Literature Review

Alleged DNR mix-up death highlights concerns for nursing homes McKnights Long-Term Care News, by Josh Henreckson; 4/11/24 The untimely death of a Connecticut nursing home resident in September was the result of mistakenly applying a roommate’s do-not-resuscitate order, alleges a lawsuit filed by that resident’s daughter last week. The potential mix-up illuminates struggles faced by nursing homes across the country when it comes to managing the increasingly complex needs of their patients. 

Negotiations end between Local 17 Nurses and Providence St. Patrick Hospital The Fairfield Sun Times - Missoula, MT, by Ian Alvano; 4/9/24 After a standstill of contract negotiations, a new contract has been ratified between the Local 17 Nurse Union and Providence St. Patrick Hospital. The nurses were looking for safe staffing ratios and competitive pay, in a new contract.  Some of the demands were met and some weren't, said Local 17 co-president, Kate Marmorato, regarding the new ratified contract between the nurses and the hospital. 

Odom co-authors American Cancer Society Caregiver Services GuideThe University of Alamaba at Birmingham School of Nursing, by Laura Gasque; 4/9/24To help meet the needs of the growing number of people caring for family members and friends with cancer, the American Cancer Society has released the guide “Developing Caregiver Clinical Services: A Toolkit for Cancer Centers and Staff,” co-authored by University of Alabama at Birmingham School of Nursing Associate Professor and holder of the Doreen C. Harper Endowed Professorship in Nursing, J. Nicholas Odom, PhD, RN, ACHPN, FAAN. According to the ACS, this toolkit is the first of its kind to provide the tools and resources that oncology leaders, clinicians and staff members can use to implement for caregiver clinical services.Editor's Note: Click here to download this free, excellent resource.

Mixed reactions as St. Patrick Hospital nurses approve new contract KPAX-8 Missoula & Western Montana, by Claire Peterson; 4/8/24 The nurse's union at St. Patrick Hospital approved a three-year contract by a narrow vote. ... On Friday, April 5, the nurse’s union at Providence St. Patrick Hospital approved a three-year contract by a narrow vote, bringing months of negotiation to an end. ... The new contract was approved by 56% of the nurses who voted, according to Marmorato. St. Patrick Hospital nurses were fighting for higher wages, plans to prevent workplace violence and more effort to retain staff. 

Living to 100: Making Maryland a ‘Blue Zone’ The Baltimore Sun, commentary by Raya Elfadel Kheirbek; 4/5/24 In a bold stride toward redefining the approach to aging, Maryland Gov. Wes Moore signed an executive order in January aimed at expanding access to critical care and services for older Marylanders. ... At the heart of this initiative, dubbed Longevity Ready Maryland, is a comprehensive plan that transcends traditional state efforts focused solely on eldercare. Instead, it adopts a holistic, multisector approach that promises a transformative impact and enrichment in every dimension — health, financial security, social connectivity and purposeful living, irrespective of a Marylander’s socioeconomic status.

Nursa Survey finds 98% of hospital CFOs view nurse staffing as top challenge Morningstar, provided by Business Wire; 4/2/24Survey results offer insight into C-suite perspectives on workforce trends and financial impact. Nursa, a nationwide platform that exists to put a nurse at the bedside of every patient in need, today released the results of a survey with healthcare decision-makers that examines their perspectives on the evolving social contract of employment, opinions on the 1099 workforce, and reflections on what makes a nurse truly valuable to an organization. Key findings from the survey include:

Northwell hospital nurses cancel strike Becker's Hospital Review, by Kelly Gooch; 4/1/24Members of the New York State Nurses Association have called off a planned April 2 strike at New York City-based Staten Island University Hospital after reaching a tentative agreement with management on a new labor contract. The union represents 1,300 workers at the facility. ... SIUH is part of New Hyde Park, NY-based Northwell Health, a 21-hospital system with more than 85,000 employees total. ... The agreement "adds nurse staffing on units that need help"; includes an expedited process for creating staffing standards in new units; and features wage increases that total 22.12% over three years and include annual pay increases, market adjustment pay, and experience pay, the union said.

The Workforce Management Playbook: How Mercy is empowering nurses, saving premium labor costs + improving care Becker's Hospital Review in collaboration with Trusted Health; 3/29/24 At Becker’s 11th Annual CEO + CFO Roundtable, in a session sponsored by Trusted Health, two leaders from Mercy (St. Louis) — Cheryl Matejka, CFO, and Betty Jo Rocchio, DNP, senior vice president and system chief nursing officer — discussed how the right workforce management platform can help organizations redesign their staffing models in tune with nurses’ evolving needs, while saving costs and improving operational efficiency. In Mercy’s presentation to over roughly 100 hospital executives there were three major themes.

[Rural Hospitals] A popular healthcare myth debunked Becker's Hospital CFO Report, by Laura Dyrda; 3/28/24Many in the healthcare industry assume rural hospitals are inherently worse off financially than urban hospitals. It's easy to see why. ... But a February Kaufman Hall report refutes the financial divide between rural and urban hospitals. When comparing rural and urban hospitals as a collective, the firm found no statistically significant difference in average operating margin. Rural and urban hospitals on average have similar operating margins and financial performance. So why do we often associate more dire financial struggles with rural hospitals over urban ones?

Kaiser Permanente, Town Hall ventures to launch PACE Program ‘Habitat Health’ Home Health Care News, by Andrew Donlan; 3/27/24 Kaiser Permanente and an investment firm are teaming up to launch a Program of All-Inclusive Care for the Elderly (PACE) venture. Specifically dubbed Habitat Health, Kaiser and Town Hall Ventures will begin building out the program in California in 2025 – in Sacramento and Los Angeles. 

Bon Secours Mercy Health posts $123.9M operating loss; new CFO to begin July 1 Becker's Hospital CFO Report, by Alan Condon; 3/26/24 Cincinnati-based Bon Secours Mercy Health reported a $123.9 million operating loss (-1% margin) in 2023, improving on the $323.5 million operating loss (-2.9% margin) in 2022, according to financial documents published March 25. ... Agency costs declined from $504.1 million in 2022 to $256.2 million in 2023. ... Debbie Bloomfield, PhD, will retire as CFO at the end of 2024 after more than three decades with the health system. She will begin transitioning from her CFO role on July 1 and shift to financial leadership oversight of the system's subsidiaries. Travis Crum, senior vice president of finance, will take over as CFO on July 1. 

Hosparus affiliate opens $11 million PACE Center Louisville Business First, by Shea Van Hoy; 3/26/24 Care Guide Partners, an affiliate of Hosparus Health, has opened the PACE center ... in Elizabethtown, KY. Care Guide Partners' PACE required $11 million in startup costs, with $3 million to come from fundraising and donor support. The Schmidt Family Foundation’s naming opportunity contribution marks a significant milestone in helping reach this fundraising goal.

A nurse practitioner-driven palliative and supportive care service in nursing homes: Evaluation of a quality improvement projectJournal of Hospice & Palliative Nursing; by Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez; 3/26/24, online ahead of print This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. ... Most common symptoms that were managed included pain, delirium, and dyspnea; most common diagnoses cared for were dementia and chronic organ failure (eg, cardiac, lung, renal, and neurological diseases).