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Welcome to Hospice & Palliative Care Today, a daily email summarizing numerous topics essential for understanding the current landscape of serious illness and end-of-life care. Teleios Collaborative Network podcasts review Hospice & Palliative Care Today monthly content - click here for the current November podcast and here for all TCN Talks podcasts.
Home health, hospice CEO average pay tops $400K: report
McKnights Home Care; by Adam Healy; 2/19/25
The Hospital & Healthcare Compensation Service’s newly released 2024-2025 Multi-Facility Corporate Compensation Report offered an in-depth look at home health and hospice executives’ average earnings. The average CEO salary at a multifacility home health and hospice firm was $403,000, with the top 10% earning $603,000 and the bottom 10% making $278,000. Average salaries varied among other C-suite executives, with chief operating officers earning $247,000, top financial executives earning $265,000, and chief medical officers earning $285,000, on average, according to the report.
3 bold and disruptive strategies to retain top-performing leaders
Forbes; by Dr. Cheryl Robinson; 2/19/25
... The Global Leadership Forecast 2025 by DDI reveals a concerning trend: leaders are burning out at unprecedented rates. With 40% of leaders contemplating resignation due to burnout, top talent is either stepping down or disengaging, leaving organizations vulnerable to performance decline and talent gaps. The stakes are high. ...
[Click on the title's link for the full article; limited access per paywall.]
Hospice House seeking to regain tax exemption after losing it this year
Owatonna People's Press; by Josh Lafollette; 2/21/25
Despite a few hurdles ahead, there’s a light at the end of the tunnel for the community members seeking to reopen the Homestead Hospice House. After a difficult hiatus, the Hospice House is set to resume serving patients thanks to a partnership with Seasons Hospice, of Rochester. The house, which provided a comforting setting for patients in end-of-life care, closed over a year ago when the previous care provider, Allina Health, discontinued its services there, citing labor reductions within its system and a decline in patients requesting that specific service. Seasons signed a lease with the HHH Board earlier this week. While the future of the house is starting to become clear, the organization is still dealing with the ramifications of Allina’s departure.
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What is death positivity?
Phaneuf Funeral Homes & Crematorium, New Hampshire & Vermont; by Phaneuf; 2/19/25
Death positivity is a growing movement that challenges the long-held taboos surrounding death. Rather than shying away from the subject, death positivity encourages individuals and communities to discuss mortality openly. It’s about accepting death as a natural part of life, reducing the fear and stigma often associated with it, and using that acceptance as a foundation for better end-of-life planning and living more fully. Historically, many cultures—including those in the New England region—often treated death as a private, somber affair. Today, however, a new narrative is emerging: one that celebrates the life lived, honors the memories left behind, and helps families make informed, compassionate decisions about the future.
Hospice caregiver spends days with family during Arkansas winter storm
NBC News KARK - Maumelle, AR; by Neal Zeringue; 2/20/25
In icy conditions, many would not risk going up and down the steepest hills, but in-home care workers have. One in Maumelle even stayed away from home for days to be with a family on top of a dangerous hill. ... [Nelda] Michael’s husband has dementia and has had in-home care for 15 months. He needs constant attention. Because of the ice, nurses with Arkansas Hospice could not see him Wednesday, but on Thursday they were determined to give him care. However, Morgan Bartley and Michelle Kelley’s cars slid down the hill on one side of the road the Michaels live on top of. KARK 4 News found them stuck and helped them up from the other end of the road. “We were prepared to park our vehicles at the bottom and hike a mile up. Anything to get to him and to her,” Bartley said. [Click on the title's link to continue reading.]
Study shows end-of-life cancer care lacking for Medicare patients
Vanderbilt University Medical Center (VUMC) News; by Tom Wilemon; 2/21/25
The study involved patients of diverse ethnic backgrounds age 66 or older who died from breast, prostate, pancreatic or lung cancers. Many Medicare patients with advanced cancer receive potentially aggressive treatment at the expense of supportive care, according to a study that analyzed Medicare records. The study, published Feb. 21 in JAMA Health Forum, examined the quality of end-of-life care among 33,744 Medicare decedents. ... Overall, claims records showed that 45% of the patients experienced potentially aggressive care (such as multiple acute care visits within days of death), while there was a low receipt of supportive care, such as palliative, hospice and advanced care planning in the last six months of life. While hospice care spiked to more than 70% during the month that death occurred, over 16% of patients spent less than 3 days in hospices. Moreover, receipt of advanced care planning and palliative care remained below 25%.
Editor's note: Click here for the research article, "Contemporary Patterns of End-of-Life Care Among Medicare Beneficiaries With Advanced Cancer." Though this research was published just this past Friday February 21, 2025, multiple newsletters are posting it, highlighting different elements.
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Patients without family or health care proxies face overtreatment or limbo in hospitals
WHYY - PBS; by Maiken Scott; 2/24/25
A program matches unrepresented patients with volunteers who can make care decisions for them during health care crises. ... [Intensive care physician David] Oxman says unrepresented patients are a small, but growing group. Some have outlived their family members, or are estranged from them. Maybe they’ve moved a lot, sometimes substance use or homelessness plays a role. The situation is especially complicated with patients who have dementia, or who can’t communicate their wishes for other reasons. ... Most states have provisions where medical guardians and medical decision makers can be appointed by a court, but that takes a long time. In the meantime, a search for relatives begins. David Sontag, director of ethics for Beth Israel Lahey Health in Massachusetts, ... created a matching program where health care professionals volunteer to represent patients, not within their own hospital systems because that could cross ethical boundaries, but at other hospitals. “This is an opportunity for us to help some of the most vulnerable members of our communities, those who have nobody to speak for them when they can no longer speak for themselves. And that allows us to respect their autonomy throughout their lives,” he said.
