Media Watch 542

Attached is the current issue of Media Watch (#542).


Of particular interest in this week's issue:

An employer health incentive plan for advance care planning and goal-aligned care

POPULATION HEALTH MANAGEMENT | Online – 6 December 2017 – One strategy to promote workforce well-being has been health incentive plans, in which a company's insured employees are offered compensation for completing a particular health-related activity. In 2015, Providence Health & Services adopted an advance care planning (ACP) activity as a 2015-2016 health incentive option. More than 51,000 employees and their insured relatives chose the ACP incentive option. More than 80% rated the experience as helpful or very helpful. A high proportion (95%) of employees responded that they had someone they trusted who could make medical care decisions for them, yet only 23% had completed an advance directive (AD), and even fewer (11%) had shared the document with their health care provider. The most common reason given for not completing an AD was that health care providers had never asked about it. These findings suggest that an insured employee incentive plan can encourage ACP consistent with the health care organizations’ values and strategic priorities. 

Emergency medical services provider experiences of hospice care

PREHOSPITAL EMERGENCY CARE | Online – 4 December 2017 – Growing numbers of emergency medical services (EMS) providers respond to patients who receive hospice care. Survey respondents included 86 (47.3%) EMTs with intermediate and advanced training, and 96 (52.7%) paramedics. There were no significant differences between EMTs and paramedics in their knowledge of the care of these patients, nor were there significant differences between those with 0-5 and 5-plus years of experience. Furthermore, 53 (29.1%) EMS providers reported receiving formal education on the care of hospice patients. A total of 36% felt that patients in hospice care required a DNR order. In EMS providers’ open-ended responses on challenges in responding to the care needs of hospice patients, common themes were family-related challenges and the need for more education. EMS providers have expressed a need for a formal curriculum on the care of the patient receiving hospice. 


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