Literature Review



From caregiving to mourning: Navigating the end of the road as a family caregiver

05/24/24 at 03:00 AM

From caregiving to mourning: Navigating the end of the road as a family caregiver The San Diego Union-Tribune; by Lauren J. Mapp; 5/21/24 ... Losing a loved one is universally challenging, but for family caregivers who dedicated themselves to their care, the loss can be especially complicated. When a loved one dies, family caregivers often find themselves grappling with a whirlwind of emotions, from sorrow and grief to relief and sometimes guilt. This emotional roller coaster is compounded by the physical and emotional toll of providing round-the-clock care. ... A significant aspect of the grieving process for family caregivers is the transition from the role of caregiver to that of mourner. This shift can be jarring for many, as their identity may have been closely tied to their caregiving responsibilities. ... Editor's Note: For 24/7 online education for family caregivers throughout their trajectory of serious illness thorhrough hospice care and their bereavement journey, visit our sponsor Composing Life Out of Loss's Video Libraries. 

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[NHPCO] Memorial Day Resources and Social Media Graphics

05/24/24 at 03:00 AM

[NHPCO] Memorial Day Resources and Social Media Graphics NHPCO; We Honor Veterans webpage; retrieved from the internet 5/23/24 The National Hospice & Palliative Care Organization provides various "Memorial Day Resources and Social Media Graphics" on this page of its "We Honor Veterans" program.

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Educating the future of hospice and palliative care

05/24/24 at 03:00 AM

Educating the future of hospice and palliative carePortage.life; by Center for Hospice Care; 5/21/24This spring students at the University of Notre Dame gained insight into the delivery of care to patients and families dealing with serious advanced illnesses. The university, in partnership with Center for Hospice Care (CHC), once again offered the course “Introduction to Hospice and Palliative Care” that was designed by Dr. Dominic Vachon, Director of Ruth M. Hillebrand Center for Compassionate Care in Medicine and Mike Wargo, COO and vice president of the Hospice Foundation. The five-week class covered a variety of topics focused on hospice and palliative care and was taught by CHC staff including physicians, social workers, chaplains, bereavement counselors and other hospice and palliative care support staff.

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Steward proposes timeline for selling assets in bankruptcy

05/24/24 at 03:00 AM

Steward proposes timeline for selling assets in bankruptcy Modern Healthcare; by Caroline Hudson; 5/20/24Steward Health Care is seeing interest from potential buyers of its 31 hospitals, particularly in Massachusetts and Arizona, and it hopes to complete sales this summer. The health system, which filed for Chapter 11 bankruptcy protection earlier this month, also is in advanced discussions with UnitedHealth Group's Optum to buy physician network Stewardship Health. Optum, which had been negotiating with Steward before the bankruptcy filing, submitted a "stalking horse" bid. A stalking horse bid is the initial bid on a bankrupt company's assets that helps set the minimum price for other potential buyers. Steward also is in discussions with "various third parties" for its northern Massachusetts facilities, the health system said in a bankruptcy court filing last week.

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Today's Encouragement: For the long weekend ...

05/24/24 at 03:00 AM

For the long weekend: Time you enjoy wasting is not wasted time. - Marthe Troly-CurtinEditor's Note: This quote has been used by John Lennon, T. S. Elliot, Soren Kierkegaard, Bertrand Russell, and others.

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Executive Personnel Changes - 5/24/24

05/24/24 at 03:00 AM

Executive Personnel Changes - 5/24/24

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Uber expands healthcare reach with new patient transport platform

05/24/24 at 03:00 AM

Uber expands healthcare reach with new patient transport platform Modern Healthcare / Crain's New York Business; by Amanda Glodowski; 5/17/24 Uber has announced a new platform to help caregivers facilitate transportation for those they care for. The move also further expands the company’s footprint in the healthcare space. The new offering ...  allows caregivers to request and monitor rides and deliveries of prescriptions, groceries and over-the-counter items for those they care for. In the coming months, Uber said it will start to partner with Medicare Advantage, Medicaid and commercial plans to reimburse consumers for the cost.

