Literature Review

Etched in time: Hope Hospice making extra effort to recognize, appreciate New Braunfels-area veterans New Braunfels TheHerald-Zeitung, New Braunfels, TX; by Erica Wilson; 3/20/25 ... [Photo] The Veterans Plaza on Hope Hospice's New Braunfels campus is pictured on Wednesday, March 19, 2025.  ... Of Hope Hospice’s patients in the New Braunfels area, about one-fifth are typically veterans. ...  [Descriptions of their "We Honor Veterans" program.] ... [In] a show of support for community veterans, Hope Hospice’s main campus in New Braunfels has a veterans plaza honoring both living and deceased veterans. Bricks engraved with veterans' names surround a flagpole on the campus.  All veterans are eligible to have their names displayed in the plaza, whether or not Hope Hospice has served their families. Bricks can be purchased for $50, and funds go toward supporting Hope Hospice’s efforts to support veterans at the end of their lives.

Hospice of the Panhandle gets van through grant The Journal, Martinsburg, WV; 3/19/25 As a result of a generous state Local Economic Development Assistance (LEDA) grant secured by state Sens. Jason Barrett and Patricia Rucker and former state Sen. Craig Blair, Hospice of the Panhandle was able to purchase this 2025 Toyota Sienna custom van, designed for non-emergency transportation. Since coming into service on March 1, the van has transported 15 patients to and from area hospitals to Hospice’s Inpatient Facility and from the IPF to patients’ homes. “We are so excited to provide this much-needed service,” said CEO Nikki Bigiarelli. “It assures that we can get patients into hospice care, to our facilty and to their homes safely and quickly.”  

‘Disturbing’ outlook: Hospices’ top regulatory concerns in 2025 Hospice News; by Holly Vossel; 3/20/25 Telehealth policies and program integrity concerns represent two of the leading regulatory issues on hospices’ radar this year. Regulatory changes and increasing oversight were the second-most cited concerns among nearly a quarter (21%) of 112 hospice professionals who participated in this year’s Outlook Survey by Hospice News and Homecare Homebase. Challenges around staffing and improved public awareness also topped the list of providers’ concerns. This is the third piece of this three-part Hospice News series that explores the significant regulatory challenges facing hospice providers in 2025. 

10 things hospice doesn’t tell you, shared by a Cleveland Clinic doctor The Healthy; by Patricia Varacallo, DO (author) with Laura Hoeksema, MD, MPH, FAAHPM (medical director for Cleveland Clinic Hospice); 3/19/25 ... Dr. Hoeksema shares key insights about hospice care and reminds patients and families that the hospice team is always available to answer questions and provide support when things feel uncertain.What hospice does not tell you, but you should know:

From heroes to burnout: How we failed our frontline health workers MedPage Today's KevinMD.com, and excerpt from Health Care Nation; by Tom Lawry; 3/15/25 Of all the lessons learned from fighting a pandemic, none was more frightening or important than discovering how dependent the system is on how we treat our doctors, nurses, and frontline caregivers.  They were already in short supply, with burnout on the rise, when the pandemic hit. As multiple waves of COVID-19 variants washed over us, frontline health workers stepped in at great risk and personal sacrifice to care for highly infectious patients. ... Some witnessed more deaths on a double shift than they did in a normal year. They delivered the bad news to families and managed end-of-life care. They were often the last face and warm voice a COVID-19 victim saw and heard. In the end, they not only saved lives but saved the system from total collapse. ... We called them heroes. And we promised to do better in how we treated them once the COVID-19 crisis passed. Promises made should be promises kept. While we continue to talk about workforce burnout using polite terms with concern in our voices, let us be clear: A system with a mission of healing continues to harm in record numbers the very people in short supply who are there to take care of the rest of us. ... [Click on the title's link for more.]

