Literature Review
Midland Care expands care model with VMA acquisition
05/03/26 at 03:10 AMMidland Care expands care model with VMA acquisition Midland Care; Press Release; 4/13/26 Midland Care Connection has announced that its subsidiary, Midland Care Physician Services, has acquired Vintage Medical Associates (VMA), a primary care practice focused on serving older adults across northeast Kansas. This acquisition allows Midland Care to more closely coordinate medical and support services, enable streamlined care transitions, and improve communication among providers. Shawn Sullivan, President and CEO of Midland Care, “This acquisition strengthens our strategy to expand access to integrated, person-centered care for older adults.”
1520ai and Hospice Analytics announce strategic combination to advance data-driven hospice care and AI innovation
05/03/26 at 03:05 AM1520ai and Hospice Analytics announce strategic combination to advance data-driven hospice care and AI innovation1520ai & Hospice Analytics press release; by Mark Cohen, Ernesto Lopez, Cordt Kassner; 4/28/261520ai and Hospice Analytics today announced that Hospice Analytics will become part of 1520ai and the broader simPAL Solutions family, bringing together Hospice Analytics’ hospice data expertise with 1520ai’s vision for a new generation of hospice-native AI capabilities designed to help providers turn data into better decisions and improved care. Hospice Analytics will maintain its core branding, products, and services while operating as part of 1520ai. Founder and longtime leader Cordt Kassner will continue to lead operations and guide the organization’s ongoing work with hospice providers across the country. “This builds on Hospice Analytics’ long-established foundation of innovation, expertise, and reliability,” said Ernesto Lopez, CEO of 1520ai. “Cordt and his team have earned deep trust in the hospice community by turning complex data into meaningful, actionable insights. Together, we have an opportunity to integrate AI into that work and create tools that help hospice leaders make better decisions, improve operations, and support better care for patients and families.”
Alzheimer's Disease Facts and Figures - Annual Report
05/03/26 at 03:00 AMAlzheimer's Disease Facts and Figures - Annual Report Alzheimer's Association; Press Release; 4/22/26 Alzheimer's Disease Facts and Figures (PDF), an annual report released by the Alzheimer's Association, reveals the burden of Alzheimer's and dementia on individuals, caregivers, government and the nation's health care system. Download the following:
An open letter on stopping fraud before it starts
05/03/26 at 03:00 AMAn open letter on stopping fraud before it starts Community Health Accreditation Partners (CHAP); by Teresa Harbour and Nathan J. DeGodt; 4/22/26 Recent testimony before the House Ways and Means Committee underscored a truth that many in healthcare have long understood. Preventing fraud requires stopping bad actors before they enter the system. We agree. At CHAP, that principle has guided our decisions for decades. Accreditation integrity is maintained at the front end of the process through disciplined, patient‑centered safeguards. ... CHAP did not accredit any hospice or home health organizations operating from the notorious Friar Street address highlighted in recent media coverage and congressional hearing. ... Before any organization advances in our accreditation process, CHAP conducts address validation and ownership verification. These steps are designed to surface red flags early, including multiple agencies operating from a single location, overlapping leadership, or staffing structures. When those reviews raised concerns related to applications at the Friar Street address, CHAP did not move forward.
Sunday newsletters
05/03/26 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
This was my peak...
05/03/26 at 03:00 AMNo debt, ideal weight, 8 hours of sleep, mental health on track, right nutrition, zero alcohol. This was my peak. I was 8. ~Unknown
Integrating generative AI into patient-centered clinical decision support: Viewpoint on research and practice considerations
05/02/26 at 03:35 AMInterventions for bereavement-What works, what does not, and what might
05/02/26 at 03:30 AMInterventions for bereavement-What works, what does not, and what mightJAMA Psychiatry; by Charles F. Reynolds III, Holly G. Prigerson, M. Katherine Shear, Sidney Zisook; 4/26The 2025 publication commissioned by the Agency for Healthcare Research and Quality (AHRQ) of a systematic review of “Interventions to Improve Care of Bereaved Persons” provides a timely opportunity to continue—and to deepen—a conversation of great importance about the universal experience of grief and its burdens, both personal and related to public health. The report was prepared at the Southern California Evidence-Based Practice Center in Los Angeles; it aimed to review available evidence on screening, diagnosing, and treating children and adults with grief disorders related to bereavement. The Substance Abuse and Mental Health Services Administration convened an independent subject matter advisory panel to assess the feasibility of developing standards for high-quality bereavement and grief care.
