Literature Review

Home care nurse strike ends without deal Northwest Labor Press, by Mallory Gruben; 3/1/24Usually, PeaceHealth jointly bargains with the home health unit and a unit of about 1,500 hospital nurses, and all nurses are paid the same. But for this round of negotiations, PeaceHealth demanded that bargaining happen separately. Hospital nurses reached an agreement in August that raises wages 20.5% over four years. PeaceHealth’s latest offer to the home health nurses is a 14.75% raise over four years. [Erin] Grace [a nurse,] says without an equal contract for equal work, PeaceHealth will have difficulty attracting and retaining home care nurses. According to ONA, the unit has already lost a quarter of its members, and more say they plan to leave if a contract isn’t reached soon. 

Physicians grow louder on noncompetes Becker's Hospital Review, by Ashleigh Hollowell; 3/4/24 Amid a nationwide shortage of physicians, contractual noncompete clauses are making it more challenging for patients to receive the care they need, particularly in more rural regions, and physicians are pushing back, NBC News reported March 3. The American Medical Association estimates that between 35% and 45% of physicians in the U.S. are bound by noncompete clauses of some kind.

APRNs, home health / personal care aides top healthcare careers in 2024 McKnights Senior Living, by Kathleen Steele Gaivin; 2/28/24Advanced practice registered nurses and home health and personal care aides lead the list of top healthcare careers in 2024, according to a study from digital healthcare platform Tebra. The researchers compared 46 healthcare industry jobs by median pay, 10-year outlook and expected job growth, employment per 10,000 workers and web search volume, using data from the Bureau of Labor Statistics and the Census Bureau. ... Among all healthcare occupations included in the study, ones in home care had the highest employment rate. 

Untangling the history, causes behind the precipitous home health aide utilization drop Home Health Care News, by Patrick Filbin; 2/28/24In the last home health proposed rule from the Centers for Medicare & Medicaid Services (CMS), the federal agency in charge of reimbursement rates sent out a request for information on home health aide utilization. Specifically, the agency wondered why Medicare-covered home health aide visits and utilization had fallen off a cliff over the last few decades. According to the Center for Medicare Advocacy, home health aide visits declined by 90% from 1998 to 2019. 

Is healthcare paying enough attention to nurse leaders?Becker's Clinical Leadership, by Erica Carbajal; 2/26/24 Early this year, the American Organization for Nursing Leadership Foundation released findings from more than 2,400 nurse leaders who were surveyed in November. Thirty-five percent of respondents indicated they were considering an exit from their roles: 12% said they intend to leave and 23% said they may leave within the next six months. When asked what the top reasons were for thinking about an exit, nurse leaders pointed to work having a negative affect on their health and well-being and not having the resources to do their job — a parallel to what bedside nurses consistently point to as drivers of burnout or reasons they've stepped away from the job. 

House set to vote on bill that could give dramatic boost to nurse-aide training efforts McKnights Long-Term Care News, by Josh Henreckson; 2/28/24 A bill that could reshape how new workers enter the long-term care workforce is scheduled for a vote in the US House of Representatives this week, according to a spokesperson for House Majority Leader Steve Scalise (R-LA). If passed, HR 6585 — referred to as the Bipartisan Workforce Pell Act — would make work training programs of as short as eight weeks with a minimum of 150 hours of training eligible for the federal aid through the Pell Grant program. Previously, grants were available only to programs with a minimum of 15 weeks and 600 hours of training.

Embracing the platinum rule in palliative care: Treating patients the way they want to be treated Anschutz, by Tari Advani, MD; 2/26/24 One of the first take aways from this journey, for me, in a mid-career directional change from emergency medicine to palliative care was a move away from the golden rule and towards the platinum rule. Treat patients the way they want to be treated, not the way we want to be treated. It is so simple, it allows people to exist in their own context, with their own histories and their own wishes. And, we, as caretakers, take the kind of care of them that they want. Where had that idea been during the past 20 years of my career? How many situations had I judged, wrongly, based on my own preferences, not the preferences of the patient.

5 cost-effective home care marketing tipsMcKnights Home Care, by Catherine Malloy; 2/22/24Are you running a home care business and looking for affordable ways to get the word out? You’re in the right place! In this blog, we’re going to walk you through five practical, budget-friendly marketing strategies to boost your business’s visibility. 

'Productivity boom' may be in store for US, economists say Becker's Hospital CFO Report, by Mackenzie Bean; 2/26/24U.S. productivity measures have increased significantly for the first time in years, driven by new artificial intelligence advancements and hybrid work, according to the report. Economists are closely monitoring whether these productivity gains could lead to sustained economic growth, a phenomenon last seen in 1994 amid the rise of computers and the internet. 

10 states where 'nurse burnout' is Googled most Becker's Clinical Leadership, by Mariah Taylor; 2/21/24Betternurse.org used Google Trends from Oct. 21, 2023 to Jan. 23, 2024, to gauge the relative search interest for the term "nurse burnout." Arizona had the highest search for nurse burnout, while Los Angeles was the metro area with the most burnout searches. The week in 2023 with the most searches for burnout was Nov. 26 to Dec. 2. On average in the last five years, November was the highest search month for nurse burnout. [Click on the title's link for states with the highest scores for "nurse burnout" searches.]

The employment outlook for hospice aidesHospice News, by Holly Vossel; 2/23/24Rising wages, reimbursement pressures and immigration policies are fueling high turnover rates for hospice and personal care aides. Similar trends are proliferating among hospitals and health systems that provide these services. Current reimbursement structures for aide services represent the most significant challenge in maintaining a sufficient workforce, according to Kenneth Albert, president and CEO of Maine-based Androscoggin Home Healthcare + Hospice. 

Demand for these health care jobs is increasing most in each stateCentre Daily Times, by Paxtyn Merten Stacker; 2/15/24An analysis including more than 70 other health care jobs projected all but three states to add home health and personal care aides in the highest numbers. In just three states—Colorado, Florida, and South Dakota—did registered nurse job growth outpace home health.