Literature Review

How Compliance Management Systems help ensure business efficiency Enterprise Talk; by Apoorva Kasam; 7/22/25 With changing rules and regulations, businesses can’t afford to leave compliance to chance. A robust compliance management system (CMS) helps meet regulatory, legal, and internal policy requirements.

Facing new CMS pressure, providers should audit mental health diagnoses, prescriptions: expert McKnights Long-Term Care News; by Kimberly Marselas; 7/22/25 As reported in McKnight’s Long-Term Care News on July 23, “Nursing homes should be auditing documentation for all residents with mental health disorders to ensure their diagnoses are compliant with new federal guidance, a well-known clinical reimbursement recommended Tuesday. Leigh Ann Frick, president of Care Navigation Consulting, made that suggestion while reviewing updated Long-Term Care Surveyor Guidance that went into effect in late April. At over 900 pages, the new manual and appendixes have left many providers still navigating the changes and how best to respond to them. When it comes to giving antipsychotic medications, diagnosing patients with disorders that require them, or identifying and responding to any other patient needs, the guidance puts new emphasis on the use of professional standards, Frisk explained. Guest Editor’s Note, Judi Lund Person:  For nursing home residents who have elected the Medicare hospice benefit, this information may apply. Diagnosing mental health issues, prescribing, and documenting based on professional standards is an important component in the updated Long-Term Care Surveyor guidance issued in April.

Trump administration hands over Medicaid recipients’ personal data, including addresses, to ICE Associated Press (AP), Washington, DC; by Kimberly Kindy and Amanda Seitz; updated 7/17/25 Immigration and Customs Enforcement officials will be given access to the personal data of the nation’s 79 million Medicaid enrollees, including home addresses and ethnicities, to track down immigrants who may not be living legally in the United States, according to an agreement obtained by The Associated Press. The information will give ICE officials the ability to find “the location of aliens” across the country, says the agreement signed Monday [7/14] between the Centers for Medicare and Medicaid Services and the Department of Homeland Security. ... Such disclosures, even if not acted upon, could cause widespread alarm among people seeking emergency medical help for themselves or their children. ... The database will reveal to ICE officials the names, addresses, birth dates, ethnic and racial information, as well as Social Security numbers for all people enrolled in Medicaid. The state and federally funded program provides health care coverage program for the poorest of people, including millions of children. ... [Federal] law requires all states to offer emergency Medicaid, a temporary coverage that pays only for lifesaving services in emergency rooms to anyone, including non-U.S. citizens. Emergency Medicaid is often used by immigrants, including those who are lawfully present and those who are not.

[United Kingdom] The Sussex Beacon to become UK’S first LGBTQ+ hospice with HIV specialism Sussex Health & Care; Press Release; 7/18/25 In a landmark development, The Sussex Beacon has announced it is to become the UK’s only dedicated hospice for LGBTQ+ people, uniquely combining inclusive care with expertise in specialist HIV care. The Sussex Beacon is refreshing its approach to palliative and end-of-life care services, expanding its offer to the wider LGBTQ+ community, regardless of HIV status. ... Decades of experience supporting people with HIV have given The Sussex Beacon deep insight into the ongoing impact of stigma and health inequalities. National research, including Hospice UK’s report “I Just Want To Be Me”, which examines access to care for trans & gender-diverse people and insights from LGBTQ+ organisations.

You must do the thing you think you cannot do. ~ Eleanor Roosevelt

Roche Bros. co-owner donates $1M to hospice care nonprofit Boston Business Journal; by Kate Keeley; 7/21/25 Rick Roche, co-owner of Roche Bros. Supermarkets, and his wife contributed a $1 million gift to NVNA and Hospice's $20 million fundraising campaign. ... The Roche family has worked with the nonprofit for more than a decade, and the organization said the family's involvement has been essential to its long-term stability. NVNA established the Pat Roche Hospice Home, the South Shore's first nonprofit hospice home, in 2013. The 12-bed care center, located in Hingham, is named after Roche's father who co-founded the family's grocery chain.

Behind the deal: Creach Family Holdings bolsters Midwest Home Health presence with Freudenthal acquisition Levin Associates; Press Release; 7/21/25 Creach Family Holdings announced that it has expanded its home health footprint in the Kansas City MSA, with the acquisition of Freudenthal Home-Based Healthcare. The transaction closed in early July 2025 ... The acquisition integrates Freudenthal Home-Based Healthcare into Creach Family Holdings’ portfolio of healthcare providers, strengthening its home health and hospice division. Freudenthal Home-Based Healthcare will continue operating under its established brand, joining forces with Overland Park, Kansas-based Faith Home Health and Hospice, an active Creach Family Holdings investment, to enhance regional care delivery.

