Literature Review

Ethical issues abound in adoption of Artificial Intelligence in cancer care Oncology Nurse Advisor; 4/4/24There may be ethical barriers to the adoption of artificial intelligence (AI) into cancer care, according to a study published online March 28 in JAMA Network Open. Andrew Hantel, M.D., from the Dana-Farber Cancer Institute in Boston, and colleagues evaluated oncologists’ views on the ethical domains of the use of AI in clinical care. The analysis included 204 survey responses from 37 states. ... “These findings suggest that the implementation of AI in oncology must include rigorous assessments of its effect on care decisions as well as decisional responsibility when problems related to AI use arise,” the authors write.

How to talk about death Maine Public Radio, by Jennifer Rooks and Cindy Han; 4/5/24 Talking about death is not easy. We'll discuss why stigma and discomfort can impede end-of-life conversations, for the person who may be nearing death as well as for friends and family members. We'll find out how to address the emotional and spiritual aspects of dying. And we'll discuss the more practical legal, financial and medical matters to handle before and after someone has died.Panelists: Julie Weiss, social worker, Hospice of Southern Maine; Dr. Paul Segal, nephrologist, assistant professor of medicine; helped create curriculum for end-of-life doula students, University of New England; Dr. Fernando Moreno, palliative care specialist; medical director, Hospice of Southern Maine

South Dakota State University Nursing School: Hitting the mark where it matters South Dakota State University, "A Message from Dean Krogh," by Mary Anne Krogh; 4/2/24As we welcome the blooming of spring (and the melting of snow), it brings me great joy to reflect on the remarkable achievements and growth within the SDSU College of Nursing. ... One area that fills me with pride is the remarkable expansion we have experienced in the areas of palliative care, rural health and simulation research. These vital areas not only represent the forefront of nursing innovation but also reflect our dedication to addressing critical health care needs in diverse communities. Editor's Note: Congratulations to South Dakota State University School and Dean Krogh! You are hitting the mark for several crucial, timely issues that continue to emerge in the news feeds we receive and distribute to our readers. 

Champions play as they practice. Create a consistency of excellence in all your habits. – Mike Krzyzewski Editor's Note: Dedicated to March Madness 2025 teams. Dedicated to the hospice and palliative care organizations who will provide care to your family and friends this next year.

Medicaid expansion and palliative care for advanced-stage liver cancer Journal of Gastrointestinal Surgery; by Henrique A Lima, Parit Mavani, Muhammad Musaab Munir, Yutaka Endo, Selamawit Woldesenbet, Muhammad Muntazir Mehdi Khan, Karol Rawicz-Pruszyński, Usama Waqar, Erryk Katayama, Vivian Resende, Mujtaba Khalil, Timothy M Pawlik; dated 4/24/28 (for print) Conclusion: The implementation of ME [Medicaid expansion] contributed to increased rates of palliative treatment for patients residing in ME states after expansion. However, racial disparities persist even after ME, resulting in inequitable access to palliative care. 

Navigating new requirements in the 2025 proposed Hospice Rule Hospice News, by Jim Parker; 3/5/24 If the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. MS late last month issued its proposed hospice rule for 2025. The proposal called for a 2.6% increase in hospice per diem base rates, a number that many stakeholders say is insufficient in today’s economic climate.

USDA Rural Development accepting applications for grants to fund high-speed Internet and digital equipment for rural and tribal communitiesU.S. Department of Agriculture Rural Development, by Leigh Hallet; 4/4/24The U.S. Department of Agriculture (USDA) Rural Development invites grant applications for two programs that fund broadband access. The Distance Learning and Telemedicine (DLT) Grant Program helps organizations provide online training, education, and health services. It funds services, training, and equipment to digitally connect people to education, training, and health care resources.

Chicago area nurse gets 2 years in prison for stealing morphine from sick patientsCBS News TV 2, Chicago; by Acacia Hernandez; 4/4/24A northwest suburban nurse was sentenced in court on Thursday to two years in federal prison for stealing morphine from her patients, some of whom were terminally ill. Sarah Diamond, 31, of Woodstock, was accused of targeting the most vulnerable, including hospice patients living out their final days. In 2021, she removed liquid morphine from bottles that had been prescribed to at least five hospice patients and replaced it with saline. Prosecutors said she took the medication for her own personal use.

Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements Federal Register; A Proposed Rule by the Centers for Medicare & Medicaid Services on 4/4/24This document has a comment period that ends in 53 days, 5/28/24.This proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2025. This rule proposes changes to the Hospice Quality Reporting Program. This rule also proposes to adopt the most recent Office of Management and Budget statistical area delineations, which would change the hospice wage index. This rule proposes to clarify current policy related to the “election statement” and the “notice of election”, as well as to add clarifying language regarding hospice certification. Finally, this rulemaking solicits comments regarding potential implementation of a separate payment mechanism to account for high intensity palliative care services.

Jamestown Regional Medical Center employees give over $36K to medical center’s mission The Jamestown Sun; 4/4/24 Jamestown Regional Medical Center employees came together this year to raise over $36,000 through the annual Employee Giving Campaign. The funds raised go directly to the JRMC Foundation, which benefits the community through new equipment, staff training and patient comfort items. onations support cancer care, hospice, equipment and technology, infant loss and bereavement, Family BirthPlace, the Employee Support Fund, Kala's Korner and the Greater JRMC Fund ...

The iconic stethoscope is getting a 21st century makeoverManaged Healthcare Executive, by Peter Wehrwein; 4/4/24 Two years ago, a pair of New Zealand physicians wrote an opinion piece in a peer-reviewed journal of the Royal Australasian of Physicians about point-of-care ultrasound. The gist of their argument was that ultrasound ought to be used more routinely to detect various heart and lung conditions. The somewhat cheeky title of that article is “Update on Echocardiography: Do We Still Need a Stethoscope?” Jason Bellet has spent more than a decade making pretty much the opposite case: Not only do healthcare professionals still need a stethoscope, they need a vastly improved, 21st century version that harnesses digital technology and artificial intelligence (AI).

Incorporating bereavement into the continuum of careMedpage Today, by Charles Bankhead; 4/4/24... Despite being integral to high-quality, family-centered healthcare, bereavement support often is poorly resourced, even described as the "poor cousin of palliative care." ... To develop a framework for compassionate communities requires shifting bereavement care from "an afterthought to a public health priority," wrote Wendy G. Lichtenthal, PhD, of the University of Miami Sylvester Comprehensive Cancer Center, and co-authors in Lancet Public Health. ... In an ideal setting, bereavement care begins with pre-death grief education, continues through the dying process and end of life, and transitions into community-based support and psychosocial services, as needed. .. The [continuum of care] model comprises five essential "pillars":

Major unions, including SEIU, maintain momentum following 2023 strike upswing McKnights Long-Term Care News, by Josh Henreckson; 4/5/24 New analysis of US Department of Labor data shows that large unions such as the SEIU were able to leverage heightened labor activity to recruit new workers in 2023. In a year characterized by headline-grabbing strikes across multiple industries, the long-term care sector has not been without its share of labor activity — such as recent strikes organized by the SEIU to demand higher wages. With so many providers’ staffing and funding woes poised to remain at the forefront of sector concerns, some experts suggest that unions may be able to gain even more momentum in the months and years ahead.