Literature Review
Saturday newsletters
05/03/25 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
Courts diverge in challenges to CMS's minimum staffing requirements for LTC facilities
05/02/25 at 03:10 AMCourts diverge in challenges to CMS's minimum staffing requirements for LTC facilities JD Supra; by Kayla Stachniak Kaplan, Scott Memmott, Sydney Menack, Jonathan York, Howard Young; 4/30/25On May 10, 2024, the Centers for Medicare and Medicaid Services (CMS) published its Final Rule to implement minimum staffing standards for long-term care (LTC) facilities in the United States. However, as discussed in our prior blog post, the Final Rule was immediately challenged under the Administrative Procedure Act (APA) in two major lawsuits. These cases have resulted in divergent rulings, injecting more uncertainty across the LTC industry about the future of the application and validity of the Final Rule. ... This and further developments in these cases will have significant impact on the future of CMS’s oversight of the country’s nursing homes.
Breaking barriers: Ketamine's role in hospice medicine with Dr. Rohini Kanniganti
05/02/25 at 03:00 AMBreaking barriers: Ketamine's role in hospice medicine with Dr. Rohini Kanniganti Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Dr. Rohini Kanniganti; 4/30/25 Ketamine – a medicine long used as an anesthetic – is finding a powerful new purpose in Hospice and Palliative Care settings. Dr. Rohini Kanagante, a physician with expertise spanning both Hospice Care and Integrative Psychiatry, unveils the remarkable potential of this medication in our latest episode of TCNtalks. [TCN is a sponsor of our newsletter.]
Interim HealthCare expands Alzheimer’s offerings through new partnership
05/02/25 at 03:00 AMInterim HealthCare expands Alzheimer’s offerings through new partnership Home Health Care News; by Audrie Martin; 4/30/25 Interim HealthCare has expanded its Alzheimer’s care program through a new partnership with the Alzheimer’s Association. The partnership, announced on Wednesday, will enable Interim to bolster its existing Alzheimer’s offerings through additional educational programs and opportunities to participate in Alzheimer’s Association events.
Patient, provider, and health system determinants of hospice Length of Stay
05/02/25 at 03:00 AMPatient, provider, and health system determinants of hospice Length of Stay Palliative Medicine Reports; by Eliza Thompson, Daniel Sanchez Pellecer, Gregory J Hanson, Shealeigh A Inselman, Jenn M Manggaard, Kevin J Whitford, Jacob J Strand, Rozalina G McCoy; 4/3/25Background: Benefits of hospice care, such as improvement in quality of life and reduced costs, depend on duration of enrollment in hospice services, making timely hospice referral essential. ... Conclusion: Based on a review of hospice referral patterns, the integration of hospice care into subspecialty practices, long-term care facilities, and advanced practice education could be an effective strategy to improve hospice LOS.
Think you know what nursing research looks like? Think again
05/02/25 at 03:00 AMThink you know what nursing research looks like? Think again Boise State News, Boise, ID; 4/30/25 “Research” doesn’t just mean generating new discoveries through experimentation. Boise State supports Boyer’s model of scholarship, which expands the definition of research and creative activity to include applying and integrating knowledge into other settings, as well as teaching it. ... [An] interdisciplinary team is working to improve hospice and palliative care for refugees. ... Clinicians and refugees often do not share common cultures, languages or communication norms, so [Kate] Doyon has been building a community advisory board to create a communication guide. They’re working with stakeholders–including refugees and providers–to develop prompts that will enhance the care refugees receive, starting on the level of communication. Ornelas said the refugees they interviewed “gave us a lot of insight on different cultures and how we can go about and make prompts.” The prompts are short phrases to remind the healthcare team of best ways to interact with refugees and productively approach conversations.
100 academic medical centers to know | 2025
05/02/25 at 03:00 AM100 academic medical centers to know | 2025 Becker's Hospital Review; by Anna Falvey; 4/29/25 Academic medical centers combine exceptional patient care with cutting-edge research and groundbreaking medical advancements. The 100 institutions [listed] are renowned for their clinical excellence, innovative programs, research leadership, educational impact and commitment to patient satisfaction. Becker’s Healthcare developed this list based on editorial research. This list is not exhaustive, nor is it an endorsement of included academic medical centers. Organizations cannot pay for inclusion on this list. Organizations are presented in alphabetical order.
