Literature Review



Executive orders and policy updates

04/07/25 at 03:00 AM

Executive orders and policy updates JD Supra; by Jones Day; 4/3/25 Since President Trump's inauguration, the Trump administration has issued a number of executive orders and policy actions ... Notable actions include rescinding Biden-era initiatives on health care access and equity, withdrawing from the World Health Organization, reducing indirect costs for NIH grants, and suspending foreign aid. While many of these actions may be subject to ongoing litigation, which is not addressed here, summaries of certain of these executive orders and policy actions are included below. ...

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AGG talks: Home health & hospice podcast - Episode 10: Anti-Kickback Compliance for hospice and skilled nursing providers

04/07/25 at 03:00 AM

AGG talks: Home health & hospice podcast - Episode 10: Anti-Kickback Compliance for hospice and skilled nursing providers JD Supra; by Arnall Golden Gregory, LLP; 4/3/25 In this episode, AGG Healthcare attorneys Bill Dombi and Jason Bring discuss recent OIG guidance on hospice and skilled nursing facility relationships, focusing on anti-kickback risks and fraud concerns. They cover key issues such as the importance of documenting fair market value for any services or space provided, being cautious of payments exceeding Medicaid room and board rates, and avoiding arrangements that appear to be made solely to secure referrals. Bill and Jason also touch on increased oversight and enforcement in the healthcare sector under a new presidential administration.

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New administration’s appointees confirmed to lead key health agencies

04/07/25 at 03:00 AM

New administration’s appointees confirmed to lead key health agencies Association for Clinical Oncology (ASCO); Press Release; 4/3/25 Several presidential appointees have been confirmed to lead key health agencies that the Association for Clinical Oncology (ASCO) will work with during the new administration. These include:

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Today's Encouragement: Not everything that can be counted ...

04/07/25 at 03:00 AM

Not everything that can be counted counts.Not everything that counts can be counted.~ by William Bruce Cameron, Informal Sociology: A Casual Introduction to Sociological Thinking (1963)Quote used by Dr. Bill Hoy 4/5/25 as a keynote for the 2025 Association for Death Education and Counseling Conference (ADEC). Dr. Hoy is a faithful reader of this newsletter. Thanks, Bill!

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Agrace named preferred hospice provider to Oakwood Village Communities

04/07/25 at 03:00 AM

Agrace named preferred hospice provider to Oakwood Village Communities Agrace, Madison, WI; Press release; 4/2/25 Two pillars of Madison’s healthcare community are partnering to deliver exceptional care to patients and families: Oakwood and Agrace. Residents of Oakwood Village Communities who are in the final months of life now have a preferred partner for high-quality hospice care. Agrace, Wisconsin’s largest nonprofit hospice, has entered into a Preferred Partner Agreement with Oakwood for the care of its residents, effective immediately. “Agrace is honored to be named Oakwood’s Preferred Partner for delivering hospice care,” said Lynne Sexten, Agrace President & CEO. [Continue reading ...]

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7 common transformation mistakes and how to avoid them

04/07/25 at 03:00 AM

7 common transformation mistakes and how to avoid them CIO; by Patrizia Licata; 4/3/25 Just because technology solutions are readily available doesn’t mean transformation will automatically succeed. ... Knowing what’s at stake, here are some key mistakes and misconceptions to avoid in order to help ensure digital transformation success.

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Are hospitalists becoming de facto PCPs for patients with complex illness?

04/07/25 at 03:00 AM

Are hospitalists becoming de facto PCPs for patients with complex illness? Today's Hospitalist; by Colleen Peggenburg, MD, MS; April 2025 Key takeaways:

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National Healthcare Decisions Week highlights the importance of Advance Care Planning

04/07/25 at 02:00 AM

National Healthcare Decisions Week highlights the importance of Advance Care Planning JAX Chamber - Jacksonville News, Jacksonville, FL; 4/1/25 National Healthcare Decisions Week kicks off on April 14, 2025, with a nationwide effort to raise awareness about the importance of advance healthcare decision-making. This initiative encourages individuals to take proactive steps in planning for their future healthcare needs. Through various events and resources, the week aims to promote thoughtful conversations about healthcare decisions and the completion of advance directives to ensure patients' wishes are known and respected. ... For more information about National Healthcare Decision Day, please visit http://nhdd.org.

