Literature Review
Could this ‘beautiful story’ be the story of the year?
09/18/24 at 03:00 AMCould this ‘beautiful story’ be the story of the year?McKnight's Senior Living; by Lois A. Bowers; 9/16/24When we look back on 2024, we might just call the story of Casey’s Pond the feel-good story of the year in senior living. Or if not the story, certainly one of them. Casey’s Pond, a continuing care retirement community in Steamboat Springs, CO, entered receivership in July, after not being able to pay off millions of dollars in bonds that had been used to construct the community in 2013 and not being able to find a buyer... But along the way, the city of Steamboat Springs made an emergency authorization of $2.5 million to try to save the CCRC, and a local community foundation started a “quiet fundraising campaign” that resulted in millions of dollars in commitments from dozens of donors so that bondholder requirements could be met... Now, the ink is dry on that purchase agreement, which as of Sept. 3 was expected to close within 30 days.
Today's Encouragement: If you can change your mind ...
09/18/24 at 03:00 AMIf you can change your mind, you can change your life. ~ William James, American philosopher and psychologist, and the first educator to offer a psychology course in the United States
Historic numbers of Americans live by themselves as they age
09/18/24 at 03:00 AMHistoric numbers of Americans live by themselves as they age California Healthline, originally published by KFF and ran in The Washington Post; by Judith Graham; 9/17/24Gerri Norington, 78, never wanted to be on her own as she grew old. ... Norington is part of a large but often overlooked group: the more than 16 million Americans living alone while growing old. Surprisingly little is known about their experiences. This slice of the older population has significant health issues: Nearly 4 in 10 seniors living alone have vision or hearing loss, difficulty caring for themselves and living independently, problems with cognition, or other disabilities, according to a KFF analysis of 2022 census data. ... Multiple studies find that seniors on their own are at higher risk of becoming isolated, depressed, and inactive, having accidents, and neglecting to care for themselves. As a result, they tend to be hospitalized more often and suffer earlier-than-expected deaths. ... The most reliable, up-to-date data about older adults who live alone comes from the U.S. Census Bureau. According to its 2023 Current Population Survey, about 28% of people 65 and older live by themselves, including slightly fewer than 6 million men and slightly more than 10 million women. (The figure doesn’t include seniors living in institutions, primarily assisted living and nursing homes.) By contrast, 1 in 10 older Americans lived on their own in 1950. ... [Click on the title's link for the full article. Includes information to republish for free.]
How music therapy helps this young cancer patient in Louisville hold on to 'pure joy'
09/18/24 at 03:00 AMHow music therapy helps this young cancer patient in Louisville hold on to 'pure joy' ABC WHAS-11, Louisville, KY; by Brooke Hasch; 9/17/24Music therapists come prepared for any mood, hoping to bring light to a dark situation. Within the Norton Healthcare system, they help patients cope with pain, discomfort, and anxiety often associated with hospitalization. Brett Northrup's the music therapist for Norton Children's Cancer Institute, a role he stepped into 13 years ago. "I didn't know it existed, and then when I discovered this field, I said, 'this is it. This is what I'm going to do the rest of my life,'" he said. Northrup doesn't miss a beat when a patient's in need of a smile or a moment of normalcy. He's been there many times for 4-year-old Trey Lowman, who's gone through more than most people will in a lifetime. ... "When you put [Trey] and Brett together, it's magic," [Trey's mom] said. "He's full of joy and that's one thing that cancer hasn't been able to take from him."
Mayo Clinic Minute: Palliative medicine for cancer patients
09/18/24 at 03:00 AMMayo Clinic Minute: Palliative medicine for cancer patients Mayo Clinic; by Sonya Goins; 9/16/24 Patients undergoing cancer treatments often use palliative medicine to cope with nausea, fatigue and other bothersome symptoms. Palliative medicine is a medical specialty whose main focus is supporting patients and families/caregivers who need help managing symptoms related to cancer or side effects related to the treatment of cancer, along with other life-limiting diseases. Dr. Touré Barksdale, a Mayo Clinic cancer rehabilitation and palliative medicine specialist, explains the benefits of palliative care.
