Literature Review

Montville Township man golfs 100 holes for charity The Gazette, Montville Township, NJ; by Sara Crawford; 7/29/25 While a thick fog may have covered Fox Meadow Country Club on Monday morning, Montville Township resident Pat Spoerndle didn’t let that stop him from starting to golf at 6:30 a.m. as he played 100 holes of golf in one day as part of his annual charity event, “100 for Hospice.” In 2009, Spoerndle decided to host a one-time charitable golf outing. He set a goal of $10,000 and made plans to play 100 holes of golf within a day, all for Hospice of Medina County. “I was going to do it just the one time,” he said. “(I then) decided it would be wrong to do because we were able to raise so much money for a great organization. We just built on it every year.” Since the fundraiser’s start 17 years ago, Spoerndle has raised almost $600,000 for Hospice of Medina County. He expects to raise more than $25,000 this year, but said it’s too early to tell how much they’ve raised.

Doctors’ own end-of-life choices defy common medical practice Medscape; by Cristina Ferrario; 7/29/25 A new survey revealed that most doctors would decline aggressive treatments, such as cardiopulmonary resuscitation (CPR), ventilation, or tube feeding for themselves if faced with advanced cancer or Alzheimer’s disease, choosing instead symptom relief and, in many cases, assisted dying. ... The researchers conducted a cross-sectional survey of 1157 physicians, including general practitioners, palliative care specialists, and other clinicians from Belgium, Italy, Canada, the US, and Australia. ... Over 90% preferred symptom-relief medication, and more than 95% declined CPR, mechanical ventilation, or tube feeding. Only 0.5% would choose CPR for cancer and 0.2% for Alzheimer’s disease. Around 50%-54% supported euthanasia in both cases.

National Alliance for Care at Home hosts inaugural Financial Summit National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/30/25 The National Alliance for Care at Home (the Alliance) successfully hosted its inaugural event, the 2025 Alliance Financial Summit, July 27-29 in Chicago, IL. The Summit brought together financial leaders from across the care at home community, with expert-led sessions, peer collaboration, and insights into market shifts and emerging technologies. More than 700 attendees and exhibitors participated in the comprehensive program, which featured keynote presentations, concurrent educational sessions, networking opportunities, awards, and celebration. ... “This first Alliance event exceeded our expectations, bringing together care at home leaders from across the nation to connect, learn, and recommit to our shared vision of an America where everyone has access to the highest quality, person-centered healthcare wherever they call home,” said Alliance CEO Dr. Steve Landers.

Hospice East Bay workers to strike Tuesday KRON-4, Bay Area, CA; by Bay City News; 7/29/25 Hospice East Bay workers say they will strike Tuesday to protest spiking caseloads. Nearly 80 nurses, social workers, chaplains and bereavement counselors at Hospice East Bay joined the National Union of Healthcare Workers in 2023. The group said they’re still seeking their first contract after about 18 months of negotiations. The group said Friday in a statement they “are fed up with a severe understaffing of nurses and frustrated that management is bargaining in bad faith and refusing to enshrine existing patient care protocols into a contract before the hospice turns over control to an out-of-state chain.” 

Palmetto GBA Home Health and Hospice Coalition Meeting Minutes June 16, 2025Palmetto GBA communication; 7/22/25Hosted by Tim Rogers, President and CEO, Shannon Pointer, DNP, RN, CHPN, Senior VP, Hospice and Home Health Services and Professional Development Director, AHHC of NC and SCHCHA, this meeting included questions and answers for several regulatory topics.

Millions of car drivers worldwide will now see a hospice message from Capital Caring Health thanks to the app LeadStory Capital Caring Health, Falls Church, VA; Press Release; 7/28/25 Capital Caring Health, a nonprofit hospice for adults and children, includes a special pediatric team called Capital Caring Kids (CCK). CCK is one of the largest dedicated pediatric hospice programs in the nation and is now the first to be recognized around the world through a new AI APP called LeadStory. LeadStory is an interactive personalized news service for car drivers – while the car is in motion, they can voice command any question for all news categories local, national, and international. When the car is stationary video appears on the touch screen. By the end of 2025, LeadStory will be on approximately ten million car touch screens. ... A 30 second video produced by Capital Caring Kids about its special mission of caring for children and their families regardless of ability to pay will appear a minimum of 6 times a week when vehicle touch screens are in video mode.