Improving advanced practice clinicians' knowledge and comfort of physician orders for life-sustaining treatment form: A homecare quality improvement initiative
05/02/26 at 03:25 AMImproving advanced practice clinicians' knowledge and comfort of physician orders for life-sustaining treatment form: A homecare quality improvement initiativeGeriatric Nursing; by Jeanette M Ruiz, Yvonne Y Wu, Kristen R Choi, Emily J Martin, Eden R Brauer; 4/26Many advanced practice clinicians (APCs) lack formal training on how to effectively discuss the Physician Orders for Life-Sustaining Treatment (POLST) with chronically ill older adults, often leading to communication gaps and delayed end-of-life decisions. This quality improvement initiative aimed to improve APCs knowledge and comfort in initiating and documenting POLST discussions with community-dwelling geriatric patients. A one-hour online training, incorporating didactic instruction, role-playing, and debriefing, was delivered for APCs providing home-based care. Surveys conducted before and after the training measured ... improvements ... in POLST completion documentation ... , POLST discussions documentation ... , POLST upload documentation ... , hospice knowledge ... , palliative care knowledge ... , preparedness to discuss POLST ... , comfort with end of life conflict discussions ... , addressing religious/cultural perspectives ... , and use of structured communication frameworks ...
Communication processes and priorities in Medical Aid in Dying conversations: A cross-sectional qualitative study of multidisciplinary cancer clinicians
05/02/26 at 03:20 AMCommunication processes and priorities in Medical Aid in Dying conversations: A cross-sectional qualitative study of multidisciplinary cancer cliniciansCancer Medicine; by Meghan McDarby, Alix Youngblood, Megan Miller, William E Rosa, Haley Buller, Betty R Ferrell; 4/26Medical aid in dying (MAiD) is a practice that enables eligible individuals with a terminal, life-limiting illness to end their lives in a self-directed way. Multidisciplinary care teams play a vital role in facilitating discussions and patient decision making about MAiD in cancer care settings. Four themes were identified as communication priorities and processes critical for multidisciplinary teams when discussing MAiD with cancer patients: (1) addressing complexity of MAiD ... ; (2) thorough palliative care assessment; (3) strategies for clinicians and healthcare systems to optimize MAiD discussions; and (4) person-centered care that de-stigmatizes MAiD. Findings underscore the distinct complexity of MAiD discussions in oncology and highlight the need for tailored, person-centered approaches that go beyond standard end-of-life communication.
[UK] Measuring health-related quality of life in infants and toddlers: Conceptual challenges and proposed recommendations
05/02/26 at 03:10 AMComparison of inpatient end-of-life care intensity between heart failure and cancer
05/02/26 at 03:10 AMSocial work involvement in advance care planning post US 2016 Medicare policy change: A systematic review
05/02/26 at 03:05 AMSocial work involvement in advance care planning post US 2016 Medicare policy change: A systematic reviewBMJ Supportive & Palliative Care; by Peiyuan Zhang, Yixuan Wang, Jihyeong Jeong, Kaipeng Wang, John G Cagle; 4/26Since 2016, the US Medicare programme has reimbursed physicians and advanced practice providers for advance care planning (ACP) discussions; however, social workers-who play a critical role in ACP-remain excluded from reimbursement. Across studies, clinical social workers demonstrated strong knowledge of advance directives and reported high levels of confidence in facilitating ACP discussions. Most participants expressed positive attitudes towards ACP and viewed ACP facilitation as a core professional responsibility. Intervention studies suggested that social worker-led ACP initiatives may increase patient engagement in ACP, particularly completion of formal ACP documentation. These findings support ongoing policy discussions regarding the inclusion of social workers in ACP reimbursement frameworks.
[Singapore] Factors associated with caregiver burden among family caregivers of patients on home-based palliative care: A systematic review
05/02/26 at 03:05 AM[Singapore] Factors associated with caregiver burden among family caregivers of patients on home-based palliative care: A systematic reviewPalliative Medicine; by Wei-Ling Koh, Jerrald Lau, Chermaine Ang, Choon Meng Yee, Sara Ho, Ker-Kan Tan; 4/26Home hospice services are increasingly central to palliative care as more patients express preference for care or death at home. In these settings, the role of family caregivers becomes crucial. Heterogeneity across studies highlighted uniqueness of patient-caregiver dyads on caregiver burden - for instance, family caregivers with multiple social roles may face heightened pressure from meeting patients' care demands. Other factors include logistical, financial or care arrangement matters. Caregiver burden interventions should adopt multi-pronged approaches to ensure holistic support for patients and family caregivers, such as incorporating both medical and psychosocial support to enhance wellbeing of both parties.
