Literature Review

Duke University Health System CEO: 7 lessons learned from a complex transformation Becker's Hospital Review; by Craig T. Albanese, MD, CEO of Duke University Health System; 4/3/25 Change management is both the art and science of preparing, supporting and equipping individuals, teams and an organization to adopt and adapt to new beginnings. ... Unifying our organization over the past 21 months, as with most mergers, has been challenging and we are far from finished. ... Lessons Learned:

Life’s challenges are not supposed to paralyze you, they’re supposed to help you discover who you are. ~ Bernice Johnson Reagon

Trump administration orders NIH to eliminate $2.6 billion in federal contracts STAT; by Megan Moteni; 4/3/25 April 8 is the deadline for a 35% cut in services that could affect specimen storage, genetic counseling, administration. Leaders at the National Institutes of Health have been meeting this week to figure out how to cut $2.6 billion in contracts from the biomedical research agency’s budget, ... Early last week, the Trump administration’s federal government-shrinking task force, known as the U.S. DOGE Service, directed the NIH to reduce contract spending across each of its 27 institutes and centers by roughly 35%. The NIH was told to comply by April 8, ... [Continue reading ... access may be limited by subscription]

Trump administration to shut down CMS, HHS minority health offices amid restructuring Healthcare Dive; by Rebecca Pifer; 3/31/25 The CMS and HHS offices that coordinate efforts to eliminate health disparities are being shut down completely as part of the Trump administration’s overhaul of the federal healthcare department, according to sources with direct knowledge of the matter. Closing the offices will impact efforts to improve the health of underserved patients in the U.S. — and is probably illegal, according to experts. ... Shutting the offices, which were authorized by the Affordable Care Act more than a decade ago, may also be illegal, according to legal experts. [Continue reading ...]

HHS restructures duals, PACE offices amid department overhaul Modern Healthcare; by Bridget Early; 4/3/25 The Health and Human Services Department is reorganizing a handful of key programs for dually eligible enrollees and older adults, including laying off numerous staffers. HHS is shuffling how it manages care coordination for people dually eligible for Medicare and Medicaid under the Medicare-Medicaid Coordination Office and the Program of All-Inclusive Care for the Elderly. PACE, which had been poised for growth, offers home and center-based care mostly to dual-eligible Medicare and Medicaid enrollees who qualify for skilled nursing but can still live in their communities. A spokesperson for HHS said the department has “planned productivity enhancements for the PACE management department.” HHS did not elaborate on what management changes for the PACE program might look like.

US Supreme Court rejects medical marijuana firm's bid to avoid racketeering suit Reuters, Washington, DC; by John Kruzel; 4/2/25 The U.S. Supreme Court ruled on Wednesday against Medical Marijuana Inc (MJNA.PK), opens new tab in its bid to fend off a lawsuit by a commercial truck driver who was fired for failing a drug test after taking cannabidiol, or CBD, that he said was falsely sold as lacking the psychoactive ingredient present in marijuana. The justices, in a 5-4 decision authored by conservative Justice Amy Coney Barrett, upheld a lower court's ruling that had allowed plaintiff Douglas Horn to bring a civil lawsuit against the San Diego-based company under the Racketeer Influenced and Corrupt Organizations Act. [Continue reading ...]

Fraud alert: HHS-OIG telephone numbers used in scam The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG); 4/3/25 The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) confirmed that official HHS-OIG telephone numbers are being used as part of a spoofing scam targeting individuals throughout the country. These scammers represent themselves as HHS-OIG employees and can alter the appearance of the caller ID to make it seem as if the call is coming from HHS OIG phone numbers found on its public website. The perpetrator may use various tactics to obtain or verify the victim's personal information, which can then be used to steal money from an individual's bank account or for other fraudulent activity. We encourage the public to remain vigilant, protect their personal information, and guard against providing personal information during calls that purport to be from HHS-OIG telephone numbers. We also remind the public that it is still safe to call into the HHS-OIG Hotline to report fraud. We particularly encourage those who believe they may have been a victim of the telephone spoofing scam to report that information to us through the HHS-OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) or online. 

1 red flag that reveals bad leadership fast: One clear sign can tell you a lot about whether someone is leading well or failing miserably. Inc., by Marcel Schwantes; 3/28/25 Bad leadership isn’t always obnoxious, toxic, or obvious. Sometimes it shows up in small, everyday moments—how someone talks to their team, how they handle mistakes, or how they treat people when no one’s watching. You don’t need a long list to spot it, either. A few clear signs can tell you a lot about whether someone is leading well … or just holding the title. ... Here is one quick way to recognize bad leadership before it does real damage: a lack of patience ... [Continue reading ...]

Healthcare data breaches average $11M per incident: Report Becker's Health IT; by Naomi Diaz; 3/28/25 Cyberattacks have hit 78% of U.S. healthcare organizations, with the average cost of a breach soaring to $11 million per incident — largely due to ransomware attacks — according to a March 28 report from Black Book Market Research. Black Book Market Research, a technology survey organization, released findings from its first-quarter 2025 Global Healthcare Cybersecurity Survey, which gathered responses from more than 1,200 healthcare administrators worldwide. Participants were sourced through LinkedIn professional groups. The study revealed a sharp rise in cybersecurity threats targeting EHRs and patient data. [Continue reading ...] 

20 leadership behaviors that undermine trust—and how to restore it Forbes; by Expert Panel for Forbes Coaches Council; 3/27/25 Trust is the cornerstone of effective leadership, yet even the most well-intentioned executives can inadvertently weaken it. ... Here, members of Forbes Coaches Council share 20 common ways leaders unintentionally compromise trust with teams, along with strategies to restore it.

Federal legislation would mandate hospice education upon hospital discharge McKnights Home Care; by Adam Healy; 4/2/25 A bill under consideration in Congress would require hospitals to educate patients about hospice care options upon discharge. HR 2437, introduced Thursday by Rep. Erin Houchin (R-IN), would amend Medicare policy to mandate that hospitals “provide information on available hospice programs to certain individuals upon discharge,” according to the bill. Although hospitals are not necessarily required to provide patients with information on available hospice programs upon discharge, they are encouraged to do so. [Continue reading ...]

‘Unsung backbone of care delivery’: The growing need for hospice aides Hospice News; by Jim Parker; 3/28/25 As workforce shortages persist in health care, some operators are struggling to recruit and retain essential members of their care teams — hospice aides. The demand for hospice aides is expected to grow in the coming years. However, factors such as turnover, retirement, slow wage growth and immigration policy could complicate hospice’s ability to fill those positions. Many companies are focused on bolstering their nursing workforce, who are also in high demand, but providers also need to prioritize hiring a sufficient number of aides, according to Cooper Linton, associate vice president of Duke HomeCare & Hospice. [Continue reading ...] 

Voices of Inspiration at the Dignity Health Arena NBC KGET-17, Bakersfield, CA; by Joshua Eyraud; 3/31/25 Hoffmann Hospice is celebrating its 30th anniversary in 2025, and on Thursday night they brought in some star power. Hoffmann held its annual Voices of Inspiration dinner at the convention center in downtown Bakersfield on March 27. It featured a very special guest speaker – Third generation Nascar driver Dale Earnhardt, Jr. who retired in 2017, was the special guest speaker for the evening. ... Beth Hoffmann says it’s easy to see why Earnhardt Jr. was the perfect fit for this event. “We are a Nascar community, so that was kind of easy. I read his book and and that was phenomenal,” said Hoffman. “He’s just a man that perseveres, he’s committed to his goals, his mom had hospice and he was voted like 15 times the favorite of drivers, the most friendly.”