C-TAC supports measures to promote palliative care | Researchers to develop advance care planning program for dementia patients | Physician says chronic pain is an issue for palliative care
December 8, 2017
Hospice and Palliative Medicine SmartBrief
News for physicians caring for the seriously ill
Top Story
C-TAC supports measures to promote palliative care
Experts with the Coalition to Transform Advanced Care say listening to the goals of patients with advanced illness and ensuring practitioners and health systems honor care wishes should be a priority for clinicians. The C-TAC has proposed an Advanced Care Model allowing 24/7 access to clinicians and curative and palliative care simultaneously, and it supports the Patient Choice and Quality Care Act and the Compassionate Care Act.
MedPage Today (free registration) (12/5) 
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Best Practices for ACP Document Registries
Developing a sustainable ACP registry can be complicated, but we're here to help! Understand the challenges and the key elements that lead to success. Learn more about Vynca's solutions and download our ACP registry white paper today. Or contact us directly at info@vyncahealth.com.
Palliative & Hospice Care Update
Researchers to develop advance care planning program for dementia patients
Researchers and nursing homes are using an NIH grant to develop an advance care planning program for patients with Alzheimer's disease and other dementias that can be integrated into the homes' regular workflows. The project aims to create decision-making supports and have nursing home staff work with residents and their families on care goals and values.
McKnight's Long-Term Care News online (12/6) 
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Physician says chronic pain is an issue for palliative care
Noncancer chronic pain is becoming more of an issue in palliative care as patients can be cured of cancer but continue to have chronic pain conditions, said Dr. Jesse Merlin of the palliative medicine and general medicine divisions at University of Pittsburgh. Palliative care may have unintentionally contributed to the opioid problem, and clinicians in practice should consider the benefits and potential harms of the drugs by looking at it from a broader point of view than just palliative care.
GeriPal blog (12/5) 
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Medical center uses executive care team to cut readmissions
Sanford Medical Center in Fargo, N.D., created a multidisciplinary executive care team to manage chronic obstructive pulmonary disease patients, leading to a reduction in the cost of care, increased adherence to evidence-based care and a halving of the readmission rate. Sanford also is using advance care planning by an interdisciplinary team to reduce inpatient mortality and readmissions.
Managed Healthcare Executive (12/6) 
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Patient & Family Perspective
Women with Parkinson's disease less likely to have caregiver
Data showed 88.4% of men with Parkinson's disease had a caregiver, compared with 79.4% of women, and caregiver strain was greater for those caring for men, according to a study in Neurology. Women were less likely than men to have a caregiver accompany them for a baseline medical visit and had a faster rate to using a paid caregiver.
Physician's Briefing/HealthDay News (12/5) 
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Medical Research
Study finds Alzheimer's cases will double in US by 2060
A study estimated the number of US Alzheimer's disease cases will double by 2060, and author Ron Brookmeyer said it highlights the need for ways to better identify people who will develop the disease and for new interventions to slow or stop disease progression. The research, published in Alzheimer's & Dementia: The Journal of the Alzheimer's Association, found that about 5.7 million people will have mild cognitive impairment and 9.3 million will have Alzheimer's disease by 2060.
HealthDay News (12/7) 
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Studies evaluate decreasing blood pressure in elderly
Records from more than 46,000 patients showed blood pressure can decline from 14 to 18 years before death, suggesting a decrease in overall health, researchers wrote in JAMA Internal Medicine. A study in JAMA Neurology linked reductions in blood pressure among elderly patients to subcortical microinfarcts, which are associated with cognitive decline.
MedPage Today (free registration) (12/5) 
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Health Policy & Practice
US health care spending grew at slower rate last year, CMS finds
US health care spending grew at slower rate last year, CMS finds
(Franck Fife/AFP/Getty Images)
An analysis from the CMS Office of the Actuary showed growth in US health care spending slowed last year, increasing by 4.3% to $3.3 trillion, compared with 5.1% growth in 2014 and 5.8% in 2015. The decline was driven by slower enrollment growth in government and private health insurance programs, which resulted in decelerated use of medical services, according to the report.
Healthcare Finance News (12/6),  Reuters (12/6),  HealthLeaders Media (12/6) 
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Patient mortality no higher using locum tenens physicians
A study found 30-day mortality risks did not increase when hospitalized patients were seen by locum tenens physicians filling in for staff doctors, researchers reported in the Journal of the American Medical Association. However, data from 2009 to 2014 involving more than 1.8 million Medicare patients did show that patients treated by locum tenens physicians had higher health care spending and longer hospital stays.
Reuters (12/5) 
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Trends & Technology
4 health organizations to pilot OurNotes initiative
A pilot program for OurNotes, an initiative targeting patient-provider collaboration in writing clinical notes and care plans within a shared EHR, will begin in the spring at Beth Israel Deaconess Medical Center, the University of Colorado, the University of Washington and Dartmouth-Hitchcock Medical Center. Beth Israel, which uses its own EHR system, will aid in organizing and standardizing efforts with the other sites, which use Epic systems, said Dr. Matthew Germak of Beth Israel.
Health Data Management (free registration) (12/5) 
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Scholars: Submit an e-poster for Assembly
AAHPM and HPNA are now accepting work-in-progress student e-poster submissions for the Annual Assembly of Hospice and Palliative Care, March 14-17, 2018, in Boston. This is your opportunity to share your research or improvement projects, receive feedback from professionals in the field, and prepare you to revise, enhance and share your poster at other national meetings. Learn more and begin preparing!
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Why should you come to the 2018 Annual Assembly in Boston?
There are many reasons to join AAHPM and HPNA at the Annual Assembly, March 14-17, 2018, in Boston: new education, making valuable connections, taking in the sights and tastes of Boston, and we could keep going! See why these attendees are excited to come to the Annual Assembly. Watch the video now!
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