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America’s biggest Medicaid insurer just pledged to help build nearly $1 billion of affordable housing: ‘We know 80% of what drives health is nonmedical’

05/24/24 at 03:00 AM

America’s biggest Medicaid insurer just pledged to help build nearly $1 billion of affordable housing: ‘We know 80% of what drives health is nonmedical’ Fortune Well; by Marco Quiroz-Gutierrez; 5/20/24The nation’s largest Medicaid insurer is pledging to help build nearly $1 billion worth of affordable housing in eight states as it moves to address one of the biggest determinants of health. ... “We know 80% of what drives health is nonmedical. Eighty percent,” Dr. Michelle Gourdine, senior vice president at CVS Health, said earlier in the conference. “We could have the best doctors in the universe and it would only fix 20% of the problem.”  

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How value-based models can aid palliative care team recruitment

05/24/24 at 03:00 AM

How value-based models can aid palliative care team recruitment Hospice News; by Jim Parker; 5/22/24 A transition from fee-for-service to value-based payment models could help palliative care providers boost recruitment and retention. Providers walk a tightrope when it comes to ensuring that their palliative care services are financially sustainable, including the ability to attract and compensate staff at competitive rates. In today’s predominant reimbursement structure, palliative care programs are often loss leaders. But moving away from fee-for-service towards value-based payment could make a difference when it comes to hiring and retention, according to Dr. Jennifer Blechman, palliative care medical director at the Oregon-based nonprofit Partners in Care. ...

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Understanding the role of Learning & Development in employee well-being

05/24/24 at 03:00 AM

Understanding the role of Learning & Development in employee well-being Today Headline - Education News; 5/21/24... The Connection Between Learning and Well-Being: Learning and Development programs [L&D] are often associated with upskilling, reskilling, and career advancement. But their potential extends far beyond professional growth. Learning can have a positive impact on employee well-being, too. When employees are engaged in continuous learning and skill development, their overall sense of well-being improves significantly. ... [The] role of L&D in employee well-being. ...

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Androscoggin Home Healthcare + Hospice rebrands to ‘Andwell Health Partners’

05/24/24 at 02:00 AM

Androscoggin Home Healthcare + Hospice rebrands to ‘Andwell Health Partners’ Home Health Care News; by Andrew Donlan; 5/21/24 The Maine-based Androscoggin Home Healthcare + Hospice is rebranding to “better reflect its evolutions and future,” and will be operating under the name Andwell Health Partners moving forward. ... Andwell – formerly Androscoggin – is a nonprofit operator that employs more than 500 workers across all 16 counties in Maine. The company ... has expanded past just home health care over the years to provide hospice, palliative, behavioral health and pediatric care services to patients. Its president and CEO, Ken Albert, has served on the board of the National Association for Home Care & Hospice (NAHC) ... including as chairperson of the board. ... The word Andwell is “an amalgamation of the organization’s history, mission and services,” the company said. Specifically, the “And” makes reference to Androscoggin, the “Well” emphasizes the focus on health and wellbeing and “Dwell” evokes its home-based care focus.

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Home health, hospice veterans behind BoldAge PACE’s nationwide expansion

05/23/24 at 03:00 AM

Home health, hospice veterans behind BoldAge PACE’s nationwide expansion Home Health Care News; by Andrew Donlan; 5/20/24 BoldAge PACE – a Program of All-Inclusive Care for the Elderly (PACE) operator – is expanding, led by a leadership team filled with multiple home health and hospice veterans. In May, the company opened two new locations in Kentucky and Indiana, and the plan is to open up more locations in short order. As of right now, it has 14 locations spanning coast to coast, located in California, Illinois, Indiana, Kentucky, Ohio, South Carolina, Florida and New Jersey. ... “I think there’s a lot of similarities [between PACE] and where hospice was in the ‘80s,” Russell Hilliard, the chief growth officer of BoldAge PACE, told Home Health Care News’ sister site Hospice News. ... Currently, there are 163 PACE organizations operating more than 300 centers, according to the National PACE Association. There are nearly 76,000 PACE participants across the country.

