Literature Review

Systems lean into nurse educator initiatives Becker's Clinical Leadership; by Mariah Taylor; 7/18/25 There is a key driver behind the nationwide shortage of nurses: a severe nurse faculty shortage. To solve both shortages, more systems and nursing programs are creating formal venues to enlarge the nurse educator pipeline. Like the nurse shortage, universities and nursing programs are facing a nurse faculty shortage that has reduced their capacity to accept and train students. Too few nurses are pursuing advanced degrees and becoming educators in the field, according to the American Association of Colleges of Nursing. So systems are developing programs that boost interest and remove barriers for nurses who want to teach. These programs — many of which launched in the last year — range in commitment and scale. Here are a few examples: ...

Rochester hospice provider pulls out of Owatonna project, sunsets community grief services PostBulletin,com, Rochester, NY; by Dené K. Dryden; 7/17/25 Citing multiple challenges, Rochester's Seasons Hospice will no longer be expanding into Owatonna and will pare back its community services through the Center for Grief Education and Support. In a Friday, July 18, press release to the Post Bulletin, Dawn Beck, president of the nonprofit hospice provider's board of directors, said "we have had to make the extremely difficult decision to restructure our grief services and to cease efforts to reopen the Homestead Hospice House in Owatonna." The Homestead Hospice House, previously operated by Allina Health, has been closed since summer 2023, the Owatonna Peoples Press reported. Since last year, Seasons Hospice had been fundraising to reopen the facility, but Beck said this week that staffing challenges, financial difficulties, issues with licensing and certification, for-profit competition and uncertainty around federal changes contributed to Seasons Hospice withdrawing from the project. ... In Rochester, starting Aug. 1, the Center for Grief Education and Support will no longer provide services to the community at large ...

51 healthcare leaders’ takes on doing more with less Becker's Hospital Review; by Allie Woldenberg, Kelly Gooch, Mariah Taylor, Giles Bruce, Kristin Kuchno, and  Andrew Cass; 7/17/25 It’s a directive that hospitals and health systems of every size know well — whether sprawling academic medical centers, multistate nonprofit systems or rural, independent 25-bed hospitals. While the phrase isn’t new, the urgency behind it is intensifying. The nation’s healthcare workforce remains fragile, forcing leaders to distinguish between staffing gaps that are temporary hurdles or structural limitations. Revenue projections for health systems have shifted dramatically ... Against this backdrop, Becker’s set out to understand how health system leaders across the U.S. are interpreting and enacting the mandate to “do more with less” today. From June 9 to July 15, we spoke with executives across the country, in every type of market, hospital, and health system, to hear how they are navigating this evolving landscape. ...Editor's Note: Scan through these with a sharp eye toward improving the quality of patient care while "doing more with less." I applaud many of these leaders for not just focusing on cutting costs, but for using these crucial changes as a vehicle to improve patient care.

Hospice of the Piedmont CEO: Doubling down on community-based support Hospice News; by Holly Vossel; 7/16/25 Virginia-based Hospice of the Piedmont is sharpening its focus on home-based care services and unfurling several initiatives in this realm. The future of end-of-life care delivery has increasingly shifted into the home, according to Nancy Littlefield, president and CEO at Hospice of the Piedmont. While demand for facility-based hospice care is also rising, sustaining these services has become increasingly difficult, she indicated. Several hospices have shuttered their facility-based programs in recent years, with many citing financial headwinds as a leading reason fueling inpatient center closures. Financial strains were among the challenges that led to the difficult decision to close Hospice of the Piedmont’s Center for Acute Hospice Care, Littlefield said. ... Hospice News recently sat down with Littlefield to learn more about how hospices are sustaining and growing their services in today’s economic and financial climate.

AI in action: Exploring how AI is helping hospices do things in new ways Husch Blackwell; podcast by Meg S.L. Pekarske with Dina Yankelewitz; 7/16/25 Husch Blackwell’s Meg Pekarske is joined by Dina Yankelewitz, CEO of Vitalis Care, a technology company that is harnessing AI technology to reduce staff burden and allow more time for patient care. Dina shares her vision and passion for the hospice space, discussing how she applied her background in education and learning methods to inform not only what tools to develop but importantly how they work for the end user. Dina and Meg explore what AI is good at as well as its limits and why scheduling optimization, compliance, and reimbursement were the first areas Vitalis tackled.

