Literature Review
40 largest health systems in the US | 2024
12/03/24 at 03:00 AM40 largest health systems in the US | 2024 Becker's Hospital Review; by Laura Dyrda; 11/27/24 Some large health systems grew while others shrunk over the last year, and more consolidation could be ahead. But changes were minimal in either direction, and the largest health systems this year remain relatively similar to previous years. Becker's compiled a list of the largest health systems in the U.S. based on the number of hospitals reported on the system's website. ... Note: The list below is not a ranking. Data includes all hospitals within the system. [Click on the title's link for the full list of 40 health systems.]
This Scottsdale art class helps adults with memory loss 'live in the moment'
12/03/24 at 03:00 AMThis Scottsdale art class helps adults with memory loss 'live in the moment' AZCentral, Scottsdale, AZ; by Alexandra Hardle; 12/1/24 ... Anne Halvorson and her mother, Nancy Halvorson, have been attending Memory Lounge since 2022. Nancy was diagnosed with Alzheimer's the year prior, Anne said. Nancy lives in an assisted living facility, but she spent much of her career as a music therapist working with children with special needs in the public school system, Anne said. Since her mother was already naturally drawn to art, the two became frequent attendees of Memory Lounge after hearing of the program through Hospice of the Valley. "It's been a lifesaver for us. It has given my mother an outlet for all of her creativity, which she has in abundance," Anne said. Memory Lounge also allows Anne's mother the chance to use a different part of her brain and to learn something new. It's also a space for her to simply socialize and talk about something other than her doctor's appointments and where she's living, Anne said.
A boom in male nurses: 8 notes
12/03/24 at 03:00 AMA boom in male nurses: 8 notes Becker's Clinical Leadership; by Kelly Gooch; 12/2/24 Nursing offers various career opportunities and has traditionally been dominated by women. However, more men are entering the field due to its stability and pay potential, The Wall Street Journal reported Nov. 30. Eight notes related to the boom in male nurses:
Homebound seniors living alone often slip through health system’s cracks
12/03/24 at 03:00 AMHomebound seniors living alone often slip through health system’s cracks KFF Health News; by Judith Graham; 12/2/24 Carolyn Dickens, 76, was sitting at her dining room table, struggling to catch her breath as her physician looked on with concern. “What’s going on with your breathing?” asked Peter Gliatto, director of Mount Sinai’s Visiting Doctors Program. “I don’t know,” she answered, so softly it was hard to hear. “Going from here to the bathroom or the door, I get really winded. I don’t know when it’s going to be my last breath.” Dickens, a lung cancer survivor, lives in central Harlem, barely getting by. She has serious lung disease and high blood pressure and suffers regular fainting spells. In the past year, she’s fallen several times and dropped to 85 pounds, a dangerously low weight. And she lives alone, without any help — a highly perilous situation. Across the country, about 2 million adults 65 and older are completely or mostly homebound, while an additional 5.5 million seniors can get out only with significant difficulty or assistance. ... It’s a population whose numbers far exceed those living in nursing homes — about 1.2 million — and yet it receives much less attention from policymakers, legislators, and academics who study aging.
Nursing homes must break cycle of patient rehospitalization
12/03/24 at 03:00 AMNursing homes must break cycle of patient rehospitalization Special to the USA TODAY Network, republished by The Record, Bergen County; by Mary Holden Jones; 11/28/24 One of the most severe issues facing long-term care patients is rehospitalization. Over 20% of nursing home residents are readmitted to the hospital within 30 days of discharge, a cycle that often worsens health outcomes and creates significant emotional, financial and logistical burdens for families, caregivers and the health care system. ... While hospital stays are sometimes necessary, they create added risks of infections and the constant back and forth can add to confusion and cognitive decline — both of which further reduce quality of life and prolong recovery times. ... The emotional toll on families is equally significant. ... Fortunately, many rehospitalizations are preventable with more proactive, coordinated care. Technology-driven health care solutions offer a promising way to monitor patients’ health in real time, alerting caregivers and health care providers to early signs of trouble before a minor issue becomes a major problem.
