Literature Review

The ‘accidental’ hospice chaplain The Dallas Weekly (DW), Dallas, TX; by Rev. Dorothy S. Boulware; 7/30/25 “I’m an accidental chaplain,” says Rev. Dr. Missiouri McPhee, an ordained African Methodist Episcopal minister who works with Orlando Health, a nonprofit healthcare company based in Florida. A Florida A&M University graduate, McPhee was working on her theology doctorate in Atlanta when a classmate, a chaplain at a hospital in Orlando, ... [kept saying to me,] "Missiouri, you need to come interview with my hospital." ... Fast forward a few years, and McPhee found herself taking on work as a hospice chaplain, arguably the most challenging and rewarding specialty in ministry. She currently works in the Central Florida area for VITAS Healthcare, a major provider of hospice and palliative care. ...

Agrace: Selected as preferred hospice provider to Crossing Rivers Health WisBusiness; Prairie du Chien, WI; Press Release; 7/30/25 Agrace, Wisconsin’s largest nonprofit hospice, is pleased to announce that after months of discussions with Crossing Rivers Health, it will take over the health system’s hospice program. The two organizations have also entered into a Preferred Partner Agreement to support the local community’s ongoing needs for high quality end of life care. This agreement comes three months after Agrace’s preferred partnership with Oakwood Village Communities and supports Agrace’s rapid growth across the state of Wisconsin. Crossing Rivers Health, based in Prairie du Chien, has decided to close its hospice service line to focus on their core healthcare services. Current Wisconsin Crossing Rivers Health Hospice patients will have the option to transition to Agrace’s care by the end of September. 

Fundraising month raises $38,000 for Mt. Hood Hospice The Outlook; by Christopher Keizur; 7/30/25 A group of businesses came together to present an annual fundraising check to an organization all about caring for those at the end of their life. Every June is “Support Mt. Hood Hospice Month,” spurred by Clackamas County Bank. The campaign includes events and fundraising events that bring together all sorts of businesses, organizations and community members. This year, the combined efforts raised $38,493.22 for Mt. Hood Hospice. Those involved presented the check Thursday morning, July 24, at the hospice.

Association releases first-ever guideline on use of blood tests to diagnose Alzheimer’s disease McKnights Long-Term Care News; by Donna Shryer; 7/29/25 The Alzheimer’s Association has issued its first clinical practice guideline on the use of blood tests to help diagnose Alzheimer’s disease in people with cognitive impairment. Released at the 2025 Alzheimer’s Association International Conference this week, the guideline establishes performance thresholds that blood-based biomarker tests must meet before they can be used in specialized memory care settings. ... “This is a pivotal moment in Alzheimer’s care,” said Maria C. Carrillo, PhD, the Association’s chief science officer and a guideline co-author. “For the first time, we have a rigorously evidence-based guideline that empowers clinicians to use blood biomarker tests confidently and consistently.”

Georgia may be next for enhanced hospice oversight, regulatory affairs expert predicts McKnights Home Care; by Adam Healy; 7/29/25 Warning, hospice providers in Georgia. Your state may be the next target for the Centers for Medicare & Medicaid Services’ Provisional Period of Enhanced Oversight (PPEO). “If you are from Georgia, do not be surprised if something like this comes to your town soon,” Katie Wehri, vice president of regulatory affairs, quality and compliance for the National Alliance for Care at Home, said on the closing day of the Alliance’s Financial Management Summit Tuesday. “The reason is that the Medicare Payment Advisory Commission and CMS have both mentioned Georgia as an area where there’s a high number of new hospices.” Four states are currently the subject of PPEO: California, Arizona, Nevada and Texas. California — and specifically Los Angeles County — has been a hotbed of hospice fraud in recent years. 

The last day of July is a reminder to savor every moment of summer before it slips away. ~ Unknown

Terminally ill nursing home patients face needless ER visits, hospital stays HealthDay; by Dennis Thompson; 7/28/25 Terminally ill nursing home residents are being hounded to their graves with needless trips to the hospital, a new study says. About 80% of ER visits by terminally ill nursing home residents are potentially avoidable, researchers report in the Journal of the American Medical Directors Association. Likewise, nearly one-third of hospitalizations among these residents were needless, the study says. Pneumonia, urinary tract infections (UTIs) and sepsis commonly resulted in needless trips to the hospital for terminally ill patients, but better health care and management at nursing homes could have kept these people out of the hospital, researchers argue. 

