Literature Review

D.C. is America’s loneliest city. Can 1,000 robotic pets help? The Washington Post; by Olivia George; 1/27/25 Rose Watkins, 67, says she doesn’t really have anyone to talk to, not since her mother passed away. Brenda Jacobs, 70, doesn’t drive anymore ... Yvonne Gathers, 74, wishes she had something ... to keep her mind from drifting back to the day she learned her son — who lived with her — was shot and killed. All three seniors live in D.C. and are now part of a new program distributing robotic pets to residents 60 and older who live in Wards 1, 7 and 8. The initiative, spearheaded by three local nonprofits, is part of a broader push nationwide to use battery-powered pets to ease the loneliness and isolation that often accompanies older age and help lessen associated health risks. The pets nuzzle, stretch and roll on their tummies for scratches. You can feel their heartbeat through their soft fur. The dogs bark and wag. The cats purr and meow. “I’ve been lonely, I’ve been depressed,” Watkins said recently, stroking a beige dog with a red bandanna that turns its head when she talks. “I think this will help.” The robotic pets — Joy for All Companion Pets from parent company Ageless Innovation — “really do provide companionship and need nothing in return,” said Steve Cone, chief communications officer at nonprofit provider Capital Caring Health, one of the organizations involved in the D.C. program. “There is no upkeep, no cleanup.” [Click on the title's link to continue reading.]

How innovation is changing [hospital] length of stayHealthLeaders; by Eric Wicklund; 1/23/25 Allina Health is using technology and new ideas to reduce the time a patient spends in the hospital. They're seeing improved outcomes, reduced costs and more capacity to treat patients who need to be hospitalized.  One of the key metrics in clinical care is patient length of stay (LOS), traditionally defined as the time between a patient's admittance and discharge from a hospital. ... New technologies like AI and concepts like remote patient monitoring (RPM) and Hospital at Home are helping healthcare executives gain a better understanding of LOS, and in turn they're reducing costs and improving care management.Editor's note: How do these hospital technologies interesect with and impact your referrals for palliative and hospice referrals? For discharges to home health or senior facilities that receive care from your agency?

Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice for comfort therapies in 2024 The Chronical, Centralia, WA; by The Chronicle; 1/22/25 The Visiting Nurses Foundation awarded $132,000 in grant funding to Assured Hospice in 2024 to deliver essential comfort therapies to end-of-life patients across Washington state, the foundation announced Wednesday. "Since the partnership began in 2002 with a $600 grant, the program has expanded significantly, reaching hundreds of patients and their families each year," the Visiting Nurses Foundation said in a news release. Comfort therapies — including acupuncture, massage, music therapy, guided imagery and animal-assisted therapy — are proven to reduce pain, foster relaxation and enhance overall quality of life, the news release stated.

Stillwater Hospice CFO: A winning recipe for improving rural hospice care Hospice News; by Holly Vossel; 1/23/25 Montana-headquartered Stillwater Hospice has found a successful rhythm to strategic rural-based growth and sustainability. The strategy hinges on building culture, staffing resources and a reputation for quality, according to CFO and Co-founder Chris Graham. Launched in 2017, the hospice company serves predominantly rural-based populations in Montana, northern Wyoming and South Dakota. ... What are the most significant concerns among rural-based hospice providers currently? How have the challenges of rural care delivery evolved in recent years? "Staffing is very hard. You’ve got to find staff who are willing and like to travel because they have a lot of windshield time. It’s also the logistics of remote care. We have patients that live 75 miles or more outside of a town, then once you get there it’s another 20 miles on a dirt road that could be covered in snow and ice. ..." [Click on the title's link to continue reading.]

[United Kingdon] Christmas tree collection raises £45,000 for Jersey Hospice Care Soleil Radio; by Jersery News; 1/20/25 Jersey Hospice Care's annual Christmas Tree Collection has raised more than £45,000 for the local charity. Every year in early January, volunteers give their time to collect Christmas trees from all around the island in exchange for a small charity donation. 2000 trees were collected in the 2025 new year period, which were taken to the green waste team at La Collette and converted into soil improver for Jersey farms and gardeners. The £45,000 raised in the annual tree collection and recycling project will cover a month's worth of care in the hospice's in-patient unit.

