Literature Review
Nathan Adelson Hospice finalizes affiliation with Chapters Health System
04/14/25 at 03:00 AMNathan Adelson Hospice finalizes affiliation with Chapters Health SystemChapters Health System press release; 4/10/25Chapters Health System, the nation's premier not-for-profit chronic illness care organization, has finalized an affiliation with Nathan Adelson Hospice, based in Las Vegas. This marks a significant milestone for the newly established Chapters Health West division and represents a powerful alignment of two mission-driven organizations — both recognized as 2025 Top Workplaces USA award recipients.
A terminally ill man decided to end his life. This is how he spent his last day alive
04/14/25 at 03:00 AMA terminally ill man decided to end his life. This is how he spent his last day alivePeople; By Vanessa Etienne; 4/8/25A California man offered a look at his final day of life as he made the decision to die rather than live with a terminal illness. Wayne Hawkins, an 80-year-old from San Diego, was diagnosed with terminal heart failure. He’s also suffered from a slew of other health issues including prostate cancer, liver failure and sepsis. "Some days the pain is almost more than I can handle," he told BBC in an interview published April 3. Hawkins told the outlet that he watched two relatives die "miserable" and "heinous" deaths from heart failure, and knew he didn’t want to die that way. "I hate hospitals, they are miserable. I will die in the street first," he said.Publisher's note: Two considerations: 1) Are there opportunities for hospice in similar situations? 2) This story ran in People magazine...
Today's Encouragement
04/14/25 at 03:00 AMDon’t give up. Don’t ever give up. ~Jim Valvano, NC State University basketball coach
New Mexico passes nation’s first legislature-driven psilocybin access act
04/14/25 at 03:00 AMNew Mexico passes nation’s first legislature-driven psilocybin access actPsychedelic Alpha; 4/8/25Yesterday, New Mexico Governor Michelle Lujan Grisham (D) signed SB 219, the Medical Psilocybin Act, which will establish the third state-legal psilocybin access system in the US. In simple terms, the Act creates a framework through which patients with qualifying conditions can access and use non-synthetic psilocybin through consultation with a licensed healthcare provider. Qualifying conditions, according to the bill, are ‘major treatment-resistant depression’, PTSD, substance use disorders and end-of-life care, as well as other conditions that the department might approve. While Oregon and Colorado’s state-legal psilocybin programs were the product of popular ballot measures, New Mexico’s is the first to be mandated by the state’s legislature.
Defining palliative care quality in murky regulatory waters
04/14/25 at 03:00 AMDefining palliative care quality in murky regulatory watersPalliative Care News; by Holly Vossel; 4/4/25The wide range of palliative care services available nationwide can present obstacles around consistent quality measurement. Calls are growing louder for a federally established set of standardized palliative guidelines.Notable mentions: Monisha Pujari, Longleaf Hospice & Palliative Care; Yonah Klein, Unity Hospice and Palliative Care; Keith Everett, ProCare Hospice / TruHue consulting.
[NY] Legislature passes bill banning new for-profit hospices
04/14/25 at 03:00 AM[NY] Legislature passes bill banning new for-profit hospicesThe New York State Senate; by Sen. Liz Krueger; 4/9/25Today, the State Senate passed S.3437, carried by Senator Liz Krueger, a bill that would be ban new for-profit hospices in New York State. The bill, carried in the Assembly by Assembly Member Amy Paulin, passed that house on March 26th... I urge Governor Hochul to sign this bill."... S. 3437, which was previously vetoed by Governor Hochul in 2022, would prohibit the approval of new applications for the establishment, construction or increased capacity of for-profit hospice entities. New York is uniquely situated to prevent the deterioration of end-of-life care described above, as currently only two of 41 hospices in New York are for-profit, compared to a national average of two-thirds as of 2017.
