Literature Review

You’re not imagining it. The ‘quad-demic’ is making everyone sick. New Jersey Advance Media; by Jackie Roman; 1/27/25 A quadruple threat of viruses is driving up emergency room visits and hospital admissions across the United States, including in New Jersey. Public health experts warn a “quad-demic” — a contagious combination of COVID-19, influenza, RSV and norovirus — has increased pressure on New Jersey hospitals this winter. Emergency department visits and hospital admissions remain elevated for COVID-19, influenza, and RSV, according to the state’s latest respiratory illness surveillance report. ... The Centers for Disease Control and Prevention estimates that there have been at least 16 million illnesses, 190,000 hospitalizations, and 8,300 deaths from flu so far this season. Thirty-one of those deaths were among children, according to the CDC. [Click on the title's link for more data and a national map, with updates by the CDC on 1/22/25.] 

It's easy to make a buck. It's a lot tougher to make a difference. ~ Tom Brokaw

Health equity guide aims to improve care for Black patients with serious illnesses Healio; by Jennifer Byrne; 1/28/25 Black individuals in the U.S. with serious illnesses receive disproportionately poor pain management and health care communication, compared with white individuals, a focus group led by the Center to Advance Palliative Care showed. Black individuals with these illnesses — such as cancer, heart failure or dementia — also experience higher family caregiver burden, findings showed. To address these inequities, the Center to Advance Palliative Care (CAPC) issued a comprehensive guide titled, “Advancing Equity for Black Patients with Serious Illness.”

Circle of Life opens home-based care center Talk Business & Politics, Arkansas; by Talk & Politics staff; 1/28/25 Nonprofit hospice provider Circle of Life recently opened the two-story, 27,133-square-foot Joey Feek Center for Home-Based Care in Lowell after a capital campaign raised over $12.5 million. According to a news release, the center will serve 93% of the nonprofit’s patients daily. “We want to express our deep gratitude to our community, board of directors, and dedicated staff for making this expansion possible,” CEO Catherine Grubbs said. ... Dee Vaughn, chief development officer, said the campaign surpassed its $12.5 million goal and had over 350 supporters. Circle of Life has more than 170 staff based at the new center, ... 

Falls Quilt Guild celebrates “Adopt A Bear” 25th birthday Times-Leader, Great Falls, MT; by the Falls Quilt Guild; 1/24/25 ... Kevin Sukut from Benefis Peace Hospice and Children's Bereavement Coordinator thanked guild members for the donation of quilts that accompany bears with adoption papers. It is a powerful and emotional experience participating in the gifting part of healing so many young hearts. These are given to children who accompany grieving families at Hospice. These quilts become a security blanket that brings joy to children’s faces. Kevin partners with Torene Marcum to set up and distribute bags throughout Benefis and to Choteau and Fort Benton. Torene states it is amazing how the bear and quilt makes treating children easier.

Concurrent Care Collaborative a safety net for pediatric patients Noozhawk, Santa Barbara, CA; by Easter Moorman; 1/26/25 Partners for Kids has initiated Santa Barbara County’s first Pediatric Concurrent Care Collaborative designed to offer comprehensive, compassionate, and coordinated care to seriously ill children from birth to 21 years of age. Spearheaded by Kieran Shah, president/CEO of VNA Health, and Rebecca Simonitsch, Quality Initiatives Program manager for Cottage Health, nine local organizations have joined to create a safety net for pediatric patients and their families to help them receive care close to home. The groups are: CenCal Health, Central Coast Home Health & Hospice, Cottage Children’s Medical Center, Dignity Health, Hearts Aligned, Herencia Indígena, Hospice of Santa Barbara, Teddy Bear Cancer Foundation, and VNA Health. 

Caring for a dying spouse at the end of life

Palliative care is essential for seriously ill patients—at any ageAMA (American Medical Association); by Kevin B. O'Reilly; 1/27/25 The AMA House of Delegates has adopted new policies outlining physicians’ ethical obligation to provide or seek optimal palliative care for patients with serious illnesses who can benefit from comprehensive management of pain and other distressing symptoms—not only those with terminal illnesses or on the precipice of death. “Physicians have clinical ethical responsibilities to address the pain and suffering occasioned by illness and injury and to respect their patients as whole persons,” says one of the new policies adopted at the latest AMA Interim Meeting, held in Lake Buena Vista, Florida. “These duties require physicians to assure the provision of effective palliative care whenever a patient is experiencing serious, chronic, complex or critical illness, regardless of prognosis.” 

