Literature Review

[UK] End-of-life care demand for dementia patients set to surge, study warns Jersey Evening Post, United Kingdom; by UK News; 9/16/24 The number of people living with dementia who require end-of-life care is set to “substantially increase” in the coming years, according to a study. ... Researchers said: “Previous projections of the number of people with dementia who will have palliative care needs in England and Wales were based only on the number of people who died with dementia, and did not take into account people living with dementia. Thus, it is likely that the prevalence of palliative care needs among people with dementia in England and Wales has been considerably underestimated. Our analysis shows that even if dementia incidence declines between 2018 and 2040, the number of people living with dementia in England and Wales who have palliative care needs will increase substantially by 2040, reaching levels far greater than previous estimates based on mortality data.”Editor's note: How do these projection processes in the UK compare or contrast with the USA data you use? For more immediate information about current resources, click here for the Alzheimer's Assocation "Support for People Living With Dementia" and click here for 

More home health providers sunset relationships with largest Medicare Advantage players Home Health Care News; by Andrew Donlan; 9/13/24 Essentia Health--a regional nonprofit health system with a substantial home health arm--announced this week that it will no longer serve as an in-network provider for UnitedHealth Group. ... Dr. Cathy Cantor, Essentia’s chief medical officer for population health, said in a statement ... “The frequent denials and associated delays negatively impact our ability to provide the timely and appropriate care our patients deserve. This is the right thing to do for the people we are honored to serve.” Headquartered in Duluth [MN], Essentia Health provides care across Minnesota, Wisconsin and North Dakota. Its network includes about 15,000 employees, 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, and much more. It also has a robust home health and hospice business. The company has informed patients that it will no longer serve as an in-network provider for the above-mentioned MA payers beginning Jan. 1. ... Sanford Health, a health system based in Sioux Falls, South Dakota, announced a similar plan this week. 

Telehealth palliative care helps people living with advanced cancer Cancer Health; by Liz Highleyman; 9/9/24 Virtual palliative care can be as effective as in-person care, according to a recent study. Oncology palliative care is intended to relieve symptoms and improve quality of life. It is not the same as hospice care, and it can help people at any stage of cancer. National guidelines recommend integrating palliative care from the time of diagnosis for people with advanced cancer, but it is underutilized in part due to a shortage of trained providers. This study included 1,250 adults at 22 U.S. cancer centers who were diagnosed with advanced non-small-cell lung cancer. They had palliative care sessions every four weeks conducted either via video or in person. After six months, quality-of-life scores were equivalent in the two groups. They also did not differ significantly in terms of depression or anxiety, coping skills, understanding treatment goals or perception of their prognosis.

Hospice of the Foothills announces umbrella name, Foothills Compassionate Care YubaNet.com; by Hospice of the Foothills; 9/10/24 As we celebrate 45 years as this community’s only nonprofit hospice, Hospice of the Foothills is excited to announce that we are formalizing our structure a bit to fit all of our programs under one all-encompassing organizational name. Going forward, Hospice of the Foothills, Sierra Community Palliative Care, Foothills Gift & Thrift Stores, and our Bereavement Programs will operate under the unified umbrella of Foothills Compassionate Care. Each program/service will maintain its name and identity but will be united under one umbrella.  We feel his strategic alignment will highlight all that we do more clearly and reinforce our commitment to providing compassionate, community-centered care without changing the ownership, staff, or core mission that our community has trusted for years. ... This is not about changing what works; it’s about creating a formal structure that reflects the comprehensive care we’ve always provided.

Blue Ridge Hospice expanding mission to serve people better, sooner The Winchester Star, Winchester, VA; by Brian Brehm; 9/9/24 “We’re calling this a year of transformation,” said Jason Parsons, who was named CEO of the Winchester-based nonprofit in December. “Blue Ridge has been around for 43 years and this year, 2024, we’re transforming ourselves into Blue Ridge Care, which includes Blue Ridge Hospice, Blue Ridge Independence at Home — which is our PACE (Program of All-Inclusive Care for the Elderly) program — Blue Ridge Palliative Care Services and our eight thrift shops.” It’s a sweeping change for an organization that most people only associate with end-of-life care. Parsons ... said Blue Ridge Care will continue to provide graceful exits for patients in the final chapter of their lives, but it will also expand its focus to improve the quality of life for seniors who still have a lot of stories to tell.