AI 'early warning' system shows promise in preventing hospital deaths, study says
09/18/24 at 03:00 AMAI 'early warning' system shows promise in preventing hospital deaths, study says Pique NewsMagazine, Toronto, Canada; by Nicole Ireland; 9/16/24 An AI early-warning system that predicts which patients are at risk of deteriorating while in hospital was associated with a decrease in unexpected deaths, a new study says. The study, published Monday in the Canadian Medical Association Journal, found a 26 per cent reduction in non-palliative deaths among patients in St. Michael's Hospital's general internal medicine unit when the AI tool was used. "We've seen that there is a lot of hype and excitement around artificial intelligence in medicine. We've also seen not as much actual deployment of these tools in real clinical environments," said lead author Dr. Amol Verma, a general internal medicine specialist and scientist at the hospital in Toronto. "This is an early example of a tool that's deployed that was rigorously tested and evaluated and where it's showing promise for actually helping improve patient care." ... The technology called CHARTwatch continuously analyzed more than 100 different pieces of information about each patient in the unit, Verma said. When the AI tool predicted that a patient was deteriorating, it sent an alert to physicians and nurses, prompting them to quickly intervene.
Remembering Martin Paley, Berkeley philanthropic leader who headed San Francisco Foundation
09/18/24 at 03:00 AMRemembering Martin Paley, Berkeley philanthropic leader who headed San Francisco Foundation Berkeleyside Obituaries; by family and friends of Martin Paley; 9/16/24 Martin A. Paley, a civic leader and mentor who personified the common good to benefit the whole Bay Area, died on Sept. 12 in Oakland. [Martin's extensive philanthropy leadership is described.] ... Martin died as he lived, endeavoring to have his actions match his values in a Hospice program, which he introduced to the Bay Area in 1978 with a visit from a leading practitioner from England. Martin A. Paley, through his mentoring and a life lived with common good values, the Bay Area gained from his inspirational leadership.
Top 5 topics at Modern Healthcare's Leadership Symposium
09/18/24 at 03:00 AMTop 5 topics at Modern Healthcare's Leadership SymposiumModern Healthcare; 9/16/24Here are five topics executives shared their thoughts on during the day-long event in Washington, D.C.:
[Oregon] Samaritan Health Services lowers executive pay, reduces workforce
09/18/24 at 03:00 AM[OR] Samaritan Health Services lowers executive pay, reduces workforceModern Healthcare; by Alex Kacik; 9/16/24Corvallis, Oregon-based Samaritan laid off 80 employees in response to inflation, cyber incidents, inclement weather, volume reduction and declining reimbursement rates, a spokesperson said Monday. Most of the layoffs were not patient-facing positions, the spokesperson said.
After 138 years, the Visiting Nurses Association of Greater Philadelphia will shut down all health care services next month
09/18/24 at 02:30 AMAfter 138 years, the Visiting Nurses Association of Greater Philadelphia will shut down all health care services next month PBS WHYY NPR; by Nicole Leonard; 9/16/24 The Visiting Nurses Association of Greater Philadelphia, a nonprofit home health care provider, is shutting its doors after a 138-year run. All services, including hospice and palliative care, will cease Oct. 28. Complete details on reasons for the closure, and the long-term effects on patients and employees, are scarce at the moment, but in a statement on its website, the organization said “unsustainable financial losses” led to the decision. Nonprofit leaders said they are working to transition patients and families to new placements and care providers.
How can you spot bad leadership quickly? Look for 6 warning signs
09/18/24 at 02:30 AMHow can you spot bad leadership quickly? Look for 6 warning signs Inc.; by Marcel Schwantes; 9/16/24 Back in my HR days many moons ago, I hired a candidate for a senior management position. During his first week on the job, I stopped by his office to greet him. I overheard him on the phone with a vendor, and his behavior was in stark contrast to the person we had hired. I felt embarrassed by his conduct. Over time, there was a high turnover in his department. I have witnessed numerous counterproductive behaviors in middle and upper management. Here are six toxic traits that I have identified, which are detrimental to leading effectively. ...
