Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
51 min
4 speakers
8 chapters
transcribed 8 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the purpose of this podcast and who are the guests?
Hey Jerry Powell listeners, a quick note before we begin. While we filmed in Montreal during the annual assembly, all opinions expressed in this podcast are independent of the American Academy of Hospice and Palliative Medicine and the Hospice and Palliative Nurses Association or the Annual Assembly. Furthermore, direction to external websites is not an endorsement from AAHPM or HPNA or the Annual Assembly.
Hi JerryPal listeners. Just wanna do a special shout out in the beginning to all of the recent donors to the JerryPal podcast. If you're interested in donating, go to the JerryPal website and just click that big blue button.
Special thank you to Margaret Leoung, Huey Lin, Ken Longa, Susan McFadden, Carrie Rubinstein, Marissa Galicia Castillo, Kara Bischoff, Kate Mesrich, James Tulsky, Louise Aaronson, Asher Edwards, Mark Apfell, Michael Bordowski, and Meg Wallhagen. Thank you very much.
And on with the show. Welcome to the Jerry Pal podcast. This is Eric Widera.
Je m'appelle Alexandre.
Half of this podcast has to be in French per per law in Quebec. 'Cause we are at the AHPM annual meeting. Yes, at the Palais de Congress de Montreal. Alex took five years of French and that's all he can say, unfortunately. Alex, we have some great guests with us today. We have
some wonderful guests holding the microphone for me is Lauren Hunt, who's a frequent guest on JerryPal. She's a hospice and palliative care nurse practitioner and assistant professor in the School of Nursing at UCSF. Welcome back to JerryPal Lauren.
Thanks for having me.
And uh she's gonna be a guest host today. We also have Joe Sheiga, who is uh hospice physician, and he is a uh hot chief medical officer and vice president uh at Vitas Healthcare. Um welcome to the JerryPowl podcast. Joe, I think it's the first time we've had you on. Yes, this is the first time. I'm excited. Welcome. And welcome back to the JerryPowl Podcast.
The Institute for Human Car The Institute for Human Caring. I don't have my notes in front of me. Thank you, Ira, and welcome back to the Jerry Pell podcast. Bonjour hi And we also have filming us Ann Kelly, who's a uh frequent uh host on Jerry Pell and guest host. She's uh she's filming us today. Thank you, Ann.
So we have an exciting podcast episode um that stemmed initially from uh we were thinking about this from a New Yorker article that came out around the hospice hustle, and thinking about where are we with hospice and is the big question is hospice losing its way? And um where what does the future hold as we think forward for hospice? So before we go into that very deep topic I think somebody has a song request. Is it you, Ira? It was I believe me. What what is the song?
Uh money from uh Pink Floyd.
Great s Drake choice. I think it's self explanatory. Here he goes a little bit.
Money To get away. You get a good job with more pain, you're okay. Money. It's gas. Grab that cash with both hands and make a stash. New car caveat for started dream, think about me a football tea.
Ira we start off all of these podcasts with the question of why did you pick that song?
Oh I I think um the one of the themes that I think w runs through the topic that we're gonna talk about today is uh follow the money. And and it is um probably the key to explaining how uh how we've gotten to where we are today.
Great. So I'm gonna put a little background. Usually I don't put a lot of background in this podcast, but I gotta, you know, in November of 2022, Ava Kaufman published a great along with ProPublica, published well, I won't say great, uh published an article in The New Yorker that I think um it was divisive in the hospice and palavkit community. I think some individuals Thought, you know, there was cherry picking of um stories that made it seem like hospice is this bad thing, that it's taking advantage of vulnerable uh individuals, and it didn't talk enough about the good things that hospice does. On the other side, there's another group that thinks, you know what, it gave voice to what a lot of people have been feeling over the last 10 years.
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Chapters
8 chapters
1
What is the purpose of this podcast and who are the guests?
0:00–6:15
2
How did the New Yorker article spark the debate on hospice quality?
6:15–13:09
3
Is hospice losing its way – what do the experts think?
13:09–18:47
4
Do for‑profit and non‑profit hospices deliver different quality of care?
18:47–25:09
5
What does the research say about variability in hospice performance?
25:09–30:40
6
What are the core roles and responsibilities of physicians in hospice care?
30:40–37:30
7
How can advocacy and policy improve hospice quality and regulation?
37:30–45:05
8
If you could change one thing in hospice today, what would it be?
45:05–51:46
Speakers
4 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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