Literature Review
Today's Encouragement: January, the month where "new year, new me" turned into ...
01/31/25 at 03:00 AMJanuary: The month where "new year, new me" turned into "new year, new Netflix series to binge-watch." So long! ~ Anonymous
The Handbook of LGBTQIA-inclusive Hospice and Palliative Care, 2nd edition
01/31/25 at 03:00 AMThe Handbook of LGBTQIA-inclusive Hospice and Palliative Care, 2nd edition Review in Ageing & Society, published online by Cambridge University Press; book authored by Kimberly D. Acquavia, review authored by Luis Stoisser; 1/23/25 The Handbook of LGBTQIA-inclusive Hospice and Palliative Care is a comprehensive guide to providing inclusive palliative and hospice care to everyone, regardless of their self-identification. Following the author's belief that LGBTQIA+ hospice and palliative care requires change at three levels - individual, institutional and systemic - the book extends state-of-the-art palliative and hospice practices (US focused) by including LGBTQIA+ perspectives. Such a rethinking educates hospice and palliative care practitioners on how to provide person-centered care, how to be self-reflexive on a daily basis and how to handle their own stereotypes and stigmas. [This book is available via Columbia University Press and Amazon.]
3 things leaders should prioritize in 2025
01/31/25 at 02:00 AM3 things leaders should prioritize in 2025World Economic Forum; by Madeleine North; 1/28/25 At the World Economic Forum's Annual Meeting 2025, what did leaders from different industries view as the priorities for the coming year? Over the course of the event, cooperation and adaptability emerged as key themes for addressing challenges in a rapidly evolving global landscape. ... Here are three lessons for the year ahead from seven leaders in their field.
How to prioritize AI initiatives: A strategic framework for maximizing ROI
01/30/25 at 03:15 AMHow to prioritize AI initiatives: A strategic framework for maximizing ROI CIO; Opinion, by Santhosh Gottigere; 1/28/25 ... AI is highly disruptive and rapidly evolving at breakneck speed. Advanced versions of large language models (LLMs) are coming out at regular intervals with improved compute power capabilities. Those LLMs are also achieving the kind of increased accuracy scores on the MMLU benchmark leaderboard that have become synonymous with the version upgrade cycles we are all accustomed to with SaaS product releases like clockwork. ... Developing a clear and comprehensive strategic vision is the starting point of prioritizing AI initiatives with business goals. Answering the question “Why” sets the tone. Will AI — and specifically generative AI (genAI) — assist in your customer experience and retention efforts? Are you hoping it will open up or drive new lines of revenue? Or is it a “we’re not sure, but we don’t want to be left behind” situation? ... [Click on the title's link to continue reading.]
Major tuberculosis outbreak hits Kansas City area
01/30/25 at 03:15 AMMajor tuberculosis outbreak hits Kansas City area U.S. News & World Report; by Hannah Lang; 1/29/25 An outbreak of tuberculosis in the Kansas City area has grown into one of the largest ever recorded in the United States, with dozens of active cases of the infectious disease reported, according to health officials. As of Jan. 24, 67 active cases of tuberculosis, or TB, had been reported in Wyandotte and Johnson counties in Kansas. The outbreak began last year, the Kansas Department of Health and Environment said on its website. It did not specify a source of the outbreak. ... Tuberculosis replaced COVID-19 as the top cause for infectious disease-related deaths in 2023, according to a World Health Organization report published in October, highlighting challenges in the global effort in eradicating the disease.
Carlsberg A/S: Supplier & licensee Code of Conduct
01/30/25 at 03:00 AMCarlsberg A/S: Supplier & licensee Code of Conduct MarketScreener Blog; by the Carlsberg Group; 1/28/25 ... As a UN Global Compact signatory, we are committed to its four pillars: human rights, labour, environment, and anti-corruption. The Code aligns with international stand- ards, such as the UN Global Compact's Ten Principles, the Base Code of the Ethical Trading Initiative (ETI), the principles of the International Labour Organization (ILO) and ISO 14001. [Click on the title's link for the sample "Code of Conduct."]Editor's note: What ethics policies do you have in place for the suppliers and other vendors with whom you partner? How does this sample Code of Conduct align--or not--with your organization's ethics and conduct?
UNC Health, Duke Health to build children's hospital
01/30/25 at 03:00 AMUNC Health, Duke Health to build children's hospital Modern Healthcare; by Alex Kacik; 1/28/25 UNC Health and Duke Health will build a freestanding children’s hospital in the Piedmont, North Carolina, area. The academic health systems plan to build a 500-bed children’s hospital, a pediatric outpatient center and a children’s behavioral health facility. The project, fueled by a $320 million investment by the state, is set to break ground in 2027 and take six years to complete, the organizations said in a Tuesday news release.