I am an old man and have known a great many troubles ...
05/02/26 at 03:00 AMI am an old man and have known a great many troubles, most of which never happened. ~Mark Twain
The TRUST Leadership Framework for clinical innovation and effective change
05/02/26 at 03:00 AMSaturday newsletters
05/02/26 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
[New Zealand and Australia] Most palliative care doctors back research into psychedelic medicines for end of life care
05/02/26 at 03:00 AM[New Zealand and Australia] Most palliative care doctors back research into psychedelic medicines for end of life careNews Wire; 4/12/26A survey of palliative care doctors in New Zealand and Australia has found overwhelming support for more research into psychedelic medicines for patients facing terminal illness, adding weight to growing calls for a regulated pathway that would allow clinicians to explore what some researchers describe as transformative treatments. The study, which surveyed 93 palliative care physicians across both countries, found 88 per cent agreed that clinical use of psychedelic medicines for palliative patients warranted further investigation. [The source article referenced is Perceptions of Australasian palliative care physicians regarding the safety and efficacy of psychedelic medicines: An exploratory mixed-methods study; Psychedelics; by Nicholas Sawers, Michael Billingsley, David B. Menkes; 6/1/26.]
Awards and Recognitions: April 2026
05/01/26 at 03:00 AMAwards and Recognitions: April 2026
Man in hospice had final wish of attending his 80th Kentucky Derby, and it's coming true
05/01/26 at 03:00 AMMan in hospice had final wish of attending his 80th Kentucky Derby, and it's coming true WLKY-32, Louisville, KY; by Addie Meiners; 4/30/26 An 89-year-old Louisville native in hospice care wants to get in one final Kentucky Derby before he dies. Bob Weihe has been to 79 Derbies in a row. But in a wheelchair, unable to walk and unable to afford it, he feared his dying wish would not come true. But after a public appeal, it looks like he'll get that wish. Journalist David Begnaud shared a video online asking for help to grant it. Weihe’s passion for the Derby began in 1946 when he attended his first race at the age of 8 with his mother. ... Weihe’s wife, Barbara, has been his date to 62 Derbies, starting in 1957. ... Churchill Downs responded to Begnaud’s video, providing tickets to make Weihe’s wish come true.
Why health plans are partnering with palliative care providers
05/01/26 at 03:00 AMWhy health plans are partnering with palliative care providers McKnights Home Care; by Liza Berger; 4/20/26 In recent months, several major health plans have disclosed deals with palliative care providers. The move mirrors a growing awareness of and appreciation for palliative care — which provides symptom relief, can be used alongside curative care and often takes place in the home — according to experts. In the latest agreement, which is slated to begin June 1, Humana inked a deal with Tuesday Health to deliver palliative care to Humana members with serious illness in Texas. ... The partnership reflects a shift in how palliative care is understood and delivered, Mihir Kamdar, head of clinical delivery for Tuesday Health, told McKnight’s Home Care Daily Pulse in an email.
Derby "Call to Post" soundtrack and ringtone
05/01/26 at 03:00 AMDerby Call to Post soundtrack and ringtone, from May 3, 2020
CareFor expands continuum of care with hospice services in greater Austin
05/01/26 at 03:00 AMCareFor expands continuum of care with hospice services in greater Austin Media Industry Observer, Austin, TX; by EINPresswire.com; 4/29/26 CareFor, a leading provider of post-acute and long-term care services, today announced the launch of CareFor Hospice in the greater Austin area. For more than 25 years, CareFor has delivered exceptional care across Central Texas, supporting families navigating the complexities of aging, illness, and injury. ... “Expanding our services to include hospice is a natural next step as we further extend the continuum of care CareFor provides, building on our commitment to go beyond traditional care and deliver peace of mind in every season,” said Catherine Vergara, CEO of CareFor.
Hospice scammer receives 2-year prison sentence
05/01/26 at 03:00 AMHospice scammer receives 2-year prison sentence Hospice News; by Jim Parker; 4/20/26 Alex Alexsanian, 48, received a federal prison sentence for defrauding Medicare of more than $14 million for hospice services and diagnostic imaging that was never provided. Alexsanian also pleaded guilty in January to one count of conspiracy to commit money laundering. He was sentenced to two years and three months in federal prison and ordered to forfeit $3 million in proceeds from the scheme, according to the U.S. Attorney’s Office. He allegedly conspired to commit fraud with California hospice owner Sophia Shaklian, 38, who in March was sentenced to 35 months in federal prison and ordered to pay $14 million in restitution.