Breaking the barriers in information sharing: Changing the discussion from legal risk to C-suite opportunity
09/18/24 at 02:10 AMBreaking the barriers in information sharing: Changing the discussion from legal risk to C-suite opportunity N2K; by Rick Howard; 9/16/24 In the evolving landscape of cybersecurity, sharing information among institutions is critical to bolster defenses against increasingly sophisticated threats. Cooperation between organizations can strengthen everyone’s defenses, but such an approach requires openness and transparency, something that many organizations have been reluctant to do. ... The C-suite – comprising top executives such as the CEO, CFO, CIO, CISO, and others – plays a critical role in shaping an organization's approach to cybersecurity. In the context of information sharing, the C-suite's role is pivotal in driving the cultural and operational changes necessary to transition from a risk-averse stance to one that recognizes the strategic value of collaboration and information exchange. One of the most successful initiatives that C-suite leaders can champion is participation in industry-specific Information Sharing and Analysis Centers (ISACs). ... [Following discussions include:] The business case for information sharing ... Enhanced risk management ... Cost savings and resource efficiency ... Compliance and legal benefits ... Innovation ... Professional Development ... Challenges to information sharing ... Legal and regulatory complexities ... Risk of exposure and misuse ... Trust issues among organizations ... Technical barriers ... Cultural and organizational obstacles ... Sharing information ... Categorize information by sensitivity ... Assess recipients ... Vet the data ... Monitoring and oversight ... Engaging in industry-wide collaboration ... Real world examples - Health-ISAC and the faulty CrowdStrike update ... The path forward ... [Click on the title's link for the full article and a whitepaper.]
From profit to purpose: Adapting leadership in the nonprofit sector
09/18/24 at 02:05 AMFrom profit to purpose: Adapting leadership in the nonprofit sector Forbes; by Peter Sanchez; 9/16/24 Some leadership traits are universal: empathy, integrity, positivity and clear communication. Others are specific to certain kinds of businesses. In my journey from large for-profit companies and tech startups to the nonprofit sector, I have had to adapt my leadership approach in some fundamental ways. Here are a few tips for anyone making this transition.
Talk about death, but live your life: What people working in end-of-life care have learned
09/18/24 at 02:00 AMTalk about death, but live your life: What people working in end-of-life care have learned Yahoo Life; by Elena Sheppard; 9/16/24 Eventually, we are all going to die. It’s a reality that most people are uncomfortable with and do everything they can to avoid thinking about. But for people who work in end-of-life care, such as hospice workers and death doulas, death is both a fact of the job and a part of their everyday reality. While the work may sound grim, those who do it say that their daily proximity to death doesn't cast a shadow over their lives; rather, it has enabled them to more purposefully celebrate life’s beauty. ... Yahoo Life spoke to hospice professionals to hear the life lessons they’ve learned by working so closely with death. Here’s what they said. ...
Bayada, HomeWell leaders share strategies for recognizing and retaining office staff
09/17/24 at 03:00 AMBayada, HomeWell leaders share strategies for recognizing and retaining office staff Home Health Care News; by Audrie Martin; 9/13/24 Office staff have the highest client satisfaction scores among home health care provider employees. They also have the lowest administrative salaries. These salaries can impact job satisfaction and cause employees to seek employment elsewhere, according to the 2024 Activated Insights Benchmarking Report. Some organizations are turning to recognition to combat this trend. “Employee recognition is no longer a ‘nice to do,’” Michelle Cone, senior vice president of training and brand programs at HomeWell Care Services, told Home Health Care News. “Recognizing employees should be considered table stakes in this post-pandemic landscape. With a focus on employee retention, engagement, and overall satisfaction and its direct correlation to top-quality care, recognition to support retention and drive satisfaction is vital.” ... [Jeff Knapp, Chief People Officer of Bayada told HHCN,] “For office staff, excellence awards are one favorite. Employees are nominated and selected yearly and celebrated at our annual gathering. Categories include clinical leadership, client services leadership and enterprise support. We also give years of service awards to recognize employee loyalty and commitment.”
