Literature Review
Aid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms
03/13/24 at 03:00 AMAid in dying or physician-assisted suicide? As Minn. lawmakers weigh bill, advocates and opponents choose different terms ArcaMax / Pioneer Press, by Alex Derosier; 3/10/24... “Medical aid in dying” or “physician-assisted suicide” is an emotional issue for many, with a January [Minnesota] House hearing on the bill drawing an audience of hundreds on either side. Lawmakers heard hours of testimony from cancer patients with only months to live, and families of people who suffered painful deaths from disease. There also were people concerned legal elective death could eventually become an option for people with disabilities and negatively affect care. But it isn’t just a debate on medical ethics. There’s also an ongoing discussion in medicine, academia, journalism and law over what society should call the practice.
NHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans
03/13/24 at 03:00 AMNHPCO and We Honor Veterans welcome CMS clarification regarding Medicare Hospice Benefit for dually eligible veterans NHPCO Press Release; 3/11/24 The National Hospice and Palliative Care Organization (NHPCO) and its We Honor Veterans (WHV) program responded to the Centers for Medicare & Medicaid Services’ (CMS) clarification on concurrent care eligibility for Veteran beneficiaries. Under Change Request 13523 issued by CMS on February 22, 2024, the Medicare Benefit Manual is updated to clarify that a Veteran beneficiary who elects hospice services under the Medicare benefit may still receive services that are not included on the hospice plan of care and are furnished and paid under the beneficiary’s Department of Veterans Affairs (VA) benefits, in addition to hospice services.
Whistleblower cases on the rise nationwide; Sarbanes-Oxley, Dodd-Frank laws open door for more to speak out
03/13/24 at 03:00 AMWhistleblower cases on the rise nationwide; Sarbanes-Oxley, Dodd-Frank laws open door for more to speak out PressReader, Herald-Tribune; by Esteban Parra and Xerxes Wilson; 3/10/24A former medical director specializing in neurosurgery at southern Delaware's largest health care provider claims in a lawsuit that Bayhealth Medical Center misclassified "brain-dead" patients in order to overbill for services.
Is extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology'
03/13/24 at 03:00 AMIs extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology' CBC News, by Amina Zafar and Christine Birak; 3/11/24 People may celebrate a 2-week improvement in survival without acknowledging costs. When a treatment buys a few weeks or months but comes with with a lot of side-effects, then the perspectives of people with cancer may differ, says Dr. Christopher Booth. ... The goal of what they call "common-sense oncology" is to prioritize treatments that meaningfully improve survival and quality of life. They aim to address what they see as problems in the field, such as a lack of critical thinking in oncology training, falling standards for drug approvals and avoidance of end-of-life discussions.
Palliative care cuts costs for metastatic cancer
03/13/24 at 03:00 AMPalliative care cuts costs for metastatic cancer
Navigating Aging: Does our society simply not care about our vulnerable older population?
03/13/24 at 03:00 AMNavigating Aging: Does our society simply not care about our vulnerable older population? KFF Health News, by Judith Graham; 3/10/24 ... The pandemic made things worse. Prejudice against older adults is nothing new, but “it feels more intense, more hostile” now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University. “I think the pandemic helped reinforce images of older people as sick, frail, and isolated — as people who aren’t like the rest of us,” he said. “And human nature being what it is, we tend to like people who are similar to us and be less well disposed to ‘the others.'"
Spiritual care key to addressing disparities among underserved black communities
03/13/24 at 03:00 AMSpiritual care key to addressing disparities among underserved black communities Hospice News, by Holly Vossel; 3/11/24Spiritual hospice care providers are an important link to building bridges of access and trust among underserved African American populations. ... Having a historical context of understanding around the faith-based barriers among African American populations is a significant part of improving utilization, according to Wayman Scott, associate director of diversity, equity, inclusion and community relations at Maryland-based Gilchrist. Scott also has a background in hospice chaplaincy and serves as chair of the diversity committee at the Hospice & Palliative Network of Maryland.
What deathbed visions teach us about living
03/13/24 at 03:00 AMWhat deathbed visions teach us about livingDNYUZ; 3/12/24Chris Kerr was 12 when he first observed a deathbed vision. His memory of that summer in 1974 is blurred, but not the sense of mystery he felt at the bedside of his dying father. ... It would be more than 40 years before Kerr felt compelled to speak about that evening in the hospital room. He had followed his father, and three generations before him, into medicine and was working at Hospice & Palliative Care Buffalo, where he was the chief medical officer and conducted research on end-of-life visions.