Big Bend Hospice’s promise to North Florida [New parent company, Seven Oaks Health]
12/03/24 at 03:00 AMBig Bend Hospice’s promise to North Florida [New parent company, Seven Oaks Health] Tallahassee Democrat; by Bill Wertman, "Your Turn"; 11/29/24 As CEO of Big Bend Hospice, I see every day how vital our mission focused hospice care is to families across North Florida. Yet, in today’s healthcare landscape, nonprofit hospices like ours are increasingly rare. Only about 30% of hospices nationwide operate as nonprofits (CDC, 2020), and for-profit hospices have made up nearly all new providers in recent years (Hospice News, 2022). These changes mean that the type of personalized, community-centered care that Big Bend Hospice provides is at risk of disappearing. In 2024 alone, 12 hospice acquisitions took place, with about half involving nonprofit organizations (Hospice News, 2024). This trend is forcing many nonprofits to either consolidate or scale back services. For Big Bend Hospice, the choice was clear: expand our offerings to meet more in-home healthcare needs, while keeping compassion and family-centered care at the forefront. To accomplish this, we established Seven Oaks Health, our new parent company. With Seven Oaks Health, we’re creating a sustainable model that enables us to support families from diagnosis through end-of-life, especially in the rural areas we’ve served for over 40 years. By broadening our services, we’re ensuring that more families have access to high-quality care wherever they call home.
18 questions for CEOs to ask themselves
12/03/24 at 02:00 AM18 questions for CEOs to ask themselves Becker's Hospital Review; by Molly Gamble; 11/25/24 McKinsey senior partners developed a CEO performance questionnaire informed by in-depth interviews with more than 70 successful chief executives across industries. The checklist is meant to assess CEOs' performance in six dimensions: setting direction, aligning the organization, mobilizing through leaders, engaging the board, connecting with stakeholders and managing personal effectiveness. "Sure, CEOs have an abundance of financial, operational, and organizational metrics to look at, but what CEOs should be doing to influence those metrics wasn't exactly clear," the authors noted. The checklist serves as both a self-assessment tool and a framework for gathering honest feedback from board members, executives and trusted advisors. [Click on the title's link for] a condensed list of the questions, with commentary and more explanation of each available in the full article from McKinsey here. [Questions address:] 1. Vision. ... 2. Strategy. ... 3. Resource allocation. ... 4. Culture. ... 5. Organizational Design. ... 6. Talent. ... 7. Team composition. ... 8. Teamwork. ... [More]
Thanksgiving tradition brings meals to hospice families in Northeastern Pennsylvania
12/02/24 at 03:15 AMThanksgiving tradition brings meals to hospice families in Northeastern Pennsylvania ABC News 16 WNEP, Scranton, PA; by Jack Culkin; 11/28/24 It's become a holiday tradition for many volunteers to fill their cars at Mansour's Market in Scranton on Thanksgiving morning, delivering meals to those in hospice care. Ray Gillette, a long-time volunteer, shared, "We've been doing this for a long time, and we've taken the boys with us. Our oldest grandson is 14. This is his 14th year that he's come to deliver with us." ... [Diane Baldi, CEO of Hospice of The Sacred Heart] says the event began as an idea. Quickly growing to not just caring for their patients, but their families too. "19 years ago, in our very first, we may have had 20 patients. Today we have 200. So it has grown exponentially," said Baldi. ... Along with classic holiday staples like turkey, mashed potatoes, and cranberry sauce, each meal includes a hand-made card. "I like it because it has like a turkey on the front and it has like all the stuff that you would eat," Said nine-year-old Olivia Catalano. She and her classmates made dozens of these cards, each featuring a Thanksgiving message or drawing. ... With each card placed and each meal delivered, workers successfully brought more than 600 meals to hospice families across Northeastern Pennsylvania.
Start your day with Hospice & Palliative Care's new Search Engine
12/02/24 at 03:00 AMStart your day with Hospice & Palliative Care's new Search Engine
Tidewell Foundation volunteers give back during Thanksgiving
12/02/24 at 03:00 AMTidewell Foundation volunteers give back during Thanksgiving Observer, Sarasota, FL; by Jay Heater; 11/29/24Those in the parking lot of the Tidewell Hospice administration building the day before Thanksgiving in Lakewood Ranch weren't focused on the "being thankful" part of the holiday. They were concentrating on the "giving back" part. The Tidewell Foundation's fifth annual Meal Drive provided more than 500 meals that were delivered through Manatee, Sarasota, DeSoto and Charlotte counties to provide, in many cases, what might be the last holiday meal a couple or family would be able to share. Morton's Gourmet Market, the Venice Yacht Club and Michael's on East made the meals possible and then volunteers packed and delivered the meals Nov. 27. Among those in the parking lot was Bradenton's Terry Dale, who was volunteering in the event for the first time. "I am trying to give back," Dale said as she was busy handing out meals to other volunteers who drove up to take care of the delivery. "Two years ago, these people (Tidewell Hospice) were a godsend." Her husband of 47 years, Bill Dale, died at that time and Terry Dale doesn't know how she would have made it through without Tidewell Hospice. She knew the importance of the food that was being sent out with the volunteers.