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Sunday newsletter

04/06/25 at 03:00 AM

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

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Today's Encouragement: You have to expect things of yourself before ...

04/06/25 at 03:00 AM

You have to expect things of yourself before you can do them. ~ Michael Jordan

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Hidden battles: Keeping cancer secret

04/06/25 at 02:50 AM

Hidden battles: Keeping cancer secret Harvard Health Publishing - Harvard Medical School; by Maureen Salamon; post is dated 4/1/25, retrieved from the internet 3/25/25 Some people choose to conceal their diagnosis and treatment. Here's why — and reasons that approach can sometimes backfire. ... [In addition to privacy motives, Cristina Pozo-Kaderman, a senior psychologist at Harvard-affiliated Dana-Farber Cancer Institute] says cancer patients may also wish to:

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Niagara Hospice to offer free community presentation for National Healthcare Decisions Day

04/06/25 at 02:40 AM

Niagara Hospice to offer free community presentation for National Healthcare Decisions Day Niagara Frontier Publications; Press Release; 3/28/25 April 16 is National Healthcare Decisions Day, which is a day set aside to educate and empower individuals to discuss and document their end-of-life health care wishes. Niagara Hospice invites the community to attend the free presentation, “Advance Care Planning: Advance Directives for Health Care,” ... Advance care planning includes advance directives like health care proxies, do not resuscitate (DNR) orders, and living wills. Advance directives help to ensure end-of-life care wishes are followed if one is unable to make necessary decisions for themselves. [Continue reading ...]Editor's note: For more information about National Healthcare Decisions Day (NHDD), explor The Conversation Project, at the Institute for Healthcare Improvement. Is your hospice providing a 2025 National Healthcare Decisions Day event? Email me a URL link to your local news coverage, press release, or your website's specific page. We will compile a list of participating organizations (with URL links) to highlight Advance Care Planning outreach, education, and implementation across the nation.

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Four security updates to get ahead of proposed 2025 HIPAA Amendments

04/06/25 at 02:30 AM

Four security updates to get ahead of proposed 2025 HIPAA Amendment Cisco Duo; by Katherine Yang; 3/31/25 Published in early January, the 2025 HIPAA Security Amendments are set to significantly enhance the protection of ePHI. The proposed changes are based off the US Department of Health and Human Services’ (HHS) goals of both addressing changes in the health care environment and clarifying what compliance obligations look like for regulated entities. Organizations have 180 days to reach compliance according to stricter standards of identity cybersecurity if the proposed updates pass. In order to be prepared, here are four things your organization or managed security service provider should focus on:  

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Transforming healthcare: Hospice in the news, March 2025

04/06/25 at 02:20 AM

Transforming healthcare: Hospice in the news, March 2025  Teleios Collaborative Network (TCN); pod/videocast by Chris Comeaux with Cordt Kassner; 4/2/25 In this episode of TCNtalks, Chris Comeaux and Dr. Cordt Kassner, Publisher of Hospice & Palliative Care Today and CEO and Founder of Hospice Analytics, leverage their data and extensive experience to identify key Hospice headlines, articles, research, and social media posts that are driving change and transforming end-of-life care and healthcare in America. They share personal experiences with hospice care, emphasizing the importance of social work and discussing the challenges of healthcare reimbursement.  The conversation also touches on MedPAC recommendations, new social media trends, and highlights from recent research articles. 