Leading after your predecessor fails Harvard Business Review; by Jordan Stark and Darcy Eikenberg; 7/16/25 ... Being promoted to lead after your predecessor fails is often anything but a victory lap. In fact, a 10-year longitudinal research project on executive transitions by consulting firm Navalent found that more than 50% of executives who “inherit a mess” fail within their first 18 months on the job. ...  Succeeding after your predecessor fails demands an entirely different leadership approach. 

AAPA asks CMS to remove regulatory restrictions on PAs providing hospice care American Academy of Physician Associates (AAPA); by Trevor Simon; 7/9/25 In June 2025, AAPA submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the topics of hospice, skilled nursing facilities, inpatient rehabilitation facilities, and inpatient psychiatric facilities. These comments, in response to annually released proposed rules that make adjustments to the hospice wage index and respective fee schedules, responded directly to inquiries made within the rules, as well as identified policy obstacles faced by PAs in these settings. [Continue reading for] a brief summary of the topics AAPA discussed in each, with links to the full letters.

Connecticut Hospice back on sound financial footing; many credit local business owner Barbara Pearce for turnaround CTPost, Branford, CT; by Mark Zaretsky; 7/12/25 Connecticut Hospice, the nation's first hospice facility, appears to finally be out of the financial woods now — but that wasn't the case a few years ago. And many people outside its inner circle may not know just how precarious its situation was and how a well-known business owner played a key role in the turnaround. Barbara Pearce, CEO of Pearce Real Estate, put her life and her role in the real estate company her late father founded on hold for six years to take over at Hospice and make hard decisions to steer it back to health. Hospice has new leadership now. New President and CEO Sylvia Allais is working to move Connecticut Hospice forward. 

Health care attorneys: Hospice investigations coming from all sides Hospice News; by Jim Parker; 7/8/25 Hospices are subject to a rising number of investigations and audits from Medicare contractors, the U.S. Department of Health and Human Services Office of the Inspector General and, in some cases, the U.S. Justice Department, among others. Hospices need to understand the various types of investigations they may encounter and how to respond to them. Key factors are completely and accurately documenting the medical necessity of the care they receive. Hospice News sat down with Guillermo Beades and Todd Brower, partners with the law firm Frier Levitt to discuss the ins-and-outs of hospice investigations and how providers should respond.

Reimagining hospice in an AI world: In a digital age, how should technology & humanity coexist?HomeCare; by Michelle Cone; 6/3/25Technology is transforming home-based care, but not at the expense of the human touch. As the industry embraces tools like telehealth, remote monitoring and artificial intelligence (AI)-powered care planning, the goal isn’t to replace caregivers but to support them. These innovations boost efficiency and communication, but the heart of hospice—real connection, empathy and human presence—still drives care during what is often a deeply emotional time for families.

Hospice programs shutter amid financial strains Hospice News; by Holly Vossel; 7/3/25 Financial and staffing headwinds are chipping away at hospices’ sustainability, with some providers recently pausing or closing their programs. Concerns have also mounted amid federal Medicaid cuts.

Reopening of Hospice House stalls after Seasons Hospice exits Steele County Southernminn, Faribault, MN; by Annie Harman; 7/1/25 What has been a continuing journey of peaks and valleys has come upon yet another roadblock as volunteers with the Homestead Hospice House announce the reopening of the residential hospice facility will be put on hold. The news comes after Seasons Hospice, a nonprofit hospice care organization based out of Rochester, has made the decisions to discontinue their home care and hospice services in Steele County. Seasons had initially partnered with the board of the Homestead Hospice House in August 2024 to work toward reopening the facility, raising $850,000 — $350,000 to reopen the facility and cover startup funds for IT and staff, and an additional $500,000 to secure operating funds for the first year. 

Natural disasters, climate change, and the impact on hospice and palliative care teams and their patients American Academy of Hospice and Palliative Medicine (AAHPM) Quarterly; by Larry Beresford; Summer 2025 Edition, 7/3/25 Several recent natural disasters, including highly destructive wildfires in Los Angeles and Maui and flooding in the North Carolina hills caused by rains from Hurricane Helene, have provided vivid reminders that disasters can happen anywhere, anytime. Hospice and palliative care providers, responsible for the care of patients with serious illnesses who live in their homes and in long-term care facilities, could be dealing with disruptions in power or phone service, other communication barriers, staffing shortages, impassible roads, even large-scale evacuations of their patients. ... Are agencies doing what they can to plan, prepare, and practice for managing disasters, which could also include human-caused crises or events like earthquakes that are not subject to weather or climate?