Literature Review

Nursing home ratings and characteristics predict hospice use among decedents with serious illnessesJournal of the American Medical Directors Association; by Ellis C Dillon, Chae Man Lee, Wenqi Gan, Doreek Charles, Germine Soliman, Julie Robison; 4/26Approximately one-third of older Americans experience a nursing home (NH) stay within 3 months of death, but it is unclear how NH characteristics influence end-of-life care.  Short-term (vs long-term) NH stays were associated with increased odds of hospice use and short hospice use. Individuals with long-term stays had lower odds of hospice use with stays at NHs with the highest (vs lowest) CMS ratings for quality measures and staffing ... Those with short-term stays had lower odds of hospice use with stays at NHs with the highest CMS Health Inspection ratings. People with long-term stays at NHs that were part of a chain, had Alzheimer's care units, or had more beds had increased odds of hospice care. Conclusions and implications: Among Connecticut Medicaid-insured decedents with NH stays, people with long-term stays and stays in NHs with better CMS ratings had lower odds of hospice use. Assistant Editor's note: This summary article highlights an important issue and an excellent opportunity for future analysis in a broader context. Intuitively, we'd like to see highly rated NHs have higher hospice utilization. 

You were born an original. Don't die a copy. ~ John Mason

Why artificial intelligence displacement threatens medical specialties MedPageToday's KevinMD.com; by H. Michael Boulton, MD; 5/3/26 Diagnostic radiology, as a physician-staffed specialty, will not exist in its current form within 20 years. Neither will diagnostic pathology. Neither, in all likelihood, will the outpatient model of endocrinology or general internal medicine as we currently understand it. These are not fringe predictions from technologists who have never set foot in a hospital; they are the logical endpoint of capability curves that are already clearly in motion, ... I know that will make a lot of my colleagues uncomfortable. I get it. But I would argue the real problem is not the prediction; it is that we keep avoiding the conversation.

A guide to visiting a nursing home: tips for meaningful connection U.S. News & World Report | Health; by Claire Wolters and Rachael Hood; 5/6/26 If you have a loved one in a nursing home, frequent visits can help them feel loved and fight loneliness. Here's how to make the most of your visit. ...

The power of a visiting nurse: from Marian Watts to Nona’s visiting nurse to Katina Zaninovich Noozhawk, Santa Barbara, CA; by VNA Health; 5/5/26 “My experience caring for my Nona at home and watching the visiting nurse greatly impacted my decision for home care,” shares Katina Zaninovich, RN. ... The history of visiting nurses dates back to the 19th century, when rapid urbanization and widespread poverty created a need for healthcare services beyond hospitals. In 1908, a visiting nurse, Marian Watts, founded the Visiting Nurses Association of Santa Barbara, California’s third oldest VNA. In that first month, one visiting nurse made 140 visits. Today, ...

Where do unhoused people go to die? The Denver Clarion, Denver, CO; by Hawke Baldwin; 5/4/26 ... On April 29th 9News presented its documentary “Refuge” in DU’s Anderson Academic Commons, giving viewers a glimpse into the reality of death. “Refuge” is a sad yet inspiring story that delves into end-of-life care for those both terminally ill and unhoused in Denver. ... A person featured in the film is James Patrick Hall, a Gregorian Frier and former engineer who founded Rocky Mountain Refuge, a haven for those in need of end-of-life care. The refuge is a hospice center providing home-style care for free. ... The documentary follows four unhoused and terminally ill individuals: Jennifer, Renne, James and Jose. All of whom were unable to find appropriate care anywhere else, so they turned to Rocky Mountain Refuge.

Executive Personnel Changes - 5/8/26

NPHI concludes record-setting 2026 Summit “Quality in Action” in Chicago National Partnership for Healthcare and Hospice Innovation (NPHI), Chicago, IL; Press Release; 5/2/26 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for nonprofit hospice and advanced illness care, has concluded its 2026 Summit, Quality in Action, at the Chicago Marriott Marquis — marking the largest gathering in the organization’s history. Over three days, nonprofit hospice and advanced illness care leaders from across the country came together around a shared commitment to Quality in Action. The Summit created space for candid discussion and practical exchange, with a clear focus on how nonprofit hospice and advanced illness providers will continue to lead in delivering high-quality, community-based care for patients and their families.

How do physicians perceive and manage the influence of their personal end-of-life preferences on clinical practice and end-of-life decision-making with patients? An international qualitative study  Health and Medicine Daily | Palliative Care and Social Practice; research portion by Sarah Mroz, Frederick Daenen, and Kenneth Chambaere; 5/5/26 ... Physicians acknowledge the impact of their personal end-of-life preferences on their clinical practice and emphasize the importance of maintaining objectivity and centering decision-making on patient preferences. Physicians adopt strategies to mitigate potential biases. There is a divergence of opinion about whether it is appropriate to share when asked what they would do in the position of their patients. Most believe focusing on patients' values and priorities is essential and others feel sharing is crucial to maintain trust. Physicians struggle with ethical tensions and moral discomfort, particularly when patients' requests conflict with their beliefs. ...

Ohio’s Hospice CEO: prepare for value-based care Hospice News; by Jim Parker; 5/6/26 In time, value-based care will come to hospices, and they must be ready, according to Kent Anderson, CEO of Ohio’s Hospice. In this environment, scale will be key, as will a need to better understand the needs and objectives of referral partners, Anderson told Hospice News. He also leads Metta Health, a revenue cycle management consulting firm. Ohio’s Hospice is a statewide alliance of nonprofit providers established in 2013. The network leverages its member organizations’ collective size in negotiations with vendors, payers and referral sources, collaborates on back-office functions and shares some expenses and infrastructure.

CVHHH receives $10,000 grant from Vermont Mutual Charitable Fund VB | VermontBiz; by Tim and Central Vermont Home Health & Hospice; 5/6/26 Vermont Business Magazine Central Vermont Home Health & Hospice (CVHHH) has been awarded a $10,000 grant from the Vermont Mutual Charitable Giving Fund. The funds will support CVHHH’s Adult Home Health Care program, which provides intermittent, short-term medical care, education, and support to Central Vermonters recovering from a hospital stay, injury, or surgery, and those who need assistance managing their chronic disease.