Oncology hospitalists improve hospice transitions for patients with advanced cancers
03/13/24 at 03:00 AMOncology hospitalists improve hospice transitions for patients with advanced cancers Yale School of Medicine, by Osman Moneer; 3/11/24Unplanned hospitalizations for patients with advanced cancer often trigger discussions about care goals and transitions to hospice. Late referrals to hospice, particularly near the end of life, have been associated with reduced quality of life and increased healthcare costs. A new research study published in Cancer investigates the impact of oncology hospitalists on the timing of hospice transitions for patients with advanced cancers.
Costs of long-term care: ‘Financial ruin is baked into the system’
03/13/24 at 03:00 AMCosts of long-term care: ‘Financial ruin is baked into the system’ KFF Health News, by Jordan Rau and Reed Abelson; 3/9/24 Thousands of readers reacted to the articles in the “Dying Broke” series about the financial burden of long-term care in the United States. They offered their assessments for the government and market failures that have drained the lifetime savings of so many American families. And some offered possible solutions. In more than 4,200 comments, readers shared their struggles in caring for spouses, older parents, and grandparents. They expressed anxieties about getting older themselves and needing help to stay at home or in institutions like nursing homes or assisted living facilities.
Hospice provider experience underscores urgency of program integrity efforts
03/13/24 at 02:00 AMHospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act.
In the ICU, what is a good death? Understanding why clinicians and patients' families may disagree in Intensive Care Unit
03/13/24 at 02:00 AMIn the ICU, what is a good death? Understanding why clinicians and patients' families may disagree in Intensive Care Unit Northwestern Now, by Marla Paul; 3/7/24What is a good death for a patient in the Intensive Care Unit (ICU)? The answer to that question may depend on whether you ask a family member of a patient or the physician, who are not necessarily aligned. ... Approximately 20-30% of people who die in the U.S., die in the ICU, according to previous research. Nearly 60% of ICU admissions result in death. Wide discrepancies have been documented between a patient’s stated preferences and the end-of-life care actually delivered.
When health care is woven in our family fabric, we find support in unexpected places
03/12/24 at 03:40 AMWhen health care is woven in our family fabric, we find support in unexpected places Oncology Nursing Society (ONS) Voice, by Suzanne M. Mahon, DNS, RN, AOCN®, AGN-BC, FAAN; 3/7/24... We have a built-in support system in our family. We understand all of those feelings and stressors in each other. We just get it. ... Where is your dinner table of support? Who is your go-to person who just gets it and listens? My husband and daughters support me, and I also have friends from nursing school, the workplace, and ONS who support me. They make all the difference in the world. Today, take time to thank your own support team.
How NYC Health + Hospitals is reining in travel nurse expenses
03/12/24 at 03:15 AMHow NYC Health + Hospitals is reining in travel nurse expenses Becker's Hospital CFO Report, by Mackenzie Bean; 3/7/24 NYC Health + Hospitals has made progress in decreasing its dependence on travel nurses, though staffing expenditures still exceed the public health system's allocated budget, executives told New York City Council leaders during a preliminary budget hearing March 5.
Pennsylvania health systems are partnering up
03/12/24 at 03:00 AMPennsylvania health systems are partnering up Becker's Hospital Review, by Andrew Cass; 3/8/24Kittanning, Pa.-based Armstrong County Memorial Hospital signed a definitive agreement March 6 to join Pennsylvania Mountains Care Network, marking the latest in a series of partnerships, mergers and acquisitions between hospitals and health systems in the Keystone State.
Carolina Caring House Calls breaks down traditional medical care barriers
03/12/24 at 03:00 AMCarolina Caring House Calls breaks down traditional medical care barriers Salisbury Post, by Julie Brooks; 3/20/24 County residents now have more access to healthcare providers than ever thanks to Carolina Caring House Calls, a home-based medicine program that offers high-quality medical care in the comfort and safety of patients’ homes. House Calls is designed to serve patients who face barriers to accessing routine medical care, including disabilities, chronic illnesses, mobility problems and more.
Operating in the red: Half of rural hospitals are losing money, as many cut services
03/12/24 at 03:00 AMOperating in the red: Half of rural hospitals are losing money, as many cut servicesSource NM, by Jazmin Orozoco Rodriguez (KFF Health News); 3/7/24As half of rural hospitals lose money, many are cutting services
‘100 Men’ group donates $10K to Oceanside Hospice Society
03/12/24 at 03:00 AM‘100 Men’ group donates $10K to Oceanside Hospice Society Parksville Qualicum Beach News; 3/10/24 Men have given more than $170K to charity since group’s inception. At its quarterly meeting on March 6, the 100 Men of Oceanside group awarded $10,000 to the Oceanside Hospice Society. ... According to a new release, the latest donation from the group will enable the hospice society to launch a new initiative designed to assist men who have suffered the death of a loved one to effectively grieve their loss.
