Literature Review

Northwestern’s medical residents and fellows vote to unionizeChicago Sun Times, by Violet Miller; 1/29/24Interns, residents, chief residents and fellows at the McGaw Medical Center voted 794 to 148 in favor of union representation, an NLRB spokesperson said.

OIG to audit CMS oversight of state-contracted nursing home surveyorsMcKnights Long-Term Care, by Josh Henreckson; 1/23/24A top federal watchdog will audit the Centers for Medicare & Medicaid Services’ nursing home survey practices in 2024, according to a new report. Though sparse on details, the Jan. 16 announcement highlights concerns that third-party contractors may not have sufficient oversight to ensure proper performance of nursing home surveys.

Policymakers, providers must take steps to prevent staff mass turnover, researchers sayMcKnights Senior Living, by Kathleen Steele Gaivin, 1/29/24Employment levels in the skilled nursing industry are lagging compared with other parts of the healthcare continuum, noted the authors of a study published Friday in the Journal of the American Medical Association. ... Employment levels have been offset to some degree by hiring of agency staff, which the authors claim may affect resident/patient care by disrupting the continuity of care and “by diminishing the years of experience of the workforce.”

Alzheimer’s Association calls for federal involvement to increase dementia care workforce, training in assisted livingMcKnights Senior Living, by Lois A. Bowers; 1/29/24“Congress should consider the steps it can take at the federal level, including expanding the necessary workforce and improving dementia training standards and access,” as part of efforts to “help ensure a quality direct care workforce that can meet the unique needs of our nation’s growing number of Americans living with Alzheimer’s and other dementia” in assisted living communities and elsewhere, the Alzheimer’s Association and its advocacy affiliate, the Alzheimer’s Impact Movement, said in comments submitted to the US Senate Special Committee on Aging for the record of the hearing it held Thursday, titled “Assisted Living Facilities: Understanding Long-Term Care Options for Older Adults.”

Steward Texas medical center closing campusBecker's Hospital CFO Report, by Madeline Ashley; 1/25/24Port Arthur-based the Medical Center of Southeast Texas, part of Dallas-based Steward Health Care, is closing its Beaumont campus, including its emergency department and all hospital-related services, effective Feb. 2.

New program to provide emergency funding to rural hospitalsCapitol Beat, by Dave Williams; 1/17/24A nonprofit health-care organization announced plans ... to help financially struggling rural hospitals in Georgia in danger of closing. Ohio-based CareSource will contribute $5 million in emergency funding to hospitals and hospital-owned nursing homes in rural communities suffering critical cash deficits. Working in partnership with Cumming-based HomeTown Health, which represents rural hospitals across Georgia, the CareSource Rural Access Advancement Program will provide bridge loans to be repaid and reinvested into the program once the recipient has stabilized. Since 2010, nine rural hospitals have closed in Georgia, third-most in the nation.

US Senate launches investigation of assisted living after lay media reports about safety, staffing, pricingMcKnight's Senior Living, by Kimberly Bonvissuto; 1/17/24The US Senate Special Committee on Aging is launching a review of the assisted living industry following recent articles in the Washington Post, which reported on the deaths of residents who wandered from communities, as well as the New York Times and KFF, which scrutinized an industry pricing structure that adds fees on top of basic charges to cover additional services, as well as rate increases and the for-profit status of most providers.

Increasing longevity, decreasing health quality: A close look at American health trendsBNN, by Ayesha Mumtaz; 1/16/24Recent data paints a concerning picture of Americans’ health despite an increase in longevity. While people are living longer, the quality of their health during these extended years is deteriorating. 

Creative thinking needed to save rural hospitalsSouth Dakota Searchlight, by Tom Dean; 1/14/24Over the last 15 years, approximately 150 rural hospitals have closed nationwide. What does it mean? Are these facilities obsolete, no longer needed?  Maybe in a few places, but in the vast majority of communities they provide critically important services. 

Sustainability of our healthcare system; Day 2 notes from the 42nd annual J.P. Morgan healthcare conference LexBlog, by Eric Klein; 1/10/24Sustainability of our healthcare system was an interesting topic at Day 2 of the 42nd Annual J.P. Morgan Healthcare Conference. Paul Markovich, CEO of Blue Shield of California, expressed the concern that “[T]he status quo is an existential threat to our healthcare system.” Markovich is worried that the healthcare system is losing the public’s trust – which will make it harder to effectively fix our system – while also not delivering the quality of care and accessibility needed by our population. 

Mortality rates low among hospital-at-home patients: studyModern Healthcare, by Diane Eastabrook; 1/9/24Older patients receiving care through hospital-at-home programs across the U.S. experienced low mortality rates, Mass General Brigham researchers found.Accessing the entire article requires a subscription to Modern Healthcare

Older Americans say they feel trapped in Medicare Advantage plansKFF Health News, by Sarah Jane Tribble; 1/5/24Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned to 30.8 million people, so too have concerns about the insurers’ aggressive sales tactics and misleading coverage claims.