Literature Review

Few hospitals follow recommended practices for evidence-based suicide care Pew, by Farzana Akkas; 3/12/24 In 2022, suicide claimed the lives of an estimated 49,449 people in the United States. ... Research has shown that almost half of those who die by suicide interact with the health care system within four weeks of their deaths. And those who are hospitalized for suicide risk face an elevated risk of dying by suicide post-discharge, making this a critical time for these patients to have access to resources, support, and care that can keep them safe in the event of a suicidal crisis. But new research shows that only 8% of hospitals in the U.S. have instituted all the key components of evidence-based, best-practice interventions to help at-risk patients who are discharged after receiving care. In fact, more than 1 in 4 are not conducting any of these interventions.

79 best hospitals for patient experience, safety: Healthgrades Becker's Clinical LeadershipHealthgrades recognized 832 hospitals with its 2024 Patient Safety Excellence Awards and Outstanding Patient Experience Award. Only 79 of those hospitals received both awards. The dual recipients spanned 27 states. Texas had the most dual recipients with 13 honorees — including four Baylor Scott and White Health and four Houston Methodist hospitals. [Click here for] the 79 hospitals that received both Patient Safety Excellence and Outstanding Patient Experience awards, listed by state.

Navigating Aging: Does our society simply not care about our vulnerable older population? KFF Health News, by Judith Graham; 3/10/24 ... The pandemic made things worse. Prejudice against older adults is nothing new, but “it feels more intense, more hostile” now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University. “I think the pandemic helped reinforce images of older people as sick, frail, and isolated — as people who aren’t like the rest of us,” he said. “And human nature being what it is, we tend to like people who are similar to us and be less well disposed to ‘the others.'" 

Seniors more likely to let conditions escalate into emergency if their only care options are digital, poll finds McKnights Senior Living, by Aaron Dorman; 3/7/24 Although residents in senior living communities and nursing homes are becoming more accepting of artificial intelligence and other tools such as remote monitoring systems, that doesn’t mean they don’t still strongly prefer human caregivers to manage their healthcare needs, a recent poll finds. ... Among older adult survey respondents who had dealt with a recent emergency, 33% said that they felt as if the incident could have been averted if they had had access to a live, in-person caregiver to manage their health concerns and needs.

‘Nothing less than a crisis’ as 45 percent of SNFs cite serious financial issues in AHCA survey McKnights Senior Living, by Kathleen Steele Gaivin; 3/6/24 Forty-five percent of skilled nursing facility participants in a new survey said they are “either operating in the red or barely breaking even.” The American Health Care Association survey of 441 nursing home providers, the results of which were released Tuesday, found that 42% of SNFs are operating on a total margin of 0% to 3%, and only 13% are operating with a total margin that is greater than 3%. AHCA’s State of the Sector Report also found that staffing challenges remain.

Scary ‘state’: Two-thirds of nursing home operators fear closure without staffing relief McKnights Long-Term Care News, by Josh Henreckson; 3/6/24Of nearly 450 nursing home providers surveyed, two-thirds are concerned that escalating workforce challenges may force them to close their facility. More than 70% of nursing homes reported staffing levels lower than before the COVID-19 pandemic, with fully 99% saying they are hiring for open positions.

Bringing the hospital homePenn Medicine News, by Mary Beth Budnyk; 3/5/24Since his 2020 diagnosis with multiple sclerosis, Steve Lengle has had good and bad days. The bad days are becoming more frequent as his condition continues to decline, causing debilitating pain, weakness, and fatigue, and affecting everything from his memory to his ability to walk. The Lengles found the help they needed through Penn Medicine Advanced Home Health (PMAHH), a new program that aims to prevent hospitalizations by providing a higher level of in-home care to patients who are experiencing an acute medical concern. Editor's Note: This article describes an example of the fairly new Acute Hospital Care At Home program, launched by CMS in November 2020. 

About 1,000 Minneapolis–Saint Paul nursing home staff go on strike KFF Health News, Morning Briefing; 3/6/24CBS News notes it's one of the biggest strikes seen in the industry in Minnesota. In Connecticut, Gov.Ned Lamont and the state's largest health workers union announced a deal for a 26% rise for home care aides.

InnovAge launches first PACE Center in Florida providing comprehensive healthcare program for seniors to promote independence MarketScreener, Globe Newswire; 3/4/24InnovAge Holding Corp. (“InnovAge”) (Nasdaq: INNV), the industry leader in providing comprehensive healthcare programs to dual-eligible seniors through the Program of All-inclusive Care for the Elderly (PACE) launched a new center in Tampa, its first in the state of Florida. This PACE center has the capacity to serve approximately 1,300 participants.

Opinion: How death can be the chance to serve others WAtoday, by Annie Whitlock; 3/3/24 I see my death as an opportunity to serve others ... . A few years ago, I offered my corpse to the department of anatomy and physiology at the University of Melbourne. The university co-ordinates a body donor program for the purposes of anatomical examination and the precious teaching and study of anatomy to its medical students. ... To the medical students who will be learning from my body I gave the department the following letter: I give you my body. ... Learn from me this one last time. So my organs, flesh and scars tell of times and outcomes that in death I cannot utter any more. ...

Kinship PACE enters greater Chicago marketConnectCRE Chicago & Midwest, by Jasmine Kilman; 2/26/24Cushman & Wakefield has arranged a new long-term 15,310 square-foot lease for Kinship PACE of Illinois at the Bricktown Square shopping mall in Chicago. Kinship PACE of Illinois is a program of all-inclusive care for the elderly (PACE). This latest lease marks Kinship Health’s first location in Illinois.

9 health systems newly approved for 'hospital at home'Becker's Health IT, by Giles Bruce; 2/15/24As of February, CMS has authorized 312 hospitals in 37 states spanning 131 health systems for the programs, where patients with such conditions as heart failure and sepsis are treated at home via nurse visits and virtual physician appointments. The top health systems are caring for dozens of patients per day at home. [Click on the title's link above for] nine new health systems that have been OK'd for the CMS hospital-at-home waiver in the past six months (and their approval dates).

418 rural hospitals at risk of closure, breakdown by state