Literature Review

21 large health systems growing bigger Becker's Hospital Review; by Alan Condon; 3/7/25 Merger and acquisition activity is rebounding after a drop in deal volume during the pandemic, with many large health systems growing their hospital portfolios or planning to add more hospitals in the coming quarters. Twenty-one large health systems growing bigger: 

104-year-old WWII veteran honored for his service while in hospice WCCO via CNN Newsource, Cottage Grove, MN; by Reg Chapman; 3/9/25 A World War II veteran in Minnesota has the honor of being the oldest resident in his town. Even at his remarkable age, Don Tietz has not lost his wit or his humor. After he was drafted during World War II, Tietz found himself a long way from his hometown farm. Tietz served as a truck driver, hauling ammunition across America’s campaign into Europe. ... “We spearheaded across France,” he said. ... He also faced the true grim realities of war. ... “There was 212, only 12 of us came back,” he said. ... Tietz now represents a different era of grit and perseverance. Surrounded by friends and family, the Allina Health Hospice Team showed their gratitude to Tietz for his service by giving him a heartfelt ceremony, where he was awarded a pin and certificate. Most importantly, Tietz was given an opportunity to reflect on all of those years.Editor's note: Click here for the We Honor Veterans Program developed by NHPCO (now the National Alliance for Care at Home) in collaboration with the Department of Veterans Affairs (VA).

[Ukraine] 'Support to the end’: Religious sister brings palliative care to unborn babies in Ukraine The Catholic World; by Hannah Brockhaus; 3/10/25 Since 2020, a pandemic and then an active war have caused untold tragedy for Ukrainians, but these circumstances have also allowed the country to confront death and grief in a way it never did before, according to a religious sister who offers palliative care to unborn children and their families. In Ukraine, “one couldn’t and wouldn’t talk about death before the COVID pandemic,” Sister Giustina Olha Holubets, SSMI, told CNA earlier this month. The more open a society is about death and loss and grief, she said, the easier it is to know how to respond to a family going through the pain of losing a child in the womb or shortly after birth. A Byzantine Catholic and member of the Sister Servants of Mary Immaculate, Holubets has degrees in bioethics, psychology, biology, and genetics. In 2017, she founded the nonprofit organization “Perinatal Hospice – Imprint of Life” in Lyiv, Ukraine, which she currently leads. ...

My Stories program preserves cherished memories of patients in hospice The Alpena News, Alpena, MI; by Reagan Voetberg; 3/8/25 The Hospice of Michigan in Alpena preserves the stories of patients, not in a book or photo album, but on a flashdrive. It’s called the My Stories program. Patients in hospice are given the opportunity to video record their stories and memories for their loved ones to hear once they’ve passed. Patients do not have to pay a dime to record their life stories. Alpena’s Hospice of Michigan Volunteer Program Coordinator Kristie Lukes talked about how meaningful the My Stories project is to patients and their families. Lukes coordinates volunteers to help patients with their recordings. Lukes explained further what My Stories is. “It’s a recording of the patient’s life and the stories that they want to share with family and patients,” she said. “So it becomes kind of a legacy project.” 

CMS deletes Medicare Advantage vision statement, signaling another shift from health equity Fierce Healthcare - Regulatory; by Noah Tong; 3/10/25 The Centers for Medicare & Medicaid Services (CMS) wiped away the agency’s stated intentions for the future of Medicare Advantage (MA), underlining new uncertainty for the future of health-related social needs, CMS Innovation Center models and the federal health program. ... A frequently asked questions page gave further explanation, as did an executive summary of a report to be released in early 2025. The page included a section with the question, “What is CMS’ vision for the future of the MA program?” as of Feb. 22, archived versions of the web page shows. But that question and answer was quietly deleted, and the page was last modified Feb. 26. It previously described how the VBID model helped health plans address health-related social needs and stressed health equity as an important cornerstone of its mission. ... The CMS did not immediately respond to a request for comment.

Mass General Brigham begins 2nd round of layoffs Becker's Hospital CFO Report; by Alan Condon; 3/10/25 The second of two rounds of layoffs at Mass General Brigham began March 10, with about 1,500 employees reportedly affected by the overall workforce reductions, according to The Boston Globe. The layoffs, the largest in the Somerville, Mass.-based health system's history, were announced in early February. The workforce cuts stem from "the same unrelenting pressures affecting many healthcare systems across the country," as the system faces a projected budget gap of $250 million within two years, a spokesperson told Becker's. Mass General Brigham, the largest health system in the state, said the layoffs primarily affect nonclinical and nonpatient-facing roles to "enhance efficiency, reduce costs and maximize support for front-line clinicians." 

The rising importance of social workers on the home health team Home Health Care News; by Audrie Martin; 3/10/25 Addressing social determinants of health (SDoH) is becoming increasingly important due to new regulations from the Centers for Medicare & Medicaid Services (CMS) and the shift toward value-based care payment models. With ongoing staffing shortages and a growing demand for home-based care services, social workers are taking on greater responsibilities to support the health care system. ... Individuals requiring home health care often need complex support that addresses both their medical and psychosocial needs, especially if they are isolated from typical social interactions and services. Some home care teams are now integrating home health social workers (HHCSWs) to provide a comprehensive approach to care that considers these SDoHs.Ediotor's note: March is National Social Work Month. Click here for National Association of Social Worker's (NASW) Social Media Toolkit for Social Work 2025.

Intervention increases palliative cancer care consultations/lowers EOL care CancerNetwork.com; by Roman Fabbricatore; 3/11/25A palliative care (PC) intervention combining algorithm-based automated identification of patients eligible for PC led to an increase in PC visits and a decrease in end-of-life systemic therapy among patients with cancer, according to a randomized clinical study (NCT05590962) published in JAMA Network Open. ... "...  Prior efficacy trials in oncology have tested early PC in controlled, primarily academic settings.2To our knowledge, this is the first effectiveness randomized clinical trial of algorithm-driven default specialty PC in community oncology.”

13 hospital transactions in 1 week Becker's Hospital Review; by Madeline Ashley; 3/4/25 The end of February into early March saw a wave of hospital transactions, signaling a shift in healthcare ownership and operations across the country. Below are the 13 hospital transactions that Becker's has reported on since Feb. 27:

J-Sei Home closes after 30 years, leaving Bay Area Japanese seniors in need KQED, San Francisco, CA; by Cecilia Lei; 3/10/25 ... For decades, Bay Area Japanese American families have sought culturally sensitive senior care facilities like J-Sei Home for aging loved ones. Community members said that about a decade ago, there were approximately 10 Japanese senior care homes in the region. Today, that number has declined by about half. The most recent closure came in January, when the last residents of J-Sei Home moved out, and the facility permanently closed its doors after 30 years of operation. A majority of the displaced residents were Japanese Americans in their 90s and had cognitive impairment. ... They had tender caregivers who spoke Japanese. They ate familiar comfort foods like miso soup and pickled vegetables, and they participated in daily activities such as drum circles and singing Japanese songs. ...

Here’s to Laura Ptucha-Skoog, hospice nurse YubaNet.com; by Timothy May; 3/10/25 “I’m not sure I’d say much at all, not at first. I would just try to listen.” This in response to the question of how a hospice nurse should respond if patients or family members make demands that seem unreasonable, unwise, or downright impossible. ... Laura Ptucha-Skoog should know; she has been an R.N. for decades and a nurse at Hospice of the Foothills for the last nine years. She loves her job, including the challenge of facilitating communication. Her ability to talk frankly with terminally ill hospital patients and families drew her to a career in hospice. “Often,” Laura explains, “the human elements are as challenging as the medical ones. Things like asking the right questions and listening to responses; making sure your patient and their caregivers understand what you are doing and why; verifying that everyone understands where you are in the process; listening to their responses with patience and empathy.” ... 

‘The weekend effect’: If you’re planning surgery, doctors say you should think twice about Fridays DailyDot.com; by Ilana Gordon; 3/7/25 Everybody’s working for the weekend, which, according to a new study, is incidentally the worst time of the week to undergo surgery. A paper published in the JAMA Network on March 4, 2025, concludes that patients experience worse outcomes during the weekends, as compared to weekdays. This phenomenon is known as the “weekend effect” and the study, which examined 429,691 patients in Ontario, Canada, determined that people whose surgeries began directly before the weekend “experienced a statistically significant increase in the composite outcome of death, complications, and readmissions at 30 days, 90 days, and 1 year.” 

Poised for growth, Missouri’s largest aging services nonprofit changes name: Lutheran Senior Services is now EverTrue St. Louis Business Journal; by Jackie Hamilton, VP of Advancement, EverTrue; 3/7/25 One of the oldest nonprofit agencies in the St. Louis region is changing its name to reflect a dynamic change and growth in desired services and offerings for those 60 plus. Beginning this week, the 165-year-old Lutheran Senior Services (LSS) organization, which also is the 11th largest nonprofit senior living provider in the country, will be known as EverTrue. “It’s a transformative moment for the organization,” said Adam Marles, president and CEO of EverTrue. “From right here in St. Louis, we’re leading the country in aging services. In this next chapter, we needed a name and a brand that positioned us for future growth and opportunities, while still being true to our mission.”