Literature Review

Anvoi Hospice welcomes Senate proclamation honoring National Hospice Month AN17 Local News, Loranger, LA; Press Release; 11/2/24 On Friday, November 1, Louisiana State Senator Bill Wheat officially recognized November as National Hospice Care Month with a Senate proclamation presented to Anvoi Hospice. 2024 marks the 42nd anniversary of the first Proclamation recognizing November as National Hospice Month. In 1982, President Ronald Reagan signed into law the Medicare Hospice benefit which ensured that millions of seriously ill Americans could die with dignity while receiving care in their own homes. That same year, the president also declared a National Hospice Care Week, which we now celebrate as National Hospice Care Month. “For more than 40 years, hospice has helped provide comfort and dignity to millions of people, ... We were so pleased to collaborate closely with Senator Wheat’s office on this proclamation, and we thank the Louisiana Senate for recognizing the importance of hospice and palliative care,” said Anvoi CEO, Angelique Richardson.Editor's note: Thank you, Anvoi Hospice for your public advocay. Additionally, we recognize the important leadership and state-wide presence of the Louisiana-Mississippi Hospice & Palliative Care Organization (LMHPCO). 

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

The Alliance Celebrates National Care at Home MonthNational Alliance for Care at Home (formerly NAHC and NHPCO); 10/31/24 November marks the start of National Care at Home Month, a new observance created to honor the valuable contributions of home care providers nationwide and inspire outreach to communities, media, and policymakers. National Care at Home Month is spearheaded by the newly formed National Alliance for Care at Home (the Alliance), bringing together the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO). ... National Care at Home Month, like the new Alliance, honors the full continuum of care-at-home providers and the patients and families they serve. This community of providers is stronger together, and National Care at Home Month brings this message into public awareness. ... “National Care at Home Month is an opportunity for our community to come together, celebrate and honor one another, and highlight the transformative care and support provided to patients and their loved ones across the US each day,” said Dr. Steve Landers, CEO for the Alliance. ... [Click on the title's link to continue reading.]

Social determinants of health and US health care expenditures by insurerJAMA Network Open; Giridhar Mohan, MPH; Darrell J. Gaskin, PhD, MS; 10/24US health expenditures have been growing at an unsustainable rate, while health inequities and poor outcomes persist. In this cross-sectional study of 14,918 insured adults, individual-level SDOH were significantly associated with US health care expenditures by Medicare, Medicaid, and private insurers. These findings may inform health insurers and policymakers to incorporate SDOH in their decision-making practices to identify and control health care expenditures, advancing health equity.

Current burden of and geographic disparities in liver mortality and access to liver transplantJAMA Network Open; Nicolas S. Rinella, MS; William Charlton, BS; Gautham Reddy, MD; Paige McLean Diaz, MD; Michael R. Charlton, MD; 10/24This study suggests that rates of LRM [liver-related mortality] have increased dramatically since the COVID-19 pandemic and vary several-fold between states. Rates of liver transplant are paradoxically lowest among residents living in states with the highest LRM. These findings highlight apparent geographic disparities in access to liver transplant that allocation policy cannot address.

Financial hardship: A qualitative study exploring perspectives of seriously ill patients and their familyJournal of Pain and Symptom Management; by Danae G. Dotolo, Christina Clare Pytel, Elizabeth L. Nielsen, Jennifer Im, Ruth A. Engelberg, Nita Khandelwal; 11/24Our analysis revealed three themes: 1) Prioritizing Survival and Recovery; 2) Living with Uncertainty—including experiences of prolonged uncertainty, navigating bureaucratic barriers, and long-term worries; and 3) Preferences for Financial Guidance. Our results suggest patients and families prioritize survival over financial hardship initially, and feelings of uncertainty about finances persist. However, patients and family caregivers are reluctant to have their physicians address financial hardship.

“Postponing it any later would not be so great”: A cognitive interview study of how physicians decide to initiate goals of care discussions in the hospitalAmerican Journal of Hospice and Palliative Medicine; by Elizabeth Chuang, Sabrina Gugliuzza, Ammar Ahmad, Michael Aboodi, Michelle Ng Gong, Amber E Barnato; 11/24Participants were hesitant to commit to the present moment as the right time for [goals of care] GOC discussions based on variations in clinical presentation. Clinical decision support systems that include more targeted information about risk of clinical deterioration and likelihood of reversal of the acute condition may prompt physicians to discuss GOC, but more support for managing discomfort with uncertainty is also needed.

