A risk-based approach to imposing additional data collection in pragmatic clinical trials to capture potential safety and patient experience outcomes, using examples from “real life” implemented interventions. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Check out our new perspective in NEJM led by Claire Ankuda and Joan M Teno MD, MS about the need to take care for the seriously ill in Medicare Advantage seriously as it hits 50% of the Medicare program. nejm.org/doi/full/10.10…

Hospice—The Time Is Now for Additional Integrity Oversight jamanetwork.com/journals/jama-… #hapc

Most hospices are for-profit operations now. But research shows that nonprofits usually work better for patients and families who need them: “If you screw it up, people don’t forget.” nyti.ms/3J60UaC

Another harm of COVID lockdowns: almost half of older adults with chronic conditions in this Chicago-based cohort engaged in hazardous drinking during the state's COVID-19 stay-at-home order, with improvement after orders expired (still high though) agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

CMS will pay plans over 12b in bonuses based on star ratings in 2023. We find that stars don't predict better outcomes and mask inequities in care. If we're going to spend so much here we need to ensure the stars are actually meaningful and equitable. jamanetwork.com/journals/jama-…

Reforming the Medicare Hospice Benefit—Unintended Consequences jamanetwork.com/journals/jama-…

Private Equity and Hospice: What we know? What we need to learn. Braun and colleagues in important articles start examining PE in hospice #hospice jamanetwork.com/journals/jaman…

Leaf peeping!

Care Compare website should provide consumers accurate information on Profit status - but nearly 1/2 of hospices reported as "other" were For Profit #hospice Quality of Data on Profit Status Reported Care Compare - Journal of Pain and Symptom Management jpsmjournal.com/article/S0885-…

RIP Rosalynn Carter. A champion for caregivers. She summed it up perfectly: "There are only four kinds of people in the world: those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers."

Is your hospice FP, NFP, or Other? Accuracy of the Other category - link provide free access to the article #hopice #Medicare #palliative authors.elsevier.com/a/1i8Lh39K9yt3…

The passing of Rosalynn Carter brought #hospice care into the spotlight. Despite the first US hospice opening nearly 50 years ago, Dr. Joan M Teno MD, MS professor of Health Services, Policy & Practice Department & BrownGerontology notes that fears and misconceptions around hospice care are still common. middlesboronews.com/2023/11/29/kno…

Our new study shows U.S. nursing homes had total net revenues of $126B in 2019, with a profit margin of 8.84% after adjustments. It highlights the financial dynamics in the sector, emphasizing the need for transparency and accountability in public funding.

Hi! My previous profile ( @edubru) that I had for 12 years and with 18.8k followers was stolen and X did not help me reclaim it. Please do not click on any messages there. I am starting again here: Eduardo Bruera. Please retweet this message. Thanks very much and best regards

Excited to announce a new publication from our team! 📚 This paper analyzes pre-hospitalization dysphagia and feeding tube placement in NH residents with #dementia. ltcfocus.org/our-work/pre-h… #dysphagia #nursinghome #research #publichealth Jim Rudolph Joan M Teno MD, MS Nicole Rogus-Pulia, PhD, CCC-SLP

Beaching it!

@PalliativeMed_J Letter: Quality Measurement for Seriously Ill and Dying—The Denominator Problem liebertpub.com/doi/full/10.10… Joan M Teno MD, MS Claire Ankuda

Dying in a NH with hospice vs at home with hospice, difference in CAHPs Hospice scores are about 5 points. Finding a 4.5 point difference is akin dying in NH vs. Home with hospice. jamanetwork.com/journals/jama/… #hospice #palliativemedicine