YoloCares: Ten years in ... and we're just getting started
09/17/24 at 03:00 AMYoloCares: Ten years in ... and we're just getting startedThe Davis Enterprise [CA]; by Craig Dresang; 9/14/24A longtime colleague who runs a large healthcare organization in the Washington, D.C., area recently asked me, “What is the most valuable thing you’ve fostered in your organization?” Needing no time to think, I immediately responded: Culture and stick-to-itiveness... I will share the guiding principles that helped shape the last ten years and will light the path for the next decade:
Crossroads Hospice & Palliative Care is primed for continued success
09/17/24 at 03:00 AMCrossroads Hospice & Palliative Care is primed for continued success 9/13/24; Business Wire - Crossroads Hospice & Palliative Care; by Lisa Simon; 9/13/24 Crossroads Hospice & Palliative Care, the leading end-of-life care company, is affirming its commitment to growing its four Ohio locations in Cleveland, Northeast Ohio, Cincinnati and Dayton along with two others, one outside Philadelphia, Pennsylvania and one in Memphis, Tennessee. “We are committed to building our remaining locations and we have the depth of talent and proven standards for the highest quality care and the most time spent bedside, including attended deaths, compared with any other hospice. This is an opportunity for Crossroads to reach its highest potential.” That’s after selling five locations in Missouri, Kansas, Oklahoma and Georgia to Spartanburg, SC-headquartered Agape Care Group, a portfolio company of Ridgemont Equity Partners, earlier this week. Crossroads had been considering a strategic sale of some locations for a number of reasons. Now company leaders are viewing the future of the 29-year-old leader in hospice and palliative care with enthusiasm as they become a more streamlined company with a smaller geographic footprint. “The potential for innovation has never been higher,” said Crossroads CEO and Co-Founder Perry Farmer. “We are committed to building our remaining locations and we have the depth of talent and proven standards for the highest quality care and the most time spent bedside, including attended deaths, compared with any other hospice." ... COO and Co-Founder Clayton Farmer agreed while acknowledging how entrenched Crossroads is in the markets where it operates. “We want our valued referral partners in Ohio, Pennsylvania and Tennessee to know we are here to continue serving their patients and families and we will strive to continue to beat all national averages on key hospice industry metrics.”
Private equity acquisition of physician practices — Looking for ethical guidance from professional societies
09/17/24 at 03:00 AMPrivate equity acquisition of physician practices — Looking for ethical guidance from professional societiesJAMA Network; by Peter A. Ubel; 9/13/24In 2012, private equity firms purchased approximately 75 physician-owned practices; by 2021, that number had risen to almost 500. Most commonly, firms have sought high-paid subspecialty practices. For example, dermatologists make up approximately 1% of physicians in the US, whereas dermatology practices account for 15% of private equity acquisitions. Private equity firms can offer valuable administrative support to clinical practices. Some firms offer expertise to help practices respond to rapidly changing regulatory and reimbursement environments. Firms also provide financial rewards to clinicians who have often spent decades building successful practices. However, private equity acquisitions can also lead to ethically troubling consequences. For example, to maximize the return on their investments, private equity firms sometimes pressure clinicians to see more patients, perform more procedures on those patients, and upsell patients on products not reimbursed by insurance, such as acne creams stocked in dermatology offices. In addition, after being acquired by firms, medical practices often raise medical prices, including an increase in out-of-network billing and surprise bills. These price increases harm patients by increasing their out-of-pocket expenses and, potentially, reducing their ability to pay for care, thus contributing to financial nonadherence and medical debt... In short, some professional societies offer guidance on how to promote members’ interests when selling to private equity, even reminding them to factor the value of their real estate into the sale price, but they offer scant information on the ethical tradeoffs created by such sales.
Kaiser Permanente to exit skilled nursing business
09/17/24 at 03:00 AMKaiser Permanente to exit skilled nursing business Modern Healthcare; by Diane Eastabrrok; 9/11/24 Kaiser Permanente is getting out of the nursing home business, closing its lone skilled nursing facility, a spokesperson confirmed in an email Wednesday. The nonprofit health system is shutting down the 176-bed nursing home in San Leandro, California in November, which will displace approximately 250 workers, the spokesperson said. He added that staff are working to transition patients either to their homes or to other skilled nursing facilities in the area.
