Literature Review

Palliative care in the intensive care unit: The standard of care AACN - American Association of Critical-Care Nurses; by Clareen Wiencek, PhD, RN, ACNP, FAAN; 6/7/24Intensive care unit–based palliative care has evolved over the past 30 years due to the efforts of clinicians, researchers, and advocates for patient-centered care. ... This article provides an overview of the current state of intensive care unit–based palliative care, examines how the barriers to such care have shifted, reviews primary and specialist palliative care, addresses the impact of COVID-19, and presents resources to help nurses and intensive care unit teams achieve optimal outcomes. [Access to the full article requires subscription or purchase of the individual article.]

4 CEOs share their uncommon - or unpopular - opinionsBecker's Hospital Review; by Kelly Gooch; 5/29/24CEOs shared an unpopular (or uncommon) leadership or healthcare opinion they have. Here are answers collected by Becker's this year.

7 health systems hit by cybersecurity incidents in May Becker's Health IT; by Naomi Diaz; 5/24/24 Several hospitals and health systems have reported cybersecurity incidents that have led to compromised patient data and IT systems during May. Here are seven cybersecurity incidents as reported by Becker's during May. [Click on the title's link for details.]

Kaiser physicians vote to unionizeBecker's Hospital Review; by Kelly Gooch; 5/24/24Resident and fellow physicians employed by Kaiser Permanente hospitals in Northern California voted to join the Committee of Interns and Residents, a local chapter of the Service Employees International Union. Nearly all participating voters (99%) cast ballots in favor of unionization, according to a May 23 CIR/SEIU news release. The National Labor Relations Board has not yet certified the results. Pending certification, the total percentage of residents represented by CIR/SEIU in California will reach 82%, according to the union.

US News adds Medicare Advantage data to rankingsBecker's Hospital Review; by Laura Dyrda; 5/22/24U.S. News & World Report is now including Medicare Advantage data in the rankings for Best Hospitals, according to a U.S. News blog post. The publication previously relied on Medicare data, but as more beneficiaries opt for commercial Medicare Advantage plans, U.S. News decided to expand its scope. The next set of rankings, scheduled for publication on July 16, will include risk-adjusted mortality rates for Medicare Advantage beneficiaries in 11 adult specialties. U.S. News weighted mortality scores at 36% of the overall ratings with traditional Medicare data. The weight will shift with the combined mortality score from both Medicare and Medicare Advantage plans.

Transformative peer connections: Early experiences from the ASCO Palliative Care Community of Practice American Society of Clinical Oncology; by Mazie Tsang, Cristiane Bergerot, Natasha Dhawan, Rushil Patel, Darcy Burbage, Tingting Zhang, Jafar Al-Mondhiry, Joseph McCollom, Ramy Sedhom; 5/22/24 online ahead of print in June 2024  ... there are barriers to implementing palliative oncology at many institutions for myriad reasons. ... In this article, we discuss an innovative strategy that ASCO implemented called the Communities of Practice (CoP). We share our experiences as the Palliative Care CoP and how our group seeks to develop processes and structures to collectively promote systemic change and enhance palliative care delivery for people with cancer. Our Palliative Care CoP engages with senior leaders, administrators, and those in power to achieve a shared vision of delivering holistic health care for people with serious illness. ... [We address] eight main domains:

Tuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leadersInvestors Observier; by PR Newswire; 5/21/24Tuesday Health, a pioneer in value-based care dedicated to transforming serious illness, has launched its innovative supportive care solution in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures , and CareSource. This alliance brings a $60 million strategic investment to Tuesday Health, fueling its mission to redefine supportive care for patients and caregivers facing serious illnesses. "Leveraging clinical expertise, advanced data solutions, and cutting-edge technology, while partnering with Ohio's largest Medicaid plan, its largest hospice provider and the unmatched palliative care experience of Mass General, Tuesday Health is dedicated to tackling one of healthcare's biggest challenges-providing support and care in the right setting, at the right time, for those facing serious illness", said Jim Wieland, CEO of Tuesday Health.Editor's Note: What is the difference between supportive care and palliative care? Click here for a description from ASCO, the American Society of Clinical Oncology. 

