Literature Review

Letter to the Editor: Hospice needs the state’s support Mid Hudson News, Hudson Valley / Catskill Region, NY; by Mid-Hudson News Staff; 8/19/25 Dear Editor: Hospice care can greatly enhance life for patients and families during an incredibly difficult time, but it is, unfortunately, underfunded and underutilized in New York State. As the leader of a hospice program serving Rockland and Orange Counties for 38 years, I have seen firsthand the undeniable, positive impact hospice can have.  ... Understandably, New Yorkers struggle to understand the benefits of hospice because hospice providers themselves have faced decades of underfunding and limited government support. ... The consequences of this cannot be understated. ... Cara Pace, Chief Executive Officer of United Hospice

How to estimate your EHR implementation cost: Factors that impact your budget Joyrulez; by RickD32; 8/14/25 Implementing an EHR (Electronic Health Record) system is one of the most significant investments a healthcare organization can make. Beyond the obvious benefits of digital recordkeeping—such as improved patient care, streamlined workflows, and regulatory compliance—the financial implications of EHR implementation are considerable. Understanding the factors that influence costs is essential for accurate budgeting and successful project execution. This guide will break down the key considerations, providing insights into an ehr implementation cost breakdown, the roles involved, and hidden expenses that organizations often overlook.

YoloCares: A caring coalition for California The Davis Enterprise; by Craig Dresang; 8/15/25 In his closing remarks at a 2016 stakeholder meeting, hosted by the National Academy of Medicine, Dr. Victor Dzau (academy president) said, “We need a coalition, a movement, a critical mass. We need to work together so that the whole is greater than the sum of its parts. We need to come together to develop resources for policy and communication. We need to improve our communication — to patients and families, healthcare providers, government, and the public.” His words perfectly captured the founding spirit of the Coalition for Compassionate Care of California. ... The group is a small but mighty powerhouse that works closely with healthcare systems and providers, patient advocacy groups, professional associations and policy — and lawmakers to promote high-quality care for seriously ill Californians. 

Caregiver-reported barriers and facilitators to hospice enrollment for persons with dementia: A systematic review of qualitative evidencePalliative Medicine; by Oonjee Oh, Connie M Ulrich, Lauren Massimo, George Demiris; 7/25Despite the increasing prevalence of dementia, persons with dementia often receive suboptimal care near the end of life. Dementia caregivers experience intrapersonal, interpersonal, emotional, logistical, and physical challenges in ensuring quality end-of-life support for their loved one (e.g. limited understanding of end-stage dementia, gatekeeping providers, and family conflicts). The unique needs of caregivers caring for a seriously ill family member with dementia are not being fully addressed by the current available services and policies.

Simulation, flipped classroom, and reflective dialogue in socioemotional training in end-of-life care: Perspectives of nursing students Journal of Hospice & Palliative Nursing (HPNA); by María Lanza, Rebeca Abajas, Mar Aparicio Aparicio, Ángeles Melero, Carmen Ortego; 8/1/25The implementation of active methodologies in end-of-life education can play a crucial role in stimulating participatory learning and facilitating the acquisition of socioemotional competencies. ... From the students’ perspective, simulation, reflective dialogue, and flipped classroom enhance the conceptual learning process and facilitate students’ socioemotional preparation to face this complex and challenging professional situation. Editor's Note: Today’s tech-savvy nursing students show that simulation, reflective dialogue, and flipped classrooms build the person-centered qualities hospice and palliative care need. Use these methods—inside and outside the classroom—to improve patient/family care, teamwork, and self-care. For more information: 

Saad Healthcare, Providence Hospital open hospice unit Bay Business News; 8/8/25 USA Health Providence Hospital opened a new in-hospital hospice unit, operated in partnership with Saad Healthcare, at a ribbon-cutting ceremony and open house earlier today on the hospital’s 11th floor. The newly renovated unit will provide hospital-based hospice care, offering specialized, compassionate support for patients with life-limiting illnesses and their families in a comfortable, dignified setting. This addition reflects a growing national emphasis on integrating hospice services into hospital environments to enhance patient care, reduce costs and improve quality of life during critical times.

Enloe Health picks Butte Home Health and Hospice for post-hospital care in Chico Action News Now, Chico, CA; by Will Anderson; 8/6/25 Enloe Health has announced a new partnership with Butte Home Health and Hospice to enhance care for patients moving from hospital to home. Officials say this change comes as Enloe Health plans to close its own Home Health and Hospice programs by Oct. 31, 2025. Butte Home Health and Hospice, based in Chico, will now be the preferred provider for skilled nursing, rehabilitative care, and hospice services for Enloe Health patients.