Clinician staffing and quality of care in US health centersJAMA Network Open; Q. Wilton Sun, BA; Howard P. Forman, MD, MBA; Logan Stern, DNP, APRN; et alBenjamin J. Oldfield, MD, MHS; 10/24In this cross-sectional study of 791 US health centers, 5 distinct clinician staffing ratio models were identified, and models emphasizing physicians, advanced practice registered nurses, and physician associates were positively associated with distinct sets of individual quality metrics. Clinician staffing may be associated with certain aspects of care quality, underscoring the importance of strategic, tailored staffing to optimize primary care delivery. In this cross-sectional study of health centers, physician FTE [full time equivalent] ratio was associated with higher performance in cancer screening, infant vaccinations, and HIV testing; APRN FTE ratio was associated with higher performance in preventative health assessments; and PA FTE ratio was associated with higher performance in infant vaccination.

To calm and to commend: Veterans’ musical preferences anticipating end of lifeMilitary Medicine; by Beatrice J Krauss; 11/24Listening to music was the most prevalent of the 20 coping mechanisms for stress in this sample of 30 veterans. Musical preferences were stable across age groups. For calming, music at resting heartbeat rhythms was chosen. Music from early adulthood or from the timelessness of the classics was selected most often. Modern music with lyrics has themes of duty, affirmation, gratitude, and relief. The nearly universal soothing effects of lullabies were recognized. For music for honor ceremonies, desires were often independent of the military branch. Patriotic songs, or songs recognizing multiple service branches, or with themes of peace and affirmation were more often chosen than music from a particular service branch.Publisher's note: Anticipating Veteran's Day on Monday.

Concurrent care and use of advanced cardiac therapies for hospitalized Veterans with heart failureJournal of Pain and Symptom Management; by Tander Simberloff, Laura Godinez, Tiffany Chen, Lan Jiang, Wen-Chih Wu, Jensy Stafford, James L Rudolph, Mitchell Wice; 11/24Veterans with HF receiving concurrent care were few and experienced higher mortality. Rate of burdensome transitions was similar between Veterans receiving concurrent care and those not on hospice. Further research may explore why Veterans infrequently utilize concurrent care at the end of life.

Most heart failure patients miss out on guideline-recommended palliative care Cardiovascular Business; by Dave Fornell; 11/6/24 Over the past decade, the American Heart Association (AHA) and European Society of Cardiology have recommended integrating palliative care into heart failure management. Despite these recommendations, the use of palliative care for heart failure remains low in the United States. Racial and geographic variations in access and use of palliative care are also pronounced, highlighting health disparities. These were the findings of a recent study in the Journal of the American Heart Association. Researchers at Saint Louis University led the study and said only one in eight patients with heart failure in the United States receive palliative care consultations within five years of diagnosis. Their study highlights the alarmingly low uptake of palliative care among adults with heart failure in the U.S., especially compared to patients with cancers that have the same mortality rates. The study also pointed out significant racial and geographic disparities. Black patients were 15% less likely to receive palliative care compared to their white counterparts. They said this disparity is particularly concerning given the higher cardiovascular risk and mortality rates in the Black population.

Adopting tomorrow’s tech: 5 steps to effective AI training in hospice Hospice News; by Mick Stahlberg; 11/7/24 In today’s hospice environment, providers are continually asked to do more with less. Staffing shortages, rising costs and growing patient demands make efficiency a critical component of success. Enter artificial intelligence (AI). From automating administrative tasks to improving scheduling and optimizing resource allocation, AI is poised to significantly enhance operational efficiency at every level. In turn, proper training will play a monumental role in helping teams get comfortable incorporating this technology into their clinical and administrative workflows from day one. Providers will be best served to follow 5 key steps to effective AI training as they work with their technology partners to articulate a comprehensive strategy based on their organization and its unique needs. These steps incorporate:

Fridays are made for catching your breath, expanding your wings, and showing the Universe what you're made of. ~ Anonymous