Wellesley couple has donated more than $3M toward palliative care at local hospital
01/30/25 at 03:00 AMWellesley couple has donated more than $3M toward palliative care at local hospital WickedLocal.com, Newton, MA; by Beth McDermott; 1/29/25 A Wellesley couple recently committed $1.6 million to support palliative care at Newton-Wellesley Hospital, bringing their total contribution to more than $3 million. In a press release, hospital officials said the latest donation from Steve and Rebecca Sullivan will fund a palliative care nurse navigator position to benefit the entire hospital, especially its emergency department. The role is expected to improve the quality of care for seriously ill patients, streamline patient flow and support care teams. A previous $1.5 million gift from the Sullivans, in 2021, endowed the Sullivan Family Chief of Palliative Care position, held by Dr. Kosha Thakore.
The iatrogenic consequences of medicalising grief: Resetting the research agenda
01/30/25 at 03:00 AMThe iatrogenic consequences of medicalising grief: Resetting the research agenda Sociology of Health & Illness: by Sarah Gurley-Green, Lisa Cosgrove, Milutin Kostic, Lauren Koa, and Susan McPherson; published 11/28/25, distributed via Evermore 1/28/25When the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, there was a firestorm of controversy about the elimination of the bereavement exclusion. Proponents of this change and of the proposed “complicated grief” designation believed that this change would help clinicians recognise major depression in the context of recent bereavement. Other researchers and clinicians have raised concerns about medicalising grief. In 2022 “prolonged grief disorder” (PGD) was officially included in the DSM-5-TR in the trauma- and stressor-related disorders section. ... As human rights activists have argued, bereavement support is an inalienable human right, one that is centered on the right to health and well-being, for “bereavement health is as intrinsic to our humanity as any other aspect of health and citizenship” (Macaskill 2022). That is why there are increasing calls for investing in bereavement as a public good and for “cultivat[ing] a bereavement-conscious workforce.” (Lichtenthal et al. 2024, e273). As Lichtenthal notes, it is not only clinicians but also institutions and systems that must “shift bereavement care from an afterthought to a public health priority.”Editor's note: "Iatrogenic" refers to unintentional consequences/condition from a medical intervention. In the hospice context, this means bereavement/grief from the hospice death. How many patients do you serve? The CMS Hospice Conditions of Participation identify "bereavement" and/or "grief" 155 times. What priority do you give to bereavement care before, at and after your patients' deaths?
The Dorion Family Pediatric Center breaks ground in Mandarin
01/30/25 at 03:00 AMThe Dorion Family Pediatric Center breaks ground in Mandarin Jacksonville Daily Record, Jacksonville, FL; by Dan Macdonald; 1/28/25 The hospice center is designed to expand care and convenience for children and their families. The Foundation of Community Hospice & Palliative Care broke ground Jan. 27 on the Dorion Family Pediatric Center, a pediatric hospice center in Mandarin. ... The space will allow for an expanded range of therapies and support services in a dedicated, pediatric-friendly setting. The facility will provide a centralized location that reduces travel time for the clinical team. Currently, caregivers travel to patients’ homes, the release said. ... The Dorion Family Pediatric Center is named in honor of the Dorion family, who are advocates for compassionate care. The family helped establish the organization.
The tech shaping healthcare in 2025, per 61 leaders
01/30/25 at 03:00 AMThe tech shaping healthcare in 2025, per 61 leaders Becker's Health IT; by Naomi Diaz; 1/28/25 Healthcare leaders told Becker's that emerging technologies such as ambient listening, AI-driven automation, and advanced remote patient monitoring are set to transform healthcare in 2025 by tackling workforce shortages and boosting operational efficiency.
Cyber Threats 2025
01/30/25 at 03:00 AMCyber Threats 2025 Teleios Collaborative Network (TCN); by Joel Garr; 1/28/25One of the biggest worries hospices face today is the threat of a cyberattack. ... Experts say there are four steps to developing the plan.
Today's Encouragement: The road to success ...