More than 900 Californians have died of the flu so far this season amid low vaccine rates, state says
Los Angeles Times, CA; by Lila Seidman; 2/22/25
More than 900 Californians — including 15 children — have succumbed to the flu this season in what has turned out to be one of the worst surges of the respiratory illness in years, according to a report released Friday by the California Department of Public Health. Most of the influenza victims — 701 — were over 64 years old, which tracks with the conventional notion that the illness disproportionately affects older people. However, the number of children who have died has raised concerns. Four more kids died of the flu during the week ending Feb. 15, increasing the seasonal pediatric death toll by more than a third, according to the report.
How OU Health's Professional Practice Model is defining nursing excellence
Health Leaders; by G Hatfield; 2/24/25
This model enables [Oklahoma University] OU Health to elevate nursing education, practice, and outcomes, says this CNE. ... Stefanie Beavers, DNP, RN, NEA-BC, chief nurse executive at OU Health, and HealthLeaders Exchange ... The Concept: A professional practice model, according to Beavers, is an evidence-based practice that aligns organizational values with a framework driven by research and outcomes. The goal is to elevate nursing excellence and patient outcomes, but also to solidify the identity of the organization's teams. The OU Health Nursing Professional Practice Model was developed based on the Joanne Duffy Quality Caring Model, so that the organization could take caring behaviors and integrate them into OU Health’s values.
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Hospice Insights Podcast - Controlling the narrative: A new tactic for auditors and ALJs
JD Supra; by Bryan Nowicki and Meg Pekarske; 2/19/25
Hospices that have gone through audits are familiar with certain recurring reasons why auditors deny claims. Two common reasons are the lack of support for a six-month prognosis and the insufficiency of the physician narrative. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss a new twist on these kinds of denials, and how hospices can strengthen their documentation to try to avoid them.
Pennsylvania lawmaker introduces ‘No Patient Left Behind Act’
WHTM - PA Homepage; by Brady Doran; 2/19/25
A Pennsylvania lawmaker introduced a bill that would ensure hospitals have visitation policies that balance patient needs with public health protocol. According to Sen. Doug Mastriano (R-33), elderly patients left alone in hospitals experience faster physical and cognitive decline. The No Patient Left Behind Act, introduced by Mastriano, would ensure Pennsylvanians with medical treatment or end-of-life care have support by their sides. “Hospitals should be places of healing. However, for far too many, they have become places of loneliness, despair, and unnecessary suffering,” Mastriano said.
‘End-of-Life Options Act’ moving forward
The Famuan - Florida A& M University; by Myah Canidate; 2/22/25
In a world where medical advancements have extended life, the question of how we choose to end it has become increasingly pertinent. House Bill 471, commonly known as the Florida End-of-Life Options Act, proposes a significant shift in how terminally ill patients can approach their final days. This legislation would allow qualified individuals the right to request medication to end their lives peacefully, igniting a complex debate around autonomy, ethics and healthcare practices. ... Supporters of HB 471 argue that it offers a compassionate choice for those enduring unbearable suffering. ... Critics argue that vulnerable patients may feel pressure to choose this option, particularly in situations involving financial strain or family dynamics.
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US measles outbreaks: Nearly 100 people infected across two states
MSN; by Holly Large; 2/24/25
Outbreaks of measles have been declared in both Texas and New Mexico, as health officials report that nearly 100 cases have been identified across the two states. The Texas Department of State Health Services (DSHS) has reported that as of February 21, 90 cases of measles have been identified in the South Plains region since late January, with 16 of these people having been hospitalized with the illness. According to the DSHS, the number of cases is likely to increase, “due to the highly contagious nature of this disease.”
[Argentina] Government dismantles National Cancer Institute’s Palliative Care Program
Time.News; 2/24/25
As Javier Milei’s administration embarks on a controversial agenda aimed at reshaping Argentina’s public health system, a profound and alarming shift has taken place: the dismantling of the National Cancer Institute’s Palliative Care Program. This strategic move threatens the welfare of thousands of cancer patients and poses dire implications for the healthcare system at large.
Not everything that is faced can be changed, but nothing can be changed until it is faced. ~ James Baldwin
Honoring Black History Month 2025
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The Fine Print:
Paywalls: Some links may take readers to articles that either require registration or are behind a paywall. Disclaimer: Hospice & Palliative Care Today provides brief summaries of news stories of interest to hospice, palliative, and end-of-life care professionals (typically taken directly from the source article). Hospice & Palliative Care Today is not responsible or liable for the validity or reliability of information in these articles and directs the reader to authors of the source articles for questions or comments. Additionally, Dr. Cordt Kassner, Publisher, and Dr. Joy Berger, Editor in Chief, welcome your feedback regarding content of Hospice & Palliative Care Today. Unsubscribe: Hospice & Palliative Care Today is a free subscription email. If you believe you have received this email in error, or if you no longer wish to receive Hospice & Palliative Care Today, please unsubscribe here or reply to this email with the message “Unsubscribe”. Thank you.