Literature Review

Strafford County, Mass General Brigham in talks to reopen Hyder Hospice Foster's Daily Democrat, Dover, NH; by Karen Dandurant; 5/17/26 A deal has been reached that would save Hyder Family Hospice House, according to Strafford County Commission Chairman George Maglaras. The county closed the hospice earlier this month, citing financial difficulties. Maglaras said April 17 that a $1-a-year lease agreement has been reached with Wentworth-Douglass Hospital of Dover, which is owned by Mass General Brigham, with only details to be worked out before it becomes official.

Hospices’ top questions about AI Hospice News; by Jim Parker; 4/17/26 ... Hospices nationwide are implementing AI solutions to build efficiency and improve workflows, as well as aid in clinical decision making and documentation. ... AI is leading the pack in terms of hospice technology investments in 2026. About 36% of hospice leader respondents to Hospice News’ 2026 Outlook Survey indicated that predictive analytics and AI systems will be their top tech investments this year. This was followed by electronic health records at 30% and patient engagement tools at 11%.

“This is the beginning”: DOJ signals intensifying health care fraud enforcement in California Pillsbury; by Christopher Lee, Dylan M. Aste, Fank Kalinski; 4/16/26 Recent U.S. Department of Justice (DOJ) and California Attorney General enforcement activity sends a clear signal that California health care entities that interact with government programs—in particular the hospice and home health industries—are now under intense scrutiny. Companies in these sectors should prepare for subpoenas, Civil Investigative Demands, and searches as a result of federal and state agencies conducting independent and parallel investigations. This uptick in government enforcement is sure to spur qui tam relators and whistleblowers. Unprepared California hospice and home health companies may face significant civil, and even criminal, exposure.

Woman indicted for mother's death turns tragedy into advocacy WJBF-6 ABC News, Augusta, GA; by Kim Vickers; 4/16/26 A woman is speaking out after she was indicted last year for the death of her mother. Rachel Waters gave her mother morphine provided by a hospice company, which authorities believed led to the woman’s death. Six months later, the charges were dropped. Now, Waters is turning her experience into something positive. ... Foster was diagnosed with Alzheimer’s and bone cancer and eventually her oncologist recommended home hospice care. The hospice company prescribed an end-of-life care kit for Waters to use when Foster needed it. End-of-life care kits contain several drugs specific to the patient’s needs, including liquid morphine. We spoke to several Hospice nurses who told us they are commonly prescribed to families and caregivers to administer to their loved one.

The future depends on what you do today. ~ Mahatma Gandhi

Sessions introduces bill to fight fraud and promote accountability in federally funded programs U.S. Committee on Oversight and Government Reform, Washington, DC; Press Release; 4/16/26 Subcommittee on Government Operations Chairman Pete Sessions (R-Texas) introduced the Fraud Prevention and Accountability Act (H.R. 8312) to expand the U.S. Treasury Fiscal Service’s financial and program integrity services and ensure the Pandemic Response Accountability Committee’s (PRAC) anti-fraud data analysis capabilities and resources are maintained in a permanent Inspectors General office. ... Read the bill text here.

Music in the last hours: finding humanity in the ICUAmerican Journal of Hospice and Palliative Medicine, from Piura, Peru; Carlos F. Ugas-Charcape, MD, PhD and Cristopher A. Tarazona Chapilliquen; 3/27/26Objective: To describe the use of personalized music as a comfort measure during the final hours of life in the ICU and reflect on its impact on the patient, family, and care environment. ...Conclusions: Personalized music represents a simple, patient-centered adjunct that may enhance comfort and dignity in the final hours of life.Editor's Note: For more detailed research, case studies and therapeutic guidance for using music in the "last hours" with hospice and palliative patients and families, I invite you to explore "The Final Cadence," a chapter in my book Music of the Soul - Composing Life Out of Life. 

Executive Personnel Changes - 4/10/26

[Global] Compassionate communities in action: global stories of care, loss and connection Taylor & Francis Group, London, UK; edited by Emma Hodges and Manjula Patel; ebook published 1/1/26 Compassionate Communities in Action: Global Stories of Care, Loss and Connection brings together practical examples of compassionate cities and communities from around the world. Together they provide a practical road map, highlighting what has worked and what has been challenging, alongside reflections from the communities profiled. ... Demonstrating public health palliative care in practice, this guide is an essential read for people working in the field of palliative and end‑of‑life care, as well as academics, students, and policymakers with an interest in the area. ... The Open Access version of this book, available at https://www.taylorfrancis.com, has been made available under a Creative Commons Attribution-Non-Commercial-No Derivative Licence CC-BY-NC-ND. Editor's Note: This 334 page book is available for free download via the links above.

Racial disparities in non-stigmatized supportive care medication use in pancreatic cancerJournal of Pain & Symptom Management; by Olga Monika Trejos Kweyete, Chardaé Whitner, David L. Deremer, Yi Guo, Jiang Bian, Lisa Scarton, Sherise C. Rogers, Diana J. Wilkie, Xiwei Lou, John M. Allen; 3/26Pancreatic cancer (PC) is associated with a high symptom burden that contributes to reduced health-related quality of life (HRQoL) and adverse clinical outcomes. This study examined racial and ethnic differences in the use of non-stigmatized SCMs [supportive care medications] during end-of-life care among patients with PC. SCM use was defined as at least one outpatient prescription claim for antiemetics, appetite stimulants, cognitive aids, headache aids, or sleep aids. Racial and ethnic disparities persist in the use of non-stigmatized SCMs among patients with PC at the end of life. These findings extend prior evidence on inequities in cancer symptom management and underscore the need for interventions that promote equitable access to supportive care medications across diverse populations.

State associations urge CMS to forgo potential national hospice enrollment moratorium Hospice News; by Holly Vossel; 4/10/26 A group of state hospice associations have expressed mounting concerns that a rumored national moratorium prohibiting new provider enrollments could adversely affect access. A letter to the U.S. Centers for Medicare & Medicaid Services (CMS) was recently penned by the Florida Hospice & Palliative Care Association (FHPCA), the Association for Home & Hospice Care of North Carolina (AHHC of NC) and the South Carolina Home Care & Hospice Association (SCHCHA). A national moratorium, if enacted, would impact the ability for legitimate hospices to provide quality care during a time of rising demand, said FHPCA President and CEO Paul Ledford and Tim Rogers, president and CEO of SCHCHA and AHHC of NC. 

What to do when a dying friend refuses contact Times.News; by Sofia Alvarez; 4/13/26 The experience of facing a terminal illness is often framed as a time for reconciliation and the strengthening of bonds. However, for some patients, the reality is a profound retreat from the world. When a dying friend refuses contact from friends, it creates a complex emotional vacuum for those left behind, who must balance their desire to provide support with the need to respect a patient’s autonomy. This tension often manifests as a “silent goodbye,” where the dying individual chooses isolation over the emotional labor of maintaining relationships. 

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