Literature Review

QIM26-302: Hospice at the bedside: A Quality Improvement Initiative to improve end of life care and reduce inpatient mortality in a cancer center Journal of the National Comprehensive Cancer Network - JNCCN; by Matthew Murphy, Jacqueline Young, Hardik Thakkar, Sean Powell, Timothy Hembree, and David Buxton; 3/31/26 ...  Patients dying in the hospital may not survive transfer to external hospice units. ...  Integration of GIP Hospice beds into the hospital has streamlined delivery of timely, comprehensive EoL care for patients and bereavement support for families. The collaborative care model allows the hospital-based team to deliver care with active support from the hospice agency. Families express appreciation for the program, especially in situations when the patient is not stable for transfer.  

Cleaning reframes end‑of‑life care for mental health The Philadelphia Tribune, Philadelphia, PA; by Lynn Akesson; 3/28/26... At its core, death cleaning is a decluttering practice: going through one’s belongings with the intention of reducing what survives us. But its appeal lies less in organization than in its promise of emotional relief. By transforming an abstract fear — leaving chaos behind — into a meaningful act of care, death cleaning reframes preparation for death as a process that can support psychological well-being in life. Editor's Note: For a related caregiving video specific to bereavement, visit "Re-Membering: Scrap 'Em, Store 'Em, or Stitch 'Em Together, by Composing Life Out of Loss (disclosure, a newsletter sponsor)

Pikes Peak Hospice & Palliative Care achieves highest quality score in organization’s history Pikes Peak Hospice & Palliative Care, Colorado Springs, CO; Press Release; 3/27/26 Pikes Peak Hospice & Palliative Care has earned its highest quality ranking ever — a score of 94 out of 100 — on the National Hospice Locator, a nationwide directory that evaluates hospice providers using publicly available quality data. The National Hospice Locator compiles information from Medicare data files, public websites, and direct surveys of hospice providers. Using multiple weighted quality metrics, the platform evaluates thousands of hospice programs across the United States and allows users to compare providers based on quality rankings. With a national average score of approximately 67, a score of 94 places Pikes Peak Hospice & Palliative Care well above the national benchmark and among the highest-rated hospice organizations in Colorado.Editor's Note: What are your organization's publicly reported quality scores? Explore more at the National Hospice Locator. [Disclosure, NHL sponsors this newsletter.]

The fool doth think he is wise, but the wise man knows himself to be a fool. ~ William ShakespeareHappy April Fools Day!

Language preference is associated with goals-of-care communication and end-of-life care in dementia Journal of General Internal Medicine; by Lauren R. Pollack MD, MS, Lois Downey MA, Ruth A. Engelberg PhD, James Sibley BS, Linda K. Ko PhD, Kimiko Domoto-Reilly MD, MS, Lyndia C. Brumback PhD, Annie T. Chen PhD & Rashmi K. Sharma MD, MHS; 3/30/26 Background: People with dementia and preferred language other than English (PLOE) in the United States may face communication-related barriers to high-quality end-of-life care.Objective: Compare end-of-life care characteristics among people with dementia and PLOE versus those preferring English. ... [Efforts] to improve end-of-life care for those with PLOE might prioritize ED and hospital-based interventions, recognizing their critical safety-net functions, as well as ensure that people with dementia and PLOE and their families have sufficient cultural and linguistic support to engage in high-quality end-of-life communication with their healthcare providers.Editor's Note: Pair this with today's post, "Neenah pastor finds deeper calling after brother’s hospice journey."

Canyon acquires Columbine Poudre Home Care, Bloom at Home Hospice News; by Jim Parker; 3/31/26 Colorado-based Canyon Home Care & Hospice has acquired Columbine Poudre Home Care and its affiliate Bloom at Home. The transaction extends Canyon’s footprint across northern Colorado. Financial terms were undisclosed. Columbine employees were offered positions at Canyon. The acquired company provides medical and non-medical home care, hospice, infusion services and medical equipment.

Hospice of Amador & Calaveras addresses statewide hospice fraud concerns, reaffirms commitment to ethical, community-based careLedger News; Press Release; 3/30/26 In response to recent national media coverage highlighting concerns regarding hospice fraud in California, Hospice of Amador & Calaveras (HOAC) is reaffirming its commitment to ethical, transparent and compassionate care for patients and families across Amador and Calaveras counties. ... “Hospice care is built on trust, dignity and compassion,” said Samantha M. Lukow, Executive Director of Hospice of Amador & Calaveras. “While the reports are deeply concerning, it is important for our community to know that not all hospice providers operate in this manner. The vast majority of hospice organizations, including ours, are dedicated to providing ethical, patient-centered care.” 

* CEO, Hildegard House, nonprofit, Louisville, KY

It was one of those March days when the sun shines hot and the wind blows cold: when it is summer in the light, and winter in the shade. ~ Charles Dickens, Great ExpectationsGoodbye to 2026 March days when weather felt like April Fools' jokes.

Expanded palliative care program in Dubuque addresses a 'significant need' Telegraph Herald; by Grace Burwell; 3/28/26 A “meant to be” collaboration between two Dubuque providers is offering the local aging population expanded palliative support. UnityPoint Health-Finley Hospital and Hospice of Dubuque recently launched an expanded palliative care program, bringing three nurse practitioners to the Dubuque hospital. Lavonne Noel, executive director of Hospice of Dubuque, said the new resource sprung out of “more need than ever before. It’s more important than ever that we work together in the health care environment right now, so we’re excited to join forces and collaborate on this."

Northern Counties Health delivers care, access over 50 years Caledoninan Record, Vermont; 3/27/26 Northern Counties Health Care, Inc. is marking a golden milestone this year, celebrating five decades of providing primary care, dental care, and home health and hospice services across Vermont’s Northeast Kingdom. The nonprofit traces its roots to a citizen-led effort to improve access to care and now operates a regional network designed around local needs. The organization’s origins date to 1976, when community leaders formed a board to continue the work of the Northern Counties Comprehensive Health Planning Council and established what became Vermont’s first federally qualified health center. ... The network today includes seven community health centers, two walk‑in primary care locations under the Northern Express Care banner, three dental centers, and a certified home health and hospice division.

CMS Hospice Wage Index Panel: Key insights for access, staffing, and care delivery Abt Global | Centers for Medicare & Medicaid; by Michael Plotzke, T.J. Christian, Matt Knowles, and Anne St. George; meeting held on 9/10/25, report  published 11/24/25The Centers for Medicare & Medicaid Services released both a summary and technical report from its September 2025 Technical Expert Panel on the hospice wage index—offering a closer look at how geographic wage adjustments may evolve. Beyond methodology, the reports carry meaningful clinical and operational implications. Refinements to the wage index influence how resources are distributed across regions, shaping workforce capacity, interdisciplinary team stability, and ultimately patient access to timely, high-quality hospice care. For leaders, these findings underscore the connection between payment policy and bedside realities—particularly in rural and underserved areas where recruitment, retention, and care continuity remain fragile.

Special Report - Untapped potential: The power of peer support programs in prisons John Howard Association of Illinois; project led by Kate Eves; March 2026 issue At the time this report was drafted, there were more than 70 Peer Support Programs (PSP) in U.S. carceral facilities identified in operation with a focus on improving health outcomes for incarcerated people with more new programs regularly coming to our attention, in addition to international programs. This project focused on 15 programs across 12 jurisdictions addressing a range of health and well-being areas including mental health, substance abuse and palliative care. [Use Ctrl+F and type "hospice" to find this report's 28 references to hospice.]