Literature Review

Emergency Departments report more consults for hospice, palliative care Michigan State University, East Lansing, MI; by Michigan State University; 9/25/25 One-third of Americans will visit an emergency department, or ED, within a month of their death. While EDs are primarily purposed to provide emergent care, they’re increasingly becoming an initial touchpoint for hospice and palliative care, or HPC, referrals and consultations, according to a new study from several researchers at Henry Ford Health + Michigan State University Health Sciences.  Why this matters:

Initiation of pregabalin vs gabapentin and development of heart failureJAMA Network Open; by Elizabeth E. Park, Laura L. Daniel, Alyson L. Dickson, Meghan Corriere, Puran Nepal, Kathi Hall, W. Dale Plummer, William D. Dupont, Katherine T. Murray, C. Michael Stein, Wayne A. Ray, Cecilia P. Chung; 8/25Both pregabalin and gabapentin are common nonopioid medications used to treat chronic pain, which affects up to 30% of patients. Because pregabalin has greater potency than gabapentin in binding to the α2δ subunit of the L-type calcium channel, pregabalin may be associated with an increased risk for heart failure (HF). The findings suggest that pregabalin should be prescribed with caution in older patients with noncancer chronic pain.

B2B website navigation: Structure that guides complex buyersTrajectory; updated 9/29/25 ...  42% of users will abandon your website as soon as they experience issues with functionality or usability. ... When someone can't find basic information quickly, they don't just leave your website. They question your company's competence. ... If [the site visitor] can't find the information category they need within 10-20 seconds, they often assume it doesn't exist and leave. That's not much time to prove you have answers to their complex questions. Your navigation must immediately signal that you understand their needs and have the depth of information they require.Editor's Note: Though written for B2B, these lessons matter for hospice websites (B2C). Patients, caregivers, healthcare decision makers, and family members of diverse generations need clarity in moments of stress. Review your website’s navigation through their intergenerational eyes—can they quickly find what hospice is and how to begin care? Clear pathways reflect the heart of hospice care: guidance and compassion.

Expert: In preparation for debut of HOPE tool Wednesday, hospices should provide training, adhere to timelines McKnights Home Care; by Adam Healy; 9/28/25 With the Hospice Outcomes and Patient Evaluation (HOPE) tool scheduled to roll out Wednesday, hospice providers need to get up to speed, ... Katy Barnett, director of home care and hospice operations and policy at LeadingAge, told McKnight’s Home Care Daily Pulse ... "To be successful with the new tool, providers need to adhere to a few best practices. ... Providers should have a designated staff member making sure that their assessments are uploaded within 30 days of completion and that they are accepted by the iQIES system,” she said. “In the first quarter of implementation, meeting the 90% threshold for timely reporting of data is key.” Barnett added, “Providers need to make sure they’re meeting the two-day timeline for symptom follow-up visits and that they’re tracking completion either within their EMR or externally. This is really important since the visits will count towards publicly reported quality measures starting in January.”Guest Editor's Note, from Judi Lund-Person: For patients who are already on service on October 1, hospices will only use the HOPE discharge process and will not use the HUV or SFV visits.  Have you registered for iQIES yet? There is still time….. although every hospice will want to pay close attention to the 90% compliance threshold – if it is not met, there could be a 4% payment reduction for the following year. Good luck with your final preparations!

40 HR executives gathered to discuss today’s biggest challenges: Here is what they said Seramount; by Grace Licsko; 9/26/25 This month, Seramount convened more than 40 CHROs and senior HR leaders for our latest HR Executive Board Roundtable. The event included findings from Seramount’s interviews with 100 CHROs and featured a fireside chat with Jacqui Canney, Chief People and AI Enablement Officer at ServiceNow. Across the day, participants exchanged perspectives on a wide range of priorities, from culture and hybrid work to sustaining employee well-being. But the conversation largely centered around GenAI. Below are some key takeaways and themes from the conversation. 

