hosted by the Florida Department of Veterans Affairs and Empath Tidewell Hospice. The veterans honored were all members of Town Square Sarasota, an adult day center, and some of the members honored had fought in the Korean and Vietnam wars. The event was part of the Tidewell Honors Veterans Program. ... Since opening in early 2022, Town Square Sarasota has partnered with Empath Tidewell Hospital to host four special pinning ceremonies honoring its veteran members. Town Square Sarasota also has integrated aspects into its location and programming to recognize and welcome veterans.

Despite past storms’ lessons, LTC residents again left powerless: How a long-term care facility prepares for and handles power outages is one of the first questions potential residents should ask KFF Health News - Rethinking65; by Sandy West; 7/29/24 ... Even after multiple incidents of extreme weather — including a 2021 Texas winter storm that caused widespread blackouts and prompted a U.S. Senate investigation — not much has changed for those living in long-term care facilities when natural disasters strike in Texas or elsewhere. ... [While] nursing homes face such federal oversight, lower-care-level facilities that provide some medical care — known as assisted living — are regulated at the state level, so the rules for emergency preparedness vary widely. ... Editor's Note: While this article is written for the public, its content applies to all hospices that (1) provide hospice facility care, and/or (2) partner with senior care facilities: nursing homes, long-term care, assisted living, senior living communities, and PACE. This can be an important QAPI analysis and gap improvement. 

Empath Health, Trustbridge leaders are setting home health sights high after integration Home Health Care News; by Joyce Famakinwa; 7/26/24 Empath Health is a company in transition. In the spring, it completed an affiliation process with Trustbridge, which formed the largest nonprofit post-acute provider organization in the state of Florida. ... Since completion of the affiliation process, the company has focused on integration, synergistic opportunities and determining how best to deliver care to the communities it serves. One of the people at the helm of this transition is Tarrah Lowry, Empath Health’s chief operating officer and Trustbridge’s interim president. [Click on the title's link to read the recent interview by Home Health Care News' with Tarrah Lowry.]

Advance care questions to ask your loved one Parkview Health; 7/27/24 ... To ease into a conversation about decisions and scenarios, we can start with questions that are easier to answer, like: What does a good day look like? If you got to spend the day with your favorite people doing your favorite things, what would you be doing? With whom? ... From there, we can talk about more specifics related to healthcare decisions, such as: If your heart and breathing stop suddenly, would you want to have CPR (cardiopulmonary resuscitation), which can include pushing on your chest, breathing support, medications, and electrical shocks? ... If you knew that death was likely to happen in a brief period of time, would you want to be in the hospital, in a nursing care facility or at home? ... Editor's Note: The wording, sequencing, and open-ended format of these questions gently open the door for the person to reflect on and describe one's wishes, in contrast to some advance care planning questions that focus on filling out a form. Yes, Advance Directives forms are crucial. However, the forms are a tool for now and for needs ahead. The focus is the person, while building a context of relationship and trust.