Literature Review

79 best hospitals for patient experience, safety: Healthgrades Becker's Clinical LeadershipHealthgrades recognized 832 hospitals with its 2024 Patient Safety Excellence Awards and Outstanding Patient Experience Award. Only 79 of those hospitals received both awards. The dual recipients spanned 27 states. Texas had the most dual recipients with 13 honorees — including four Baylor Scott and White Health and four Houston Methodist hospitals. [Click here for] the 79 hospitals that received both Patient Safety Excellence and Outstanding Patient Experience awards, listed by state.

Oncology hospitalists improve hospice transitions for patients with advanced cancers Yale School of Medicine, by Osman Moneer; 3/11/24Unplanned hospitalizations for patients with advanced cancer often trigger discussions about care goals and transitions to hospice. Late referrals to hospice, particularly near the end of life, have been associated with reduced quality of life and increased healthcare costs. A new research study published in Cancer investigates the impact of oncology hospitalists on the timing of hospice transitions for patients with advanced cancers. 

In the ICU, what is a good death? Understanding why clinicians and patients' families may disagree in Intensive Care Unit Northwestern Now, by Marla Paul; 3/7/24What is a good death for a patient in the Intensive Care Unit (ICU)? The answer to that question may depend on whether you ask a family member of a patient or the physician, who are not necessarily aligned. ... Approximately 20-30% of people who die in the U.S., die in the ICU, according to previous research. Nearly 60% of ICU admissions result in death. Wide discrepancies have been documented between a patient’s stated preferences and the end-of-life care actually delivered.

Operating in the red: Half of rural hospitals are losing money, as many cut servicesSource NM, by Jazmin Orozoco Rodriguez (KFF Health News); 3/7/24As half of rural hospitals lose money, many are cutting services

Compassionate extubation and beyond: Is there a need for more guidance in managing end-of-life in the intensive care unit? Chest Physician, by Angela L. Birdwell, DO, MA; Nehan Sher, MD  Approximately 20% of deaths in the United States occur during or shortly after a stay in the ICU and approximately 40% of ICU deaths involve withdrawal of artificial life support (WOALS) or compassionate extubation. ... How the team approaches WOALS can make a difference to both patients and decision-makers. Unfortunately, there is striking variation in practice and lack of guidance in navigating issues that arise at end-of-life in the ICU. 

Health systems invest in productivity Becker's Hospital Review, by Laura Dyrda; 3/6/24 Productivity is a buzzword for most workplaces today, and healthcare is no different. U.S. productivity measures showed big increases for the first time in years, according to a report in The New York Times, as organizations leverage artificial intelligence and aim to do more with less. For [health systems], many experiencing staffing shortages and tight margins, developing a culture of increased productivity is imperative. 

4 hospital closures in 2024 Becker's Hospital CFO Report, by Madeline Ashley; 3/5/24Many hospitals and emergency departments have been forced to close in 2024 due to circumstances like high costs and shifts in care needs. Becker's has reported on four hospital and emergency department closures in 2024.Editor's Note: Locations include Michigan, Wisconsin, Tesac, and Ohio. Click on this article's link for details.

Scientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life SciTechDaily, by Rutgers University; 3/2/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life. “Identifying which paths people actually take is a necessary precursor to identifying which factors send different people down different paths and designing interventions that send more people down whatever path is right for them,” said Olga Jarrín, the Hunterdon Professor of Nursing Research at Rutgers and corresponding author of the study published in BMC Geriatrics.

Obstacles and opportunities for palliative care in the ICU Palliative Care News, by Rachel Edwards; 3/1/24A growing body of research touts the benefits of palliative care for patients, families, and even providers. However, when evaluated through randomized clinical trials, the results tend to lean toward mediocre. Palliative Care News spoke with experts in the field to unpack the reasons behind those results and identify the obstacles that are getting in the way of a more effective approach.

Why not-for-profit health systems need positive margins: Deloitte Becker's Hospital CFO, by Andrew Cass; 2/28/24Health system margins are the "lifeblood of a healthy, patient-centered, innovative health care system and community," according to a report from consulting firm Deloitte.  "Claims that profits are not important in fact undermine the ability to fund the mission, serve the community, and deliver better, equitable care," Deloitte said in the report. ... "[Systems] should consider a holistic approach that integrates margin drivers to create a balanced transformation portfolio, according to the report. Timing and sequencing are important within each driver and "a full understanding of the dollar impact and priority of each is necessary for margin improvement to be successful."

HCA Mission Hospital regains CMS complianceBecker's Hospital Review, by Mariah Taylor; 2/26/24CMS found Asheville, N.C.-based HCA Mission Hospital in compliance with its plan of correction and recommended removing the immediate jeopardy designation, Blue Ridge Public Radio reported Feb. 23. The hospital's plan of correction to address serious deficiencies it was cited for in January focuses on improving policies and educating staff.

7 hospitals seeking CEOs Becker's Hospital CEOs, by Kelly Gooch; 2/19/24Here are seven hospitals and health systems that recently posted job listings seeking CEOs. [Click on the title's link.]

New Jersey system gets historic 'A+' credit ratingBecker's Hospital CFO Report, by Alan Condon; 2/19/24Camden, N.J.-based Cooper University Health Care has earned an "A+" credit rating from Fitch Ratings after receiving two credit upgrades from S&P Global and Moody's since 2022. ... "Fitch's rating is another indicator that our focus on becoming an exceptional academic health system by managing our finances in a way that allows us to continue to grow to meet increasing demand from patients seeking the higher level of care our experts provide is the correct strategy," Cooper co-CEO Anthony Mazzarelli said.Editor's Note: Cooper University's Hospice and Palliative Medicine (HPM) Fellowship is an important component of their academic health system.