Literature Review

CFO tenures at the 10 largest health systems Becker's Hospital Review; by Andrew Cass; 10/9/25 Healthcare CFOs’ tenures last an average of 4.7 years, according to a September report from Crist Kolder Associates. Here are the tenures of the CFOs at the 10 largest health systems in the U.S. (Health system size is determined by the number of hospitals, based on organizational data as of December.)

Aveanna ‘not a buyer of hospices’ due to high multiples Hospice News; by Jim Parker; 10/10/25 Aveanna Healthcare Holdings (Nasdaq: AVAH) is hungry for acquisitions, but hospice transactions are likely not on the menu. Aveanna’s expanding hospice and home health business has largely included a focus on organic growth and tuck-ins across its existing geographic markets. Acquisitions could make up a larger portion of its strategy on the near horizon, according to CEO Jeff Shaner. The company has been less active on the M&A front in recent years, taking a cautious approach to growth, he previously indicated. However, the company is not in the market for hospices due to high valuations in the space compared to other health care sectors like home health or private duty services.

Seasons Hospice hosts commemoration as it closes hospice house, forges ahead with in-home care KTTC, Rochester, MN; by Caitlin Alexander; 10/10/25 Local nonprofit organization Seasons Hospice hosted a somber but significant moment on Friday as it commemorated its hospice house. After more than 25 years, Seasons Hospice is closing the doors of the hospice house, as it now shifts its focus to serving patients and families with in-home hospice care. “I had a hard time at first accepting that and getting beyond it, but I did,” one of the founders, Sarah Oehlke, said. “I’m very grateful that you have sustained our quality-of-care standards for all of the years.” “We have together provided comfort, dignity and compassion to countless families during life’s most poignant moments,” Board President Dawn Beck said. ... Seasons Hospice previously spoke about a declining census at the hospice house, especially in recent years, noting the shift toward people wishing to spend their final days in their homes with loved ones.Editor's Note: This Seasons Hospice is in Rochester, Minnesota; not to be confused with other hospice organizations throughout the nation with "seasons" in its name. They gave their hospice house both a "good life" and "a good death." We draw attention to the shift they described "toward people wishing to spend their final days in their homes with loved ones," and will continue to be on the lookout for similar trends. To quote from an ancient poet, "To everything there is a season ..." We wish Seasons Hospice well through its continued transitions.

Palliative care remains underused among young adults with advanced cancer in U.S. American Cancer Society, Chicago, IL; 10/10/25 Although palliative care use has increased over time among young adults with advanced cancers in the United States, new research led by the American Cancer Society (ACS) found that utilization still remains very low. Palliative care focuses on improving the quality of life for individuals with serious or life-limiting illnesses. ... Researchers, led by Kewei (Sylvia) Shi, MPH, at the American Cancer Society, used the National Cancer Database to identify patients aged 18-39 who were newly diagnosed with stage-IV cancers. ... The study included a total of 76,666 patients. The percentage receiving any palliative care increased from 2.0% in 2010 to 4.8% in 2023.

Care that never gives up - in honour of World Hospice & Palliative Care Day 2025 The Morung Express; by Dr. Victoria Seb, MBBS, PDGDM, FIPM; 10/10/25 Quoting the Father of Medicine, Hippocrates, himself : ‘To cure sometimes, to relieve often, to comfort always’, these timeless words echo deeply the realm of palliative care, reminding us that the heart of healthcare lies not only in curing disease but in easing suffering and preserving dignity. The World Hospice & Palliative Care Day 2025 theme “Achieving the Promise: Universal Access to Palliative Care” calls to action for communities, healthcare systems and policy makers to ensure that palliative care is not a privilege but a universal right – accessible to every person, everywhere. ... In an era marked by medical advancement and increased life expectancy, the demand for holistic, compassionate care at the end of life has never been greater. Yet, despite its proven benefits, access to palliative care remains limited worldwide. The need for palliative care is urgent and growing, especially as populations age and chronic diseases become more prevalent. 

Mental healthcare delivery in palliative care: Patient and caregiver perspectives Journal of Pain and Symptom Management; by Mia Pattillo, Jeffers Guthrie, Molly Nowels, Maureen Ekwebelem, Karolina Sadowska, Milagros Silva, M Carrington Reid, Daniel Shalev; 10/8/25 ... Results: Participants described strong therapeutic relationships with palliative care clinicians, who offered informal mental health support through conversations, medication management, and referrals.  ...Conclusions: Patients and caregivers view integrated mental healthcare as a valuable addition to palliative care. Integration models should include specialist mental health providers, address caregiver needs, and offer flexible delivery formats. Palliative care's transdiagnostic scope, interdisciplinary structure, and psychosocial orientation make it a strategic site for integrated care.

