Ore. sets example for end-of-life care | Survey: 33% of family physicians provide palliative care | Why talks about DNR status are important
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March 17, 2017
Hospice and Palliative Medicine SmartBrief
News for physicians caring for the seriously ill
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Ore. sets example for end-of-life care
Medicare patients living in Oregon were more likely to have their end-of-life care preferences followed, including choices for dying at home, limiting ICU admission and enrolling in hospice care, compared with patients living in neighboring Washington state or the rest of the US, a study found. Researchers wrote in The New England Journal of Medicine that while there is increased emphasis on advance directives nationwide, patient wishes must be supported by health systems and state regulations.
Kaiser Health News (3/15) 
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Palliative & Hospice Care Update
Survey: 33% of family physicians provide palliative care
A study found 33% of American Board of Family Medicine diplomates who recertified in 2013 provided palliative care. Researchers wrote in the Journal of the American Board of Family Medicine that 30% of physicians provided palliative care to patients in a nursing home, 45% provided care in a patient's home and 17% went to a hospice facility.
AAFP News (3/15) 
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Why talks about DNR status are important
Dr. Marcia Glass says it is important for physicians to talk with patients about changing their status to "do not resuscitate," to potentially spare them from going through a Code Blue event in the ICU at the end-of-life. "Any possibility of a peaceful death depends on my medical team's ability to make people we hardly know trust us and then change their minds," Glass said.
GeriPal blog (3/14) 
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Other News
Patient & Family Perspective
Longtime caregiver says Alzheimer's has made her fearless
Longtime caregiver and author Meryl Comer said Alzheimer's disease has made her fearless, and she called it "the biggest women's issue since breast cancer." In 2006 Comer went public about her experiences caring for her husband, who was diagnosed with early Alzheimer's disease, to "show what this disease looks like" and then wrote "Slow Dancing with a Stranger."
Sun-Sentinel (Fort Lauderdale, Fla.) (tiered subscription model) (3/16) 
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Medical Research
Ischemic stroke patients may not get dysphagia screening
An analysis of data for 6,677 ischemic stroke patients found about 19% were not screened for dysphagia within 72 hours of arriving at a hospital, according to a study in the journal Stroke. Dysphagia is associated with increased risk of developing pneumonia or a severe disability and of needing to receive care from a nursing home or rehabilitation facility.
Reuters (3/15) 
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Health Policy & Practice
MedPAC calls for eliminating 2018 payment update to hospices
A Medicare Payment Advisory Commission report called for 2018 mandated payment increases for hospices, long-term care hospitals and ambulatory surgical centers to be eliminated. The report recommended Congress eliminate the payment update for skilled nursing facilities in 2018 and 2019, and reduce payments for home health agencies and inpatient rehabilitation facilities in 2018.
MedPage Today (free registration) (3/15) 
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ACOs reduced Medicare spending for Part D subscribers
Medicare spending on Part D subscribers aligned with an accountable care organization in 2012 was $345 lower per patient than on Part D subscribers not aligned with an ACO, according to an analysis published in Medical Care. ACOs saved Medicare $966 per patient for Part D subscribers with six or more chronic conditions, study leader Yuting Zhang said.
The Business Journals (tiered subscription model)/Pittsburgh (3/13) 
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Trends & Technology
Survey: Patient-generated, genomic data will be top health care data sources
Forty percent of health care executives and clinicians said that in five years, patient-generated data will become a top health data source and genomic data will be one of the most useful sources of data, according to a survey from NEJM Catalyst. Meanwhile, a lack of interoperability, difficulty with data collection and time required to gather data were cited as the top barriers to better use of patient data.
Healthcare IT News (3/13) 
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Watch the AAHPM 2017 Annual Report
In 2016, AAHPM once again turned their Annual Report into a short video to recap and revisit all that was accomplished in the past year. Imagine how we can continue to grow in the coming year and support the field. Watch the video.
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Complete your Assembly evaluations
If you attended the Annual Assembly, be sure to complete your evaluations and download your handouts. Evaluations are due April 4. You must complete the evaluations to receive your CE credits. Complete your evaluations.
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There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things.
Niccolo Machiavelli,
political philosopher and historian
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