Literature Review

UNC Health, Duke Health to build children's hospital Modern Healthcare; by Alex Kacik; 1/28/25 UNC Health and Duke Health will build a freestanding children’s hospital in the Piedmont, North Carolina, area. The academic health systems plan to build a 500-bed children’s hospital, a pediatric outpatient center and a children’s behavioral health facility. The project, fueled by a $320 million investment by the state, is set to break ground in 2027 and take six years to complete, the organizations said in a Tuesday news release. 

Homecare industry facing crisisWFMZ-TV 69 News, Allentown, PA; by Christina Lengyel; 1/28/25 ...  [Providers] across the state are struggling to hire enough staff to cover the needs of the state’s 300,000 homecare recipients. Unable to offer comparable hourly wages, the industry is losing its potential recruiting pool to gig work and jobs in the service industry. “We are in crisis. The crisis isn’t coming. We are not planning for it. It’s actively here,” said Mia Haney, CEO of the Pennsylvania Homecare Association at a meeting of the House Aging and Older Adult Services Committee. The average hourly wage for homecare workers in the state is between $13 and $14, making it hard to compete with other industries. Even within healthcare, counterparts performing the same tasks from within care facilities earn more. Home care advocates say the discrepancy doesn’t add up given the value of homecare.

Palliative care may improve quality of life in esophageal cancer Cure; by Tim Cortese; 1/27/25 Palliative care consultations helped patients with esophageal cancer at end-of-life experience better quality of life and less financial strain by reducing the need for intensive interventions, according to a poster presented at the 2025 ASCO Gastrointestinal Cancers Symposium. The mean length of hospital stay was 7.5 days (plus or minus 11.3 days) for patients who received palliative care and 8.9 days (plus or minus 14.9) for those who didn’t; and total charges were $97,879 (plus or minus $195,868) and $146,128 (plus or minus $321,830), respectively. Patients who received palliative care consultation had a Charlson Comorbidity Index of 9.4 (plus or minus 3.3) versus 9.1 (plus or minus 3.5) for patients who did not.

Hospice of the Red River Valley's Fargo office relocates NewsDakota.com, Fargo, ND; by Steve Urness; 1/27/25 Hospice of the Red River Valley is thrilled to share some wonderful news that marks a significant milestone in their 25-year dream for a community-based hospice house. On January 27, 2025, Hospice of the Red River Valley moved to a new and exciting location. Their new home is now at Heather’s House on Scheels Campus in South Fargo, located at 3800 56th Ave. S., Fargo, ND 58104. This move brings them one step closer to opening Heather’s House – the very first freestanding hospice house in North Dakota. Heather’s House will offer the community a peaceful, supportive environment where patients and families can find comfort, dignity and compassionate care. 

Bettis Academy instills leadership skills with Eagles L.E.A.D. Program The Post and Courier, North Augusta, SC; by Bianca Moorman; 1/27/25 Bettis Preparatory Leadership Academy is helping to build the next generation of leaders with its new Eagle's L.E.A.D. Initiative. Eagle's L.E.A.D. – which stands for Learn through Experience, Excel in Academics, Aspire to Inspire and Drive for Change – aims to teach students the skills needed to become leaders through hands-on service projects. The school officially launched the program on Oct. 28, 2024. ... Each grade level has selected a unique service project for the program. ... First-graders are partnering with Gentiva Hospice to learn about the work of first responders. Second-graders are collaborating with heart doctors to raise awareness about childhood heart disease. Third-graders are creating "little libraries" to place in various locations throughout the community. [Click on the title's link for grades 4-8.]

It's easy to make a buck. It's a lot tougher to make a difference. ~ Tom Brokaw

What can we learn from the dying? Newscastle's News Letter Journal (NLJ), Newcastle, WY; by Kelly Evans-Hullinger, MD; 1/26/25 For the last five years, I have had the great privilege of serving my local health system as Medical Director for Home Hospice. Every week I sit in a meeting with the multidisciplinary caretakers on this team ... Patients facing their own deaths want to talk about their lives. Our staff frequently tries to facilitate what they call a “life review” in which a patient can openly talk about their childhood, family, career, service, and sometimes their regrets. This is therapeutic for the dying patient and their loved ones.  ... I have recently thought about this particular human need – to reflect and remember one’s life. I take this as a reminder to both seek those stories from my own loved ones (I wish I had asked my grandmother more questions about her life) and, perhaps, to tell and write about the things in my own life I would want to be remembered after I am gone. For if there is another thing I’ve learned serving patients on hospice, it is that my death is also inevitable; but, I think, life’s finality is what gives it beauty and meaning. 

