Literature Review

Anonymous donor helps Grace House buy Highland Square’s Leonora Hall Signal Akron; Akron, OH; by Shams Mustafa; 8/17/26 A new chapter is beginning for Highland Square’s Leonora Hall after a nonprofit organization, Grace House Akron, purchased the property with the unexpected help of an anonymous donor. ... The acquisition means the property has a new owner following the closure of the Francesca Residence and the displacement of its mostly elderly residents. In a statement, Grace House representative Jen Boroff said that the nonprofit, which provides end-of-life care and housing for people who are indigent, unsheltered or abandoned, sees potential for the site to strengthen its mission and serve the broader community but that the organization has not yet decided how it will use the property.

Columbus Hospice purse party raises $16,000 at Bibb Mill Event Center WTVM-9, Columbus, GA; by Jason Williams; 8/15/26 Columbus Hospice hosted its 11th annual Purse Party at the Bibb Mill Event Center, raising $16,000 — surpassing its $10,000 fundraising goal. ... More than 400 purses were available at the event. Attendees could visit a bargain table, make a donation in exchange for a purse, bid in a silent auction, or participate in a live auction that featured male models displaying purses. ... Terri Roberts, vice president of business development at Columbus Hospice, said all funds raised go back into the organization’s mission. “And we do not turn anybody away regardless of their ability to pay. ..."

The healthcare partnership nobody is talking about: hospice + FQHCs | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Kyle Ahlenstorf; 8/12/26 What if one of hospice’s most valuable community partners has been hiding in plain sight? In Part One of The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs, Chris Comeaux sits down with Kyle Ahlenstorf, CEO of Infinity Health, to explore the largely untapped opportunity for hospice and palliative care organizations to build meaningful partnerships with Federally Qualified Health Centers (FQHCs).  Kyle brings more than a decade of clinical and executive healthcare experience, with a particular focus on rural healthcare, access, and sustainable patient-centered care. Kyle breaks down what FQHCs actually are, whom they serve, and why their mission aligns so naturally with hospice and palliative care.

Where hospice fails us: A qualitative study of facilitators and barriers in transitions to hospice according to palliative care cliniciansJournal of Palliative Medicine; by Morgan M Nakatani, Julia G Cohn, Kris W Herring, Thomas W LeBlanc; 7/26Transitions to hospice are challenging for patients, caregivers, and health care teams, yet few studies have examined gaps in care from the perspectives of referring palliative care (PC) clinicians. PC clinicians identify substantial barriers to hospice transitions, underscoring the need to improve access to comprehensive end-of-life care. Clinicians emphasized the value of hospice and the Medicare benefit, while identifying barriers to hospice transitions [including] ... inadequate caregiving support, limited reimbursement, uncertainty around eligibility and prognostication, and differences between for-profit and non-profit hospice agencies. These barriers contributed to inequitable access to hospice and gaps in care.

[Canada] Daughter says elderly father chose MAiD due to 'loss of hope' after not qualifying for hospice LiveAction.org; by Bridge Sielicki; 8/11/26 Colleen De Vos told EWTN News Nightly that her 85-year-old father died in 2023 after being diagnosed with terminal chronic obstructive pulmonary disease (COPD). Though he had initially agreed to hospice or in-home palliative care, he was denied the care he needed. “He was turned down on two occasions, deeming that his diagnosis wasn't enough to warrant hospice care,” De Vos said. “That was a surprise to us because we could see he was deteriorating very quickly.” Nevertheless, he was able to qualify for MAiD. “The irony of the availability of MAiD that could be arranged very quickly... sidelined us very much,” she said. ...

Local philanthropy ensures dignified death for allThe Daily Sentinel, Grand Junction, CO; by Jace Dicola; 8/8/26It’s no surprise that the majority of Americans want to die in their home, comfortable and without financially burdening others. Satisfying all three criteria can be easier said than done; however, end-of-life care providers are a reliable solution for most people, since they typically deliver care in-home, focus on patient comfort and accept most insurance. But when it comes to people who are unhoused or uninsured, hospice care is often far from guaranteed. ... That reality looks different in much of western Colorado, primarily because of hospice and palliative care provider HopeWest.