Assembly passes bill to allow medically assisted death for terminally ill New Yorkers
05/02/25 at 03:00 AMAssembly passes bill to allow medically assisted death for terminally ill New Yorkers NNY360, Watertown Daily Times and Northern New York Newspapers, Watertown, NY; by Alex Gault; 4/2925 The New York state legislature is poised to pass a bill that would allow terminally ill people to seek a medication to end their lives, a process called medical aid in dying. On Tuesday, the Assembly voted for the first time to advance a bill, carried by Assemblywoman Amy Paulin, D-Westchester, that would allow a terminally ill patient to ask for a prescription for a lethal medication, to be taken at home on their own terms.
Administration to close HHS Civil Rights office
05/02/25 at 03:00 AMAdministration to close HHS Civil Rights office Newsmax; by Brian Freeman; 4/28/25 As part of massive cutbacks at the Department of Health and Human Services, the Centers for Medicare & Medicaid Services will shut down their civil rights office in June, according to an email sent to staff on Monday and viewed by Politico. HHS has already been reduced by some 20% as part of overall downsizing, with Secretary Robert F. Kennedy Jr. and President Donald Trump focusing on eliminating those programs and agencies they say promote diversity, equity, and inclusion. ... Complaints that are nearing completion connected to workplace harassment and discrimination will be closed out in the coming weeks, and remaining complaints will be "transferred to an appropriate entity," the email stated.Editor's note: Data from the 2024 NHPCO Facts and Figures Report states: "In CY 2022, 51.6% of White Medicare decedents used the Medicare Hospice Benefit. 38.1% of Asian American Medicare decedents and 37.4% of Black Medicare decedents enrolled in hospice. 38.3% of Hispanic and 37.1% of North American Native Medicare decedents used hospice in 2022." The discrepancies between white and non-white decedents demonstrate double-digit differences. Extensive evidence-based research validates wide gaps in hospice/healthcare for persons whom the HHS Civil Rights office is charged with protecting. For more, visit Office of Civi Rights Home | HHS.gov and Office of Civil Rights About Us.
Today's Encouragement: Live as if ... Learn as if ...
05/02/25 at 03:00 AMLive as if you were to die tomorrow. Learn as if you were to live forever ~ Mahatma Gandhi
Executive Personnel Changes - 5/2/25
05/02/25 at 03:00 AMExecutive Personnel Changes - 5/2/25
Safe Harbor Estate Law launches “Dignity Drive” to support Minnesota hospice patients during Elder Law Month
05/02/25 at 03:00 AMSafe Harbor Estate Law launches “Dignity Drive” to support Minnesota hospice patients during Elder Law Month The Luverne Journal, PR Underground; 5/1/25 In recognition of May as Elder Law Month, Safe Harbor Estate Law is proud to announce the launch of the Safe Harbor Dignity Drive, a community-wide campaign to collect clean, comfortable clothing and comfort items for hospice patients facing end-of-life care with limited resources. Inspired by conversations with their partners at St. Croix Hospice, Safe Harbor learned that many patients spend their final days without appropriate clothing—often due to significant weight loss, mobility challenges, or a lack of support. Soft, well-fitting clothing can provide warmth, dignity, and peace during an incredibly sacred time. “We believe everyone deserves to feel respected and cared for—especially in their final days,” said Margaret Barrett, founder of Safe Harbor Estate Law. “The Dignity Drive is our way of helping ensure no one spends those moments without the basic comfort of clean, cozy clothing.”
HHS OIG: Greater oversight needed among new hospices
05/02/25 at 03:00 AMHHS OIG: Greater oversight needed among new hospices Hospice News; by Holly Vossel; 4/28/25 The U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) is readying to unveil a new report that will unveil common billing trends among potentially fraudulent newly licensed hospices. The report, “Trends, Patterns, and Key Comparisons Related to New Medicare Hospice Provider Enrollments May Indicate the Need for Further Oversight” is expected to publish in Fiscal Year (FY) 2026. It will examine potential red flags of fraud, waste and abuse among newly enrolled Medicare hospice providers’ claims data. ... “The data brief may help CMS evaluate the need for additional monitoring and program integrity efforts to ensure that hospices meet all the requirements,” OIG stated in a recent announcement. “Our objective is to identify trends, patterns and key comparisons that indicate potential vulnerabilities related to new Medicare hospice provider enrollments.”
