Literature Review

The National Donor Family Council: History, activities, achievements, and legaciesOmega-Journal of Death and Dying; Margaret B Coolican, Charles A Corr; 1/25The National Donor Family Council (NDFC) functioned under the sponsorship of the National Kidney Foundation from 1992-2014. Giving voice to the needs and views of donor families, the NDFC had an important impact on the support for those families. This article records significant points in the advocacy of donor families, summarizes the history of the NDFC, highlights the various activities and achievements of the NDFC, and offers some impressions of its legacies.

Flaws in the Medicare Advantage Star RatingsJAMA Health Forum; David J. Meyers, PhD, MPH; Amal N. Trivedi, MD; Andrew M. Ryan, PhD; 1/25The objective of the star ratings is to help beneficiaries select better plans, and to reward plans that deliver high-quality care. In June 2024, a US district court judge ruled that the Centers for Medicare and Medicaid Services (CMS) inappropriately calculated Medicare Advantage (MA) Star ratings due to not implementing a previously announced statistical adjustment. First, it is not clear if the star ratings are actually capturing a higher quality, as several measures in the star rating are reported by the plans themselves and plans often overstate their performance. Second, over 80% of contracts by enrollment are rated 4 stars or higher, which is the threshold needed to earn bonus payments, and a single star rating is assigned to each contract even when contracts may cover many different states and regions. Third, while bonus payments for star ratings are costly, plans eligible for enhanced bonuses have not shown greater improvement in measures related to clinical quality or administrative effectiveness. Taken together, the current star ratings are neither useful for all beneficiaries to make their plan decisions, nor do they appear to be capturing quality or catalyzing improvement. 

Suzetrigine: First-in-class nonopioid pain therapy is approved by FDAAmerican Journal of Managed Care; Giuliana Grossi; 1/25Suzetrigine (Journavx; Vertex Pharmaceuticals) received approval from the FDA for the treatment of adults with moderate-to-severe acute pain, according to an announcement from Vertex. The therapy is a novel oral, non-opioid, highly selective NaV1.8 pain signal inhibitor ... offering a non-opioid alternative amid the opioid crisis. Clinical trials demonstrated significant efficacy in postsurgical pain relief, though results varied across different conditions. Despite this, suzetrigine offers the potential to energize the nonopioid pain market, which includes other companies like Tris Pharma, Latigo Biotherapeutics, and SiteOne Therapeutics—all actively developing alternatives to opioids. Key findings from the Institute for Clinical and Economic Review analysis of the phase 3 trials include potential lifetime cost savings of $200 per patient when comparing suzetrigine with opioids, assuming a 1-week course priced at $420.

Palliative care initiated in the Emergency Department-A cluster randomized clinical trialJAMA; Corita R. Grudzen, MD, MSHS; Nina Siman, MA, MSEd; Allison M. Cuthel, MPH; Oluwaseun Adeyemi, MBBS, PhD; Rebecca Liddicoat Yamarik, MD; Keith S. Goldfeld, DrPH, MS, MPA; PRIM-ER Investigators; 1/25Question-What is the effect of a multicomponent intervention to initiate palliative care in the emergency department on hospital admission in older adults with serious, life-limiting illness? In this cluster randomized clinical trial, which was conducted at 29 US emergency departments and included 98,922 initial visits, there was no difference in the rate of hospital admission in older adults with serious, life-limiting illness receiving care before (64.4%) vs after (61.3%) emergency department clinical staff receipt of a multicomponent primary palliative care intervention. Relevance-This multicomponent intervention to initiate palliative care in the ED did not have an effect on hospital admission, subsequent health care use, or short-term mortality in older adults with serious, life-limiting illness.

Saturday newsletters focus on headlines and research - enjoy!

After 'code issue,' veterans no longer receive free care at UP hospice site MyUpNow.com, Houghton, MI; by Thomas Fournier; 2/5/25 For a veteran staying at hospice care facility, it's important family can visit, especially in rural areas. But what happens when their facility no longer qualifies as a hospice facility for the Veteran's Health Administration (VHA)? Omega House Executive Director Mike Lutz said he received a call from the local Veteran's Affairs (VA) office in Iron Mountain late December 2024 informing him that they would "no longer be servicing veterans at Omega House." ... Veterans who would usually receive a reimbursement through the VA for their hospice care would no longer be able to find that at Omega House, leaving them to get their care 100 miles away or more. 

