Literature Review

Reflective learning: A new leadership development framework driving engineering innovationReflective Practice; by Jeremy Wei; 2/18/24Innovation is an organizational learning process that demands a reflexive perspective to take on uncertainties and question deeply held assumptions, propelling leadership and organizational structures forward. ... A reflexive-learning-based leadership development program is a set of collective actions comprising four fundamental steps: acknowledging problems, reassessing assumptions, thinking of alternatives, and developing new perspectives. This study demonstrates its effectiveness in developing collective reflexivity within an engineering organization by repurposing the After-Action Review (AAR) as reflexive learning training.Publisher's note: A leadership model applied in the engineering field that could be translated to healthcare.

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Associations between Certificate of Need policies and hospice quality outcomesAmerican Journal of Hospice & Palliative Medicine; by Arlen G. Gaines, John G. Cagle; 5/24Approximately 86% of hospices are in states without a hospice CON provision. The unadjusted mean HIS scores for all measures were higher in CON states (M range 94.40-99.59) than Non-CON (M range 90.50-99.53) with significant differences in all except treatment preferences. ... The study suggests that CON regulations may have a modest, but beneficial impact on hospice-reported quality outcomes, particularly for small and medium-sized hospices.

[Honoring Nurses Week] Too many nurses are being assaulted. Some say they are being blamed for the attacks. Chief Healthcare Executive; by Ron Southwick; 5/9/24 With disturbing regularity, nurses in hospitals and other healthcare settings are being physically assaulted and verbally harassed. More than half of emergency nurses say they’ve been assaulted or threatened within the past 30 days, according to the Emergency Nurses Association. In a separate study, researchers found that healthcare workers faced at least one violent or aggressive incident for every 40 hours worked, according to findings published by The Joint Commission Journal on Quality and Patient Safety. With the observance of National Nursing Week, the increased violence in healthcare can’t be ignored. Nursing leaders say the regular exposure to violence or threatening behavior is one factor adding to stress and burnout of nurses and, in some cases, spurring them to seek new jobs.

Paris in spring, Bali in winter. How ‘bucket lists’ help cancer patients handle life and death The Conversation; by Vivan Lam; 5/8/24 In the 2007 film The Bucket List Jack Nicholson and Morgan Freeman play two main characters who respond to their terminal cancer diagnoses by rejecting experimental treatment. Instead, they go on a range of energetic, overseas escapades. Since then, the term “bucket list” – a list of experiences or achievements to complete before you “kick the bucket” or die – has become common. ... But there is a more serious side to the idea behind bucket lists. One of the key forms of suffering at the end of life is regret for things left unsaid or undone. So bucket lists can serve as a form of insurance against this potential regret. The bucket-list search for adventure, memories and meaning takes on a life of its own with a diagnosis of life-limiting illness. Editor's Note: Health acuity (especially for hospice patients), finances, and other practical factors can prevent acutalization of the person's bucket list wishes. Yes, fulfilling items can happen! And when not possible (perhaps the most common response), the clinician's sensitive presence, validation of the person's hope, and gentle exploration of why it matters can bring relevant, meaningful support. Involving family members (with the patient's permission) can inspire other generations to fulfill the person's wish, bringing new purpose to mourning and grief-restoration processes ahead.

Financial strain on nursing homes sparks buying binge Modern Healthcare; by Diane Eastabrook; 5/8/24Skilled nursing facility deals increased more than 80% in the first quarter of 2024 compared with the same period in 2023. There were 57 nursing home acquisitions valued at nearly $1.4 billion in the first quarter of this year compared with 31 deals valued at $448 million during the same period last year, according to Levin Associates, which tracks healthcare mergers and acquisitions. ... Last year was the worst year for healthcare bankruptcies in five years, according to restructuring and consulting firm Gibbins Advisors. Senior living and pharmaceuticals accounted for half of the 79 Chapter 11 filings in healthcare in 2023, the company said. It predicted continued distress for the senior care industry this year in a January research report.

Meet the death doulas who bring comfort to people at the end of their lives Fortune Well; by Liz Seegert; 5/7/24... “The essence of doula care is to provide non-judgmental support and guidance to individuals and families through times of critical, transformative life change,” according to the National End of Life Doula Alliance (NEDA), a member-based nonprofit that offers trainings and directories. Their role complements that of other services, such as hospice or palliative care, with physical, emotional, spiritual, and practical support. That can include holding someone’s hand or listening as a patient reminisces, or simply being a calming presence during the dying process. On the practical side, a doula might help the patient draft advance directives or family members with tasks like care coordination, vigil planning, respite care, and bereavement support. 

Enhabit concludes review of strategic alternatives Valdosta Daily Times; Press Release; 5/8/24 Enhabit, Inc., a leading home health and hospice provider, today announced Enhabit’s Board of Directors (the “Board”) has concluded the Company’s strategic review process, announced in August 2023, which was overseen by the Board with assistance from its financial and legal advisors, Goldman Sachs and Sidley Austin, respectively. After evaluating a full range of strategic alternatives, including a potential sale, merger or other transaction, the Board unanimously determined that continuing to execute on the Company’s strategic plan as an independent, public company is in the best interests of the Company and its shareholders at this time.

2024 Hastings Center Cunniff-Dixon Physician Awards announcedThe Hastings Center email; 5/9/24The Hastings Center and The Cunniff-Dixon Foundation are pleased to announce six recipients of awards that honor physicians for providing exemplary care to patients nearing the end of life. The awards are based on technical competence, personal integrity, empathic dialogue with patients, active engagement with the family and loved ones, practical and heartfelt communication regarding advance directives, and compassionate alleviation of suffering. Congratulations:

SXSW 2024: ‘Flipping the Script on End of Life’The Michigan Daily; by Olivai Tarling; 5/7/24 If you asked me to describe a Hollywood death scene, I’m pretty sure I could do it perfectly. ... This panel discussed the taboo topic of death and the dangers of its inaccurate portrayals on screen. Panel members included Zoanne Clack (“Grey’s Anatomy”), doctor-turned executive-producer, screenwriter Scott Z. Burns (“Contagion”) and Julie McFadden, hospice nurse and social media personality, as they discussed the taboo topic of death and the dangers of its inaccurate portrayals on screen.

Amedisys to sell 100 locations to advance UnitedHealth group deal Hospice News; by Holly Vossel; 5/8/24 Amedisys Inc. has agreed to divest upwards of 100 home health and hospice locations to an undisclosed private equity buyer as the company addresses regulators’ antitrust concerns in its pending acquisition by the UnitedHealth Group’s (UNH) health care services arm Optum. The news came in a recent social media post from The Capitol Forum. Selling off some of Amedisys’ locations in overlapping markets within Optum’s service region may help push the transaction forward amid mounting regulatory concerns. The U.S. Department of Justice (DOJ) is mulling a possible lawsuit to block the acquisition, citing potential antitrust issues related to the deal. The concerns center around the ability for other providers to compete if Optum and Amedisy combine their geographic footprints. 

Other Business Headlines of Interest, updated 5/9/24 per nasdaq.com