People will forget what you said. People will forget what you did. But people will never forget how you made them feel. ~ Maya Angelou

Wisconsin rarely grants compassionate release as aging, ailing prisoners stress systems Wisconsin Watch; by Mario Koran and Sreejita Patra; 10/7/25 Increased use of compassionate release could ease costs and crowding with minimal risks to public safety, experts say. But it remains off limits to many prisoners. ... Wisconsin grants few applicants compassionate release, leaving many severely ill inmates in short-staffed prisons that often struggle to meet health care needs. Wisconsin courts approved just 53, or 11%, of 489 compassionate release petitions they received between January 2019 and June 2025 — about eight petitions a year, Corrections data show. Courts approved just five of 63 petitions filed in all of 2024. 

Behavioral scientist breaks down what makes a great leader CBS Mornings / YouTube; interview with Jon Levy; 10/6/25 Behavioral scientist and New York Times bestselling author Jon Levy spent the last 15 years meeting with different types of leaders. In his new book, "Team Intelligence: How Brilliant Leaders Unlock Collective Genius," he talks about the preconceived notions of leadership.

Good Samaritan announces transition of hospice services Good Samaritan, Vincennes, IN; Press Release by Good Samaritan; 10/3/25 Good Samaritan [in Vincennes, Indiana] has announced the difficult decision to close its hospice program effective December 31, 2025. The decision, made by the hospital’s Executive Team and Board of Governors, follows a careful evaluation of health care trends and reflects Good Samaritan’s commitment to responsible stewardship and long-term sustainability. “Since its beginning, our hospice team has provided extraordinary, compassionate care to patients and families across our region,” said Rob McLin, CEO of Good Samaritan. “We hold deep respect for that legacy and are committed to supporting our patients, families, and hospice team throughout this transition.” ... Good Samaritan is working closely with regional hospice providers and is actively exploring multiple partnership strategies to ensure hospice care throughout the communities we serve is provided seamlessly. All impacted hospice staff will be offered positions within Good Samaritan, and the organization is committed to supporting each individual through the transition.Editor's Note: Per the National Hospice Locator, over a dozen hospices are named "Good Samaritan"; this is located in Vincennes, Indiana. While such decisions and transitions are surely difficult, Good Samaritan demonstrates excellence  in continuing their mission in how they are tending these transitions. Dare I say, they are providing "a good death"? 

[South Africa] Capturing the comfort and care of palliative care this World Hospice and Palliative Care Day Good Things Guy, South Africa; by Nothando Mthembu; 10/7/25 It’s said that a picture is worth a thousand words, and it is upon this very adage that the Association of Palliative Care Centres (APCC) of South Africa has launched a powerful photographic campaign to capture the dignity, comfort and support that patients facing life-threatening illness receive and deserve through the provision of palliative healthcare services. With the hope of showcasing the impact of palliative care through real-life stories and images, the ‘Through the Palliative Care Lens’ campaign aligns with the theme for World Hospice and Palliative Care Day 2025 (WHPCD2025): ‘Universal Access to Palliative Care’.

The CMS activities that will, won’t continue during the shutdown Becker's Hospital Review; by Andrew Cass; 10/2/25 CMS has outlined the activities that will and won’t continue during the federal government shutdown. The federal government shut down at 12:01 a.m. Oct. 1 after lawmakers failed to reach a spending deal. CMS is retaining 53% of its staff, 3,311 employees, during the shutdown. Here is what the agency said will and won’t continue during a lapse in appropriations: ... Editor's Note: This adds more detail to what we posted yesterday, from a broader healthcare perspective. As this is a developing story, we will continue to provide timely, relevant updates as they occur. 

Visiting Nurse Association rejects Cape Cod Healthcare's latest contract proposal Cape Cod Times, Hyannis, MA; by Desiree Nikfardjam; 10/2/25 Visiting Nurse Association of Cape Cod registered nurses have voted "overwhelmingly" to reject Cape Cod Healthcare's contract offer that was proposed on Sept. 11, according to a press release. The offer was the "last, best, and final" from Cape Cod Healthcare, according to the statement. The nurse association members are represented by the Massachusetts Nurses Association. ... The Visiting Nurse Association's nurses provide essential home health and hospice care to patients across Cape Cod and the Islands and had previously voted 96% in favor of authorizing a three-day strike if progress at the bargaining table was not made.