Literature Review

Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements Federal Register - The Daily Journal of the United States Government; by Centers for Medicare & Medicaid Services (CMS, Department of Health and Human Services (HHS); 4/30/25This document has a comment period that ends in 61 days: June 30, 2025, This proposed rule would update the hospice wage index, payment rates, and aggregate cap amount for Fiscal Year (FY) 2026. This rule also proposes changes to the admission to hospice regulations and the hospice face-to-face attestation requirements under the certification of terminal illness regulations. This proposed rule also includes a technical correction to the regulatory text and provides updates to the Hospice Quality Reporting Program requirements. Finally, this proposed rule solicits comments regarding requests for information surrounding future measure concepts for Hospice Quality Reporting Program.

20 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.

Caregiving: Going it alone is harderMcKnight's Senior Living; by Lois A. Bowers; 4/28/25I was the primary family caregiver for my father for the more than eight years he lived in a skilled nursing facility, and I can’t imagine what that time would’ve been like had my three siblings not been part of the equation. Now a new study has found that, yes, when it comes to caring for aging parents, people who have siblings probably have a better time of it than people who are only children. The findings may help you in your interactions with residents’ loved ones.Publisher's note: A timely reminder that caregiving is challenging - for ourselves, our staff, and the patients and families we serve...

NPHI opens 10th Annual Summit in Las Vegas, celebrating a decade of impact National Partnership for Healthcare and Hospice Innovation (NPHI)m Washington, DC; Press Release; 4/29/25The 10th Annual Summit of the National Partnership for Healthcare and Hospice Innovation (NPHI) officially kicks off this morning, April 29, at the Red Rock Resort in Las Vegas. This milestone Summit, themed “A Decade of Impact,” brings together hospice and palliative care leaders from across the nation to celebrate ten years of remarkable achievements and to explore the innovative strategies that will drive the future of high-quality, community-based care. ... Key topics include advancing policy solutions to prevent fraud and abuse in hospice, harnessing artificial intelligence to improve care, exploring international hospice, elevating outreach and communications, and strengthening the quality and consistency of services across the board. During the summit, NPHI will also debut a newly developed Cancer Clinical Provider Guide—designed to help members deliver the highest standards of cancer care. ... “As we mark a decade of impact, this summit is not only a time to reflect on the extraordinary progress we’ve made, but an opportunity to be forward thinking and anticipating what comes next,” said Tom Koutsoumpas, NPHI CEO. [NPHI is a sponsor of our newsletter.]

April’s ending, and so is my motivation to do spring cleaning. ~ Anonymous

[Canada] Hospice placements provide nursing students new perspectives BarrieToday.com; by Marg Bruineman; 4/26/24 As Georgian College works toward having its first graduating class in its bachelor of science in nursing (BScN) degree program next year, students are moving into practical placements in health care. Among them is a new opportunity to explore opportunities in hospice and end-of-life care – a field that continues to develop to meet the needs of an aging population. ... The response from the hospice community, she says, was encouraging. Georgian now has agreements with all nine hospices in the Simcoe-Muskoka-York area that were approached, including hospices in Vaughan and Richmond Hill. The students work onsite for 72 hours over three weeks allowing them to immerse themselves into the setting.

[Australia] New cuddle bed installed at Harden Hospital to support end-of-life care Forbes Advocate; 4/20/25 Harden Hospital’s acute ward has received a new ‘cuddle bed’ thanks to the Murrumburrah-Harden Hospital Auxiliary branch, which recently funded the purchase to support patients and their families during palliative care. ... The cuddle bed was a staff-suggested purchase, designed to provide comfort and dignity in end-of-life situations. The bed can electronically expand from a standard single to a double size at the push of a button. It allows family members to lie beside their loved one during their final moments, eliminating the need to sit upright in a chair or attempt to share a single bed. 

5 things every leader can learn from Pope Francis  Inc., by Suzanne Lucas; 4/21/25 He led the world’s largest organization with humility and a willingness to engage with different groups and hear different viewpoints. ...  [Pope Francis' death marks] the end of a papacy that influenced far more than just the Catholic Church. In his 12 years as pope, he led with a style that offers enduring leadership lessons for anyone in a position of authority, especially in business. ... While I’m not Catholic, I have followed his work in the 12 years he’s served as pope, and there are plenty of things you can learn about his leadership of the Catholic Church and apply in your life and business.

UVM Health Network employees plant thousands of trees VB VermontBiz, South Burlington, VT; by Tim; 4/25/25 ... Each year to celebrate Earth Day, health system employees in Vermont have planted trees at their homes and in their communities to support and celebrate a healthy and vibrant environment. ... This year, that effort grew from employees at two partner hospitals -- University of Vermont Medical Center and UVM Health Network - Porter Medical Center -- to include nearly every organization in the health system:  ...  Home Health and Hospice, ... “We were thrilled to take part,” said Kristin Walsh, RN, CHWC, an employee health nurse at Home Health and Hospice and the organizer of their local effort, which distributed 150 trees and shrubs to employees. “We work tirelessly to take care of others, even in the toughest of circumstances. That’s why we wanted to share local saplings from the Intervale with employees. ..." 

Experiences of hospice staff beyond the frontlines during COVID-19: A qualitative secondary analysis study Journal of Palliative Care and Social Practice; by Thanga Harini Sundaramoorthy, John I MacArtney, Abi Eccles; 4/12/25Three main themes were identified: (1) Blurred margins: Participants discussed facing difficulty separating work and home life and taking stresses and thoughts about work home. (2) Isolation, loneliness and social interactions ...  (3) Disruption to family and personal commitments: Some staff felt unable to see or support their parents, partners and children during the pandemic subsequently impacting their psychological and emotional well-being. Conclusion: Hospice staff compromised aspects of their personal life and family responsibilities during the pandemic to carry out their role at work. Workplaces and organisations should aim to support hospice staff more broadly to help with managing work-related pressures and balancing personal commitments in future emergency periods.Editor's note: Use this evidence-based research with your Emergency Disaster Preparedness Plans. Click here for the CMS.gov Emergency Preparedness Rule. Click here for Wisconsin's CMS Emergency Preparedness Rule Toolkit: Hospices.

Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192)- Request for Information CMS.gov - Medicare Regulatory Relief; retrieved from the internet 4/29/25... We are requesting comments include clear and concise information, and where practical: data, example(s), narrative anecdotes, and recommended action(s). Prior RFI comments submitted have helped better understand specific challenges and experiences and in turn helped inform our work. The targeted topic areas in this request are, in part, based on information from individuals within the populations we serve. You may respond to some, or all of the topics listed in this RFI. As applicable, please specify the care setting, geographic area, specialty (e.g., primary care), and/or specific CMS policy (or policies) referred to in your response. ... Comments received before the close of the comment period may be made available for viewing by the public. Submitters should not include any confidential or personal information. CMS will not respond individually to comments received. ...[The form to submit comments is at the end of its webpage: Medicare Regulatory Relief | CMS.

 Just when the caterpillar thought the world was over, it became a butterfly. ~ Chuang Tzu

Bristol Hospice expands, rebrands palliative care program Hospice News; by Holly Vossel; 4/25/25 Bristol Hospice has expanded and rebranded its palliative care program amid rising demand for these services. The hospice provider on Wednesday launched the Bristol Palliative Care program, designed to support seriously ill patients with chronic or life-limiting conditions. Formerly the Advanced Illness Management (AIM) program, the rebranding reflects the hospice’s enhanced patient-centered services and sprawling geographic footprint.