Being a high-performer CEO isn’t enough. True leadership involves empathy
04/14/25 at 03:00 AMBeing a high-performer CEO isn’t enough. True leadership involves empathyFastCompany; by John Connors; 4/10/25This moment calls for executives who can balance strong analytical skills with emotional intelligence. The CEO’s role is evolving. Private equity is playing an increasingly influential role in shaping the expectations, performance, and tenure of CEOs. The financial environment is also changing, with influence increasingly moving from public markets to private capital... In this landscape, CEOs are increasingly being measured by their ability to generate financial returns. But true leadership requires hitting more than financial targets. The most effective leaders understand that long-term success depends on balancing financial acumen with empathetic leadership. Those who fail to adapt risk becoming transactional managers rather than transformational leaders. Understanding this shift and defining one’s leadership approach is more critical now than ever.
Hospice M&A sees uptick in Q1 2025
04/14/25 at 03:00 AMHospice M&A sees uptick in Q1 2025Hospice News; by Jim Parker; 4/10/25Hospice acquisitions saw a gentle rebound in Q1 2025. Deal volume is up relative to 2024’s slump, but activity has not reached the boom levels of 2020 and 2021. The M&A market’s rejuvenation extends across a range of home-based care industries, according to a new report from the M&A advisory firm Mertz Taggart. The “tides have turned,” with a total 29 home-based care transactions during Q1, the most active quarter since 2023, the report indicated... Some of the more significant disclosed deals included the following:
Medical Aid in Dying Annual Reports
04/14/25 at 03:00 AMMedical Aid in Dying Annual ReportsJust released:
Proposed FY26 Hospice Wage Index and Payment Rate
04/14/25 at 02:00 AMProposed FY26 Hospice Wage Index and Payment RateCMS press release; 4/11/25On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes updates to Medicare payment policies and rates for hospices under the Fiscal Year (FY) 2026 Hospice Wage Index and Payment Rate Updated Proposed Rule (CMS-1835-P). [Major provisions include:]
Opportunities and barriers to artificial intelligence adoption in palliative/hospice care for underrepresented groups: A technology acceptance model-based review
04/13/25 at 03:55 AMOpportunities and barriers to artificial intelligence adoption in palliative/hospice care for underrepresented groups: A technology acceptance model-based review Journal of Hospice & Palliative Nursing; by Tuzhen Xu and Gloria M Rose; 4/2/25 Underrepresented groups (URGs) in the United States, including African Americans, Latino/Hispanic Americans, Asian Pacific Islanders, and Native Americans, face significant barriers to accessing hospice and palliative care. ... Findings suggest that AI has the potential to improve decision-making, enhance timely palliative care referrals, and bridge language and cultural gaps. Artificial intelligence tools were found to improve predictive accuracy, support serious illness communication, and assist in addressing language barriers, thus promoting equitable care for URGs. However, barriers such as limited generalizability, biases in data, and challenges in infrastructure were noted, hindering the full adoption of AI in hospice settings. Artificial intelligence has transformative potential to improve hospice care for URGs by enhancing cultural sensitivity, improving communication, and enabling more timely interventions. However, to fully realize its potential, AI solutions must address data biases, infrastructure limitations, and cultural nuances. Future research should prioritize developing culturally competent AI tools that are transparent, explainable, and scalable to ensure equitable access to hospice and palliative care services for all populations. [Continue reading ...]
Impact of outpatient palliative care services on resource utilization and cost management in a capitated Medicare population
04/13/25 at 03:50 AMImpact of outpatient palliative care services on resource utilization and cost management in a capitated Medicare populationJournal of Palliative Medicine; Parag Bharadwaj, Gagandeep Gill, Nathan Dyjack, Lindsay Fahnestock, Lorie D'Amore, Shuinn Chang, Nancy Hanna, Tanya Dansky, Gwyn Merz, Annamarie Jones, David Kim, Manjit Randhawa; 3/25The integration of palliative care into the U.S. health care system has grown significantly, with outpatient palliative care services (OPCSs) playing an increasingly vital role in managing patients with serious illnesses. Results [of this study] demonstrate substantial growth in OPCS enrollment, with a 129% increase from 2019 to 2023. Per-member-per-month costs showed a sustained reduction, with a 23% decrease by 2023. In addition, there were consistent reductions in ED [emergency department] visits and IP [in-patient] admissions, indicating effective outpatient care management. Patients transitioning from OPCS to hospice exhibited longer hospice stays, further emphasizing the benefits of early palliative care interventions.