CareFirstNY announces the loss of beloved CEO, Tali Sutton CareFirstNY, Painted Post, NY; 2/5/26 It is with tremendous sadness that we announce that Tali Sutton, CEO of CareFirstNY, experienced a sudden and unexpected medical emergency on Monday, February 3. True to her giving spirit, she is an organ donor and will pass along her final gift of life to others in need. Tali’s belief in CareFirstNY, her authenticity, and her friendship created a bright light that united many people across our region. As a leader, Tali instilled a passionate culture of understanding, positivity, and trust that will be deeply missed. ... CareFirstNY’s patient care services will remain uninterrupted at this time; we will share additional information as available and appropriate. For those who would like to make a contribution to Tali’s memory, please visit our Donation Page for more information.

Regional Hospice celebrates 10 years of compassionate care at inpatient Center For Comfort Care & HealingThe Newtown Bee; 2/2/25[Connecticut] Regional Hospice marked a momentous milestone in January with the tenth anniversary of its Center for Comfort Care & Healing, a one-of-a-kind facility that has redefined end-of-life care in Connecticut... ToniAnn Marchione, LRT (M), BS, president and CEO of Regional Hospice, notes Regional Hospice has been providing care in the community for more than 40 years. “When we opened our doors to the Center a decade ago, our former president & CEO, Cynthia Emiry Roy, MS, LCSW, CHA, who was the visionary, along with our board members and others, created more than just a hospice facility — the idea was to build a true home where patients and their loved ones could find comfort, dignity, and peace,” Marchione said.

Family caregivers who support older relatives are on the rise due to aging-in-place preferences HousingWire; by Chris Clow; 2/5/25 The number of family caregivers who support older relatives in either home-based or residential care settings increased by 32% between 2011 and 2022 ... Researchers also say this could be partially tied to rising preferences for aging in place. This is according to a joint study from the Johns Hopkins Bloomberg School of Public Health and the University of Michigan’s Institute for Social Research. Additional support came from the National Institute on Aging, a division of the National Institutes of Health (NIH). The raw number increase went from 18.2 million in 2011 to 24.1 million in 2022. The study also found that the number of care hours provided by family and other unpaid caregivers increased by 50% during that time. The average number of weekly hours for such care stood at 21.4 in 2011, but it jumped to 31 in 2022, nine hours short of what is widely considered a full-time weekly work schedule.

Hospice Alliance hosts CNA walk-in interviews Kenosha.com, Kenosha, WI; Press Release; 2/5/25 What: Hospice Alliance is looking for dedicated Certified Nursing Aides to join our award-winning team. We will be hosting walk-in interviews on Thursdays throughout the month of February from 1 – 3 pm for full-time 1st shift aides. Wages start at $18.50 an hour, and positions are benefit eligible (i.e. PTO, 403b match, health, vision and dental insurance). Please bring your resume, CNA certification, driver’s license, and auto insurance with you (all of which are required for the position). Who: Open to anyone who is a Wisconsin Certified Nursing Aide Where: ... When: Thursdays, February 6, 13, 20 and 27 from 1 – 3 pm Applications can be completed ahead of time at ...Editor's note: We're posting this as an innovative, user-friendly recruitment initiative.

Fallon Health announces a new location in Framingham to serve older adults in the MetroWest Fallon Health, Worcester, MA; Press Release; 2/3/25 Fallon Health, a national leader in offering PACE (Program of All-Inclusive Care for the Elderly), is pleased to announce the opening of a new alternative care setting in Framingham. This location aims to bring care closer to home for older adults in the MetroWest region. ... The new space includes 3 exam rooms, lab services, a therapy room for physical, occupational, and other therapeutic services, a conference room for care planning and family meetings, a shower, laundry facilities, and dedicated office space. To ensure a comprehensive support system, Adult Day Health (ADH) services are provided through partnerships with like-minded local programs, including Dia Feliz Adult Day Health Center.

Central Coast VNA & Hospice expands hospice and support programs in the Central Coast region Chicago News; Press Release, media contact Jane Russo; 2/5/25 Central Coast VNA & Hospice, a trusted leader in home health and hospice care for over 70 years, is proud to announce the expansion of its comprehensive hospice and support programs throughout the Central Coast. ... With an increased focus on hospice care, education, and support, Central Coast VNA & Hospice is reaching more communities, including Monterey, Salinas, Hollister, and Santa Cruz. The organization’s enhanced programs include:

How can we cultivate happiness in medicine? The Hospitalist; by Nikhil Sood, MD and Marjorie Bessel, MD; 2/3/25 Burnout has led to early physician retirements and clinicians leaving the profession, resulting in an unprecedented physician shortage and access challenges. This jeopardizes our ability to meet the community’s needs and fulfill our mission of making healthcare more accessible to improve quality of life. The question is, how can we, as a healthcare system, tackle this issue head-on? ... The CHIM strategy is a comprehensive, evidence-based approach, driven by clinicians, that supports wellness from an individual and organizational perspective. ... The six dimensions of the strategy include the following: