Literature Review

Taking the magnetic approach to leadership: Stop chasing and start attracting through alignment and authentic presence. Psychology Today; by Jessica Schrader; 8/3/25 Key points:

Medicaid payments and racial and ethnic disparities in Alzheimer disease special care unitsThe Journal of the American Medical Association - JAMA Network Open; by Huiwen Xu, PhD, Shuang Li, PhD, John R. Bowblis, PhD, Monique R. Pappadis, PhD, Yong-Fang Kuo, PhD; James S. Goodwin, MD; 8/4/25 In this cohort study of 13, 229 nursing homes, those with higher proportions of Black or Hispanic residents were less likely to have Alzheimer disease special care units. The disparities among nursing homes serving high proportions of Black residents, however, narrowed and even disappeared in states with higher Medicaid payment-to-cost ratios. ... This study suggests that more generous Medicaid payments may be associated with improved availability of specialized dementia care in nursing homes that serve primarily marginalized Black residents.

[United Kingdom] Rethinking palliative care for people affected by homelessness Nursing in Practice; by Karita Razzell; 8/5/25 Well-timed palliative intervention can be a game-changer for people affected by homelessness facing advanced ill health, says Karita Razzell, palliative care manager at the charity St Mungo’s. ... There are various reasons behind the stark health disparities faced by people experiencing homelessness. ... Many individuals are living with serious mental health conditions, substance use issues, undiagnosed neurodiversity, and chronic physical illnesses – all of which can make clinical environments like hospitals particularly challenging for them. ... There are also digital hurdles: appointment systems and prescription services are increasingly online, yet many people without stable housing lack access to mobile phones or the internet. ... As a result, treatable conditions in people affected by homelessness often go undiagnosed until they reach an advanced stage.Editor's Note: People experiencing homelessness in the U.S. face similar challenges. Organizations such as The Hildegard House in Louisville, KY, and others in the national Omega Home Network of “comfort care homes” quietly provide palliative and hospice care for them. Click here to see a national map of these homes.

Implementation of the Pressure Injury Prevention Care Bundle at a home based hospice program: A quality improvement project The Texas Medical Center (TMC) Library Health Sciences Resource Center; by Adaeze U. Amechi-fannin; 8/11/25 Pressure injuries remain a common and serious problem in hospice care, especially among patients who are immobile or confined to bed. Although effective prevention methods are known, inconsistent use of these methods, limited caregiver training, and poor documentation have continued to prevent success in many hospice settings. These wounds cause pain, increase infection risk, and reduce quality of life, making prevention especially important in end-of-life care. ... This project demonstrates that combining structured training, evidence-based care steps, and attention to individual patient needs can successfully reduce pressure injuries in home hospice environments.

Gov. Moore launches Longevity Ready Maryland, a landmark state plan to support thriving aging population The Bay Net, Annapolis, MD; by Governor Wes Moore; 7/30/25 Governor Wes Moore today launched Longevity Ready Maryland, the state’s first comprehensive, 10-year multisector plan to coordinate services and policies that support Maryland’s growing population of older adults. ... Longevity Ready Maryland is a collaborative, long-term plan that aims to support the work of service providers by consolidating resources; coordinating efforts across government, businesses, and communities; and transforming systems of care to more sustainably accommodate a greater number of older Marylanders. To advance the objectives of the plan, the Maryland Department of Aging will work to encourage collaboration between state agencies, support local initiatives, and improve access to home- and community-based services.

State Medicaid coverage policies for community-based palliative care: Lessons from NASHP’s State Institute National Academy for State Health Policy; by Ella Taggart, Wendy Fox-Grage; 8/11/25 Six states recently participated in NASHP’s two-year State Policy Institute to Improve Care for People with Serious Illness (the Institute): Colorado, Maine, Maryland, Ohio, Texas, and Washington. ... Specifically, the six participating states received guidance on policy mechanisms to cover palliative care services in the community and completed cost analysis on palliative care services for Medicaid beneficiaries. While all the states balanced the same forces and demands, ... each state modeled a benefit that was responsive to its particular needs and circumstances. ... CBIZ Optumas and TFA Analytics then designed a cost calculator for each state to help with different scenarios. 

