Photo: Vee via Flickr
Reporting on end of life can pose surprising challenges and opportunities.
If you haven’t yet listened to JoAnn Mar’s remarkable radio series on end-of-life issues, add it to your playlist right now. An AHCJ reporting fellowship allowed Mar to take a deeper dive into how people prepare for their last phase of life, and why good conversations with loved ones on the topic can be so important. The entire series, aired on KALW FM, San Francisco in January. Continue reading
It is mind-boggling that there are people in this world who so easily take advantage of vulnerable older adults. Yet, elder abuse – psychological, physical, and financial – is an unfortunate reality. The CDC estimates it affects one in every 10 community-dwelling adults age 60 and older.
The problem is likely much greater. For every reported case of abuse, approximately 23 others are not reported. Financial exploitation of older adults is the most prevalent form, according to the National Center on Elder Abuse. One study found that self-reported financial exploitation happens at a rate of 41 per every 1,000 older adults surveyed. That number may be higher because many older adults are reluctant to admit they were scammed. Continue reading
Photo: Matthew Paulson via FlickrDespite hurricane risks, Florida has been a popular retirement locale for senior citizens, who may eventually need to transition to skilled nursing facilities.
News on Wednesday that eight residents of a Hollywood, Fla. nursing home had died a few days after the facility lost power for its air conditioning unit during Hurricane Irma (see more coverage links below) has refocused attention on persistent weaknesses in nursing facility regulation and oversight.
A report released in late August (prior to the Harvey and Irma hurricanes) by the Department of Health and Human Services Inspector General (OIG) highlights problems with how incidents of potential abuse or neglect are reported and investigated. Separately, there has been pushback in Congress on a Trump administration effort to weaken Obama-era restrictions on the use of arbitration agreements to settle nursing home claims. Continue reading
Is it worth it to provide more skilled – and higher paying – home health care?
That is the question that New York Times’ economic columnist Eduardo Porter tackled in a recent piece examining whether staffing the nation’s long-term care system with better-trained and higher-paid aides could give them more responsibilities and better address health care gaps. Continue reading
Accountable Care Organizations, which were created by the Affordable Care Act as one way to improve the delivery of health care, may become an important want to reduce the wide variation in end-of-life (EOL) care, two academic researchers suggest in a recent Health Affairs blog post.
As we have pointed out repeatedly, while the political and fiscal battles have been over the coverage provisions in the ACA, much of the law also contains incentives and programs to improve both care quality and efficiency. And there are ample opportunities to do so toward the end of life, including in hospice. Continue reading