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Cooling down the clinic: How to de-escalate angry patients and family members

05/23/24 at 03:00 AM

Cooling down the clinic: How to de-escalate angry patients and family members Oncology Nurse Advisor; by Kathleen Wolf, MBA, BSN, RN, NEA-BC; 5/17/24Handling challenging interactions with patients and families can be a source of stress for oncology nurses. Patients and caregivers could be feeling angry for any number of reasons. The key is to not take their anger personally. It’s more productive to instead understand the cause of their anger. [Read more for common causes and basic de-escalation strategies.]

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Senate ramps up push to reform doctors' Medicare pay

05/23/24 at 03:00 AM

Senate ramps up push to reform doctors' Medicare pay Modern Healthcare; by Michael Mcauliff; 5/20/24Declining doctors' pay in Medicare is getting its most serious look in nearly a decade in the Senate, with a bipartisan push launched Friday by the Senate Finance Committee. Doctors have grown especially vocal in recent years about falling Medicare reimbursement. Groups including the American Medical Association have estimated doctors were effectively getting paid 26% less in 2023 than in 2001 because the physician fee schedule set by the Centers for Medicare and Medicaid Services is not adjusted for inflation. Physicians have also called for more flexibility within the pay system.

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Resurgia Health Solutions and Ennoble Care's Georgia Housecalls Practice finalize combination to strengthen healthcare access in Georgia

05/23/24 at 03:00 AM

Resurgia Health Solutions and Ennoble Care's Georgia Housecalls Practice finalize combination to strengthen healthcare access in Georgia KSN.com News - Cision PR Newswire; by PR Newswire; 5/20/24 Resurgia Health Solutions and Ennoble Care have united to strengthen healthcare access in Georgia. ... Under the regional leadership of Kevin Charles and Dr. Mark Bradshaw, Ennoble's Georgia home-based primary care practice will be integrated into Resurgia's regional operations and Ennoble's national operations. Renee Brack, FNP, will work closely with Mr. Charles and Dr. Bradshaw in Georgia, as the operational leader of palliative and hospice care in Georgia, ensuring continuity. ... "We are thrilled to combine our strong programs to expand home-based primary and palliative care access in Georgia." said Molly Viscardi, PhD, RN, Chief Operating Officer of Ennoble Care. 

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Today's Encouragement: For Mental Health Month, May 2024

05/23/24 at 03:00 AM

For Mental Health Month - May 2024: Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. – Fred Rogers

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HHS puts $50M toward hospitals' ransomware fight

05/23/24 at 03:00 AM

HHS puts $50M toward hospitals' ransomware fightBecker's Health IT; by Molly Gamble; 5/20/24A new agency within the National Institutes of Health is launching a $50 million initiative to develop tools for hospital IT teams that enhance their cybersecurity measures and resources to combat ransomware. On May 20, the Advanced Research Projects Agency for Health introduced its Universal PatchinG and Remediation for Autonomous DEfense, or UPGRADE, program. "What if every hospital could autonomously protect itself and patients from cyber threats?" That is the guiding question for the initiative, which aims to develop a tailored and scalable software suite of remediations and patches for hospitals, reducing the patching time for vulnerable healthcare products to days or weeks.

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End-of-life talks, planning benefit all racial groups, study finds

05/23/24 at 03:00 AM

End-of-life talks, planning benefit all racial groups, study finds McKnights Long-Term Care News; by Kristen Fischer ... Having formal advanced care planning (ACP) in place was linked to higher odds of receiving care that aligned with individuals’ goals, the researchers found. The study evaluated how ACP and goal-concordant care (GCC) — an approach that aims to meet the patient’s goal and includes ACP and conversations about care goals —  affected people of different races. The report was published on May 18 in the Journal of the American Geriatrics Society.  The framework is especially important for people in racial or ethnic minority populations who have a greater risk of poor end-of-life outcomes and don’t receive GCC. ... Older adults are more likely to receive hospice care at the end of life compared to previous decades, but a lot of people still report care that didn’t meet their preferences, the authors noted.

