Literature Review



Hospice of Marion County holds monthly Memory Cafes

08/06/25 at 03:00 AM

Hospice of Marion County holds monthly Memory Cafes Marion Citizen; by Diane Renyhart; 7/30/25 ...  It is estimated that 15,000 Marion County residents are struggling with some form of dementia. There are over 600 Memory Cafes around the country, and we are fortunate to have one here in Ocala as part of the Dementia Education Program at Hospice of Marion County. The Memory Cafes are held the second Friday of each month at the Empath Health Hospice Elliot Center and feature special themes. The meeting room is decorated and the tables have centerpieces that often include balloons. ... Every meeting features special activities each month. The local Memory Café has partnered with Arts and Health Ocala Metro.

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Telehealth use in palliative care has declined since pandemic, study finds

08/06/25 at 03:00 AM

Telehealth use in palliative care has declined since pandemic, study finds McKnights Home Care; by Adam Healy; 8/5/25 Medicare beneficiaries are generally using less telehealth during palliative care than during the COVID-19 pandemic, but some patient cohorts continue to have high rates of virtual care use, according to a new study published in JAMA Network Open. ... “Since the COVID-19 pandemic, telehealth use for palliative care has declined slightly but continued to play a sizable role in outpatient palliative care, accounting for 18.2% of specialist encounters in 2023,” the researchers said. Telehealth may be best suited for patients with certain conditions, they noted. For instance, the study indicated that patients with poor-prognosis cancers — meaning cancers that commonly cause death, rare cancers with high mortality rates or solid tumors with concurrent nonlymphatic metastasis — may benefit the most from telehealth. Virtual care use was also high among psychiatry patients, the study found.

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CMS Final Rules for 2026: Becker's Summaries

08/06/25 at 03:00 AM

CMS drops 3 final payment rules for 2026: 15 things to know  Becker's Hospital Review; by Alan Condon; 8/4/25 CMS has released three final payment rules with various updates for inpatient rehabilitation facilities, hospices and inpatient psychiatric facilities for fiscal year 2026. ...

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Closing the gap: Addressing social determinants of health and racial disparities in hospice care

08/06/25 at 03:00 AM

Closing the gap: Addressing social determinants of health and racial disparities in hospice care Teleios Collaborative Network (TCN); by Alyson Cutshall; 8/4/25... While Americans’ health trajectories are inevitable at the time they become eligible for hospice services, SDOH (Social Determinants of Health) still play a major role for the patients and families our field is privileged to serve. ... [To] fully impact health equity, we must be cognizant of other examples of SDOH, such as racism and implicit bias.  Unfortunately, our collective field has not been as successful in addressing access to hospice care across differing racial and ethnic groups. ... Certainly, there are some pockets of improved access.  One Teleios member organization, Ancora Compassionate Care, recognized the alarming disparities within its community and set about to create change. Ancora leaders recognized that the Black community in their service area typically placed high trust in their religious leaders. To better understand their needs and preferences regarding end-of-life care and services, Ancora embarked on a "listening tour" to gather feedback and insights from these religious leaders. Using the wisdom imparted, Ancora adapted their care delivery to be more inclusive to the Black community.  As such, the organization is making incremental improvements in lessening the racial divide in access to hospice care.

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After losing his wife, 92-year-old man turns grief into comfort for others

08/06/25 at 03:00 AM

After losing his wife, 92-year-old man turns grief into comfort for other Spectrum News 1 - Greece, NY; by Seth Voorhees; 8/4/25 The loss of a spouse can be devastating. A Rochester area man is turning his personal grief into comfort for others. The gesture has special meaning for families of people in hospice care. Howard Jones has always dabbled in art. At 92, the Kodak retiree has made painting his full-time job. ... [His wife through 68 years,] Estella spent her final weeks at Hildebrandt Hospice Care Center, where staff noticed Howard Jones would pass the time by painting rocks. Someone told him the story of the cardinal, and how some believe their appearance is a sign that a departed loved one is near.  ... [Now, he paints] “every day, eight hours a day,” said Jones. ... “It’s all a matter of getting the bird to look right,” he said. ... “My hope is always that when someone takes one of the stones out of the basket, they can feel the emotion that went into painting it,” said Jones. Since he began keeping track in February, Howard Jones says he’s painted over 500 cardinals. “And that's kept me going,” he said.Editor's Note: This demonstrates beautifully the "instrumental style of grieving" (identified by Ken Doka and Terry Martin in Grieving Beyond Gender) where men (and women) tend to grieve through actively doing something, in contrast to verbal and emotional expression. We described this more in our post, To Be or To Do? Women and Men's different styles of grieving.