Chapters Health System announces expansion of care in Sarasota County PR Newswire, Temple Terrace, FL; by Chapters Health System; 8/11/26 Chapters Health System announced that it received another certificate of need to develop a Chapters Health Hospice program in Sarasota County in Florida. The award expands the organization's footprint and offers the chance to bring industry-leading chronic illness care to the Sarasota community. ... Chapters Health provides hospice care for more than 21,000 individuals each year across Florida through its comprehensive care model, ...  Thanks to the support of the Chapters Health Foundation, the organization also provides more than $10 million in charitable and uncompensated care each year to those in need.

How California’s hospice industry spiraled out of control — and cost millions in fraud Los Angeles Daily News, Los Angeles, CA; by Jason Henry; 8/9/26 A quiet change in California law in 2018 unleashed a deluge of new hospices and spurred millions of dollars in Medicare fraud that state and federal authorities are still trying to unwind. ... It all started with three paragraphs added, at the request of the California Department of Public Health, to the end of an omnibus bill in 2018. CDPH had a backlog of 72 applications for hospice licenses at the time and wanted legislators to provide an alternative to a major bottleneck: its own inspectors. Under SB 1495, hospices could choose to pay a third-party accrediting organization for the inspection needed for a license, instead of waiting weeks or months for the next available state employee. ... Unlike a restaurant, which must undergo fire, building and health inspections, the vast majority of hospices in California could suddenly obtain a license, and even approval to bill Medicare, without a public employee stepping foot on the property. ...

52 hospitals closing departments or ending servicesBecker's Hospital Review; by Andrew Cass; 8/7/26A number of healthcare organizations have recently closed medical departments or ended services at facilities to shore up finances, focus on more in-demand services or address staffing shortages. Here are 52 department closures or services that are ending or have been announced, advanced or finalized that Becker’s reported since Jan. 1: ... [#40 names, "Minot, N.D.-based Trinity Health is suspending home health and outpatient hospice services. ...] 

Mandatory mortality surprise question screening in the ED: Identification and associations with end-of-life care outcomesJournal of Palliative Medicine; by Nancy Kim, Karen Jubanyik, Peiyuan Liu, Giselle O'Connor, Ling Han, Rohit B Sangal, R Lynn Fiellin, Jennifer Kapo, Elizabeth Prsic, Shelli Feder; 7/26Early identification of patients with serious illness remains challenging in the emergency department (ED), where clinical decisions are made under time constraints. The mortality surprise question (MSQ) is a brief prognostic screen that may help identify patients needing end-of-life services. Results: Among 113,397 admissions (74,816 patients), MSQ completion was 100%; 7.8% received a "No" response. A "No" response was strongly associated with increased palliative care consultation ... , ACP documentation ... , hospice referral ... , comfort-measures-only orders ... , hospice disposition ... , higher inpatient mortality ... , and increased 30-day readmission ... Palliative care consultation occurred earlier among MSQ "No" than MSQ "Yes" encounters.

"It felt like throwing in the towel": Family caregiver perspectives on end-of-life decision making in chronic obstructive pulmonary diseaseJournal of Palliative Medicine; by Natalia Smirnova, Tivona Batieste, Sarah H Cross, Samir Jamdar, Catherine S Peterson, Camille P Vaughan, Dio Kavalieratos; 7/26Chronic obstructive pulmonary disease (COPD) has an unpredictable trajectory and high symptom burden, complicating end-of-life (EOL) decisions around place of death and hospice use. We conducted semi-structured interviews with bereaved caregivers of people with COPD who received pulmonary care at a U.S. academic center and died within 12 months. Fifty-six percent of decedents received hospice; 33% died at home. Caregivers described five themes: missed prognostic cues and poor communication; hospice as both loss and relief; home as ideal but hospital as default; financial influences on decisions; and mismatch between hospice and COPD needs. Caregivers identified a readiness gap driven by prognostic uncertainty, communication challenges, and financial constraints.

Hospice's bad reputation amid fraud crisis will hurt patients, industry experts warn U.S. News & World Report; by Laurie Udesky and KFF Health News; 7/30/26... “The fraud situation has done a lot of damage to the reputation of hospices overall and undone a lot of the progress that had been made in destigmatizing hospice,” said Lauren Hunt, an associate professor at the University of California-San Francisco’s Philip R. Lee Institute for Health Policy Studies who focuses on hospice care. “Policymakers should pursue targeted strategies that root out fraud and abuse without overburdening the many providers who are doing the right thing.” ... Hunt said she’s heard from California healthcare providers who are reluctant to refer patients to hospice because they’re unsure the patients will receive high-quality care and from patients who don’t know which hospice providers they can trust.