HopeHealth CEO on hospice, palliative care, and the future of serious illness support in Rhode Island Rhode Island PBS; by G. Wayne MIller; 7/22/25 HopeHealth President and CEO Diana Franchitto discusses her personal journey, the organization’s partnership with Brown University, caregiver and grief support services, and how HopeHealth is preparing for its 50th anniversary as a leader in compassionate end-of-life care. ... [Diana Franchitto, "Over the past half-century, HopeHealth has been a trailblazer for serious illness care. As we look to the future, we take that legacy seriously. We want our organization and our community to thrive, but we also have a role in helping the fields of hospice and palliative care thrive on a broader scale. ..."  

System wide goals of care implementation: A podcast with Ira Byock, Chris Dale, and Matt GonzalesGeriPal podcast; by Eric Widera, Alex Smith, Ira Byock, Chris Dale, Matt Gonzales; 7/24/25Most health care providers understand the importance of goals-of-care conversations in aligning treatment plans with patients’ goals, especially for those with serious medical problems. And yet, these discussions often either don’t happen or at least don’t get documented. How can we do better? In today’s podcast, we sit down with Ira Byock, Chris Dale, and Matthew Gonzales to discuss a multi-year healthcare system-wide goals of care implementation project within the Providence Health Care System. Spanning 51 hospitals, this initiative [found] an increase from 7% to 85% in goals of care conversation documentation for patients who were in an ICU for 5 or more days. How did they achieve this? Our guests will share insights into the project’s inception and the strategies that drove its success, including:

National Alliance CEO Dr. Steve Landers: Hospice reform should mean more care, not less Hospice News; by Jim Parker; 7/28/25 Hospice reform efforts should focus on allowing for “more care, not less,” according to National Alliance for Care at Home CEO Dr. Steve Landers. Key elements of this should include home-based respite care and a payment system for high-acuity palliative services that hospice patients often lose out on due to the costs. ... “It means innovation in care, home-based respite services, better payment models for people that need things like dialysis or palliative radiation,” Landers said at the Alliance’s Financial Summit in Chicago. “That is that reform we’re talking about.” ... Landers also said that attempts at hospice reform should not “carve-in” hospice into Medicare Advantage. Bringing hospice under Medicare Advantage would undermine patient choice, adversely impact timely access to care and leave providers with lower reimbursement rates, according to the Alliance, the National Partnership for Healthcare and Hospice Innovation (NPHI) and LeadingAge

Language, culture, and trust: Addressing gaps in palliative care for Hispanic patientsCAPC blog; by Rayna Ross, Brittany Chambers; 7/23/25CAPC recently released The Health Care Experience of Hispanic Patients with Serious Illness: A Literature Review. While the review outlines the challenges Hispanic patients face, we’ve also been working behind the scenes to identify ways to improve access to palliative care for this population. This new blog features insights from four community leaders who care for and represent Hispanic patients. They offer actionable recommendations for health care organizations, palliative care teams, and clinicians striving to drive meaningful change and ensure equitable access to high-quality care.

Hospice | CMS.gov/Fraud Fast FactsCMS.gov/Fraud; by CMS; July 2025 ... Medicare hospice utilization has increased in recent years. In Fiscal Year 2024, Medicare payments for hospice reached over $27 billion, with approximately 1.8 million Medicare beneficiaries receiving hospice care. CMS has taken significant action to address likely fraudulent behavior occurring in Medicare-enrolled hospices, including long lengths of stay, co-located hospices, and high rates of beneficiaries discharged alive. [This Fast Facts one-page sheet includes:]

Nidal Rahal, MD: A quiet force in geriatric and hospice care CEOWorld Magazine; by Anna Papdopoulos; 7/27/25 In a time when healthcare is growing more complex, Dr. Nidal Rahal is staying focused on what matters: his patients. From private hospital rooms to long-term care units, he’s been quietly building a career defined by service, leadership, and long hours. Based in Germantown, Tennessee, Dr. Rahal now runs his own practice—Geriatrics and Palliative Care PLLC ... “I’ve always believed in showing up where I’m most needed,” he says. “For me, that’s meant working with the elderly, with families, and with people facing end-of-life decisions.” ... His practice is now a central hub for hospitalized patient follow-up, inpatient rehab, and palliative consults. He remains active at St. Francis Bartlett, where he’s part of the Medical Executive Committee and serves as an admitting rehab physician. Despite the move, Dr. Rahal still works closely with Hope Hospice and Unity Hospice, continuing a leadership role that spans over a decade.