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Awards and Recognitions: July 2025

08/06/25 at 03:00 AM

Awards and Recognitions: July 2025

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2025 CAHPS Honors Elite and Honors award winners

08/06/25 at 02:00 AM

Hospice Honors 2025 - 2025 CAHPS Honors and Honors Elite Award winnersMatrixCare by ResMed; retrieved from the internet 7/29/25 214 CAHPS Honors and 53 Elite Award Winners are listed. These national recognitions are presented by HealthCare First, a part of MatrixCare. These awards are based on satisfaction scores from the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. "Honors Elite" status is awarded to those hospices that score above the national performance score on 100%, or all twenty four, of the evaluated questions. Editor's Note: We celebrate these significant achievements and thank you for the quality, expert care you provide each day! 

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Study reveals how medication side effects can lead to dangerous medication cycles in adults 65+

08/05/25 at 03:00 AM

Study reveals how medication side effects can lead to dangerous medication cycles in adults 65+ McKnights Long-Term Care News; by Donna Shryer; 7/31/25 When doctors treat drug side effects as new illnesses, older adults may be prescribed even more medications — a cycle known as a “prescribing cascade.” A new study says this prescribing cycle can increase the risk of harm. Guest Editor's Note, Drew Mihaylo, PharmD: Practicing clinical vigilance regarding medication utilization is essential at any stage of illness. Prescribing cascades are common, under-recognized and often harmful. Approaching the emotional topic of medication change must be done with compassion and sensitivity tied to patient specific goals of care. Creativity to this end has been a focus of mine for sometime now as a clinical pharmacist serving serious illness patients nationally.

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Job Board 8/5/2025

08/05/25 at 03:00 AM

New job posting this week!

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Tennessee plans to execute inmate amid concerns his heart implant will shock him repeatedly

08/05/25 at 03:00 AM

Tennessee plans to execute inmate amid concerns his heart implant will shock him repeatedly CNN; by Dakin Andone; 8/4/25 Tennessee plans to execute Byron Black on Tuesday for the 1988 murders of a woman and her two young daughters, despite concerns from his attorneys that a device implanted to restore his heartbeat could repeatedly shock him as he’s put to death. The device – an implantable cardioverter-defibrillator, or ICD – is at the center of a court battle that has been unfolding for several weeks. Black’s attorneys want the device deactivated at or immediately before his lethal injection Tuesday morning. If it isn’t, they say the effects of the lethal injection drugs will cause the ICD to shock Black’s heart, perhaps repeatedly, in an attempt to restore it to a normal rhythm. This will cause Black a prolonged and torturous execution, the attorneys argue, violating Eighth Amendment protections against cruel and unusual punishment.Editor's Note: Though this is not a hospice case, this traumatic scenario for persons with implantable cardioverter-defibrillator being repeatedly shocked--even after death--is crucial for the hospice interdisciplinary to know. Clinical, ethical, and legal issues abound. Click here for Shocked at End-of-Life: An Educational Video for Hospice Workers about Implantable Cardioverter-Defibrillators, research published by the Journal of Pain and Symptom Management, May 2024.

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Assisted living fire with multiple fatalities a reminder to have evacuation plan, expert says

08/05/25 at 03:00 AM

Assisted living fire with multiple fatalities a reminder to have evacuation plan, expert says McKnights Senior Living; by Kimberly Bonvissuto; 7/15/25 A five-alarm fire at a Massachusetts assisted living community in which nine people died and at least 30 were injured is a “realistic reminder” for senior living providers to make sure they have evacuation plans that are practiced and up to date, according to one expert. Stan Szpytek, president of Fire and Life Safety Inc. and a former deputy fire chief and fire marshal, told McKnight’s Senior Living that he was “horrified” to see the death toll, adding that multiple fatalities in buildings equipped with properly working fire suppression systems “has never occurred,” according to statistics from the National Fire Protection Association. ... “Smoke kills more people than fire does everyday in America,” Fall River Fire Chief Jeffrey Bacon said during a press conference.