Alivia Care, Inc. introduces Alivia Care @ Home to northeast Florida PR.com, Alivia Care, Inc. Press Releases, Jacksonville, FL; 9/8/24 Alivia Care, Inc., the parent organization of Community Hospice & Palliative Care, is proud to announces Alivia Care @ Home in Northeast Florida. This change marks a significant milestone in the company's mission to enhance the quality of life for patients through exceptional home care, home health, and supportive care services. As part of this initiative, Alivia Care, Inc. recently opened Alivia Care @ Home offices in Gainesville and Ocala last month, furthering their commitment to serving the North Florida community. Alivia Care @ Home offers specialized services for patients who prefer to receive treatment at home. ... Alivia Care @ Home offers a full spectrum of specialized services, including nursing, physical, occupational, and speech therapies. 

National Health Statistics Reports: Overview of Post-acute and Long-term Care Providers  and Services Users in the United States, 2020 CDC U.S. Centers for Disease Control and Prevention; by Jessica P. Lendon, Ph.D., Christine Caffrey, Ph.D., Amanuel Melekin, Ph.D., Priyanka Singh, M.P.H., Zhaohui Lu, M.S., and Manisha Sengupta, Ph.D; dated 8/27/24, released 9/7/24 Objective: This report presents national results from the National Post-acute and Long-term Care Study to describe providers and services users in seven major settings of paid, regulated post-acute and long-term care services in the United States. Methods - Data Sources: Data include about 11,400 home health agencies, 5,200 hospices, 1,200 inpatient rehabilitation facilities, 350 long-term care hospitals, and 15,300 nursing homes. Results:

Year-over-year health spending growth highest ‘by far’ for home healthcare McKnights Senior Living; by Lois A. Bowers; 7/28/24 Year-over-year growth in national health spending in June was highest “by far” for home healthcare, at 20.9%, compared with other major healthcare categories, according to a brief issued late Tuesday by Altarum. Most of the growth, 18.5 percentage points, was due to changes in utilization rather than price, George Miller, PhD, Altarum fellow and research team leader, told the McKnight’s Business Daily. “Nursing home care spending was a distant second, at 10.0% year-over-year growth,” Miller said. By comparison, year-over-year spending growth was 8.3% for prescription drugs, 8.2% for hospital care, 7.3% for dental services and 6.6% for physician and clinical services, according to the report. Overall, spending on healthcare goods and services grew by 8.1% between June 2023 and June 2024, with utilization growth continuing to outpace price growth.

Improving post-hospital care of older cancer patients Cancer Health; by University of Colorado Cancer Center and Greg Glasgow; 8/26/24 A few years ago, University of Colorado Cancer Center member and hospitalist Sarguni Singh, MD, began to notice a troubling trend: Older adults with cancer who were leaving the hospital for skilled nursing facilities after treatment were being readmitted to the hospital or having worse outcomes while in rehabilitation. ... Singh knew of an intervention called Assessing and Listening to Individual Goals and Needs (ALIGN) — a palliative care social worker-led protocol aimed at improving quality of life, aligning goals of care, and providing support to patients and caregivers — and she began using it for cancer care. ... The results were overwhelmingly positive, and patients and caregivers told us, ‘This was so helpful,’” says Singh, associate professor of hospital medicine in the CU School of Medicine.

Home health care agency going through changes KSAL.com; by Todd Pittenger; 8/22/24 According to Memorial Health System of Abilene, Home Health & Hospice of Dickinson County (HH&H) has covered many miles throughout Dickinson, Morris, and Marion counties for many years. ... While it was never about profit  and more about going the extra mile to take care of the people in the community, the small agency can no longer support the supply and demand of what it takes to provide these services.  They have taken a loss for several years and can no longer sustain that loss. Home Health & Hospice of Dickinson County is not closing. Their local staff is proud to be the only agency in the community that provides the kind of quality care to neighbors, friends, and family, and  will continue to do so.  HH&H has been in contact with multiple agencies that can assist patients to locate agencies or individuals who can provide these types of services and they are ready to assist. [List of resources]

St. Louis Man sentenced for home health care fraudDOJ press release; 8/21/24U.S. District Judge Stephen R. Clark on Tuesday sentenced a man who used his brother’s identity to fraudulently obtain money from the Missouri Medicaid Program to six months of incarceration and six months of house arrest. Judge Clark also ordered Christopher J. Spencer, 46, to repay $56,173 to Missouri’s Medicaid Program. Spencer made false statements from June 2018 to February 2022 in connection with claims for Medicaid-reimbursed personal care assistance services.

“What I wish I knew about dementia”: A caregiving only child’s experience The Healthy; by Dr. Patricia Varacallo, DO; 8/20/24 It's no secret dementia affects the brain of the patient, and tests the hearts of their loved ones. Through one woman's personal journey, experts advise on the emotional, medical, and financial aspects of caregiving for dementia. ... Drawing from Ann’s caregiving journey and insights from Dr. Wint and Lucille Carriere, PhD, Cleveland Clinic Angie Ruvo Endowed Caregiving Chair, we share their collective wisdom on what they wish more people knew about dementia.