Literature Review

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.

Cleveland Clinic names first Chief AI OfficerCleveland Clinic press release; 7/29/24Cleveland Clinic has appointed its first Chief Artificial Intelligence Officer to direct the use of AI across the health system. Ben Shahshahani, Ph.D., a technology executive with more than 20 years of experience in AI and machine learning, will serve as Vice President, Chief Artificial Intelligence Officer, starting Aug. 12, 2024.Publisher's note: Hospice implications...?

Nursing strategies to mitigate separation between hospitalized acute and critical care patients and families: A scoping review Intensive Critical Care Nurse; Sonja Meiers, Véronique de Goumoëns, Lorraine Thirsk, Kristen Abbott-Anderson, Petra Brysiewicz, Sandra Eggenberger, Mary Heitschmidt, Blanche Kiszio, Natalie S Mcandrew, Aspen Morman, Sandra Richardson; 7/26/24 Implications for clinical practice: Permanent policy changes are needed across acute and critical care settings to provide support for nurses in mitigating patient and family separation. We recommend that family members be considered as caregivers and care receivers, not visitors in patient and family-centered care in acute and critical care settings. 

Baptist Health taps 3 vendors to build a population health system that works Healthcare IT News; by Bill Siwicki; 7/26/24With help from Oracle, Innovaccer and Salesforce, the South Florida provider is scoring big population health wins, including a 7% increase in coding gap closure rate and a 17% increase in annual wellness visit completion rates. Baptist Health South Florida operates a network of 11 hospitals covering four counties. It also includes numerous ambulatory facilities, urgent care centers and emergency departments to provide comprehensive healthcare services across the region. ... "One of our primary issues was the fragmented nature of patient data across multiple provider organizations and electronic health record systems," said Milady Cervera, vice president, population health and physician integrated networks, at Baptist Health South Florida. "This lack of interoperability made it difficult to gain a comprehensive view of our patients' health status, care history and ongoing needs. ..."

Rady Children's Hospital nurses strike begins after union turns down deal ABC News 10 San Diego, CA; by Perla Shaheen, Dani Miskell; 7/23/24 The Rady Children's Hospital nurses started hitting the picket line Monday morning. The union representing the nurses recently turned down the hospital's offer of a 25% pay bump over the next three years. The executive director for UNOCH Teamsters Local 1699 says this is the first time they've ever gone on strike. On Sunday, both sides thought they had a deal and would avoid the strike, but late last night, union members voted the agreement down.

The top 10 geriatric hospitals, per US News Becker's Hospital Review; by Elizabeth Gregerson; 7/16/24 ... U.S. News evaluated 1,489 hospitals for their care of patients ages 75 and older, publishing the results July 16. Here are the top 10 geriatric hospitals, as ranked by the publication:

Data-backed talent management: How 1 health system is streamlining operations + reducing costsBecker's Hospital Review; by Becker's in collaboration with AMN Healthcare; 7/17/24Healthcare talent acquisition and management face persistent challenges in today's labor market. How organizations confront these barriers, however, can serve as a key differentiator and lever for improvements in costs and recruits. Springfield, Ill.-based Hospital Sisters Health System (HSHS), a multi-institutional healthcare system that cares for patients across 15 communities in Illinois and Wisconsin, partnered with AMN Healthcare and successfully implemented a new contingent labor strategy to stabilize rates and improve the quality of candidates. Here are four underpinnings that form the foundation of HSHS' and AMN Healthcare's partnership:

Why CommonSpirit Health is investing in the home Becker's Helath IT; by Giles Bruce; 7/18/24 Chicago-based CommonSpirit Health has grown into the country’s largest Catholic provider of care at home. ... Becker's recently sat down with Trisha Crissman, interim executive director of CommonSpirit Health at Home, to discuss the metamorphosis of at-home care. ... [In 2010] ... we established hospice as another service line for the organization. ... And that brings us to where we find ourselves today — as the largest Catholic care-at-home provider in the country, with 84 locations and soon to be about 15 states, serving about 15,000 patients daily, with skilled home healthcare, hospice, palliative care, home infusion. We have many solution models, including "hospital at home," SNF [skilled nursing facility] at home, and ED [emergency department] diversion solutions.