Health systems tap into Gen Z’s most-desired benefits Becker's Hospital Review; by Kristin Kuchno; 7/14/25 Generation Z healthcare workers prioritize financial wellness and mental health support — and hospitals and health systems are responding. Given changing demographics and labor shortages, organizations across the U.S. are focused on recruiting and retaining the newest generation to enter the workforce. Gen Z employees include new college graduates and those with a few years of professional experience, with the oldest members age 28. Becker’s connected with human resources leaders from five organizations — ranging from large academic health systems to community hospitals — to learn how they are tailoring benefits to meet workforce demands. ...

'A long, beautiful time together': Photo exhibit 'Til Death Do Us Part'KUT 90.5, Austin, TX; by Michael Lee; 7/21/25“Well, we have to go back five years to the beginning of the pandemic,” says photographer Becky Wilkes, recalling how she came to create the exhibit Til Death Do Us Part. ... Wilkes and her siblings found themselves making frequent trips to Waco to care for their almost-90-year-old parents, and then the looming threat of a global pandemic made an already-difficult situation worse. ... She’d already started snapping some cell phone photos to share with her siblings, but seeing her parents together again, with what seemed like a renewed sense of love and togetherness, Wilkes decided to capture more and better photos. “And then I did have a conversation with them very quickly and I requested permission to photograph them,” she says. The resulting photography exhibit, Til Death Do Us Part, chronicles that last year of her parents’ lives.  ... The story ultimately ends in their death and our understanding of their death. But the story is really about their living. And, that's really… that's really beautiful.” Editor's Note: Click here for Becky Wilkes' website page with her descriptions and photos. 

Changing funeral preferences: NFDA’s first-of-its-kind generational report now available National Funeral Directors Association (NFDA), Brookfield, WI; Press Release; 4/2/25 The National Funeral Directors Association (NFDA), the world’s leading and largest funeral service association, has released an unprecedented study examining consumer attitudes toward funeral service across generations. Available to funeral service professionals for download at no charge, Changing Consumer Preferences: A Generational Perspective on Attitudes Toward Funeral Service provides critical insights to help funeral service professionals adapt to evolving expectations and continue delivering meaningful memorial experiences. ... Key findings include:

How to perform a Regret Audit: A simple question that can help you live with purpose and have fewer regrets. Psychology Today; by Jordan Grumet, MD; 7/20/25 As a hospice doctor, I’ve spent countless hours sitting at the bedsides of dying patients, listening to the echoes of lives well-lived and those haunted by regret. As Bronnie Ware described in The Five Regrets of the Dying, many end-of-life reflections center around missed chances to live more authentically, joyfully, and meaningfully. But we don’t have to wait until our final moments to face these truths. I’ve long advocated for the hospice life review as a proactive tool. It’s a structured set of questions used by hospice professionals to help patients process their lives and find peace. The questions are simple but profound:

Ok, please help calm my anxiety. My mother has drastically improved in the last couple of days since goin on hospice. Aging Care; by Oedgar23; 7/17/25 So in the hospital, my mother was in kidney failure. The last couple days after stopping vancomycin for about five days, her GFR had come up to 19. That’s the most recent Number and then they stopped drawing labs because we placed her on Hospice. We consulted with palliative care team. They wanted to do a feeding tube and we said no. They said she had advanced dementia. [Describes improvements since hospice.] ... What if she gets taken off hospice? ... What if she no longer qualifies for hospice, passes as normal cognitively, starts demanding to go home, does not qualify for long-term care, Medicaid, etc. ... But I am super unnerved because she looks a whole lot better than she has been looking. ...Editor's Note: Yes, we all know that the person can get better with hospice care, because of holistic person-centered care, caregiver education and support, and many more factors. This can be confusing. The dying trajectory may have been interrupted or simply calmed with better symptom management and quality of life. This daughter is asking normal, crucial questions which the hospice team needs to be addressing with her. Examine your live discharge data, Policies and Procedures, communication practices with the patient and family about recertifications, Incident Reports from upset caregivers/families, and CAHPS Hospice scores.