01/30/25 at 03:00 AMThe road to success is always under construction. ~ Lily Tomlin
How a St. Louisan helps her community navigate death by filling out advance directives
01/30/25 at 03:00 AMHow a St. Louisan helps her community navigate death by filling out advance directives NPR - St. Louis on the Air; by Jada Jones; 1/28/25 When Vivial Lopez’s grandmother was on life support, her family was faced with many difficult decisions. Her grandmother did not have an advance directive, so her family did not know her final wishes. The experience of navigating her grandmother’s end-of-life plan without any direction led Lopez to advocate for families to prepare advance directives - especially those in Black and brown communities. Approximately only on ein three adults complete an advance directive for end-of-life care. Lopez works with the Gateway End-of-Life Coalition to empower members of the St. Louis community to navigate death through quality end-of-life care. Editor's note: Click here for AARP - Find Advance Directives Forms by State, also available in Spanish.
U.S. Attorney’s Office recovers more than $55 million in civil settlements and judgments in calendar year 2024
01/30/25 at 03:00 AMU.S. Attorney’s Office recovers more than $55 million in civil settlements and judgments in calendar year 2024United States Attorney's Office - Western District of Texas, San Antonio, TX; 1/28/25U.S. Attorney Jaime Esparza announced today that the Western District of Texas recovered $55,969,678.60 in settlements and judgments in over 25 affirmative civil enforcement cases between January 1, 2024, and December 31, 2024. ... The office’s largest civil recoveries were obtained in False Claims Act (FCA) matters. The most significant FCA recoveries include: ...
Vermont Mutual grants $10,000 to CVHHH through Charitable Fund
01/30/25 at 02:30 AMVermont Mutual grants $10,000 to CVHHH through Charitable Fund Vermont Mutual Insurance Group; by Tim; 1/28/25 Central Vermont Home Health & Hospice (CVHHH) received a $10,000 grant from the Vermont Mutual Charitable Giving Fund. ... “We are honored to award this grant to Central Vermont Home Health & Hospice,” said Sarah Young, executive director of the Vermont Mutual Charitable Giving Fund. “Their unwavering dedication to providing compassionate care and support for individuals and families during life's most challenging moments is truly inspiring.
Michigan Center for Rural Health working to expand rural palliative care
01/30/25 at 02:00 AMMichigan Center for Rural Health working to expand rural palliative care Hospice News; by Jim Parker; 1/29/25Recent studies have established a dire need for palliative care in rural areas, and the state of Michigan is no stranger to this situation. To respond to the need, the Michigan Center for Rural Health (MCRH) is partnering with Stratis Health, a nonprofit consulting firm that specializes in assisting rural communities with providing palliative care services. The two organizations, which have partnered on projects related to critical care hospitals and Medicare beneficiaries, will choose five rural communities in the state with the goal of increasing their capacity to provide palliative care. In the current phase of the project, Stratis will be training MCRH staff to apply their framework for implementing palliative care programs in the target areas.
Homecare industry facing crisis
01/30/25 at 02:00 AMHomecare industry facing crisisWFMZ-TV 69 News, Allentown, PA; by Christina Lengyel; 1/28/25 ... [Providers] across the state are struggling to hire enough staff to cover the needs of the state’s 300,000 homecare recipients. Unable to offer comparable hourly wages, the industry is losing its potential recruiting pool to gig work and jobs in the service industry. “We are in crisis. The crisis isn’t coming. We are not planning for it. It’s actively here,” said Mia Haney, CEO of the Pennsylvania Homecare Association at a meeting of the House Aging and Older Adult Services Committee. The average hourly wage for homecare workers in the state is between $13 and $14, making it hard to compete with other industries. Even within healthcare, counterparts performing the same tasks from within care facilities earn more. Home care advocates say the discrepancy doesn’t add up given the value of homecare.
Palliative care may improve quality of life in esophageal cancer
01/29/25 at 03:15 AMPalliative care may improve quality of life in esophageal cancer Cure; by Tim Cortese; 1/27/25 Palliative care consultations helped patients with esophageal cancer at end-of-life experience better quality of life and less financial strain by reducing the need for intensive interventions, according to a poster presented at the 2025 ASCO Gastrointestinal Cancers Symposium. The mean length of hospital stay was 7.5 days (plus or minus 11.3 days) for patients who received palliative care and 8.9 days (plus or minus 14.9) for those who didn’t; and total charges were $97,879 (plus or minus $195,868) and $146,128 (plus or minus $321,830), respectively. Patients who received palliative care consultation had a Charlson Comorbidity Index of 9.4 (plus or minus 3.3) versus 9.1 (plus or minus 3.5) for patients who did not.