AHHC joins other state hospice advocates in legal challenge to Special Focus Program The Association for Home and Hospice Care of North Carolina (AHHCNC); Press Release; 1/23/25The Association for Home and Hospice Care of North Carolina (AHHCNC) has joined a multi-state coalition of hospices and hospice associations in challenging the federal government's implementation of the Hospice Special Focus Program (SFP), deeming it unlawful and arbitrary. The challengers are seeking a preliminary injunction to halt the SFP, citing patient safety concerns, misrepresentation of compliance records, and jeopardized access to high-quality end-of-life care. Congress directed CMS to establish the SFP to enhance enforcement for noncompliance hospices, but the Final Rule includes unrelated measures, heavily relying on survey data and other information not related to hospices’ compliance with Medicare requirements. Tim Rogers, President and CEO of AHHCNC, states:  "The approach CMS uses disadvantages well-established hospices and ignores Congress’s intent." [Click on the title's link to continue reading.] 

Abigail E. Keller Foundation's Teddy bear drive brings Valentine's cheer to young patients CBS Austin, TX; by We Are Austin; 1/23/25 Valentine's Day is getting a little sweeter for children spending the holiday in the hospital, thanks to the Abigail E. Keller Foundation's annual teddy bear drive. Now in its sixth year, the initiative aims to spread love and comfort through cuddly companions. Melissa Keller, co-founder and president of the foundation, said the drive [describes,] "Abby passed away in February of 2019, ... Abby was full of life and joy, and she brought so much life and joy to everyone that she met. We decided on that first anniversary, we were going to collect teddy bears and take them to the hospital. And we did." ... Keller says "We support medically fragile children and their families throughout their journey and at end of life, we, support our foundation, supports them in, a couple of ways. We we help them through financial assistance. We do care baskets for families going into hospice. We do birthday boxes for children in hospice."

The opposite of love is not hate, it's indifference. The opposite of art is not ugliness, it's indifference. The opposite of faith is not heresy, it's indifference. And the opposite of life is not death, it's indifference. ~ Elie Wiesel, Holocaust survivor from "Auschwitz slave labor" and the Buchenwald death march, American author, Nobel Peace Prize, Founder of the Holocaust Museum, first chairman of the U.S. Holocaust Memorial Council

Navigate a smooth transition from hospital to home care Health Medicine Network; 1/17/25 When discharged from hospital, a high proportion of people face emotions such as anxiety and fear, which can make the transition from hospital care to safe and appropriate home care difficult. But it doesn’t have to feel that way if you develop an effective strategy before you leave the hospital. ... 

Advance care planning among diverse U.S. older adults with varied cognition levelsAlzheimer's & Dementia; by Zahra Rahemi, Swann Arp Adams; 1/25Older adults from minority groups often experience elevated rates of chronic diseases and cognitive impairment, coupled with lower rates of engagement in advance care planning (ACP) and comfort care as they approach end of life... Our study revealed that individuals facing cognitive impairments exhibited lower rates of engagement in ACP. Notably, among the variables examined, race, ethnicity, rural residence, education, and age emerged as significant predictors of ACP in a national sample of older adults in the U.S. These findings underscore the importance of incorporating these sociodemographic factors into the design of interventional studies aimed at enhancing ACP and mitigating disparities.

The Alliance on CMS Hospice Special Focus Program Implementation: “Doubling down on a dangerous decision, eager to work with incoming administration to fix” National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 1/16/25 The National Alliance for Care at Home (the Alliance) issued the following statement in response to the news of hospice providers filing litigation against the Centers for Medicare & Medicaid Services (CMS) over their flawed implementation of the Hospice Special Focus Program (SFP). The Alliance and the broader hospice community, who have been engaged on this program since its inception, have repeatedly shared concerns directly with CMS staff at all levels. They warned that this approach would inflict unnecessary harm to patient care, cause confusion to families when selecting a hospice provider to care for their loved ones at the end of life, and will cause some providers to sustain irreparable damage. These concerns have been echoed by lawmakers, providers, and the leading national hospice trade organizations. “With CMS doubling down on a dangerous course of action by proceeding with the Hospice SFP in its current state—and offering no due process or administrative recourse to address or mitigate its flaws—some hospice providers will suffer irreparable harm and have no choice but to seek justice through the courts on behalf of their patients and mission,” said Dr. Steve Landers, CEO of the Alliance. [Click on the title's link to continue reading.]

Nonprofit opens home-based care facility for hospice patients Fox KNWA-24/KFTA, Lowell, AR; by Justin Trobaugh; 1/17/25 A nonprofit organization introduced a new resource Jan. 17 for those in Northwest Arkansas who need home-based care. Circle of Life provides hospice and in-and-out patient care services, and it opened its Joey Feek Center for Home-Based Care in Lowell. The facility will serve 93% of the non-profit’s patients and was donated by the Willard and Pat Walker Charitable Foundation.