'I helped him out': Grandson loaded his 90-year-old grandfather 'full of f—ing pain meds' and Ambien to 'ease him' to his 'next life' while stealing his house, police say Law & Order, The Palm Bay, FL; by Chris Perez; 8/12/25 A former county official in Florida claims he "helped" his 90-year-old grandfather out by killing him with a deadly cocktail of Ambien, morphine and other prescription drugs, according to cops. Christopher Balter, 35, is currently charged with delivery of a controlled substance and forgery after he allegedly attempted to forge signatures onto a "quitclaim deed" — a legal document used to transfer ownership of real estate — just weeks before Gilbert Balter's death on Feb. 1, police say. Christopher Balter's arrest affidavit outlines how he allegedly discussed and admitted to friends that he killed his grandpa while the nonagenarian was in home hospice care at a residence in Brevard County earlier this year. He allegedly claimed in phone calls that Gilbert Balter "never wanted to live like that" and had asked his grandson to take his life.

Top 5 leadership shifts to watch after the summer break Hunt Scanlon Media; by Scott A. Scanlon and Dale M. Zupsansky; 8/4/25 ... Drawing on insights from its global network, the International Executive Search Federation (IESF) has identified five key leadership transitions that are gaining momentum. These changes promise to redefine how executives think, adapt, and drive impact as organizations head into the latter half of 2025 and beyond. ...

2 factors fueling disparities in home-based deaths Hospice News; by Holly Vossel; 8/11/25 Having a limited understanding about end-of-life care options can hinder patients’ ability to die in the home, recent research has found. This trend is fueling disparities in home-based hospice care. Access to respite care more than doubles the odds of patients having a home death, a recent study found, which was published in the BMC Palliative Care journal. ... Additional significant factors included timely access to community-based nursing services, home health and hospice, as well as the integration of a palliative care approach, the study found.

Blindsided: Some nursing homes across the country aggressively pursue friends and relatives for a loved one’s unpaid bill 14 News; by Jill Riepenhoff and Chris Nakamoto; 8/11/25 Toni Cook opened the letter from her mother’s nursing home and cried in horror. Lynn Marie Witt dropped to her knees and sobbed when she read the letter from her mother’s nursing home. Both women — stiff and grief-stricken over the loss of their beloved mothers — learned from those letters that the nursing homes intended to collect their mothers’ unpaid debts from them. Neither had any financial control over their mother’s bank accounts or assets after their deaths, court records say. They simply were loving daughters who signed paperwork to have their mothers admitted to a nursing home.

Demographic variations and temporal trends in hospice and palliative care fellowship matches in the United States Scientific Reports; by Aman Goyal, Samuel L. Flesner, Urooj Shamim, Sonia Hurjkaliani, Priya Goyal, Mohamed Daoud & Amir Humza Sohail; 8/8/25 ... In summary, the number of Hospice and Palliative Care fellowship training programs, positions, and applicants increased. Female applicants, compared to males, and White applicants, relative to their representation in all fellowships, accounted for a larger proportion of applications and had higher match rates. ... Future research should focus on initiatives to address challenges such as the underrepresentation of certain demographics in palliative care and the growing demand for trained professionals as the population ages. 

Merging clinical and legal: How home health providers achieve medical appeals success Home Health Care News; by Joyce Famakinwa; 7/31/25 For home-based care providers, medical appeals can be extremely costly. When navigating the medical appeals process, home health clinical and legal teams must operate in lockstep in order to achieve successful results and avoid financial blowback, ... ROI should be the biggest determining factor when deciding to appeal, according to Bill Dombi, senior counsel for Arnall Golden Gregory law firm. He formerly served as the president of the National Alliance for Care at Home. ... Despite the hefty costs that medical appeals can potentially rack up, sometimes figuring out the ROI can go beyond dollars and cents. For example, if a provider is going through the Medicare Targeted Probe and Educate (TPE) audit process.

First-ever global ranking of palliative care: 2025 World Map under the new WHO framework Journal of Pain and Symptom Management; by Vilma A. Tripodoro, Jesús Fernando López Fidalgo, Juan José Pons, Stephen R. Connor, Eduardo Garralda, MA, Fernanda Bastos, Álvaro Montero, Laura Monzón Llamas, Ana Cristina Béjar, Daniela Suárez, Carlos Centeno; 8/7/25 This is the fourth edition of mapping global palliative care development and the first to introduce a country ranking using the new WHO framework. Covering 201 countries, the findings reveal deep inequities and highlight priority areas for action. The Global Development Score enables the creation of tailored strategies, supporting advocacy, policy, and investment to expand access and reduce serious health-related suffering worldwide. [To view the map, open the source article and scroll down to Figure 3.]