Literature Review

Caring for an aging US population—the good news and the bad newsJAMA Health Forum; by Stuart M. Butler; 5/23/24The US is a rapidly aging society. The proportion of the population older than the retirement age is increasing, and more people will reach very old age. The proportion of people older than 65 years of age is projected to increase from 18% today to 23% by 2054, with the number of individuals older than 100 years of age quadrupling. This trend poses enormous challenges for the health care system and the social structure of the US. For instance, aging is associated with loss of social connections, which is linked to accelerating mental and physical deterioration, including dementia. Caring for very old people with dementia and other chronic conditions is costly, compounded by a desperate shortage of care workers. In 2023, the yearly average cost was more than $116 000 for a private room at a nursing home and the cost was more than $75 000 for a home health aide. Affordable housing options continue to be in short supply. Community and health service organizations are bracing for a major increase in older people experiencing homeless, especially among those with dementia and mental illness. An increasing number of older people may have to move into Medicaid-financed nursing homes as their private resources are depleted, which would also place increasing strain on state and federal budgets. However, there is some good news regarding innovations in health care, technology, and housing...

Great leaders in healthcare | 2024Becker's Hospital Review; by Anna Falvey, Carly Behm, Paige Haeffele, Riz Hatton, Claire Wallace; 5/23/24Healthcare is rapidly evolving and the best leaders have embraced change and are leading organizations on the forefront of transforming care delivery. The [leaders listed] are using innovative digital technology, novel care delivery approaches and creative care solutions to shape the future of healthcare.Publisher's Note: The article includes a long list - mostly large hospital system leaders, which is appropriate given the source. It's likely at least one of these people is in your service area. As always, it's interesting to consider who is selected, why, and where they are. A quick word search for "hospice" occurred once, "palliative" not at all - who might be included in a similar "great leaders in hospice and palliative care" list?

21 hospitals, health systems raising workers' pay Becker's Hospital Review; by Kelly Gooch; 5/20/24 The following hospitals and health systems have announced or shared plans for raising workers' pay this year. Note: This is not an exhaustive list. This webpage was last updated May 20. [Click on the title's link for the detailed list.]

Continuing a 35-Year History, AHRQ Pursues Vital Pathways to Improve Patient CareAHRQ News; by Robert Otto Valdez; 5/16/24The theme of our 35th anniversary celebration is “Today’s Research, Tomorrow’s Healthcare.” As I’ve told my colleagues, we must redouble our efforts to improve healthcare not only in 2024 but also in the decades ahead.  AHRQ fuels research and development in the healthcare industry. Now is the time to plant the seeds for healthcare systems to thrive today and in the future.Publisher's Note: Congratulations to AHRQ and your 35th anniversary! Thank you for the important contributions you've made to hospice, palliative care, and healthcare. We ran this story on 4/1/24, which was funded by AHRQ: Hospice providers serving assisted living residents: Association of higher volume with lower quality.

Optum Rx puts emphasis on predictability with new pricing model Fierce Healthcare; by Paige Minemyer; 5/20/24 Optum Rx is rolling out a new pharmacy model that seeks to make drug costs more predictable and transparent for clients. The Optum Rx Clear Trend Guarantee aligns guarantees into single per member cost, encompassing retail, home delivery, specialty drug and rebate components in one guarantee. It provides an alternative to Optum's Cost Made Clear offering, which includes pass-through models and cost-plus pricing. ... Clear Trend Guarantee will be available on Jan. 1 alongside the existing Cost Made Clear program, Optum said.

I Kept CryingJAMA Network; by Alexis Harmon; 4/15[Opinion] “The patient is a 31-week infant born via crash C-section in the setting of placental abruption.” How many times have I said that sentence as a physician? It seems like a million, or at least enough times that it became routine. At one point during my intern year, my colleagues and I cared for 3 sets of twin neonates all born between 30 and 31 weeks’ gestation. I remember finishing that rotation and feeling like caring for this population no longer felt “scary.” As pediatric residents, we knew how to prepare for these newborns and fully expected that they would have excellent outcomes medically. All this changed when I was curled in the fetal position, midcontraction, my thigh throbbing from a betamethasone injection and my spine burning from a lidocaine injection...Publisher's Note: A reminder that personal experience changes everything...

