Literature Review

New CMS delivery models enable senior living providers to get paid for what they’re already doing McKnights Senior Living, Nashville, TN; by Kimberly Bonvissuto; 4/1/26 Speakers at the 2026 National Investment Center for Seniors Housing & Care Spring Conference on Tuesday shared several new federal programs that offer senior living providers opportunities to showcase their value and to get paid for what they are already doing in chronic disease prevention and management. 

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.  

Seniors who say they’re “not afraid of death” often still carry these quiet worries they don’t talk about Bolde; by Julie Brown; 4/1/26 My grandmother said it so matter-of-factly that it almost stopped the conversation. ... "I'm not afraid of it," she said. "I've had a very good life. When it's time, it's time." And she meant it. I believed her completely. But then, a few minutes later, she mentioned almost in passing that she hoped she wouldn't "get confused" at the end.

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)

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.” 

Top ten tips palliative care clinicians should know about wound care Journal of Palliative Medicine; by Nicole Dussault, Jared Morphew, Veronica Nwagwu, Brittany Gatta, Angela Richardson, Nancy Payne, E Foy White-Chu, Lidiette Wilson, Heather Dalton, Christopher E Winstead-Derlega, Katherine Ramos, Christopher A Jones; 3/30/26 ... In this article, we outline key tips for assessing and managing wounds, including understanding prognosis and goals of care, evaluating care settings, tailoring management to the underlying disease process, and addressing symptoms such as pain, odor, and psychosocial distress. A thoughtful, interdisciplinary approach is essential to reduce the physical and emotional burden wounds place on patients and caregivers.Editor's Note: As CMS implements the HOPE (Hospice Outcomes & Patient Evaluation) Tool as of October 1, 2025, skin and wound assessment becomes a visible quality marker in hospice—requiring structured documentation, ongoing reassessment, and clear alignment with patient goals. 

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.

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.]

Homecare & Hospice 'thrilled' with community support of fundraiser The Batavian; Batavia, NY; Press Release; 3/31/26 The HomeCare & Hospice Foundation is thrilled to celebrate the success of its annual bouquet sale fundraiser, which once again brought the community together to support compassionate hospice care. This year, a total of 882 18-stem bouquets and 80 nine-stem bouquets were sold, raising critical funds to support patients and families in our region. ... Pop-up sales were held at nine locations, staffed by a dedicated team of 51 volunteers and staff.

* CEO, Hildegard House, nonprofit, Louisville, KY

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.

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."

Generations: Women’s History Month helps us remember women in our own history The Bemidji Pioneer; by Sue Bruns; 3/28/26 Whether you’re a history buff or not, I encourage you to take the last few days of March to reflect on some of the women you know or have known who are worthy of your admiration and reflection. ... I did a little online exploration and read about a few women I don’t recall my history classes mentioning. I encourage readers to go online and search sites like www.history.com and www.nationalwomenshistoryalliance.org. ... I have been blessed with truly amazing, strong, industrious, intelligent and compassionate women. Starting with my own mother.