A powerful film chronicles one man’s last days within a loving community for all to witness.
05/02/25 at 03:00 AMA powerful film chronicles one man’s last days within a loving community for all to witness. Monterey County Now, Seaside, CA; by Pam Marino; 5/1/25 Facing certain death from a brain tumor, Ethan “E3” Sisser adopted a mantra. “I am embodied. I am empowered. I am ecstatic,” the 36-year-old would tell himself, in order to ward off oncoming seizures, carry himself through pain or recite for his many followers on social media. “E3” became his nickname. We see Sisser, looking into the camera, recite the mantra early in the documentary, The Last Ecstatic Days, released in 2024. We also meet his hospice and palliative care physician, Aditi Sethi, who leaves her position to become his death doula and friend. She fulfills his wishes for a peaceful death surrounded by a caring community, filmed for others to learn from. Director Scott Kirschenbaum – who made one of the definitive documentaries about birth, These Are My Hours – spent the last two weeks of Sisser’s life near his side with a camera, capturing each moment.
The Big Bend Hospice linen drive brings comfort to patients in rural communities: Addressing a critical need in underserved areas
05/02/25 at 02:00 AMThe Big Bend Hospice linen drive brings comfort to patients in rural communities: Addressing a critical need in underserved areas ABC WTXL-TV 27, Tallahassee/Monticello, FL; by Lentheus Chaney; 4/30/25 In Jefferson County, kindness sometimes comes in the form of cotton. Big Bend Hospice is collecting linens here to help patients face their final days with dignity. Big Bend Hospice just launched a linen drive. It's asking neighbors to donate new Twin XL-sized bed sheets. They'll be used for patients across Jefferson, Madison, and Taylor counties. The drive's goal is to ensure no one spends their final days without the comfort of clean sheets—something most of us take for granted. The need is especially great in rural areas. According to state data, hospice use in parts of North Florida lags behind the statewide average—just 57%. That's compared to nearly 66% across Florida. That gap means fewer resources in the places that need them most.
Part D Plans cover a larger share of Medicare Beneficiaries in rural counties
05/01/25 at 03:10 AMPart D Plans cover a larger share of Medicare Beneficiaries in rural counties Managed Healthcare Executive; by Denise Myshko; 4/25/25 Medicare beneficiaries living in more rural counties are enrolled in traditional Medicare and rely on stand-alone prescription drug plans (PDPs), according to recent analysis from KFF.In fact, in 27 states, at least half of Medicare Part D enrollees living in the most rural areas are enrolled in stand-alone prescription drug plans. This includes 8 states with 75% or more of Part D enrollees in the most rural areas in prescription drug plans (Nevada, Alaska, Massachusetts, California, Kansas, Wyoming, Nebraska, and South Dakota). Nationwide, 58% of beneficiaries living in rural areas are enrolled in stand-alone prescription drug plans in 2025. The remainder (42%) are enrolled in Medicare Advantage drug plans (MA-PDs).
Top 50 Hospice Providers report now available
05/01/25 at 03:00 AMTop 50 Hospice Providers report now availableHospice News - Flagship Report; 4/30/25The hospice sector has undergone dramatic changes in recent years. Once a nonprofit, volunteer-driven movement, the industry is now a landscape dominated by for-profit entities, private equity, and publicly traded companies. This shift is reshaping care delivery, reimbursement models, and the competition that exists in end-of-life care. Hospice News partnered with Hospice Analytics to rank the largest hospice chains by 2023 Medicare claims. Using proprietary data, including Medicare payments and SEC filings, the report tracks changes in ownership and acquisitions, offering a comprehensive view of the industry landscape. Dive into the data and insights to better understand the evolving dynamics of the hospice industry.Editor's note: The "top" hospice providers is based on the size of chains, not on quality scores. Hospice Analytics--partner for this project--provides quality scores for these through its National Hospice Locator. (Hospice Analytics is a sponsor for this newsletter.)