Top ten tips palliative care clinicians should know about dysphagia and adult swallowing interventions in serious illness
04/13/25 at 03:45 AMTop ten tips palliative care clinicians should know about dysphagia and adult swallowing interventions in serious illnessJournal of Palliative Medicine; Sanora Yonan, Taylor Wilde, Alexa Rogers, Kelly J Trumpatori, Kristie Calix, Christina Barnes, Terri Durkin, Eric Mecusker, Christopher A Jones, Caitlyn M Moore, Laura Chahda, Amanda Stead, Lisa A LaGorio, Paula Leslie; 3/25This article highlights the important role of speech-language pathologists (SLPs) in palliative care (PC), emphasizing their contribution to supporting people with eating, drinking, and swallowing difficulties during serious illnesses and at the end of life. The recommendations underscore the necessity of interdisciplinary collaboration among SLPs and other PC team members, the importance of patient and caregiver education, and the application of patient-centered, comfort-focused approaches to dysphagia intervention. Drawing on current research and expert insights, this article explores the use of SLP services in PC, as well as the challenges in supporting people with eating and drinking difficulties in advanced stages of illness, embedded with practical tips for clinicians.
Terri Schiavo's death 20 years ago sparked lingering debate about death and politics
04/13/25 at 03:40 AMTerri Schiavo's death 20 years ago sparked lingering debate about death and politics USA Today; by Marc Ramirez; 3/31/25 Monday [March 31st marked] 20 years since the death of Terri Schiavo, whose landmark case became the symbol of the "right to die" movement, generated political controversy and sparked public outcry as her husband and family members took their fight over her fate to the courts. Schiavo died on March 31, 2005, after a dragged-out legal and political battle ... The case thrust discussions about end-of-life care into the public consciousness, a topic that continues to provoke heightened emotions among Americans. “It became the most reviewed, debated end-of-life case in history,” said Arthur Caplan, who heads the division of medical ethics at New York University’s Grossman School of Medicine. [Continue reading ...]
2 key trends shaping the hospice workforce in 2025
04/13/25 at 03:35 AM2 key trends shaping the hospice workforce in 2025 Hospice News; by Holly Vossel; 4/4/25 Hospice providers have unveiled two key themes that are impacting the ability to sustain and grow their workforce. Staffing shortages have long topped the concerns of hospice executives nationwide. Rising demand for hospice care has been outpacing the supply of clinical resources for several years running. Labor strains have also mounted among nonclinical and back-office administrative, billing and IT roles. ...
Our newsletter's "Healthcare Observances" calendar
04/13/25 at 03:30 AMOur newsletter's "Healthcare Observances" calendar Hospice & Palliative Care Today; by Joy Berger; 4/9/25 To strengthen your engagement with your employees and volunteers, community, partners and more, we invite you to use our newsletter's "Observances" calendar. This helps you plan for numerous annual observances like National Volunteer Month (April) and Week (April 20-26); National Nurses Month (May) and Week (May 6-12); National Nursing Assistants Week (June 12-18); and much more. To find, go to our webpage's "Resources" tab and click on "Healthcare Observances." Do you have edits to suggest? Freely email me.Go directly to our Healthcare Observances calendar ...
National Healthcare Decisions Week highlights the importance of Advance Care Planning
04/13/25 at 03:25 AMNational Healthcare Decisions Week highlights the importance of Advance Care Planning JAX Chamber - Jacksonville News, Jacksonville, FL; 4/1/25 National Healthcare Decisions Week kicks off on April 14, 2025, with a nationwide effort to raise awareness about the importance of advance healthcare decision-making. This initiative encourages individuals to take proactive steps in planning for their future healthcare needs. Through various events and resources, the week aims to promote thoughtful conversations about healthcare decisions and the completion of advance directives to ensure patients' wishes are known and respected. ... For more information about National Healthcare Decision Day, please visit http://nhdd.org.