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The human side of AI: Insights on balancing automation and empathy

05/23/24 at 03:00 AM

The human side of AI: Insights on balancing automation and empathy Innovation & Tech Today; by Enrico Palmerino; 5/20/24 ... As AI automates more tasks with clinical precision, empathy is a critical human element we cannot overlook. That intangible ability to understand and share the feelings of another isn’t just a soft skill — it’s an essential catalyst for trust, loyalty, and genuine connection. Consider the healthcare industry, where empathy is (quite literally) often a matter of life and death. Can an AI-powered diagnostic system truly grasp a patient’s fear and vulnerability when facing a serious illness? ... Finding the delicate balance between leveraging AI automation and preserving human empathy is the new challenge before us. It’s a duality that will shape how businesses operate and how we interact with technology. ... Let the machines optimize processes while we optimize the ability to connect and inspire. In this harmonious future, AI is a tool that elevates us — not replaces us.Editor's Note: Is AI a hot topic among your leaders and interdisciplinary clinicians? Often, "empathy" and "communication" are cited as key cautions and conflicts. 

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CVS could lose 10% of its Medicare Advantage members in 2025

05/23/24 at 03:00 AM

CVS could lose 10% of its Medicare Advantage members in 2025Becker's Payer Issues; by Rylee Wilson; 5/14/24CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. At an investor conference on May 14, CVS CFO Tom Cowhey said it's "entirely possible" the company loses a portion of its members in the coming year as it prioritizes profitability, according to Bloomberg. "That's OK because we need to get this business back on track," Mr. Cowhey said. Executives at CVS Health have said they will prioritize "margins over membership" in Medicare Advantage in the coming year.

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Continuing a 35-Year history, AHRQ pursues vital pathways to improve patient care

05/23/24 at 03:00 AM

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.

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Optum Rx puts emphasis on predictability with new pricing model

05/23/24 at 03:00 AM

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.

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Union president speaks on possible Ascension Genesys nurses strike

05/23/24 at 03:00 AM

Union president speaks on possible Ascension Genesys nurses strikeWNEM-TV5, GeneseeCo., MI; by Zain Omair and Hannah Mose; 5/20/24Registered nurses are ready to strike this week if union negotiations with a mid-Michigan hospital aren’t successful. Union president Dan Glass said if the union and Ascension Genesys don’t have a tentative agreement by Friday morning, May 24, the nurses represented by the union will hit the picket line for a strike. ... According to Glass, the union is looking for wage increases, but the biggest piece is staffing shortages and patient care concerns. 

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Life support decisions are usually made within 72 hours. Is that too soon?

05/23/24 at 03:00 AM

Life support decisions are usually made within 72 hours. Is that too soon? Advisory Board; by Daily Briefing; 5/21/24After a patient suffers a traumatic brain injury (TBI) and is on a ventilator, when is the right time to withdraw life support? A new study published in the Journal of Neurotrauma suggests that doctors and patient family members should wait a bit longer than usual. ... The researchers found that the majority of patients whose life support wasn't withdrawn ended up dying in the hospital anyways within about six days. However, 42% of patients who continued life support recovered enough within the following year to have some level of independence, and a few even returned to their former lives.

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In good hands: VA medical center introduces new inpatient hospice room and dialysis suites

05/23/24 at 03:00 AM

In good hands: VA medical center introduces new inpatient hospice room and dialysis suites Salisbury Post; by Brad Dountz; 5/21/24The W.B. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center ... held a ribbon cutting ceremony for the new inpatient hospice room, dialysis suites and six patient care rooms earlier this month. The amenities will allow veterans to get the treatment they need. Construction began during the days of COVID, but thanks to the work of the VA employees who built it, veterans can finally reap the benefits.  “We come together to honor those who have selflessly served our country and now require specialized care. Some of them are in their final moments,” said Dr. Kamran Lateef, chief of hospital medicine. “In this sanctuary of compassion and solace, every detail has been meticulously crafted to offer the highest quality of care tailored to the unique needs of our beloved veterans.”

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