Why drug prices & modern tech matter in hospice care, too, with Nick Opalich Capital Rx; podcast with Nick Opalich; 1/24/25 For Episode 51 of the Astonishing Healthcare podcast, we spoke with Nick Opalich, CEO of HospiceChoice Rx. We learned about how end-of-life care is evolving in the U.S., including the roles pharmacy and technology play in the hospice industry. Nick discusses some similarities between the hospice pharmacy benefit management (PBM) and commercial PBM spaces, such as the importance of a great pharmacy network and independent pharmacies, why the drug price index matters (NADAC vs. AWP), medication access, and disconnected systems. A former pharmacy owner himself, Nick explains the importance of helping hospice providers control drug spend, which is usually the second highest cost behind labor, and reimbursement trends/pressure. 

New hospice center in Missoula prepares for grand opening Times-Leader, Missoula, MT; by Taylor Richardson; 1/24/25 The Partner Hope Foundation has completed construction on its new hospice center in Missoula, offering critical services to the region. This facility is only the second of its kind in Montana and aims to provide high-quality care for elders in western Montana. ... The center features 12 patient care rooms equipped with amenities such as a spa, a full kitchen, and a space for spiritual practices. Melro highlighted the design of the patient rooms: "We tried to make them oversize so that family could gather here and stay with the patient as needed. We tried to encompass some things that will help make the patients more comfortable, such as additional storage and their own refrigerator. ... The center's creation was made possible by a $15.4 million fundraising campaign which is 95% funded so far. 

Children’s book written by Manheim Township mother finally published 3 years after she died of cancer [video] LNP Lancaster Online, Lancaster, PA; by John Walk; 1/27/25 As she battled a rare sarcoma cancer over the last two years of her life, Manheim Township resident Ginny McCreary struggled to find a children’s book she could read to her two young daughters to help them better understand what she was going through. So McCreary wrote the book herself, sometimes on a smartphone while laying in bed late at night, ... McCreary died Aug. 15, 2021. She was 34. She left behind a self-published manuscript of the children’s book that sat idle for about two years but was not forgotten. ... The book has also made its way inside four Hospice & Community Care locations in Lancaster as well as Penn Medicine’s Ann B. Barshinger Cancer Institute in East Hempfield Township. [Video with Ginny's mother] "I'd love to get it to some cancer centers and hospice centers ..." [Click on the title's link for more information.]

D.C. is America’s loneliest city. Can 1,000 robotic pets help? The Washington Post; by Olivia George; 1/27/25 Rose Watkins, 67, says she doesn’t really have anyone to talk to, not since her mother passed away. Brenda Jacobs, 70, doesn’t drive anymore ... Yvonne Gathers, 74, wishes she had something ... to keep her mind from drifting back to the day she learned her son — who lived with her — was shot and killed. All three seniors live in D.C. and are now part of a new program distributing robotic pets to residents 60 and older who live in Wards 1, 7 and 8. The initiative, spearheaded by three local nonprofits, is part of a broader push nationwide to use battery-powered pets to ease the loneliness and isolation that often accompanies older age and help lessen associated health risks. The pets nuzzle, stretch and roll on their tummies for scratches. You can feel their heartbeat through their soft fur. The dogs bark and wag. The cats purr and meow. “I’ve been lonely, I’ve been depressed,” Watkins said recently, stroking a beige dog with a red bandanna that turns its head when she talks. “I think this will help.” The robotic pets — Joy for All Companion Pets from parent company Ageless Innovation — “really do provide companionship and need nothing in return,” said Steve Cone, chief communications officer at nonprofit provider Capital Caring Health, one of the organizations involved in the D.C. program. “There is no upkeep, no cleanup.” [Click on the title's link to continue reading.]

Stillwater Hospice CFO: A winning recipe for improving rural hospice care Hospice News; by Holly Vossel; 1/23/25 Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. The strategy hinges on building culture, staffing resources and a reputation for quality, according to CFO and Co-founder Chris Graham. Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. ... What are the most significant concerns among rural-based hospice providers currently? How have the challenges of rural care delivery evolved in recent years? "Staffing is very hard. You’ve got to find staff who are willing and like to travel because they have a lot of windshield time. It’s also the logistics of remote care. We have patients that live 75 miles or more outside of a town, then once you get there it’s another 20 miles on a dirt road that could be covered in snow and ice. ..." [Click on the title's link to continue reading.]