Literature Review

Dana Trabulsy bill aims to help families get death certificates faster Florida Politics; by Gabrielle Russon; 3/27/25  'This will solve a problem and be able to help these families move on sooner with the things that they need to do to start healing.'Families whose loved ones die in hospice are often stuck waiting for death certificates because of a backlog. One lawmaker wants to speed up the process to help them get the documents they need. Fort Pierce Republican Rep. Dana Trabulsy is pushing a bill that would allow advanced practice registered nurses providing hospice care to sign death certificates with a physician’s protocol. HB 647 passed its first committee stop Thursday with a 17-0 vote in front of the Health Professions and Programs Subcommittee.

Home health, hospice location announces closureThe Standard, Excelsior Springs, MO; 3/27/25Excelsior Springs Hospital (ESH) announces the difficult decision to discontinue its Home Health and Hospice Services, effective April 30.This decision comes after a thorough review of operations and an assessment of ways to best allocate resources to meet the evolving healthcare needs of our community.“Our priority has always been to provide high-quality care to our patients,” said ESH Chief Executive Officer Kristen DeHart. 

Honoring a young girl’s love of nature on her final dayMayo Clinic News Network; by Mayo Clinic Staff; 3/27/25 On a Saturday evening in September of 2024, Mae Helgeson arrived at Mayo Clinic in Rochester, her small body reeling from the trauma of a life-threatening accident. Although she was intubated and sedated, it didn't take long for the care team to learn what made this little girl special. ... "I often ask parents to tell me about their child. Is there anything you think is important or that I should know about your family?" says Paige Dighton, one of the Child Life specialists who partnered with Mae's family. "This allows them to share the special things — those unique qualities that make them a family. You learn more than just what's in their chart." ... It was only a couple of days later that Mae's family was faced with the devastating decision they'd hoped to avoid. ... The question shifted from "Can we save her?" to "How do we say goodbye?" Following their lead, the team began focusing on end-of-life care. "Dr. Schiltz gave us the space to think and process our emotions — it didn't feel rushed," says Matt. 

When medicine meets theater The Ticker; by Craig Manning; 3/30/25 Munson Healthcare’s newest partner is going to surprise you. Last year, a pair of physicians at Munson set out to help their colleagues improve at one of the most stubbornly difficult parts of the healthcare profession: delivering bad news to patients. That goal led Munson to strike up a partnership with Old Town Playhouse, melding medicine and theater for an innovative course that gives doctors a chance to practice difficult conversations. The doctors play themselves, informing patients about challenging or terminal diagnoses. The Playhouse actors play the patients, reacting differently depending on how their physician approaches the conversation. 

Hosparus celebrates social workers' impact on healingCorydon Democrat; 3/26/25 Hosparus Health Southern Indiana offers comprehensive grief support services to help individuals heal from loss in a caring and understanding environment. While recognizing National Social Work Month, Hosparus celebrates the compassionate guidance of its social workers and grief counselors who support individuals and families during their most difficult moments. Editor's note: Today's the last day of March as Social Worker month. You still have time to thank your all-important social workers. For more, see our post Social Media Toolkit for Social Work Month 2025. And, appreciation and recognition is not limited to the month of March. It needs to be alive and well all year long. 

Evaluation of the Medicare Advantage Value-Based Insurance Design model test: 2020 to 2023  RAND Health Care, prepared for the Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation Under Research, Measurement, Assessment, Design, and Analysis Contract Number 75FCMC19D0093, Order Number 75FCMC20F0001; by Christine Eibner, Dmitry Khodyakov, Erin A. Taylor, Denis Agniel, Rebecca Anhang Price, Julia Bandini, Marika Booth, Lane F. Burgette, Christine Buttorff, Catherine C. Cohen, Stephanie Dellva, Michael Dworsky, Natalie C. Ernecoff, Alice Y. Kim, Julie Lai, Monique Martineau, Nabeel Qureshi, Afshin Rastegar, Max Rubinstein, Daniel Schwam, Joan M. Teno, Anagha Tolpadi, Shiyuan Zhang; March 2025 This report presents RAND researchers’ findings from their evaluation of the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model test for 2020 through 2023, initiated by the Center for Medicare and Medicaid Innovation (Innovation Center). The VBID Model allows participating MA parent organizations (POs) to offer supplemental benefits, financial and nonfinancial incentives to beneficiaries, hospice benefits (the Medicare Hospice Benefit, Palliative Care, Transitional Concurrent Care, and Hospice Supplemental Benefits), and Wellness and Health Care Planning through their MA plans.

