Hospice telehealth pharmacy program expands access for rural patients | Lymphocyte levels may predict risk of death | Study links specialist shortage to mortality in rural areas
December 6, 2019
Hospice and Palliative Medicine SmartBrief
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Hospice telehealth pharmacy program expands access for rural patients
Under a grant from the US Agency for Healthcare Research and Quality, rural patients will have access to a telehealth-based pharmacy program through Four Seasons hospice, and pharmacists will be available to consult remotely with palliative care providers. As part of the AHRQ grant, Four Seasons will study and evaluate the impact of the program on patients and staff.
Hospice News (12/5) 
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Palliative & Hospice Care Update
Lymphocyte levels may predict risk of death
Low lymphocyte levels were found to be associated with greater rates of mortality, according to results of a study in JAMA Network Open. Researchers pointed out that screening for immune indicators may be an important tool for preventing disease and disease-related mortality.
MD Magazine online (12/2) 
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Study links specialist shortage to mortality in rural areas
An analysis of data from Medicare beneficiaries with complex chronic health conditions showed those living in rural areas had 23% higher mortality rates and 40% higher rates of preventable hospitalizations than their peers living in urban areas. Poor access to cardiologists, endocrinologists and other specialists was the main reason for the disparity, according to the study in Health Affairs.
Healthcare Finance (12/4) 
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Palliative care a key expansion area for home health
More than 70% of home health agency executives responding to a Definitive Healthcare survey said they expect to expand their services, primarily in palliative, veterans' and mental health care. More than 60% cited staffing issues as a barrier to expansion, and about 84% said they expect to use remote patient monitoring in the next two years, more than 70% plan to use medication management technology, and more than 60% expect to use mobile applications for concierge services.
HealthLeaders Media (12/3) 
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Death doulas comfort patients, families at the end of life
Training offered by the International End of Life Doula Association and other groups is leading to a rise in the use of death doulas. "We journey with the person who's dying and their family to help them navigate through the whole end-of-life process," said Janie Rakow, president of INELDA.
USA Today (12/4) 
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Patient & Family Perspective
Support for caregivers strengthens health care
Support for caregivers strengthens health care
(Sebastien Bozon/AFP/Getty Images)
Psychiatry professor Arthur Kleinman learned first-hand the difference between a health care provider and a caregiver over the 11 years he cared for his wife, who had a form of early-onset Alzheimer's disease that also results in blindness. Caregivers are the center of health care, and "our whole health care system has got to be rethought, from the bottom up with attention to care at its core," Kleinman says.
Kaiser Health News (12/5) 
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Medical Research
Hypoglycemia linked to frailty, mortality in adults with diabetes
A study published in the Journal of Diabetes and its Complications found that adults with diabetes who've had at least one hypoglycemic episode within three years of their diabetes diagnosis had 1.46 times increased risk of frailty compared with patients with diabetes and no history of hypoglycemia. Using data from 10,540 patients, the researchers also found that a history of hypoglycemia was linked to a 1.462 times greater mortality risk.
Healio (free registration)/Endocrine Today (12/3) 
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Health Policy & Practice
Fla. veterans use VR to help deal with trauma
Veterans, active-duty troops and first responders dealing with trauma and chronic pain are finding some relief using virtual reality through a program at the James A. Haley Veterans' Hospital in Tampa, Fla. Patients put on headsets and are transported to environments that help them relax.
Tampa Bay Times (St. Petersburg, Fla.) (tiered subscription model) (11/29) 
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Trends & Technology
Cerner offers medical transcription feature for mobile devices
Cerner is launching a voice-recognition and transcription app for mobile devices to support clinical documentation in an effort to reduce clinician burnout. The app transcribes conversations between health care providers and patients, sends the transcription to the clinician's mobile device and translates concepts for entry into Cerner's EHRs.
EHR Intelligence (12/3) 
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AAHPM News
Annual Assembly 2020 Plenary Speakers
Have you heard the plenary speakers for the Annual Assembly 2020 in San Diego? Author and motivational speaker Susan Cain will be presenting Quiet: How to Harness the Strengths of Introverts to Transform How We Work, Lead, and Innovate on Thursday, March 19. Actor and podcast producer Jeremie Saunders will present Dying with Laughter: The Importance of Shifting Perspective and How Laughter Changed My Life on Friday, March 20. Finally, there will be a State of the Science plenary session, led by James Tulsky, MD FACP FAAHPM, on Saturday, March 21, that will look at the latest research in hospice and palliative care over the past year and discuss what lies ahead in the advancement of palliative care and hospice research. Learn more about our plenary speakers and register for the Assembly.
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Easy ways to give with Amazon Smile
Do you do a lot of shopping on Amazon? With Amazon Smile, Amazon gives a percentage of its sales back to your specified Smile donor. Set "AAHPM" as your Amazon Smile donor and be sure to shop at smile.amazon.com for the Amazon donation to take effect. It's an easy way to give back while simply doing your own shopping.
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PALLIATIVE MEDICINE PHYSICIAN
THE PERMANENTE MEDICAL GROUP, INC. (KAISER PERMANENTE NORTHERN CALIFORNIA) - Santa Rosa, CA, US
Adult Palliative Care Physician Opportunities
THE PERMANENTE MEDICAL GROUP, INC. (KAISER PERMANENTE NORTHERN CALIFORNIA) - Northern California, CA, US
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CLEVELAND CLINIC CANCER CENTER - Cleveland, OH, US
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UNIVERSITY OF VERMONT/THE UNIVERSITY OF VERMONT MEDICAL CENTER - Burlington/Middlebur. VT, US
PALLIATIVE CARE PHYSICIAN: Banner Health, Mesa AZ
BANNER HEALTH - Mesa, AZ, US
Palliative Care Physician
UVM HEALTH NETWORK - CENTRAL VERMONT MEDICAL CENTER - Berlin, VT, US
Palliative Care Physician Opportunity, INTEGRIS Health in Oklahoma City, Oklahoma
INTEGRIS HEALTH - Oklahoma City, OK, US
Palliative Care Clinical Faculty in Growing Academic Program
UNIVERSITY OF KENTUCKY - Lexington, KY, US
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