7 hospitals closing departments or ending services Becker's Healthcare; by Andrew Cass; 7/12/24 A number of healthcare organizations have recently closed medical departments or ended services at facilities to shore up finances, focus on more in-demand services or address staffing shortages. Here are seven department closures or services that are ending or have been announced, advanced or finalized that Becker's reported since June 1: 

Cherokee nation: Closing gap in health care disparities Native News Online; by Churck Hoskin, Jr.; 7/14/24 ... American Indians in Oklahoma die on average 17 years earlier than their non-Indigenous neighbors. While this finding is alarming, it comes as no surprise to the Cherokee Nation or to the nearly 40 other tribal nations in Oklahoma. ... Even as we continue our advocacy efforts, we cannot afford to wait for the federal government to fulfill its responsibilities. That's why the Cherokee Nation, which operates the largest Native American health care system in the country, is taking unprecedented steps to address this crisis head-on. ... [We] are confident our historic investments in health care and wellness are improving health outcomes for our Cherokee citizens. Construction continues on the Cherokee Nation’s new $400 million, 400,000-square-foot state-of-the-art hospital being built in the capital city of Tahlequah. The new hospital will include an ER, surgery, ICU, imaging, pharmacy and lab, neo-natal ICU, hospice, dietary and acute care, and many other services. 

A ‘Culture of Caring’: Calvary Hospital’s 125 year legacy in hospice and palliative care Hospice News; by Jim Parker; 7/11/24 Calvary Hospital in New York City is a progenitor of the hospice and palliative care models, but it has its eyes on the future nevertheless. The only hospital in the nation that is specifically devoted to hospice and palliative care, Calvary is celebrating the 125th anniversary of its founding this year. The faith-based organization was established in 1899 by a group of Catholic widows who called themselves the Women of Calvary. Its initial mission was to care for dying women who had been abandoned by the health care system, often with nowhere to live and no one to care for them.

A Hospice Transitions Program for patients in the Emergency Department JAMA Network Open; by Christopher W. Baugh, MD, MBA; Kei Ouchi, MD, MPH; Jason K. Bowman, MD; Ayal A. Aizer, MD; Alexander W. Zirulnik, MD, MPH; Martha Wadleigh, MD; Angela Wise, MHA; Paula Remón Baranda, MEM; Richard E. Leiter, MD, MA; Bradley J. Molyneaux, MD, PhD; Andrea McCabe, RN; Panupong Hansrivijit, MD; Kate Lally, MD; Melissa Littlefield, MBA; Alexei M. Wagner, MD, MBA; Katherine H. Walker, MD, MSc; Hojjat Salmasian, MD, MPH, PhD; Kourosh Ravvaz, MD, PhD; Jada A. Devlin, BSN; Karen Lewis Brownell, RN, BSN, CEN; Matthew P. Vitale, MD; Frantzie C. Firmin, MS, RN; Nelia Jain, MD; Jane deLima Thomas, MD; James A. Tulsky, MD; Soumi Ray, PhD; Lynne M. O’Mara, MPAS, PA-C; Elizabeth M. Rickerson, MD; Mallika L. Mendu, MD, MBA; 7/8/24Patients often visit the emergency department (ED) near the end of life. Their common disposition is inpatient hospital admission, which can result in a delayed transition to hospice care and, ultimately, an inpatient hospital death that may be misaligned with their goals of care. Conclusions and relevance: In this quality improvement study, a multidisciplinary program to facilitate ED patient transitions was associated with hospice use. Further investigation is needed to examine the generalizability and sustainability of the program.Editor's Note: We posted an article on 7/10/24 that describes the significance of this research,"Study finds new program streamlined hospice transitions from the emergency department." 

Study finds new program streamlined hospice transitions from the emergency department Medical Xpress; by Brigham and Women's Hospital; 7/8/24 For patients who are in the final stages of both gradual and sudden terminal illnesses, hospice care can provide safe, comfortable, and dignified care at the end of life. However, many patients, especially those with complex diseases and treatments, may end up in an emergency department (ED) and either die there or die shortly after being admitted into inpatient care at a hospital, despite their goals of care being better aligned with hospice care.