CT bill would create a statewide pediatric hospice program: 'Make this a reality for our children'
03/12/24 at 03:00 AMCT bill would create a statewide pediatric hospice program: 'Make this a reality for our children' The Darien Times, by Cris Villalonga-Vivoni; 3/11/24There are only a handful of agencies specifically providing end-of-life care to children in the state, said Moss, who is also the founder of Connecticut Children’s Hospital palliative care team, the Sunflower Kids. “Every dying child in the state of Connecticut deserves this expertise and support of the hospice program,” Moss said. “It is time we make this a reality for our children.” The need for pediatric hospice care is felt throughout the state, even if the volume of people seeking out these services is often low, said Tracy Wodatch, president and chief executive officer of the Connecticut Association for Healthcare at Home.
Some report images and manifestations of departed loved ones
03/12/24 at 03:00 AMSome report images and manifestations of departed loved ones Chicaog Daily Herald, by Susan Anderson-Khleif; 3/9/24Not often, but sometimes, a person sees an image of a beloved or dear friend. A visual manifestation of their spirit, one you can actually see while awake. It could be very clear or more in a fog. It happened to me the middle of the night, two years ago. ... I had friends and readers who’ve told me of such happenings — of seeing images of dear ones — sometimes during times of stress, sometimes for seemingly no reason. It could be a voice rather than an image. Or some other sign that assures you they are around. Editor's Note: Susan Anderson-Khleif has a doctorate in family sociology from Harvard, taughts at Wellesley College, and is retired.
10 urgent patient safety challenges in 2024
03/12/24 at 03:00 AM10 urgent patient safety challenges in 2024 Becker's Clinical Leadership, by Ashleigh Hollowell; 3/11/24While employment for new clinicians was positive in the last year with 96% of new nurses finding work, the issue is transitioning those clinicians from education into bedside and hospital practice, which is the most pressing safety challenge of 2024, according to the ECRI's annual report on patient safety. ... Here are the 10 most urgent patient safety challenges facing providers in 2024 ...
Opportunity uncovered: How COVID-19 accelerated healthcare transformation
03/12/24 at 03:00 AMOpportunity uncovered: How COVID-19 accelerated healthcare transformation Managed Healthcare Executive; by Patrick Horine, MHA; 3/6/24The COVID-19 pandemic left an indelible mark on the healthcare landscape, spotlighting critical areas for improvement while accelerating transformations that were already underway. From addressing disparities in equity and access to adopting digital health strategies, the pandemic has forced healthcare to move swiftly to meet urgent needs. First, let us look at some of the issues we had been facing and how these were changed by the unprecedented challenges of the pandemic. ...
US officials call on UnitedHealth to accelerate payments to providers
03/12/24 at 03:00 AMUS officials call on UnitedHealth to accelerate payments to providers The United Business Journal, by Rahul Kumar; 3/11/24In a recent open letter, officials from the U.S. government expressed urgency for UnitedHealth Group to expedite payments to healthcare providers. This plea came in the wake of a debilitating cyberattack on the insurer’s Change Healthcare tech unit, which severely disrupted medical claims processing and payments. The U.S. Department of Labor and the U.S. Department of Health and Human Services emphasized the critical need for UnitedHealth to take swift action to ensure that healthcare providers do not face financial strain due to the cyberattack.
Today's Encouragement: Motivation ...
03/12/24 at 03:00 AMMotivation is what gets you started. Habit is what keeps you going. - Jim Rohn
Seniors more likely to let conditions escalate into emergency if their only care options are digital, poll finds
03/12/24 at 03:00 AMSeniors more likely to let conditions escalate into emergency if their only care options are digital, poll finds McKnights Senior Living, by Aaron Dorman; 3/7/24 Although residents in senior living communities and nursing homes are becoming more accepting of artificial intelligence and other tools such as remote monitoring systems, that doesn’t mean they don’t still strongly prefer human caregivers to manage their healthcare needs, a recent poll finds. ... Among older adult survey respondents who had dealt with a recent emergency, 33% said that they felt as if the incident could have been averted if they had had access to a live, in-person caregiver to manage their health concerns and needs.