One year after Hurricane Helene: Lessons in resilience, recovery, and renewal Hospice & Palliative Care Today; Joy Berger and Cordt Kassner with Vern Grindstaff, Millicent Burke-Sinclair, and Chris Comeaux; 9/26/25 At this time last year, Hospice & Palliative Care Today brought you a series of articles reporting on the devastating impact of Hurricane Helene across the Southeast, focusing on hospices in the North Carolina mountains. We remain deeply grateful for the many ways you—our readers and colleagues—rallied in support of those hospice organizations and their communities during their time of urgent need. This Saturday, September 27, 2025, marks the one-year anniversary of that epic disaster. To reflect on what has been learned and how recovery has unfolded, Vern Grindstaff (CEO of Compassionate Care WNC, Burnsville, NC), Millicent Burke-Sinclair (President and CEO of Four Seasons, Flat Rock, NC), and Chris Comeaux (President and CEO of Teleios Collaborative Network, Flat Rock, NC) gathered in conversation with Cordt Kassner (publisher) and Joy Berger (editor-in-chief). The insights that follow honor the hospice employees who persevered to provide urgent patient care. We celebrate their spirit of compassionate community and courageous problem-solving from the onset one year ago through ongoing recovery.

Welcome to fall top news stories September 2025 Teleios News Stories (TCN); pod/videocast hosted by Chris Comeaux with Cordt Kassner; 10/1/25As the seasons shift, so do the conversations shaping Hospice and Palliative Care.  In this week’s episode, host Chris Comeaux and Hospice data expert and co-host Cordt Kassner explore the latest headlines, challenges, and innovations impacting Hospice and Palliative Care. ... Covering a range of topics, including the impact of AI on Hospice Care, the importance of end-of-life visits, and the challenges of Hospice utilization trends.  Also highlights significant events and stories from the Hospice community, such as the launch of a new nursing scholarship program and the impact of Hurricane Helene one year later.

Awards and Recognitions: September 2025

Expert: In preparation for debut of HOPE tool Wednesday, hospices should provide training, adhere to timelines McKnights Home Care; by Adam Healy; 9/28/25 With the Hospice Outcomes and Patient Evaluation (HOPE) tool scheduled to roll out Wednesday, hospice providers need to get up to speed, ... Katy Barnett, director of home care and hospice operations and policy at LeadingAge, told McKnight’s Home Care Daily Pulse ... "To be successful with the new tool, providers need to adhere to a few best practices. ... Providers should have a designated staff member making sure that their assessments are uploaded within 30 days of completion and that they are accepted by the iQIES system,” she said. “In the first quarter of implementation, meeting the 90% threshold for timely reporting of data is key.” Barnett added, “Providers need to make sure they’re meeting the two-day timeline for symptom follow-up visits and that they’re tracking completion either within their EMR or externally. This is really important since the visits will count towards publicly reported quality measures starting in January.”Guest Editor's Note, from Judi Lund-Person: For patients who are already on service on October 1, hospices will only use the HOPE discharge process and will not use the HUV or SFV visits.  Have you registered for iQIES yet? There is still time….. although every hospice will want to pay close attention to the 90% compliance threshold – if it is not met, there could be a 4% payment reduction for the following year. Good luck with your final preparations!

55% of healthcare workers plan to change roles within 1 year: Survey Becker's Hospital Review; by Kristin Kuchno; 9/15/25 More than half of U.S. healthcare workers plan to change roles in the next year, according to a recent survey from Strategic Education. Fifty-five percent of respondents said they plan to search for job openings, interview for new positions or switch roles within a year — either within their current organization (38%) or externally (40%). ... Here are 11 things to know from the survey:

RECAP: NPHI convenes national leaders in Washington for annual fall Leadership Conference National Partnership for Healthcare and Hospice Innovation; Press Release; 9/23/25 The National Partnership for Healthcare and Hospice Innovation (NPHI) brought together CEOs and senior leaders from across the country last week for its Washington Leadership Conference, the organization’s annual fall gathering in the nation’s capital. ...

Top regrets people have in their final days Family Minded; by Owen Chase; updated on 9/17/25 ... When doctors and nurses spend time at the bedside, they listen to regrets that cut through small talk and trends. These regrets tell us that the things we don’t do often weigh more than the mistakes we make. 

The Alliance expresses concerns regarding MACPAC approach to HCBS rate setting National Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/18/25 The National Alliance for Care at Home (the Alliance) released the following statement in response to the Medicaid and CHIP Payment and Access Commission’s (MACPAC) discussion regarding home- and community-based services (HCBS) rate-setting held during today’s September MACPAC meeting. The Alliance appreciates MACPAC’s interest in addressing issues related to worker pay in HCBS. These workers should receive higher wages and benefits as they are the backbone of the long-term care system in our country. ... Unfortunately, we are concerned about the draft recommendation MACPAC discussed during today’s meeting. Rather than seeking to address the root-cause of low worker wages, MACPAC’s recommendation instead focuses on collecting additional information that would further describe the issue. This approach increases administrative burden on states and providers without actually proposing solutions to this problem.