A Review of "Heartwood: The Art of Living with the End in Mind" by Barbara Becker CU Anschutz; by Darcy Campbell, AGNP-D, ACHPN; 5/14/24 This year, one of our [small group] readings was the book, Heartwood; The Art of Living with the End in Mind, by interfaith pastor Barbara Becker. The book is composed of small vignettes from her life that explore death and dying. Many of her experiences as a hospice volunteer are captured as well. Her book was to be about death, but she learned that in writing about death she really explored what it means to live. Heartwood is the inner core of a tree. While dead it does not decay as it is supported by the outer living rings of the tree. Becker, describes Heartwood as the ideal metaphor for our life, “where life and death cannot exist separately from each other.” ... Working in palliative care, we too are forced to look at our own mortality.

5 tips to support employees with unexpected illness or disability Forbes; by Diane Winiarski; 5/14/24 When employees experience an unexpected illness or a disabling condition, it can be traumatic for them and unsettling for their managers. It is important for employers to demonstrate support and an understanding of each situation. Another way to show support is by pointing them to the federal disability program created to help in this specific instance. ... These five suggestions can help managers be better equipped to support their team members who are dealing with illnesses, accidents or disabilities.

Maryland becomes sixth state to require salary, wage disclosures in job listings McKnights Senior Living; by Kathleen Steele Gaivin; 5/10/24 Maryland soon will join five other states and the Washington, DC, in requiring employers to disclose salary or wage ranges upfront in job listings. Maryland’s requirement goes into effect Oct. 1. The states of California, Colorado, Hawaii, New York and Washington have similar laws in place, with the requirement expected to go into effect in the nation’s capital, on June 30. ... After a first violation, the employer will receive a warning. Fines for noncompliance range then will range from $300 for the second violation to $600 for subsequent violations. 

Beyond medicine: 'Being Mortal' challenges healthcare's approach to death and dying SwiftTelecast; by Shawn Butlere; 5/11/24 This video from the “Frontline” series, titled “Being Mortal,” follows Dr. Atul Gawande as he explores the complex relationships between doctors, patients, and end-of-life decisions. Based on his best-selling book “Being Mortal,” Gawande discusses how medical training often falls short in preparing doctors for the realities of death and dying. The documentary highlights personal stories, including Gawande’s own experiences with his father’s illness and death, to illustrate the challenges in balancing hope with realistic outcomes and the importance of quality life in the face of terminal illness. 

Obie the therapy dog promoted to chief morale officer at North Devon Hospice DevonLive; by Lewis Clarke; 5/10/24 A therapy dog has received his first official promotion after bringing comfort and smiles to patients, families, and staff at North Devon Hospice. Last month, pet therapy dog Obie was awarded the title of chief morale officer in recognition of his work helping patients and loved ones staying on the hospice’s bedded unit to enjoy cuddles and companionship. As well as being popular with those receiving care, Obie is also a welcome visitor for staff at the hospice. 

Two documentaries could bring attention, not all of it wantedMcKnights Senior Living - Editors' Columns; by Lois A. Bowers; 5/13/24 The past couple of weeks have brought news of two upcoming documentaries that promise to shine a spotlight on senior living, warts and all. One, “Caregiving,” will focus on professional and family caregivers “as the United States’ long-term care system threatens to tip into crisis,” according to public media station WETA. The two-hour film will debut on PBS in spring 2025. No doubt the project will draw attention because one of the executive producers is Bradley Cooper, who was a caregiver to his late father when he had lung cancer. "That was a wake-up call for me, ..." he said ... Another project premieres sooner — [today 5/14], in fact — on Paramount+. Whereas “Caregiving” includes someone famous, “Pillowcase Murders” centers on someone infamous, at least to the readers of McKnight’s Senior Living. The three-part docuseries is about the actions of convicted killer Billy Chemirmir, who was sentenced for two murders and suspected in the deaths of more than two dozen older adults in Texas, most of whom were women residents of senior living communities.

Congresswoman Ayanna Pressley and activist Denella Clark join forces to help women giving care to terminally ill loved ones MSN / The Boston Globe; by Adrian Walker; 5/11/24  Ayanna Pressley and Denella James Clark are sisters in a sorority no one wants to join. The congresswoman and the educator-activist are both women who have lost their mothers. Or, more precisely, women who have shared the experience of being principal caregivers to mothers who are terminally ill. ... As they supported each other in the process of grieving, Pressley and Clark thought of the many people — especially the many women — who act as caregivers to their loved ones in the final stages of their lives. So this Mother’s Day Weekend they are launching the Pressley-James Lovin’ Gestures Fund, which will provide financial help to people providing care to terminally ill close relatives. ...