Salutes hospice staff, volunteers The Messenger, Fort Dodge, IA; Letter to the Editor by Mary E. Larson; 3/19/25 My heart was saddened when I heard that the Paula J. Baber Hospice Home is closing. I was the volunteer coordinator for UnityPoint Hospice volunteers from 2003-2022. A lot of our volunteers spend many hours in our wonderful Hospice Home helping our patients, their families and guests and staff. This home is such a blessing to our community. When our patients would come to the hospice home, our staff would care for them so their loved ones could spend more time being with them in their final days. ... It will be a huge loss for our community when it closes. Mary E. Larson

Create an everlasting memory of your loved one with an engraved brick at the Hospice Alliance Memorial Brick WalkKenosha.com, Kenosha, WI; by Hospice Alliance; 3/28/25When you purchase an engraved brick, your tribute helps support Hospice Alliance's not-for-profit mission. Each summer, in June, Hospice Alliance hosts a gathering of staff, families, and friends to honor the loved ones who have passed in our care.  ... Special attention is given to those who have lost a loved one during the previous year, and to those who purchased a Memorial Brick laid at our Founders Hall brick walk during the past year. [Click on the title's link for a photo.]Editor's note: We post this as a meaningful example of legacy-based donor engagement. Other hospice organizations have this or similar, long-lasting, visible memorials, such as Bluegrass Navigators (formerly Hospice of the Bluegrass) in Lexington, KY. 

VITAS Healthcare is first hospice organization to earn American Heart Association Heart Failure Certification across all 15 states and DC Florida News Guide, Miami, FL; Press Release; 3/18/25 ... VITAS has become the first nationwide hospice provider to earn the American Heart Association® Palliative/Hospice Heart Failure certification across all 15 states in which it operates. The certification applies to 56 unique VITAS service areas, including the District of Columbia. ... “Many patients with heart failure do not receive the hospice care that could significantly improve their final months of life,” said Joseph Shega, MD, executive vice president and chief medical officer at VITAS. “This certification affirms our commitment to providing evidence-based hospice care that helps patients and families navigate advanced heart disease with dignity, comfort and the right level of support.”

How work in the hospice field differs from hospital work Healthcare Business Today; 3/17/25 ... How work in the hospice field differs from hospital work goes beyond the obvious difference in care settings—it reflects a fundamental shift in approach, focus, and philosophy. Hospice focuses on enhancing quality of life, while hospitals often prioritize life-saving interventions. This contrast not only shapes patient care but also defines the role of the medical teams in these environments.

Leadership with grit, grace, and a bold heartTeleios Collaborative Network; by Lynn Flanagan and Tina Gentry; 3/14/25 Leadership is not for the faint of heart!  It demands adaptability, resilience, and empathy. We all know that when we talk about leadership, we often use metaphors. The metaphor that strikes a chord with both of us is that of “grit, grace, and a bold heart.”  Leading in this way sometimes comes with titles such as “The Velvet Hammer” or “The Big Heavy,” but we digress. Grit, grace, and a bold heart may seem contradictory, but they are all essential elements to create an environment where people and ideas thrive. ... When these three elements - grit, grace, and a bold heart —come together in a leader, they create a powerful combination. It is the resilience to weather storms, the empathy to connect deeply with others, and the passion and courage to drive transformative changes. ...

Is Medicare ready for an aging america? Home-based care offers hope RealClear Health; by Jonathan Fleece, JD (President and CEO of Empath Health) and Dr. Steve Landers (CEO of the National Alliance for Care at Home); 3/12/25Too often, families face an impossible situation: a loved one is ready to leave the hospital, but no home health provider is available. Or they’re told hospice is the best option, but administrative red tape delays access to comfort and support. These failures put patients at risk. ... This experience underscores why policymakers must protect and expand access to home-based care—before more patients fall through the cracks. ... According to one analysis, in a recent three year period, hospital stays for patients waiting to be discharged to post-acute care providers increased by 24 percent, deteriorating health outcomes and quality of life. Discharge delays – caused by hospital capacity issues and workforce shortages – not only cause harm to patients; they also add unnecessary strain and costs on our healthcare system.

MedPAC’s flawed recommendations would harm patients and increase costs National Alliance for Care at Home, Alexandria, DC and Washington, DC; Press Release; 3/14/25 The National Alliance for Care at Home (the Alliance) released the following statement on the Medicare Payment Advisory Commission’s (MedPAC) March 2025 Report to Congress: Medicare Payment Policy. ... “MedPAC’s recommendations are based on flawed and incomplete analyses with conclusions unsupported by all the available facts. These recommendations severely undervalue the critical role that home health and hospice providers play in ensuring the health and well-being of Medicare beneficiaries,” said Alliance CEO Dr. Steve Landers. “Recommending unthinkable cuts for home health and stagnant payment rates for hospice in the face of workforce shortages and inflation threaten access to these vital services for our aging population and undermine the dedicated providers who support them. ..."