Literature Review

Hosparus Health breaks ground on region’s first standalone hospice care center Hosparus Health; Press Release; 9/16/25 Hosparus Health proudly announces the groundbreaking of its new Hospice Care Center, the region’s first and only standalone inpatient hospice facility, following the successful achievement of its $9.2 million fundraising goal by raising nearly $9.6 million to launch construction. The Hospice Care Center is a critical expansion of compassionate end-of-life care for families across the region. Designed to serve patients with complex needs in a peaceful, homelike setting, the nearly 30,000-square-foot facility will offer 21 private patient suites, family gathering spaces, a chapel, and serene gardens for quiet reflection. “When families can no longer care for a loved one at home, this facility will offer a supportive space that blends expert care with dignity and comfort,” said David W. Cook, President and CEO of Hosparus Health. 

How does CEO tenure in healthcare compare to other industries? Becker's Hospital Review; by Kristin Kuchno; 9/9/25 The average tenure of healthcare CEOs is slightly shorter than the average across industries, according to a recent report from executive search firm Crist Kolder Associates. Healthcare CEOs serve an average tenure of 7.3 years, compared to 7.5 years across industries. In 2024, the average tenure for healthcare CEOs was 7.6 years, compared to an average of 7.4 years across industries. Crist Kolder’s annual report tracks C-suite turnover among 667 companies in the Fortune 500 and S&P 500, 9.7% of which operate in the healthcare sector. Here are the average CEO tenures across industries included in the report: ...

85% of Americans don't know how to do basic math. Thankfully, I'm part of the other 25%...

Do not take life too seriously. You will never get out of it alive. ~Elbert Hubbard

Beyond grief: Quantifying bereavement needs of rural family caregiversPalliative and Supportive Care; by Catherine Vanderboom, Diane Holland, Cory Ingram, Brystana G Kaufman, Allison Gustavson, Jay Mandrekar, Ann Marie Dose, Ellen Wild, Carole Stiles, Joan M Griffin; 9/25Family caregivers (FCGs) may experience numerous psychosocial and practical challenges with interpersonal relationships, mental health, and finances both before and after their care recipient (CR) dies. The specific challenges affecting rural FCGs who often have limited access to palliative care services, transitional care, and other community resources are not well understood... Bereavement support should extend beyond a focus on grief to include practical challenges experienced by FCGs. Because challenges experienced in the bereavement period often begin before a CR's death, there is benefit in continuity of FCG support provided by a known clinician from pre- to post-death. When given an option, many rural FCGs are open to bereavement support as early as a week after the death of a CR.

Suicide bereavement among Black-Americans: Evidence from the General Social SurveyOmega-Journal of Death and Dying; by William Feigelman, Julie Cerel, John McIntosh, Nina Gutin, Alice C. Edwards; 8/25Limited research attention has focused on examining the diverging adaptations of American Blacks and Whites to suicide losses. We utilized the 2016 General Social Survey, which included questions related to experiencing suicide bereavement, investigating hypotheses past studies suggested predicting Blacks face more grieving difficulties than their White counterparts. This data did not confirm any evidence of heightened grief or mental health problems among the Black respondents. Owing to the limited number of measurements of mental health assessments more research will be needed to confirm these findings.

“I know you didn’t want to stay”: Emergency Department conversations about disposition for people living with dementia The Gerontologist; Justine Seidenfeld, Matthew Tucker, Melissa Harris-Gersten, Gemmae M Fix, Nina R Sperber, Susan N Hastings; 8/25When people living with dementia present to the emergency department (ED), the disposition decision- to admit them to the hospital or discharge them home- can be difficult for providers. Major themes included 1) disposition conversations had significant variation in depth and content, 2) patient and care partner participation varied with disposition, and 3) satisfaction was driven by alignment of disposition preferences. Our study suggests that there are no consistent formats of disposition conversations for people living with dementia. Improving quality may be most needed when preferences are misaligned, and this should be identified early in the encounter.

[UK] Key themes and approaches in palliative and end-of-life care education for the general public: A systematic reviewBMC Palliative Care; by Muzeyyen Seckin, Rumandeep Tiwana, David Fry, Cara Bailey; 8/25 These [twenty] studies involved a total of 10,307 participants and identified 16 different educational programmes for the public, volunteers, and lay caregivers. The analysis revealed six main themes: foundational concepts and philosophies, communication and decision-making, planning and preparation, symptom management, end-of-life care practices, and caregiving support. This review highlights the importance of training programmes to improve community involvement in caregiving and enhance the quality of care for individuals with life-limiting conditions. Expanding access to such educational resources can empower more people to contribute confidently to end-of-life care in their communities.

[Spain] First-ever global ranking of palliative care: 2025 World Map under the new WHO frameworkJournal of Pain & Symptom Management; by Vilma A. Tripodoro, Jesús Fernando López Fidalgo, Juan José Pons, Stephen R. Connor, Eduardo Garralda, Fernanda Bastos, Álvaro Montero, Laura Monzón Llamas, Ana Cristina Béjar, Daniela Suárez, Carlos Centeno; 8/25This study presents the first comprehensive global assessment of PC [palliative care] development, utilising the WHO Conceptual Framework as a multidimensional tool to monitor progress. Results reveal stark inequities: more than half of the global population lives in countries with Emerging or Progressing PC levels, while fewer than one-fifth are in Advanced systems. Despite methodological updates in 2025, the number of Advanced-level countries remains unchanged from 2017, suggesting limited progress. This is consistent with downgrades in countries such as Israel, Spain, Canada, Liechtenstein, Romania, and Mongolia, which may reflect data gaps, methodological shifts, or actual declines.

Hospice Research Information 9/20/25

Neil Heinen: We give precious little thought to the meaning of life Madison Magazine, Madison, WI; by Neil Heinen; 9/17/25 An Op-Ed on the importance and profundity of being with a person at the end of their life, and how hospice plays a special role. We don’t think about death enough. How’s that for an opening sentence? ... We’d be considerably better off if we did think about life’s end a little more. The main topic of this column is hospice, which adds a bit of a buffer to the existential angst of contemplating death. ... Being with a person at the end of their life is one of the most profound and loving of life’s many possible experiences. And what brings meaning to a dying person is as varied as life itself. A song, a poem, a pet, a knitting needle and yarn, a recognition of service, stories, pictures, memories, another person who will listen, who cares; the list is long and filled with small acts of kindness so many of us could easily provide.

Social Media Watch 9/19/25

Study finds hospice providers “game” Medicare Payment Cap, but with modest impact on costs Penn LDI - Leonard Davis Institute of Health Economics; by Julia Hinkcley, JD; 9/16/25 ... Each year, about half of Medicare beneficiaries who die receive hospice services. A new study by LDI Senior Fellow and Director of Research Norma Coe and her colleague David Rosenkranz shows that some hospice agency decision-making may be intended to increase payments by undercutting the annual revenue cap that Medicare imposes. But this “gaming” of the payment rules creates only modest increases in both hospice enrollment and spending. The study’s findings also support MedPAC’s view that wage index-adjusting the cap could make it more equitable across hospice programs, but the authors caution that the MedPAC proposal to reduce the cap by 20 percent might lead some hospice providers to close, and therefore requires more analysis.