HHS puts $50M toward hospitals' ransomware fightBecker's Health IT; by Molly Gamble; 5/20/24A new agency within the National Institutes of Health is launching a $50 million initiative to develop tools for hospital IT teams that enhance their cybersecurity measures and resources to combat ransomware. On May 20, the Advanced Research Projects Agency for Health introduced its Universal PatchinG and Remediation for Autonomous DEfense, or UPGRADE, program. "What if every hospital could autonomously protect itself and patients from cyber threats?" That is the guiding question for the initiative, which aims to develop a tailored and scalable software suite of remediations and patches for hospitals, reducing the patching time for vulnerable healthcare products to days or weeks.

UnitedHealth Group's Optum to close Ohio location, lay off 129Modern Healthcare; by Lauren Berryman; 5/17/24UnitedHealth Group’s Optum will lay off 129 employees and close a Toledo, Ohio, facility, according to a notice filed with the state's job and family services department. The separations are expected to take place in three waves, from July 15 to September 6, and will affect employees in Ohio and remote locations, Optum said in the Worker Adjustment and Retraining Notification Act notice filed Thursday. The affected employees include senior software engineers, senior technology product managers, associate business systems analysts and associate business operations coordinators, the notice said.

Surging hospital prices are helping keep inflation highWall Street Journal; by Melanie Evans; 5/16/24A 7.7% increase in prices at hospitals last month was the highest in 13 years. ... Hospitals didn’t raise prices as early in the pandemic as supermarkets, retailers and restaurants. But they have been making up ground since then. Their increases have contributed to stubbornly high inflation readings from the consumer-price index, which in April increased 3.4% from a year ago. Hospital prices specifically jumped 7.7% last month from a year ago, the highest increase in any month since October 2010, the Labor Department said Wednesday. ... Hospitals sat out the first waves of inflation that swept through the economy in recent years, though not by choice. Their prices were locked in under contracts with health insurers, for more than a year in some cases. As hospitals have renegotiated prices, inflation has taken hold.

The Private-Equity Deal That Flattened a Hospital Chain and Its LandlordWall Street Journal; by Jonathan WeilFollow; 5/7/24Cerberus made a big profit, but Steward went bankrupt and its landlord suffered big losses. In the spring of 2020, Cerberus Capital Management was faced with a tricky financial situation. It owned a struggling hospital chain that needed $400 million to dig out of a deep financial hole, but Cerberus wanted to sell rather than invest more. The deal helped shape much of what followed for Steward Health Care System over the next four years, culminating this week in the Chapter 11 filing of Steward, one of the biggest hospital bankruptcies in U.S. history. ... The 2020 deal paved the way for Cerberus to sell its majority stake in Steward to the hospital chain’s chief executive and others and lock in an eventual $800 million profit. It bought time for the CEO and new majority owner, Dr. Ralph de la Torre, who received a big cash payout himself the next year.

Medicare Advantage will 'sink' rural hospitals, experts warn Modern Healthcare; by Michael Mcauliff; 5/14/24Studies by Chartis [Center for Rural Heaalth] and others paint the bleak picture for rural hospitals. According to a recent estimate by the nonprofit Center for Healthcare Quality and Payment Reform, about 700 rural hospitals are at risk of closing. A recent Chartis report estimated 167 rural hospitals have closed since 2010, with another 418 vulnerable to closure now. [Click on the title's link for patient care examples and more stats.]

Highmark Health lays off dozens of employees Modern Healthcare; by Lauren Berryman; 5/8/24Highmark Health has laid off 47 employees in its latest round of job cuts. The Pittsburgh-headquartered organization owns Highmark Inc., which provides health insurance plans to 6.9 million policyholders in Pennsylvania, West Virginia, Delaware and New York. It also operates Allegheny Health Network, which comprises 14 hospitals. A Highmark spokesperson declined to answer questions about the types of roles or specific locations affected. ... The most recent layoffs, which were first reported by news outlet PennLive Tuesday, follow the 182 jobs Highmark eliminated in March. The organization has laid off at least 229 employees so far in 2024.