We need to talk about hospiceMedCity News; by Skelly Wingard, Asher Perzigian and Elizabeth Annis; 1/28/25 In the quiet corners of healthcare, there’s a conversation that needs to be had. It’s a conversation about hospice — a critical yet often misunderstood part of end-of-life care. ... Nearly three-quarters of hospice care agencies are for-profit ownership. ... The impact of these acquisitions on the industry is complex. ... On the one hand, these investments can bring valuable resources to hospice care, funding geographic expansion, scaling technological infrastructure, improving facilities and enhancing services. On the other hand, a strong focus on efficiency and optimization has led to challenges such as staff burnout, higher turnover, and decreased patient satisfaction when compared with non-profits. Coupled together, this complexity can contribute to reduced quality of care due to cost-cutting measures, aggressive marketing leading to overuse of services, increased billing and fraud and a lack of community investment. Not all for-profit hospices operate this way. ... [Click on the title's link to continue reading.]

You’re not imagining it. The ‘quad-demic’ is making everyone sick. New Jersey Advance Media; by Jackie Roman; 1/27/25 A quadruple threat of viruses is driving up emergency room visits and hospital admissions across the United States, including in New Jersey. Public health experts warn a “quad-demic” — a contagious combination of COVID-19, influenza, RSV and norovirus — has increased pressure on New Jersey hospitals this winter. Emergency department visits and hospital admissions remain elevated for COVID-19, influenza, and RSV, according to the state’s latest respiratory illness surveillance report. ... The Centers for Disease Control and Prevention estimates that there have been at least 16 million illnesses, 190,000 hospitalizations, and 8,300 deaths from flu so far this season. Thirty-one of those deaths were among children, according to the CDC. [Click on the title's link for more data and a national map, with updates by the CDC on 1/22/25.] 

[Hospice of the Western Reserve Volunteer] WWII veteran celebrates 100th birthday, years of service Fox 8 WJW-TV Cleveland, OH; 1/24/25 What were you doing on this day 100 years ago? Well, if you were World War II Veteran Bob Zonneville, you were saying “hello” to the world! On Thursday, many of his friends and family got together at David Simpson Hospice House to celebrate this incredible accomplishment. Hospice of the Western Reserve hosted the event, which had a very special meaning to both the organization and Zonneville.  Over the years, not only has this World War II veteran offered tireless support to the Hospice program, but he’s also responsible for raising nearly $100,000. Zonneville has been a passionate Hospice volunteer for decades. According to Hospice of the Western Reserve, Zonneville received the prestigious Chair’s Award for his extraordinary contributions to the hospice community in 2008. ...

Hospice rationale should be reassessed, says ethicist Medscape; by Arthur L. Caplan, PhD, Medical Ethics at NYU’s Grossman School of Medicine; 1/23/25 ... Decades ago, I first found out about the idea that came from England and a nurse, Cicely Saunders, to change the setting in which people die. ... I think that was a wonderful idea, and it has revolutionized end-of-life care. We have many excellent, superb hospice programs. ... The hospice institution is decades old, and it’s time to take another look at what’s going on there.  ... Private equity is all over this area, buying up hospice chains and home care hospice — looking to make big profits but not looking to maintain the quality requirements that ought to be there or to do more than is minimally required to set up and staff hospice. ... ... For reasons of serving the best interests of hospice patients, we should be rechecking the fairness of reimbursement, not overburdening families with care that ought to be provided by hospice programs, and making sure that those who are dying are monitored adequately and receiving checkups regularly. ...

Former hospice physician alleges retaliation against nonprofit healthcare provider Northern California Record; by Northern California Record State Court; 1/23/25 In a gripping legal battle that raises questions about medical ethics and employee rights, a former hospice physician has filed a lawsuit against his previous employer, alleging wrongful termination and retaliation. The complaint was lodged by Kamaldip Ghei in the Superior Court of California, County of San Francisco, on January 10, 2025, targeting Sutter Visiting Nurse Association and Hospice dba Sutter Care at Home. ... Ghei claims he was wrongfully terminated after raising concerns about the organization's practices regarding patient care. Specifically, he alleges that he was pressured to keep patients in hospice care even when it was not medically justified. ...

New hospice center in Missoula prepares for grand opening Times-Leader, Missoula, MT; by Taylor Richardson; 1/24/25 The Partner Hope Foundation has completed construction on its new hospice center in Missoula, offering critical services to the region. This facility is only the second of its kind in Montana and aims to provide high-quality care for elders in western Montana. ... The center features 12 patient care rooms equipped with amenities such as a spa, a full kitchen, and a space for spiritual practices. Melro highlighted the design of the patient rooms: "We tried to make them oversize so that family could gather here and stay with the patient as needed. We tried to encompass some things that will help make the patients more comfortable, such as additional storage and their own refrigerator. ... The center's creation was made possible by a $15.4 million fundraising campaign which is 95% funded so far.