Literature Review

Pope Francis has died, Vatican says Reuters, Vatican City; by Joshua McElwee; 4/21/25, 6:11 am EDT, updated 6:51 am EDT Pope Francis, the first Latin American leader of the Roman Catholic Church, has died, the Vatican said on Monday, ending an often turbulent reign marked by division and tension as he sought to overhaul the hidebound institution. He was 88, and had suffered a serious bout of double pneumonia this year, but his death came as a shock after he had been driven around St. Peter's Square in an open-air popemobile to greet cheering crowds on Easter Sunday.Editor's Note: This breaking news emerged after today's newsletter had been sent. Please check your email for today's full issue of Hospice & Palliative Care Today.

How physician CEOs are reenergizing later-career cliniciansBecker's Hospital Review; by Kristin Kuchno; 4/9/25 While much attention has been paid to recruiting top talent amid workforce shortages, retaining physicians later in their careers is also a key focus for health systems. Mentorship, flexible scheduling and leadership development opportunities can help energize experienced physicians and reduce burnout in the years leading up to their retirement, health system CEOs told Becker’s. Physician CEOs are uniquely positioned to understand the challenges around burnout and retention. Sunny Eappen, MD, president and CEO of The University of Vermont Health Network in Burlington [described], “Having experience being in front of a patient and having to either have difficult conversations or make difficult decisions is at the core of what we do,” Dr. Eappen said. “People understand that I can really speak from the heart and truly be in their shoes.”

3 major tactics used by hospice scammers Hospice News; by Jim Parker; 4/18/25 Among the numerous tactics that unscrupulous hospices use to commit fraud, three are rising to the forefront. Four states have garnered national attention as fraud hotbeds — Arizona, California, Nevada and Texas. These regions have seen swarms of new hospices emerging and receiving Medicare dollars. Numerous reports of unethical or illegal practices have surfaced, particularly among these new companies. ... One common practice among them is to keep their patient census low to avoid regulators’ attention, Judy Lund Person, principal of the consulting firm Lund Person and Associates, ... Among these providers, three principal tactics are emerging, according to Sheila Clark, president and CEO of the California Hospice and Palliative Care Association. ...

‘Medical aid in dying’ bill passes Nevada Assembly despite Lombardo veto threat Las Vegas Review-Journal; by McKenna Ross; 4/17/25 An effort to legalize medical aid in dying for terminally ill people has passed a crucial vote Thursday despite Gov. Joe Lombardo’s threat to veto the measure. Assembly Bill 346 would create a legal framework for competent and willing terminally ill patients to self-administer life-ending medicines. It passed in the Assembly on Thursday, 23-19.

Healthcare trends & transactions Q1 2025 JD Supra; by Bass, Berry & Sims PLC; 4/17/25 [Scrolling down to section titled, "Home Health, Hospice Care & Personal Care Services"] ... The notable uptick in M&A activity in this sector began in January, as several significant transactions were finalized.

Volunteering is at the very core of being human. No one has made it through life without some else's help. ~ Heather French Henry

Statement by the American Nurses Association on the importance of nursing specific science and research and the leaked FY 2026 HHS Budget Proposal American Nurses Association; Press Release, newsroom@ana.org; 4/17/25 Nursing-specific science and research is uniquely positioned to inform the health care delivery system on evidence-based approaches to patient-centered, quality care that meets the needs of patients as effectively and efficiently as possible. ... “The American Nurses Association (ANA) is deeply concerned about the recent reports surrounding the leaked draft FY 2026 proposed budget for the Department of Health and Human Services (HHS), specifically the elimination of National Institute of Nursing Research (NINR) and deep cuts to Title VIII Nursing Workforce Development Programs," expressed American Nurses Association President Dr. Jennifer Mensik-Kennedy, PhD, MBA, RN, NEA-BC, FAAN. “ANA firmly believes that NINR plays a vital role in ensuring that research guided by nurses’ education, experiences, and clinical training continue to enable our overall health care system to improve and be driven by evidence.” ... Further, ANA is grateful for the broad bipartisan support these programs have historically received from Congress and will work closely with lawmakers to safeguard funding for these programs during the FY2026 appropriations process.  ...

Portugal: Government signs contracts for 3,000 palliative care beds MacauBusiness.com; by LUSA; 4/18/25 The government on Thursday [4/17/25] signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The government on Thursday signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The minister added that “the government’s determination is not to slow down the pace of implementation of the RRP”, emphasising that another 800 contracts will be signed in the coming weeks, in different areas.

Transforming communities through leadership with Quint StuderTeleios Anatomy of Leadership podcast; by Chris Comeaux, Quint Studer; 4/9/25In this episode, Chris sits down with Quint Studer, Founder of Healthcare Plus Solutions Group and one of his most trusted mentors, to dive deep into the transformation of Pensacola, Florida. Quint reveals his powerful framework for community change, sharing essential leadership insights and the challenges of driving real transformation.

A mother’s goodbye-Barriers to microtransitions in careJAMA Internal Medicine; Aval-Na’Ree S. Green, Benjamin E. Canter; 3/25After a long, debilitating battle with lupus, my cousin died at the doorsteps of our health system. The funeral was at 11:00 am. I arrived at the facility at 8:45 am. Although the catheter was in place, my aunt was undressed, with remnants of breakfast on her gown. She had not been bathed. The staff and I wheeled my aunt outside and attempted to load her into the van. Once my aunt was in the chair, it could not fit through the van door. Because this transition was not a medical health care appointment, the facility did not coordinate the resources, including use of the van, that were necessary for it to occur successfully. In contrast, had this been a medical outing, such as a weekend dialysis appointment, the facility would have been required to provide transportation. If this microtransition had been treated like a major health care transition, perhaps it would have had a better chance of success. Nursing teams use checklists during major care transitions; similar procedures should apply to microtransitions.

Hospitalists in a bind when cancer prognosis hasn’t sunk inMedscape; by Jake Remaly; 4/15/25 When a patient with cancer is admitted to the hospital, the reason might not be related to the malignancy. But the hospitalist in charge sometimes becomes aware of a major disconnect: The patient, who they just met, does not grasp the severity of their cancer prognosis. On the one hand, the hospital medicine team and patient have advance directives and goals of care to consider, which may steer the course of the hospitalization and any use of hospice. The cancer prognosis — the patient might only have months to live, for example — could be a key component of those conversations. On the other hand, explaining the cancer situation should fall to the oncologist, right? ...Editor's notes: Pair this with today's posts, 

Today is National Healthcare Decisions Day - Make your advance care plans Institute for Healthcare Improvement - The Conversation Project; retrieved from the internet 4/14/25The links and resources [provided in this article] explore a variety of resources to help make, discuss and document future healthcare wishes and decisions in your advance care planning. ... The Conversation Project offers free tools, guidance, and resources to begin talking with those who matter most about your and their wishes.

Community Catalyst leads national response against new rule that threatens health care access Community Catalyst, Boston, MA; by Jack Cardinal; 4/11/25 Today, Community Catalyst organized hundreds of local, state and national partners to submit comments to the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) opposing a new proposed rule from the Trump administration that would make it harder and more expensive for people to buy their own insurance on Affordable Care Act (ACA) Marketplaces and increase their medical debt. ... The administration’s own estimates suggest that as many as 2 million people will lose their coverage under this proposal, ...