Why AI isn't your advantage — your people are Entrepreneur; by Bidhan Baruah; 8/6/25 ... AI can indeed be beneficial, but only if you have the right people who can guide it thoughtfully and strategically. Key Takeaways:

Closing the gap: Addressing social determinants of health and racial disparities in hospice care Teleios Collaborative Network (TCN); by Alyson Cutshall; 8/4/25... While Americans’ health trajectories are inevitable at the time they become eligible for hospice services, SDOH (Social Determinants of Health) still play a major role for the patients and families our field is privileged to serve. ... [To] fully impact health equity, we must be cognizant of other examples of SDOH, such as racism and implicit bias.  Unfortunately, our collective field has not been as successful in addressing access to hospice care across differing racial and ethnic groups. ... Certainly, there are some pockets of improved access.  One Teleios member organization, Ancora Compassionate Care, recognized the alarming disparities within its community and set about to create change. Ancora leaders recognized that the Black community in their service area typically placed high trust in their religious leaders. To better understand their needs and preferences regarding end-of-life care and services, Ancora embarked on a "listening tour" to gather feedback and insights from these religious leaders. Using the wisdom imparted, Ancora adapted their care delivery to be more inclusive to the Black community.  As such, the organization is making incremental improvements in lessening the racial divide in access to hospice care.

How proposed home health cuts could impact hospices  Hospice News; by Jim Parker; 8/1/25Proposed cuts to home health payments for 2026 could have somewhat of a ripple effect on hospices. The U.S. Centers for Medicare & Medicaid Services has called for a 6.4% aggregate cut to home health payments for 2026 in a proposed rule. The total reductions amount to $1.135 billion. This is the fourth straight year in which CMS has cut or proposed to cut home health payments. Due to this proposed rule, the agency has “failed” providers, according to Dr. Steven Landers, CEO for the National Alliance for Care at Home.

Agrace: Selected as preferred hospice provider to Crossing Rivers Health WisBusiness; Prairie du Chien, WI; Press Release; 7/30/25 Agrace, Wisconsin’s largest nonprofit hospice, is pleased to announce that after months of discussions with Crossing Rivers Health, it will take over the health system’s hospice program. The two organizations have also entered into a Preferred Partner Agreement to support the local community’s ongoing needs for high quality end of life care. This agreement comes three months after Agrace’s preferred partnership with Oakwood Village Communities and supports Agrace’s rapid growth across the state of Wisconsin. Crossing Rivers Health, based in Prairie du Chien, has decided to close its hospice service line to focus on their core healthcare services. Current Wisconsin Crossing Rivers Health Hospice patients will have the option to transition to Agrace’s care by the end of September. 

National Alliance CEO Dr. Steve Landers: Hospice reform should mean more care, not less Hospice News; by Jim Parker; 7/28/25 Hospice reform efforts should focus on allowing for “more care, not less,” according to National Alliance for Care at Home CEO Dr. Steve Landers. Key elements of this should include home-based respite care and a payment system for high-acuity palliative services that hospice patients often lose out on due to the costs. ... “It means innovation in care, home-based respite services, better payment models for people that need things like dialysis or palliative radiation,” Landers said at the Alliance’s Financial Summit in Chicago. “That is that reform we’re talking about.” ... Landers also said that attempts at hospice reform should not “carve-in” hospice into Medicare Advantage. Bringing hospice under Medicare Advantage would undermine patient choice, adversely impact timely access to care and leave providers with lower reimbursement rates, according to the Alliance, the National Partnership for Healthcare and Hospice Innovation (NPHI) and LeadingAge

Hospice East Bay workers to strike Tuesday KRON-4, Bay Area, CA; by Bay City News; 7/29/25 Hospice East Bay workers say they will strike Tuesday to protest spiking caseloads. Nearly 80 nurses, social workers, chaplains and bereavement counselors at Hospice East Bay joined the National Union of Healthcare Workers in 2023. The group said they’re still seeking their first contract after about 18 months of negotiations. The group said Friday in a statement they “are fed up with a severe understaffing of nurses and frustrated that management is bargaining in bad faith and refusing to enshrine existing patient care protocols into a contract before the hospice turns over control to an out-of-state chain.”