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Palliative care in home health: Misconceptions and market opportunities

04/06/25 at 02:10 AM

Palliative care in home health: Misconceptions and market opportunities Home Health Care News; by Joyce Famakinwa; 3/28/25 While palliative care remains an uncommon offering among home-based health care providers, forward-thinking providers have recognized a growing market demand and are strategically expanding their service offerings to include palliative care solutions. Expanding service lines to include palliative care can help home-based care providers stand out from their peers, industry insiders told Home Health Care News. However, a significant knowledge gap is slowing the adoption of palliative care within the home health community. Home health care clinicians, patients and caregivers all report insufficient knowledge of palliative care, according to a recent study conducted by Columbia Nursing research and published in the Journal Home Healthcare Now.  [Continue reading ...]

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'Unsung backbone of care delivery': The growing need for hospice aides

04/06/25 at 02:00 AM

‘Unsung backbone of care delivery’: The growing need for hospice aides Hospice News; by Jim Parker; 3/28/25 As workforce shortages persist in health care, some operators are struggling to recruit and retain essential members of their care teams — hospice aides. The demand for hospice aides is expected to grow in the coming years. However, factors such as turnover, retirement, slow wage growth and immigration policy could complicate hospice’s ability to fill those positions. Many companies are focused on bolstering their nursing workforce, who are also in high demand, but providers also need to prioritize hiring a sufficient number of aides, according to Cooper Linton, associate vice president of Duke HomeCare & Hospice. [Continue reading ...] 

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Social Media Watch 3/28/25

04/06/25 at 01:50 AM

Social Media Watch 3/28/25 

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What to know about palliative and hospice care

04/06/25 at 01:40 AM

What to know about palliative and hospice care Association of Health Care Journalists (AHCJ); by Liz Seegert; 3/28/25 ... [Palliative care] is fundamental to health and human dignity and is a basic human right, according to the FXB Center for Health and Human Rights at Harvard.  When reporting on serious illnesses, journalists can help demystify palliative care and encourage more people in need to take advantage of it by clearly explaining the differences, and benefits, and incorporating anecdotes to further illustrate how these types of care make a difference in the lives of patients and their families. [Continue reading ...] Editor's note: Share this article--written for health care journalists--with your communications and marketing leadership, with your community newspapers' journalists, and your employee/volunteer educators. Too often, new hospice/palliative care employees at all levels of roles and responsibilities begin their roles without clear knowledge, comprehension, and application of distinctions between standard healthcare, palliative care, and hospice care. And for new employees (especially non-clinical leaders), information must be applied to that person's specific role and responsibilities. 

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Long-overdue recognition: Vietnam veterans welcomed home at emotional ceremony

04/06/25 at 01:30 AM

Long-overdue recognition: Vietnam veterans welcomed home at emotional ceremony Grice Connect; by DeWayne Grice; 3/29/25 A poignant and heartfelt welcome home ceremony was held at Ogeechee Area Hospice, honoring Vietnam veterans from the surrounding communities. The event, filled with emotional tributes and personal stories, aimed to provide long-overdue recognition for the sacrifices made by these veterans. The ceremony, organized by Ogeechee Hospice, the American Legion Post 90, and Georgia Department of Veteran Affairs, brought together veterans, their families, and community members. The atmosphere was one of gratitude and respect, as attendees acknowledged the often-overlooked service of those who served during a tumultuous period in American history. [Continue reading ...]Editor's note: We add this to previous posts, Today is the National Vietnam War Veterans Day, honoring 50 years since the war's end.

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Today is the National Vietnam War Veterans Day, honoring 50 years since the war's end

04/06/25 at 01:20 AM

Today is the National Vietnam War Veterans Day, honoring 50 years since the war's end U.S. Department of Veterans Affairs - The United States of America Vietnam War Commemoration Join us on 29 March, National Vietnam War Veterans Day, as Americans unite to thank and honor Vietnam veterans and their families for their service and sacrifice. ... The United States of America Vietnam War Commemoration honors all veterans who served on active duty in the U.S. Armed Forces at any time from November 1, 1955 to May 15, 1975, regardless of location, and their families. Editor's note: Several hospice "We Honor Veterans" programs have been using this commemoration to thank their community's Vietnam veterans, especially in light of differences between their returns home from those of WWII veterans. Within your networks of colleagues, friends and families, whom can you informally honor, today?