Ensuring equity in access to palliative care
12/02/24 at 03:00 AMEnsuring equity in access to palliative care AJMC - The American Journal of Managed Care; by Laura Joszt, MA and Alexandra Gerlach; 11/28/24 Palliative care provides high-quality care that can provide relief from the symptoms of a serious illness, but just as there are issues to accessing cancer treatments, there are barriers to palliative care, as well as racial disparities in access, explained Nadine J. Barrett, PhD, MA, MS, FACCC, senior associate dean for community engagement and equity in research, Wake Forest University School of Medicine and Atrium Health, and current president of the Association of Cancer Care Centers (ACCC). ... There are misconceptions about what palliative care is that may limit the utilization of it, but also existing disparities mean fewer Black and Hispanic individuals access these services compared with their White counterparts.
Carolina Caring Robin Johnson House welcomes new patient in aftermath of Hurricane Helene
12/02/24 at 03:00 AMCarolina Caring Robin Johnson House welcomes new patient in aftermath of Hurricane Helene Hickory Daily Record, Hickory, NC and Carolina Caring; by Carolina Caring; 11/27/24 A hospice patient seeking immediate safety after the devastating impacts of Hurricane Helene received vital care thanks to the newly established partnership between CaroMont Health and Carolina Caring. ... Among those affected was 84-year-old Grace, a hospice patient requiring critical medications and oxygen. She was airlifted from her hometown of Burnsville, NC, to temporary shelter at the Catawba Valley Community College Tarlton Complex in Hickory, NC. In dire need, Catawba County Emergency Medical Services reached out to Carolina Caring for assistance, as Grace was rapidly depleting her medication and oxygen supplies. Within 48 hours of the initial call, Grace was successfully transferred to hospice care at the Carolina Caring Robin Johnson House. Though she felt anxious upon her arrival, Grace was comforted by the attentive support of Carolina Caring staff. When asked about the quality of care that she received, Grace described her experience as “wonderful.” “I don’t like being away from home even when I’m sick,” she shared. “... I felt wanted and loved. If I could say anything to the nurses, it’s that I love and appreciate what they’ve done.” This accommodation was made possible by a recent partnership established between CaroMont Health and Carolina Caring. On October 1st, CaroMont Health and Carolina Caring launched a strategic partnership, with Gaston Hospice now operating under the name Carolina Caring. ...
VFW makes another large donation to Hospice [of the Panhandle]
12/02/24 at 03:00 AMVFW makes another large donation to Hospice [of the Panhandle] The Morgan Messenger; by TMM Editor; 11/26/24 The VFW Post 4019 hosted a chili cookoff in November with $17,000 of proceeds going to Hospice of the Panhandle. “We greatly appreciate what you do for veterans,” said Commander Arthur Schur.
Seen Health invests $22m for PACE Care Centers
12/02/24 at 03:00 AMSeen Health invests $22m for PACE Care Centers HomeCare, Los Angeles, CA; by Seen Health; 11/26/24 Seen Health, a health care organization focusing on aging-in-place services and culturally-focused care models, announced it has invested $22 million in funding to expand access to its culturally-focused care centers for eligible seniors. The company said [its] first center is set to open in California and will be built upon the Program of All-Inclusive Care for the Elderly (PACE) model. The PACE model aims to deliver comprehensive medical and social support for seniors with chronic conditions who are covered by Medicaid or Medicare. The care model intends to provide an alternative method of care to nursing homes by enabling seniors to stay in their homes and age in place. ... The first Seen Health center, which is set to open in Los Angeles County's San Gabriel Valley, intends to serve the local Asian and Pacific Islander community.
Today's Encouragement: Hello December ...