Destin welcomes its first inpatient hospice care center: VITAS suites at Destination Health and Rehabilitation
09/17/24 at 03:00 AMDestin welcomes its first inpatient hospice care center: Vitas suites destination health and rehabilitation South Florida Hospital News, Destin, FL; by cfelixcpa; 9/13/24 Patients nearing the end of life who reside in Okaloosa and Walton counties now have access to inpatient hospice care at the VITAS Suites at Destination Health and Rehabilitation in Destin, Florida. This is the first and only inpatient unit for hospice patients in the two-county region. The nation’s leading provider of end-of-life care celebrated the grand opening of the new suites and is now accepting hospice-eligible patient referrals. ... “The new suites help VITAS further serve the greater community of Pensacola, filling a vital need for acute symptom management for end-of-life patients in the area,” said VITAS General Manager Chasity Tedford.
The 9 college majors that lead to the most fulfilling careers ... [Music therapy]
09/17/24 at 03:00 AMThe 9 college majors that lead to the most fulfilling careers ... NBC 7 San Diego, CA; by Kamaron McNair; 9/14/24 If you want your degree to help you land a fulfilling job, consider studying music therapy. The medical and therapeutic fields are among the college majors helping graduates get jobs that make the world a better place, according to graduates surveyed in a recent Payscale report.24/7 San Diego news stream: Watch NBC 7 free wherever you are Alumni with bachelor's degrees in music therapy are most likely to do this kind of fulfilling work, with 95% of degree-holders saying their work makes the world a better place, Payscale finds. Music therapy programs cover coursework in music, music therapy, science and psychology, according to the American Music Therapy Association. ... Music therapists may work in traditional settings, offering services to clients working through physical disabilities or mental health issues. People in hospice care, substance abuse programs and cancer treatment centers have also benefited from music therapist visits, according to the AMTA.Editor's note: Click here for facts and descriptions about "Music Therapy in Hospice Care," by the American Music Therapy Association (AMTA). To recruit a certified music therapist for hospice (or other setting), visit AMTA's Job Hotline.
Home care, hospice firms selected among top workplaces in senior care services
09/17/24 at 03:00 AMHome care, hospice firms selected among top workplaces in senior care servicesMcKnight's Home Care; by Adam Healy; 9/13/24Fortune magazine’s best workplaces list for 2024 included 15 aging services providers specializing in home-based care and hospice... [Hospice providers included] Butte Home Health and Hospice [CA, #4], Avow Hospice [FL, #10], Haven Hospice [FL, #13], and Chapters Health System [FL, #15].
The persistent stigma attached to dementia encourages denial
09/17/24 at 03:00 AMThe persistent stigma attached to dementia encourages denial InForum; by Carol Bradley Bursack; 9/14/24 Dear Carol: ... At age 70, I was diagnosed with mild cognitive impairment (MCI). Theoretically, that diagnosis means that I have a few more memory glitches than normal for my age. A percentage of people with MCI will develop Alzheimer’s disease, but not all. Yet, some family members treat me like I shouldn’t make decisions beyond what I want for dinner. ...Dear Al: The stigma attached to mental illness, cognitive decline, and even aging, illustrates widespread ignorance of facts. The more people like you speak up the better the future will be for others. ... For now, work on educating your family about MCI. ... Here's a start:
Here's what for-profit systems are watching as 2025 approaches
09/17/24 at 03:00 AMHere's what for-profit systems are watching as 2025 approaches Modern Healthcare; by Caroline Hudson; 9/9/24 Large for-profit healthcare systems are investing in new facilities to meet patient demand and navigating changes in reimbursement rules to ensure those care sites remain stable. Executives from HCA Healthcare, Tenet Healthcare, Community Health Systems and Universal Health Services joined insurers, pharmaceutical companies and others in the spotlight ... at the annual Wells Fargo Healthcare Conference in Boston. ... Here are five takeaways from the for-profits' discussions.
Today's Encouragement: You don't have to see the whole staircase ...
09/17/24 at 03:00 AMYou don't have to see the whole staircase, just take the first step. ~ Martin Luther King, Jr.