Doctors’ own end-of-life choices defy common medical practice Medscape; by Cristina Ferrario; 7/29/25 A new survey revealed that most doctors would decline aggressive treatments, such as cardiopulmonary resuscitation (CPR), ventilation, or tube feeding for themselves if faced with advanced cancer or Alzheimer’s disease, choosing instead symptom relief and, in many cases, assisted dying. ... The researchers conducted a cross-sectional survey of 1157 physicians, including general practitioners, palliative care specialists, and other clinicians from Belgium, Italy, Canada, the US, and Australia. ... Over 90% preferred symptom-relief medication, and more than 95% declined CPR, mechanical ventilation, or tube feeding. Only 0.5% would choose CPR for cancer and 0.2% for Alzheimer’s disease. Around 50%-54% supported euthanasia in both cases.

Aveanna SVP: Hospice providers fed up with fraud Hospice News; by JIm Parker; 7/29/25 Issues surrounding Medicare fraud are “top of mind” for hospice providers, according to Jim Melancon, senior vice president of government affairs at Aveanna Healthcare Holdings (Nasdaq: AVAH). Reports of hospice fraud have proliferated in recent years, particularly in the four hotbed states of California, Arizona, Nevada and Texas. Fraudulent operators have used a slew of illegal or unethical tactics, such as enrolling Medicare beneficiaries in hospice care without their knowledge or without providing services. ... One principal tactic among fraudulent hospices is maintaining multiple provider numbers, hospice leaders told Hospice News on background. This enables perpetrators of fraud to move patients between the various hospices they own. Another common practice is transferring patients who have reached the payment cap to avoid recoupment.

National Alliance for Care at Home hosts inaugural Financial Summit National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/30/25 The National Alliance for Care at Home (the Alliance) successfully hosted its inaugural event, the 2025 Alliance Financial Summit, July 27-29 in Chicago, IL. The Summit brought together financial leaders from across the care at home community, with expert-led sessions, peer collaboration, and insights into market shifts and emerging technologies. More than 700 attendees and exhibitors participated in the comprehensive program, which featured keynote presentations, concurrent educational sessions, networking opportunities, awards, and celebration. ... “This first Alliance event exceeded our expectations, bringing together care at home leaders from across the nation to connect, learn, and recommit to our shared vision of an America where everyone has access to the highest quality, person-centered healthcare wherever they call home,” said Alliance CEO Dr. Steve Landers.

Hospice East Bay workers to strike Tuesday KRON-4, Bay Area, CA; by Bay City News; 7/29/25 Hospice East Bay workers say they will strike Tuesday to protest spiking caseloads. Nearly 80 nurses, social workers, chaplains and bereavement counselors at Hospice East Bay joined the National Union of Healthcare Workers in 2023. The group said they’re still seeking their first contract after about 18 months of negotiations. The group said Friday in a statement they “are fed up with a severe understaffing of nurses and frustrated that management is bargaining in bad faith and refusing to enshrine existing patient care protocols into a contract before the hospice turns over control to an out-of-state chain.” 

HopeHealth CEO on hospice, palliative care, and the future of serious illness support in Rhode Island Rhode Island PBS; by G. Wayne MIller; 7/22/25 HopeHealth President and CEO Diana Franchitto discusses her personal journey, the organization’s partnership with Brown University, caregiver and grief support services, and how HopeHealth is preparing for its 50th anniversary as a leader in compassionate end-of-life care. ... [Diana Franchitto, "Over the past half-century, HopeHealth has been a trailblazer for serious illness care. As we look to the future, we take that legacy seriously. We want our organization and our community to thrive, but we also have a role in helping the fields of hospice and palliative care thrive on a broader scale. ..."  

Millions of car drivers worldwide will now see a hospice message from Capital Caring Health thanks to the app LeadStory Capital Caring Health, Falls Church, VA; Press Release; 7/28/25 Capital Caring Health, a nonprofit hospice for adults and children, includes a special pediatric team called Capital Caring Kids (CCK). CCK is one of the largest dedicated pediatric hospice programs in the nation and is now the first to be recognized around the world through a new AI APP called LeadStory. LeadStory is an interactive personalized news service for car drivers – while the car is in motion, they can voice command any question for all news categories local, national, and international. When the car is stationary video appears on the touch screen. By the end of 2025, LeadStory will be on approximately ten million car touch screens. ... A 30 second video produced by Capital Caring Kids about its special mission of caring for children and their families regardless of ability to pay will appear a minimum of 6 times a week when vehicle touch screens are in video mode.