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Grief and the road to resilience

08/05/25 at 03:00 AM

Grief and the road to resilience Jewish Journal; by Chaim Steinmetz; 8/2/25 Mourning is unfashionable. A popular platitude is that funerals are meant to be a “celebration of life.” This seemingly innocuous phrase is actually a subtle form of peer pressure, demanding the heartbroken mourners remain upbeat so they don’t drag the mood down for the rest. The bereaved are counseled to look for “closure” and find a way to continue with their lives. ... This is a picture of mourning done wrong, an unwillingness to encumber one’s heart with the ugly and unruly emotions of loss and bereavement. Judaism emphasizes the importance of mourning; it affirms an ethics of memory, which obligates us to continue to honor our deceased family and friends. It is unthinkable for someone to pass away and for everyone else to just “move on” afterwards. Love demands that we mourn. Beyond the moral imperative, Judaism recognizes that mourning is transformative. Grieving is the first step towards resilience.

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Today's Encouragement: Live today. Not ...

08/05/25 at 03:00 AM

Live today. Not yesterday. Not tomorrow. Just today. Inhabit your moments. Don’t rent them out to tomorrow. ~ Jerry Spinelli

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New Job Board Posting: Clinical Quality Nurse Specialist

08/05/25 at 03:00 AM

New Job Board Posting: Clinical Quality Nurse SpecialistClinical Quality Nurse Specialist (2 positions, different locations)

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Bipartisan bill offers ‘meaningful’ immigration reform that could help address senior living workforce needs, leaders say

08/05/25 at 03:00 AM

Bipartisan bill offers ‘meaningful’ immigration reform that could help address senior living workforce needs, leaders say McKnights Senior Living; by Kimberly Bonvissuto; 7/1/25 A bipartisan immigration reform bill proposing a pathway to legal resident status for certain undocumented immigrants — including direct care workers — is earning the support of the senior living and care industry. The recently re-introduced Dignity Act of 2025 “offers the solution to our immigration crisis: secure the border, stop illegal immigration and provide an earned opportunity for long-term immigrants to stay here and work,” sponsor Rep. Maria Elvira Salazar (R-FL) had said in introducing the bill. [Its co-sponsor is] Rep. Veronica Escobar (D-TX).

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Hollywood Home Health, Hospice, and Palliative Care to harness Artificial Intelligence to enhance home health delivery

08/05/25 at 03:00 AM

Hollywood Home Health, Hospice, and Palliative Care to harness Artificial Intelligence to enhance home health delivery HomeHealthProvider.com; 7/15/25Hollywood Home Health, Hospice, and Palliative Care ... announced today its strategic investment in artificial intelligence (AI) to enhance operational efficiency and improve clinical outcomes. ... The AI platform will integrate with existing electronic health records (EHRs), billing systems, and care coordination software, helping nurses and therapists access real-time insights, prioritize urgent needs, and reduce documentation time. In the office, AI will assist with scheduling optimization, patient eligibility verification, and compliance reporting - areas known to slow down response times and overburden staff.

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How proposed home health cuts could impact hospices

08/05/25 at 03:00 AM

How proposed home health cuts could impact hospices  Hospice News; by Jim Parker; 8/1/25Proposed cuts to home health payments for 2026 could have somewhat of a ripple effect on hospices. The U.S. Centers for Medicare & Medicaid Services has called for a 6.4% aggregate cut to home health payments for 2026 in a proposed rule. The total reductions amount to $1.135 billion. This is the fourth straight year in which CMS has cut or proposed to cut home health payments. Due to this proposed rule, the agency has “failed” providers, according to Dr. Steven Landers, CEO for the National Alliance for Care at Home.

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The heart of transformation: People, purpose and progress at City of Hope

08/05/25 at 03:00 AM

The heart of transformation: People, purpose and progress at City of Hope Modern Healthcare; by City of Hope; 7/14/25 As chief transformation officer at City of Hope, one of the largest and most advanced cancer research and treatment organizations in the U.S., Debra Fields has spent nearly a decade guiding the organization’s evolution. In this conversation, Fields shares her perspective on what it takes to lead meaningful transformation in healthcare including the power of vision, the importance of culture and the responsibility leaders have to care for both their people and themselves.

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Laying the foundation for health IT innovation: 5 essential cornerstones

08/05/25 at 02:30 AM

Laying the foundation for health IT innovation: 5 essential cornerstones Becker's Health IT; by Pally Parrent; 8/1/25 ... A recent survey by Modern Healthcare and Nordic reveals both industry progress and opportunity across critical IT foundations like governance, infrastructure, data, and training. Investing in these foundations is important but success also requires five reinforcing cornerstones that support foundational efforts for enterprise-wide impact: strategy, cybersecurity, integration and interoperability, cultural commitment, and change management. ...