12/02/24 at 03:00 AMHello December, you are the last one, so be the best one. ~ Anonymous
Breaking free from self-doubt: A guide to authentic leadership and communication
12/02/24 at 03:00 AMBreaking free from self-doubt: A guide to authentic leadership and communication Forbes - Leadership; by Lynn Smith; 11/27/24 In my years of coaching hundreds of top executives, entrepreneurs and CEOs, I've noticed a persistent challenge that holds many back from their full potential as leaders and communicators: self-doubt. This inner critic—what I call the "Brain Bully"—creates a constant stream of negative self-talk. Even the most accomplished leaders wrestle with thoughts like "What if I say the wrong thing?" or "What if I don't sound smart?" These are exact quotes from some of my clients. The larger issue is that inner dialogue was preventing those leaders from communicating clearly and concisely. The self-doubt in their head was reading all across their faces and through their body language. In a time when 93% of communication is weighed by nonverbal cues, we had to do something about this. ... [Click on the title's link to continue reading.]
Understanding deep disadvantage at the end of life: A nationwide analysis of unclaimed deaths
12/02/24 at 03:00 AMUnderstanding deep disadvantage at the end of life: A nationwide analysis of unclaimed deaths Social Science and Medicine; by Jennifer Bridte DrPH, Frank Heiland, PhD, and Deborah Balk PhD; 11/25/24 This is the first systematic examination of unclaimed deaths at the county level and offers a novel way to understand marginalized populations, such as the unhoused and others living in extreme social or economic deprivation. Unclaimed death rates may also provide an objective measure of social support that can be measured over time. ... This is of public health importance because unclaimed death can be seen as a negative health outcome that may be the result of cumulative disadvantage over the life course. ... Highlights:
[Great Britain] British lawmakers give initial approval to a bill to allow terminally ill adults to end their lives
12/02/24 at 03:00 AM[Great Britain] British lawmakers give initial approval to a bill to allow terminally ill adults to end their lives AP - The Associated Press, London, UK; by Brian Melly and Pan Pylas; 11/29/24 British lawmakers gave initial approval on Friday to a bill to help terminally ill adults end their lives in England and Wales, following an impassioned debate that saw people sharing personal stories of loss and suffering. Members of Parliament approved the assisted dying bill by a 330-275 vote, signaling their approval in principle for the bill, which will undergo further scrutiny before it goes to a final vote. Friday's vote came after hours of debate — emotional at times — that touched on issues of ethics, faith and law. There was no braying and shouting that often marks debates in the House of Commons and speeches were considered respectfully and heard in silence. ... Supporters said the law would provide dignity to the dying and prevent suffering, while protecting the vulnerable. Opponents said the disabled and elderly were at risk of being coerced, directly or indirectly, to end their lives to save money or relieve the burden on family members. Others called for the improvement of palliative care to ease suffering as an alternative.
Softly into the night - An end of life love story
12/02/24 at 03:00 AMSoftly into the night - An end of life love story Billings Gazette, Billings, MT; by Joseph Scheller; 11/29/24 This is a picture story about life — of joys and sadness, of challenges and struggles and sacrifice. It’s a story about dementia and caregiving. It’s a story about souls and spirit and deepening devotion. Mostly, though, this is a love story. It begins with Wayne Roberts, a big and burley guy with a Harley but as personable and approachable as they come. ... It was simple, really. When he wasn’t at work, he was caring for his wife, Lynne, who had onsets of dementia. When he was at work, he was thinking of her. I wasn’t looking for a story about caregiving but there was a warmth and openness about Wayne and Lynne that tugged me to tell one through my camera. ... [With] their comfort and trust, I became part of their world, in a way, and was able to photograph most anything. They were mostly simple scenes of daily living and caring, some sensitive, some not, and as dementia stole more and more of Lynne’s mind, her world got smaller and Wayne was her only gateway to it. He paved it with tenderness. ... [Click on the title's link to see photos and read this inspirational story.]