Navigating the intersection of heart failure and palliative care: A holistic approach to improving quality of life
04/13/25 at 03:20 AMNavigating the intersection of heart failure and palliative care: A holistic approach to improving quality of life Cureus; by Awanwosa V. Agho, Fatimot Disu, Efeturi M. Okorigba, Okelue E. Okobi, Safiyya Muhammad, Toheeb Bakare, Chioma Ezuma-Ebong, Nneka Muoghalu; 3/30/25 ... Historically, palliative care has often been perceived as a last-resort option, introduced only when curative treatments have failed, creating a false dichotomy between life-prolonging therapies and symptom management. However, modern palliative care frameworks emphasize its integration throughout the disease trajectory, particularly for chronic, progressive illnesses like heart failure. ... Palliative care should ideally be initiated at diagnosis of advanced heart failure or with early signs of significant symptom burden to ensure timely, patient-centered support, as recommended by ACC, AHA, and HFSA guidelines. [Continue reading ...]
Home care aides largest occupation in US as of last May, BLS reports
04/13/25 at 03:15 AMHome care aides largest occupation in US as of last May, BLS reports McKnights Home Care; by Adam Healy; 4/7/25 As of May 2024, home health and personal care aides made up the largest single occupation in the US with 4 million workers, according to the Bureau of Labor Statistics’ Occupational Employment and Wages Summary report released Wednesday. The next highest groups were retail salespeople and fast food counter workers, which each had 3.8 million. Registered nurses also were among the top 10 largest US occupations, and they were one of only two top 10 workforces that earned above-average wages. RNs’ average salary in May 2024 was just over $98,000. Meanwhile, home health and personal care aides earned an average yearly salary of $35,000, or about $17 per hour.
Senior living demand hits all-time high: NIC
04/13/25 at 03:10 AMSenior living demand hits all-time high: NIC McKnights Senior Living; by Kimberly Bonvissuto; 4/3/25 The demand for senior living is at an all-time high, with the first quarter seeing a record number of occupied units, almost 621,000, the National Investment Center for Seniors Housing & Care said Thursday afternoon [4/3]. ... “Older adults are moving into senior housing at a rapid pace, and the trend will continue, given the wave of baby boomers and many more ‘solo agers’ who don’t have a caregiver to rely on as a safety net,” Lisa McCracken, NIC head of research and analytics, said in a statement. [Continue reading ...]
Interprofessional advance care planning to enhance end-of-life care: A community assessment
04/13/25 at 03:05 AMInterprofessional advance care planning to enhance end-of-life care: A community assessmentCreighton Journal of Collaborative Practice and Education; Meghan Potthoff, Amanda Kirkpatrick, Jenny Jessen, Cathy Fox, Victoria Haneman, Megan Piotrowski, Beatriz Rodriguez, Sydney Langlois; 3/25Lawyers and financial planners are more often sought for estate directives than primary care providers for end-of life planning. Lack of role clarity and divergent views about advance care planning (ACP) responsibility among healthcare providers lead to further delay of these important discussions. A qualitative, exploratory design was employed to investigate ACP understanding, barriers, and needs among aging Nebraskans and Omaha-metro community agencies that serve these consumers. Conclusions: Improved ACP discussions are needed for supporting value-aligned end-of-life care by educating aging adults about, and documenting their wishes for, life-sustaining treatments and other decisions surrounding death. Enhanced role clarity, increased competence, and a collaborative approach are needed among interprofessional team members involved to improve these end-of-life discussions.
Leaders’ past experiences bring fresh perspectives to home-based care
04/13/25 at 03:00 AMLeaders’ past experiences bring fresh perspectives to home-based care Home Health Care News; by Joyce Famakinwa; 4/2/25 ... Home Instead isn’t the only home-based care company that has an eye for recruiting and leveraging outside talent. Multiple home-based care C-suite executives began their careers outside of health care and are now leveraging these past experiences to bring fresh ideas and strategies to their operations. Finance, journalism and fast food corporations are just a few examples of the industries that line the resumes of home-based care’s top executives. Home Health Care News heard from four home-based care executives and leaders who detailed their experiences working outside of health care, and the lessons they brought with them to benefit the industry. ...
Sunday newsletters
04/13/25 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Today's Encouragement
04/13/25 at 03:00 AM"Be a yardstick of quality. Some people aren't used to an environment where excellence is expected." ~ Steve Jobs
Today's Encouragement
04/12/25 at 03:55 AMThe true test of character is not how much we know how to do, but how we behave when we don’t know what to do. ~ John Holt