We need to talk about hospice
01/29/25 at 03:00 AMWe need to talk about hospiceMedCity News; by Skelly Wingard, Asher Perzigian and Elizabeth Annis; 1/28/25 In the quiet corners of healthcare, there’s a conversation that needs to be had. It’s a conversation about hospice — a critical yet often misunderstood part of end-of-life care. ... Nearly three-quarters of hospice care agencies are for-profit ownership. ... The impact of these acquisitions on the industry is complex. ... On the one hand, these investments can bring valuable resources to hospice care, funding geographic expansion, scaling technological infrastructure, improving facilities and enhancing services. On the other hand, a strong focus on efficiency and optimization has led to challenges such as staff burnout, higher turnover, and decreased patient satisfaction when compared with non-profits. Coupled together, this complexity can contribute to reduced quality of care due to cost-cutting measures, aggressive marketing leading to overuse of services, increased billing and fraud and a lack of community investment. Not all for-profit hospices operate this way. ... [Click on the title's link to continue reading.]
Kaiser Permanente physicians negotiate new labor agreement
01/29/25 at 03:00 AMKaiser Permanente physicians negotiate new labor agreement Hospice News; by Holly Vossel; 1/27/25 Resident physicians at California-based Kaiser Permanente have recently negotiated a new agreement that includes compensation increases and expanded mental health and wellness employee benefits. The agreement came after months of negotiations and included salary increases over the next three years, along with more paid time off and enhanced financial support for resident physicians. It also included roughly $40,000 to fuel an annual patient-project fund.
Thinking innovatively about your nursing career development
01/29/25 at 03:00 AMThinking innovatively about your nursing career development Minority Nurse; by Keith Carlson, BSN, RN, NC-BC; 1/27/25 Your nursing career is yours to create, and with proper care, your path can be unique, innovative, and idiosyncratic. At the same time, your many obligations and responsibilities can steer you away from your uniqueness and leave you in a rut of choosing the path of least resistance. There are many strategies for choosing a career journey that fits your vision of who you want to be as a healthcare professional, and it’s worth exploring those strategies for the ones that can most readily move you forward. ... Thoughtful questions are a good place to begin your self-assessment. ...
Bettis Academy instills leadership skills with Eagles L.E.A.D. Program
01/29/25 at 03:00 AMBettis Academy instills leadership skills with Eagles L.E.A.D. Program The Post and Courier, North Augusta, SC; by Bianca Moorman; 1/27/25 Bettis Preparatory Leadership Academy is helping to build the next generation of leaders with its new Eagle's L.E.A.D. Initiative. Eagle's L.E.A.D. – which stands for Learn through Experience, Excel in Academics, Aspire to Inspire and Drive for Change – aims to teach students the skills needed to become leaders through hands-on service projects. The school officially launched the program on Oct. 28, 2024. ... Each grade level has selected a unique service project for the program. ... First-graders are partnering with Gentiva Hospice to learn about the work of first responders. Second-graders are collaborating with heart doctors to raise awareness about childhood heart disease. Third-graders are creating "little libraries" to place in various locations throughout the community. [Click on the title's link for grades 4-8.]
Main Line Health cuts 200 administrative roles
01/29/25 at 03:00 AMMain Line Health cuts 200 administrative roles Becker's Health IT; by Naomi Diaz; 1/22/25 Bryn Mawr, Pa.-based Main Line Health has eliminated approximately 200 administrative and management positions, including roles in IT, The Philadelphia Inquirer reported Jan. 22. The majority of the cuts targeted administrative support areas such as information technology, finance, human resources, revenue cycle, and accounting, according to Main Line Health CEO Jack Lynch. "The landscape in healthcare is awful, and it's only getting worse," Mr. Lynch told the publication. He cited several factors driving the decision, including inadequate payment increases from Medicare and Medicaid — which account for 65% of the system's patient coverage — rising insurance denials, and the delayed arrival of $25 million in federal COVID-19 aid.
What can we learn from the dying?
01/29/25 at 03:00 AMWhat can we learn from the dying? Newscastle's News Letter Journal (NLJ), Newcastle, WY; by Kelly Evans-Hullinger, MD; 1/26/25 For the last five years, I have had the great privilege of serving my local health system as Medical Director for Home Hospice. Every week I sit in a meeting with the multidisciplinary caretakers on this team ... Patients facing their own deaths want to talk about their lives. Our staff frequently tries to facilitate what they call a “life review” in which a patient can openly talk about their childhood, family, career, service, and sometimes their regrets. This is therapeutic for the dying patient and their loved ones. ... I have recently thought about this particular human need – to reflect and remember one’s life. I take this as a reminder to both seek those stories from my own loved ones (I wish I had asked my grandmother more questions about her life) and, perhaps, to tell and write about the things in my own life I would want to be remembered after I am gone. For if there is another thing I’ve learned serving patients on hospice, it is that my death is also inevitable; but, I think, life’s finality is what gives it beauty and meaning.