Health system C-suites channel 'hospitality energy' for next year
12/02/24 at 02:00 AMHealth system C-suites channel 'hospitality energy' for next year Becker's Hospital Review; by Laura Dyrda; 11/27/24 Health system C-suites are taking their organizations "back to the basics" next year to focus on improving quality outcomes and creating an elite patient experience. This means prioritizing a culture of service and training staff in hospitality. Cliff Megerian, MD, CEO of University Hospitals in Cleveland, said the system has focused on reducing variation in care pathways and optimizing clinical services for maximum quality, safety and efficiency this year, an effort that will continue into 2025. University Hospitals is also doubling down on its reputation for compassionate care, said Dr. Megerian. "The goal is for our patients – our guests – to feel truly cared for at each touchpoint along the patient journey, with clinical and non-clinical caregivers alike both bearing the responsibility to make this happen," he said. "The word 'hospitality' has at its root the word 'hospital' — it's our goal to work to bring that 'hospitality' energy to our work in healthcare, always informed by world-class science."Editor's note: The Latin root word described is "hospitium," which branched into contemporary words "hospitality," European "hostels" for travelers, "host," "hotels," and yes, "hospice." At its core, hospitium refers to travelers on a significant life journey, tended by compassionate hosts who provide rest and nourishment. Click here for more information, which emphasizes the relationship between the host and the guest.
Palliative care bypasses Black heart disease patients
12/02/24 at 02:00 AMPalliative care bypasses Black heart disease patients The St. Louis American; by Alvin A. Reid; 11/30/24 A study by Saint Louis University researchers paints a grim picture for many heart failure patients in America – and the outlook is worse for African Americans. The study, published in the Journal of the American Heart Association, found that only one in eight patients with heart failure nationwide receive palliative care consultations within five years of diagnosis. Alarmingly, Black people were 15% less likely to receive palliative care compared to white patients with similar heart health illness. Other recent respective studies illustrate the higher risk and mortality rates for cardiovascular disease in the Black population – further demonstrating that the missing palliative care options have a greater negative impact on African American health. New statistics from a medical team at EHproject show African American women are at a greater risk for cardiovascular disease than their white counterparts. It found that 47.3% of Black women have heart disease. If they do not have it currently, they are 2.4 times more likely to develop heart disease. ... A March 2023 study published in JAMA Cardiology showed that Black men remain at the highest risk of dying from cardiovascular disease. ...
Giving Tuesday is tomorrow!
12/02/24 at 02:00 AMGiving Tuesday is tomorrow!We'd like to highlight several ways you can particpate in Giving Tuesday tomorrow, including:
Don’t let CMS publish list of lowest-performing hospices, Alliance tells lawmakers
12/02/24 at 02:00 AMDon’t let CMS publish list of lowest-performing hospices, Alliance tells lawmakers McKnights Home Care; by Liza Berger; 11/26/24 Acting on its plan to keep the hospice Special Focus Program in the spotlight until the end of the year, the National Alliance for Care at Home has sent congressional leaders a letter urging them to remedy the grading system for the Centers for Medicare & Medicaid Services’ program targeting underperforming hospices. “CMS is on the verge of publishing a list of what they claim will be poor-performing hospices based on this flawed grading system,” Ken Albert, president and CEO of Andwell Health Partners and chair of the Alliance, wrote in a Nov. 22 letter to chairmen and ranking members of House and Senate finance committees. “When you see this list, you should view it skeptically, because CMS will have committed a grave error that risks steering patients away from reputable hospices that may be on the list and toward providers that — because they may not have been surveyed at all — could be low-quality or completely fraudulent.”
Q&A: Prioritizing health equity with Emory Healthcare’s Chief Transformation Office
12/01/24 at 03:55 AMQ&A: Prioritizing health equity with Emory Healthcare’s Chief Transformation Office CDW Healthcare - Patient-Centered Care; by Teta Alim; 11/19/24 Most healthcare organizations regularly prioritize goals to improve the patient experience and increase clinician satisfaction, aligning with the Quintuple Aim. Atlanta-based Emory Healthcare created the role of chief transformation officer to focus on these areas, and in July 2023, Dr. Amaka Eneanya became the first to fill the role. ... What would you say were the top three lessons you learned during the first year in your new role? ENEANYA: It's been a great year. For lesson one, as someone coming from a different part of the U.S., ingraining yourself and getting to know the people and the culture of the organization that you’re in, that’s important to determine the change readiness of an organization. ... The second lesson is that change is exciting. There's a lot of trepidation with change, and part of being effective with change management and transformation is really garnering excitement. ... The third lesson that continues to be pervasive in my career is that health equity is poorly understood. ... You have to start with the basic foundation and concepts of health equity before you can make initiatives, otherwise people won't understand what you're doing, and they might have a visceral response to what you're doing because of the misinformation around health equity.