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Executive Personnel Changes - 3/28/25

04/06/25 at 01:10 AM

Executive Personnel Changes - 3/28/25

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Executive Personnel Changes - 4/4/25

04/06/25 at 01:00 AM

Executive Personnel Changes - 4/4/25 Count

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"Are they just experimenting with all of us?" Cultural considerations for clinicians caring for seriously ill Great Plains American Indians

04/05/25 at 03:35 AM

"Are they just experimenting with all of us?" Cultural considerations for clinicians caring for seriously ill Great Plains American IndiansAmerican Journal of Hospice and Palliative Care; Bethany-Rose Daubman, Tinka Duran, Gina Johnson, Alexander Soltoff, Sara J Purvis, Leroy J R LaPlante, Sean Jackson, Daniel Petereit, Matthew Tobey, Katrina Armstrong, Mary J Isaacson; 3/25Serious illnesses like cancer disproportionately affect American Indians and Alaska Native (AI/AN) Peoples. AI/AN patients deserve culturally responsive healthcare at all times, and especially when journeying through serious illness. Interviews and talking circle qualitative analysis revealed 3 major themes related to clinician needs: cultural considerations, psychosocial support, and trust. It is important for clinicians to engage in cultural education and work to improve systemic deficiencies such as a lack of psychosocial support. An overarching theme was also the need for clinicians to seek to develop trustworthiness and earn trust when caring for AI/AN patients experiencing serious illness.

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Interprofessional advance care planning to enhance end-of-life care: A community assessment

04/05/25 at 03:30 AM

Interprofessional advance care planning to enhance end-of-life care: A community assessmentCreighton Journal of Collaborative Practice and Education; Meghan Potthoff, Amanda Kirkpatrick, Jenny Jessen, Cathy Fox, Victoria Haneman, Megan Piotrowski, Beatriz Rodriguez, Sydney Langlois; 3/25Lawyers and financial planners are more often sought for estate directives than primary care providers for end-of life planning. Lack of role clarity and divergent views about advance care planning (ACP) responsibility among healthcare providers lead to further delay of these important discussions. A qualitative, exploratory design was employed to investigate ACP understanding, barriers, and needs among aging Nebraskans and Omaha-metro community agencies that serve these consumers. Conclusions: Improved ACP discussions are needed for supporting value-aligned end-of-life care by educating aging adults about, and documenting their wishes for, life-sustaining treatments and other decisions surrounding death. Enhanced role clarity, increased competence, and a collaborative approach are needed among interprofessional team members involved to improve these end-of-life discussions. 

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The intent of the Physician's Order for Life-Sustaining Treatment: Reflecting patient wishes and institutional obligations

04/05/25 at 03:25 AM

The intent of the Physician's Order for Life-Sustaining Treatment: Reflecting patient wishes and institutional obligationsJournal of Hospice and Palliative Nursing; Jeannette Jeannie Meyer; 4/25Portable Medical Orders (PMO) such as the Physician's Order for Life-Sustaining Treatment and the Medical Order for Life-Sustaining Treatment have proven to be valuable documents that allow patients who are medically frail or have life-limiting illnesses to communicate their health care wishes. The PMO depends on a conversation between the trained health care provider and the patient or their designee. A PMO with incomplete signatures is not a valid legal document. In the scenario presented here, the author discusses a scenario in which the discussions did not take place and the signatures are questionable, leading the patient to receive aggressive medical treatment that might not be in their best interests. The reasons behind the above ethical issues are related to a misconception and misuse of the PMO within a long-term care facility. Unfortunately, as noted in the literature cited and in the author's own experience, these ethical issues are not uncommon.

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