Medical interpreters’ experiences with patients who are near end-of-life and their family membersJournal of Pain and Symptom Management; by Joycelyn Howard, Alexia M. Torke, Susan E. Hickman, Greg Sachs, Sylk Sotto-Santiago, James E. Slaven, Denise Robinson; 3/25In 2019 the United States Census Bureau reported 8% of the United States Population “speak English less than very well”. Ensuring individuals with a non-English language preference (NELP), previously referred to as limited English proficiency, have equitable access to healthcare includes providing high quality interpreter services. Although self-efficacy for interpreting EOL [end of life]conversations is generally high, interpreters desire education about EOL care. Interventions are also needed to address the high emotional toll of interpreting EOL conversations. Education and training about EOL care may help them to not only convey information accurately but also cope with emotional nuances characteristic of these significant conversations, ultimately elevating the quality of care for patients and family members in vulnerable and important moments.

Medicare and 24-hour in-home hospice care​: Is it covered?Healthline; Medically reviewed by Shilpa Amin, MD, CAQ, FAAFP and written by Mandy French; 3/25/25... Medicare offers hospice coverage for beneficiaries. However, there are certain eligibilities and guidelines that they must meet. ...

[Austria] Influence of prior knowledge and experience on willingness to pay for home hospice services: a contingent valuation study International Journal of Health Economics and Management; Caroline Steigenberger, Andrea M Leiter, Uwe Siebert, Claudia Schusterschitz, Magdalena Flatscher-Thoeni; 3/25/25 Home hospice services contribute to dying in dignity by addressing medical and social needs at the end of life. ... We aim to quantify the benefits of home hospice services to society using society's monetary valuation and examine the influence of prior knowledge and experience on willingness to pay for home hospice services. A nationwide cross-sectional contingent valuation study was conducted in Austria. ... The two-part regression analysis showed a statistically significant positive impact on the probability of having a positive willingness to pay by prior knowledge of home hospice services, prior donations, and the wish of not dying alone. [Continue reading ...]Editor's note: Pair this research from Austria with today's USA post, "Medicare and 24-hour in-home hospice care: Is it covered?" Too often, we take for granted our Hospice Medicare payment system. Some choose to misuse it in ways that lead to fraud. This research reinforces openess to hospice services per "prior knowledge of home hospice services, prior donations, and the wish of not dying alone."

Hospice Care and Community Center, Cleveland: First look Healthcare Design; by Tracey Walker; 3/24/25 Hospice of the Western Reserve (Cleveland), a provider of end-of-life palliative care, caregiver support, and bereavement services, chose a lakefront setting for its new Hospice Care and Community Center. Scheduled to open in 2025, the center will provide critical services, create a more efficient care environment, and support the evolving healthcare needs of Northern Ohio. Designed by architecture and interior design firm E4H Environments for Health Architecture (Williston Vt.), the facility will replace the existing Hospice House on the adjacent property, which has served the community for nearly 30 years. [Continue reading for "Interior design strategies" ...]

‘Disturbing’ outlook: Hospices’ top regulatory concerns in 2025 Hospice News; by Holly Vossel; 3/20/25 Telehealth policies and program integrity concerns represent two of the leading regulatory issues on hospices’ radar this year. Regulatory changes and increasing oversight were the second-most cited concerns among nearly a quarter (21%) of 112 hospice professionals who participated in this year’s Outlook Survey by Hospice News and Homecare Homebase. Challenges around staffing and improved public awareness also topped the list of providers’ concerns. This is the third piece of this three-part Hospice News series that explores the significant regulatory challenges facing hospice providers in 2025. 

I share with you the agony of your grief, by Howard Thurman in "Meditations of the Heart"  I share with you the agony of your grief,  The anguish of your heart finds echo in my own...  This I do in quiet ways, that on your lonely path you may not walk alone.Click the link above to read the full poem.

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!