Literature Review

Impact of outpatient palliative care consult triggers on end-of-life outcomes in a VA hematology/oncology clinic Medscape; by Morgan Lyttle, MD, Michelle Popadiuk, MBA, LPN, RHIT, ODS-C, Seema Limaye, MD, Alexi Vahlkamp, Shannon Carrigan, MD, and Jean Vendiola, MD; 9/4/26 ... Conclusions: Outpatient palliative care (PC) triggers successfully shifted referral origin from inpatient to outpatient, halved the rate of trigger-eligible patients not receiving PC, and maintained hospice engagement despite loss of the inpatient oncology service. Future directions include expanding triggers to other subspecialty clinics managing oncology patients.

Dementia associated with shorter survival, fewer days at home after hip fractureHealio; by Ashlee Moore; 9/2/26Key takeaways:

Office of the Governor — Gov. Green announces $58 million federal investment to strengthen rural healthcare across Hawaiʻi The America Watch - State of Hawai'i, Honolulu, HI; by Office of the Governor, Josh Green, MD; 9/1/26 Governor Josh Green today announced $58 million in federal funding through the Rural Health Transformation Program (RHTP) to improve access to healthcare and strengthen services in rural and underserved communities across Hawaiʻi. “As a physician who has practiced in rural communities, I know that distance can determine whether someone receives care in time,” said Governor Green. “This $58 million federal investment will help us train and retain more healthcare professionals, provide new ambulances in every county and modernize emergency communications. ..."

'They took care of me too': HIA Heather's House marks 1-year, nearing 400 patients InForum | Fargo Forum, Fargo, ND; by Kevin Wallevand; 8/28/26 Heather's House is celebrating its first year open, with nearly 400 patients receiving care through HIA so far this year. [HIA's Heather's House is North Dakota's first freestanding, inpatient hospice house. HIA had previously been known as Hospice of the Red River Valley before changing its name in June.] Editor's Note: Congratulations on this significant success. From an article we posted one year ago when they opened: "Ground was broken for the facility three years ago and administrative offices were moved into the building in February, but the dream began many years before that with hospice trailblazers Mary Lou Dahms, Sonia McManus and Edie Lohr." Be inspired by connecting-the-dots between their "dreams" and your own with today's "Today's Encouragement."

An exploration of gratitude on well-being in hospice and palliative care familial caregiversJournal of Palliative Medicine; by Kathryn Levy, Pei C Grant, Hannah Rachiele, Gina Schuster, Jonathan L Rossi, Sheila Conboy, Andrew Gasper, Christopher W Kerr; 7/26Familial caregivers (FCGs) play a critical role in health care by providing unpaid care to loved ones with serious illness. Although caregiving is often associated with emotional and physical burden, increasing attention has been directed toward potential sources of meaning and psychological growth, including gratitude. Higher levels of gratitude were associated with greater flourishing and recognition of positive caregiving experiences and were inversely associated with caregiver strain among FCGs of hospice and palliative care patients. Future longitudinal and intervention-based research is needed to determine whether gratitude-focused approaches can improve resilience, psychological well-being, and relational connection in end-of-life caregiving.

American Society of Nephrology (ASN) comments on CY2027 ESRD PPS QIP Requests for Information (RFIs)American Society of Nephrology; official comments letter from ASN to Centers for Medicare & Medicaid Services; 8/24/26RE: CMS-1846 Medicare Program; CY2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program On behalf of the more than 37,000,000 Americans living with kidney diseases and the 22,000 nephrologists, scientists, and other kidney health care professionals who comprise the American Society of Nephrology (ASN) ... In this letter, ASN provides feedback on the following requests of information (RFIs): ...

Housing instability complicates end‑of‑life care for aging unhoused populationsThe Miami Times; Pilar Ingle; 8/25/26 ... Nationally, 771,480 people — the highest number ever recorded — experienced homelessness in 2024. As the number of people experiencing homelessness in the U.S. grows, so too does the need for palliative and end-of-life care for these individuals. ... Research has found that specialized health care in general is more effective and affirming for unhoused individuals than traditional health services. Examples of such specialized palliative programs in the U.S. and internationally include the Rocky Mountain Refuge, the INN Between and the Harborview Homeless Palliative Care Team in the U.S., and Palliative Education and Care for the Homeless in Canada.

Understanding the hospice journey: care, comfort, and connection in assisted living WriteUpCafe; Oakdale Heights Assisted Living; 8/25/26 Hospice care can feel like unfamiliar territory for families, especially when a loved one is already receiving support in assisted living. It is natural to have questions about what happens next, who provides care, and how everyday needs will be handled. ...

Aging Luzerne County prison population cited as challenge The Dallas Post; by Jennifer Learn-Andes; 8/22/26 During recent legislative testimony about crime trends, Luzerne County Manager Romilda Crocamo highlighted the aging prison population as a concern that must be addressed. Older inmates with “escalating chronic health needs” are contributing to rising medical costs and challenging a prison staff “increasingly called upon to manage geriatric and end-of-life care in a setting never designed for it,” she told the Senate Majority Policy Committee and House Republican Policy Committee at a hearing earlier this month in Hazleton. “Corrections officers are trained for security, not hospice care,” Crocamo told the legislators, emphasizing “graying behind bars” is an emerging issue statewide. 

Pittsburgh Caregivers get federal lifeline as dementia cases swell across Allegheny County hoodline; by Ryan Miller; 8/21/26 Caregivers looking after loved ones with dementia in Pittsburgh now have a new federal tool to lean on, and it is already showing up at a day center in Squirrel Hill. The Anathan Club, run by the Jewish Association on Aging, has begun connecting families to the Guiding an Improved Dementia Experience Model, a Medicare program that can cover up to $2,500 a year in respite care for qualifying beneficiaries. The Guiding an Improved Dementia Experience Model, known as GUIDE, was developed by the Centers for Medicare and Medicaid Services and launched nationwide on July 1, 2024, as an eight-year voluntary pilot running through June 30, 2032, according to CMS. Nearly 390 provider organizations across the country are participating. 

Nearly one in five Medicare hospice patients now leaves the program alive rather than through death Medical Daily; by Dorothy Brooks; 8/17/26 Almost one in five people who leave Medicare hospice care each year leaves alive rather than through death, and the share has climbed every year since 2021. Federal data released this spring put the live discharge rate at 19.1 percent in fiscal year 2025, up from 16.9 percent four years earlier. For families, this is the rule almost nobody explains at enrollment. Hospice is not a permanent placement. It is a benefit tied to a prognosis, and when that prognosis changes, the benefit can end while the patient is still living, still ill, and still needing care. Understanding it before it happens is the difference between a planned transition and a phone call that lands like an eviction.