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Immigration policies threaten post-acute care access

08/05/25 at 02:00 AM

Immigration policies threaten post-acute care access Modern Healthcare; by Diane Eastabrook; 7/23/25 Nursing homes and home care operators are scrambling to find replacements for foreign-born workers no longer eligible to work in the U.S. due to changes in immigration policy. Providers in Boston, Atlanta and other cities with large populations of immigrants, and Haitians in particular, say the loss of foreign-born workers in an already tight job market is making it increasingly difficult to meet the growing demand for care — and will likely drive up care costs. Last month the Homeland Security Department began notifying more than 500,000 Cubans, Haitians, Nicaraguans and Venezuelans that it terminated a Biden-era program that allowed them to live and work in the U.S. It said those who have not attained legal status to remain in the U.S. outside of the program must leave immediately.

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A hospice volunteer has a fascinating new take on people's most common deathbed regret

08/04/25 at 03:00 AM

A hospice volunteer has a fascinating new take on people's most common deathbed regret Upworthy; by Cecily Knobler; 8/1/25 ... Over the years, many hospital and hospice workers have paid close attention to what people who are on their deathbeds say. What they're most proud of, and yes, what are their main regrets. ... [This author refers to] Jancee Dunn's New York Times article, "3 Lessons for Living Well, from the Dying." In it, she discusses her friend who is a hospice volunteer. "She hears one regret over and over from patients: letting relationships wither. They wish that they had made more plans with good friends, or they thought about getting back in touch with an old buddy, and talked themselves out of it." ...  One wrote,"My mother always told me, 'Your friends will get you through life.'"Editor's Note: What friend do you want to reach out to, today? 

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Job Board 8/4/2025

08/04/25 at 03:00 AM

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Hospice of Humboldt expands services

08/04/25 at 03:00 AM

Hospice of Humboldt expands services Redwood News, Eureka, CA; 7/31/25 ... Through a fundraising effort called the Compassionate Growth Campaign, Hospice of Humboldt was able to raise $750,000, enough to recruit another team of caregivers and double the capacity of the hospice house. “It was a heavy lift for our organization. We recruited and trained an additional 19 staff members,” Keating said. Doctor Charles Knoll, the medical director on campus, walks families through the process. 

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Treasure Coast Hospice announces endowment for pediatric patients

08/04/25 at 03:00 AM

Treasure Coast Hospice announces endowment for pediatric patients WQCS News, NPR for the Treasure Coast, Stuart, FL; by Justin Breckenridge; 7/19/25 The Treasure Coast Hospice Foundation has established a new endowment honoring local philanthropist Marlene K. Filer and her long-standing commitment to children’s health programs in Martin County. ... The Marlene K. Filer Celebrities Fore Kids Endowment will support children and families receiving care through the organization’s Little Treasures Pediatric Program. The program provides comprehensive support for children facing life-limiting illnesses. Filer, founder of Celebrities Fore Kids, has raised more than $3 million since 1997 to support children’s services throughout the region. 

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HHS sets its sights on $50b in cost savings: Medicare payments to nonhospice providers potentially under fire

08/04/25 at 03:00 AM

HHS sets its sights on $50b in cost savings: Medicare payments to nonhospice providers potentially under fire JD Supra; by Taylor Henderson, Callan Stein, Rebecca Younker; 7/31/25 In May 2025, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published a review, titled " Potential Cost Savings HHS Programs – HHS Actions," which provided some insight into the OIG's direction to accomplish the Trump administration's stated goal of cutting federal spending. This review spans 35 reports, adding up to $50 billion in potential cost savings — including a reported $6.6 billion in potential savings by preventing Medicare payments for nonhospice items or services furnished to active hospice beneficiaries (nonhospice payments). When a beneficiary qualifies for and elects hospice benefits, the beneficiary signs a statement choosing hospice care over other Medicare-covered treatments for their terminal illness, and the hospice provider is paid a daily, per diem rate to provide these comprehensive services. With nonhospice payments accounting for a significant portion of HHS's potential savings, providers across the health care industry — including nursing and long-term care facilities, hospice and home health agencies, hospitals, individual providers, pharmacies, and medical equipment distributors — will need to be ready for the OIG's possible next steps.

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