Good Samaritan: Kimberly Romey brings warmth and peace to Benefis Peace Hospice
05/01/25 at 03:00 AMGood Samaritan: Kimberly Romey brings warmth and peace to Benefis Peace Hospice NBC, Billings, MT; by Joee Taylor; 4/28/25 At Benefis Peace Hospice, Kimberly Romey is more than just a housekeeper. She is a source of comfort and care for patients and their families. Romey, who is responsible for maintaining cleanliness throughout the hospice, is known for her personal connections with patients. "My job is to take care of this place. I clean the whole building, bathrooms, patient rooms. I sit and I visit with patients. If there's something that's not health care wise that I can get them, I'll get them," Romey stated. Her dedication goes beyond her job description. "It's good to be here for people that, you know, this is their last stay, and to make them comfortable and to make them happy and to do things for them; it's very rewarding," she said. Latoya Reovan, the director of Benefis Peace Hospice, witnesses Romey's commitment daily.Editor's note: Thank you, Kimberly, Latoya, and NBC of Billings for this empowering story, with powerful teachable moments. Calling all executive leaders: Do you know the housekeepers in your hospice inpatient facilities? At a minimum, do you intentionally greet and thank them with warmth and authenticity? What hospice-oriented culture do you foster? Read more of Kimberly Romey's descriptions about her role, "Because to me, this isn't just my job. I love being here."
Art auction raises $800,000 for Hospice of the Valley
05/01/25 at 03:00 AMArt auction raises $800,000 for Hospice of the Valley City Sun Times, Phoenix, AZ; by Lin Sue Flood; 4/29/25 What a spectacular evening showcasing community generosity at Hospice of the Valley’s 2025 art auction: Aaha! Art. Food. Wine. A record $800,000 was raised to ensure care for those in need, including $300,000 to support New Song Center for Grieving Children. This compassionate Hospice of the Valley program provides grief support to families at no cost and has brought hope and healing to more than 15,000 individuals experiencing deep loss. “We are beyond grateful for this passionate support,” said Executive Director Debbie Shumway.
Small acts of kindness can change someone’s world
05/01/25 at 03:00 AMSmall acts of kindness can change someone’s world MedPageToday's KevinMD.com; by Jake Rattner; 4/26/25 So much of the world is centered around looking out for ourselves. We get caught up in our own problems, our own routines, and sometimes, we forget to stop and think about what someone else might be going through. ... But when we step outside of our own lives, even just for a moment, we start to see the bigger picture. ... In the end, it’s the simple things that matter. A conversation, a smile, a moment of recognition—these things can change someone’s entire day, even if you don’t realize it. ... Because sometimes, the best medicine isn’t even medicine—it’s just knowing that someone cares.
Today's Encouragement: I've got sunshine ...
05/01/25 at 03:00 AMI’ve got sunshine on a cloudy day. When it’s cold outside, I’ve got the month of May. ~ Smokey Robinson
Dr. Drabek's "The Comfortologist" hits #1 bestseller, revolutionizing pain management & end-of-life care approaches
05/01/25 at 03:00 AMDr. Drabek's "The Comfortologist" hits #1 bestseller, revolutionizing pain management & end-of-life care approaches Classic 96.7 FM BWZ, Yukon, OK; Press Release; 4/28/25 Dr. Steven Drabek's groundbreaking memoir, "The Comfortologist: A Physician's Empathetic Perspective on Compassion, Caring, and Pain Relief," has achieved #1 bestseller status, resonating deeply with healthcare professionals, chronic pain patients, and families navigating end-of-life care decisions. Drawing from his four-decade career and personal journey as a cancer survivor and chronic pain patient, Dr. Drabek offers readers a unique dual perspective that has earned him recognition as a "comfortologist" a term he coined to describe his approach to medicine that prioritizes patient comfort and dignity. "My experience as both physician and patient taught me that modern medicine often misses what matters most," says Dr. Drabek. "Technical expertise means little without empathy. We must treat the whole person, not just the symptoms."
From stigma to support: Changing the cancer conversation
05/01/25 at 03:00 AMFrom stigma to support: Changing the cancer conversation Oncology Nursing Society (ONS); by Anne Snively, MBA, CAE; 4/29/25 Certain treatments (palliative care, opioids) and diagnoses (lung cancer) are more prone to association with cancer-related stigma. Nurses can play a vital role in reframing these thoughts and promoting empathy. ... Caner-related stigma has wide-reaching effects across the care continuum, including poorer patient outcomes. ...
20 effective strategies for building thought leadership
05/01/25 at 03:00 AM20 Effective strategies for building thought leadershipFast Company; by Fast Company Executive Board; 4/23/25Sharing your unique, informed perspective can influence and spark conversations within your industry. Here’s how to do it.
