Literature Review

Breaking with the status quo in end-of-life care through de-implementation Journal of Internal Medicine; by Chetna Malhotra and Ellie Bostwick Andres; 4/17/25... In the realm of serious illness, many patients undergo interventions that may marginally prolong life but often sacrifice quality of life and entail significant costs. These interventions, categorized as ‘low-value care’, often involve complex procedures, frequent hospitalizations and intense medical management, leading to considerable discomfort, reduced functional ability and overall decreased well-being and calling into question the efficiency and effectiveness of current end-of-life (EOL) care practices. ... How to conduct de-implementation in EOL contexts:

Patient, provider, and health system determinants of hospice Length of Stay Palliative Medicine Reports; by Eliza Thompson, Daniel Sanchez Pellecer, Gregory J Hanson, Shealeigh A Inselman, Jenn M Manggaard, Kevin J Whitford, Jacob J Strand, Rozalina G McCoy; 4/3/25Background: Benefits of hospice care, such as improvement in quality of life and reduced costs, depend on duration of enrollment in hospice services, making timely hospice referral essential. ... Conclusion: Based on a review of hospice referral patterns, the integration of hospice care into subspecialty practices, long-term care facilities, and advanced practice education could be an effective strategy to improve hospice LOS.

NPHI opens 10th Annual Summit in Las Vegas, celebrating a decade of impact National Partnership for Healthcare and Hospice Innovation (NPHI)m Washington, DC; Press Release; 4/29/25The 10th Annual Summit of the National Partnership for Healthcare and Hospice Innovation (NPHI) officially kicks off this morning, April 29, at the Red Rock Resort in Las Vegas. This milestone Summit, themed “A Decade of Impact,” brings together hospice and palliative care leaders from across the nation to celebrate ten years of remarkable achievements and to explore the innovative strategies that will drive the future of high-quality, community-based care. ... Key topics include advancing policy solutions to prevent fraud and abuse in hospice, harnessing artificial intelligence to improve care, exploring international hospice, elevating outreach and communications, and strengthening the quality and consistency of services across the board. During the summit, NPHI will also debut a newly developed Cancer Clinical Provider Guide—designed to help members deliver the highest standards of cancer care. ... “As we mark a decade of impact, this summit is not only a time to reflect on the extraordinary progress we’ve made, but an opportunity to be forward thinking and anticipating what comes next,” said Tom Koutsoumpas, NPHI CEO. [NPHI is a sponsor of our newsletter.]

Trends, patterns, and key comparisons related to new Medicare Hospice Provider Enrollments may indicate the need for further oversight HHS Office of Inspector General; 4/29/25 Federal requirements state that hospices must be certified by CMS and be licensed as required by State and local law. Medicare also requires that hospices meet its Conditions of Participation to receive payment. Our objective is to identify trends, patterns, and key comparisons that indicate potential vulnerabilities related to new Medicare hospice provider enrollments. The data brief may help CMS evaluate the need for additional monitoring and program integrity efforts to ensure that hospices meet all the requirements. ... 

Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192)- Request for Information CMS.gov - Medicare Regulatory Relief; retrieved from the internet 4/29/25... We are requesting comments include clear and concise information, and where practical: data, example(s), narrative anecdotes, and recommended action(s). Prior RFI comments submitted have helped better understand specific challenges and experiences and in turn helped inform our work. The targeted topic areas in this request are, in part, based on information from individuals within the populations we serve. You may respond to some, or all of the topics listed in this RFI. As applicable, please specify the care setting, geographic area, specialty (e.g., primary care), and/or specific CMS policy (or policies) referred to in your response. ... Comments received before the close of the comment period may be made available for viewing by the public. Submitters should not include any confidential or personal information. CMS will not respond individually to comments received. ...[The form to submit comments is at the end of its webpage: Medicare Regulatory Relief | CMS.

40% of nurses eye exit by 2029: 5 findings from NCSBN’s new workforce report Becker's Hospital Review; by Erica Carbajal; 4/27/25While the post-pandemic nursing workforce is showing signs of stabilizing, high levels of burnout, stress and dissatisfaction continue to threaten long-term workforce stability, according to the National Council of State Boards of Nursing’s biennial 2024 National Workforce Study. The report surveyed more than 800,000 nurses in the U.S. and is considered the largest, most comprehensive report on the state of the nursing workforce. ...

Ardent Health's first CDIO, a nurse, on the value of 'human-centric' technology Healthcare IT News; by Bill Siwicki; 4/23/25 Anika Gardenhire, RN, chief digital and information officer at the 30-hospital health system, is working to improve the provider and patient experience with ambient listening, augmented intelligence and more. Nashville-based Ardent Health includes 30 hospitals and more than 280 sites of care in six states, including Idaho, Kansas, New Jersey, New Mexico, Oklahoma and Texas. ... 

Meet Herbie: Your organization's million-dollar constraint with Dr. Lisa Lang Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Dr. Lisa Lang; 4/23/25 Ever wonder why your organization keeps hitting the same wall despite constant improvement efforts?  Dr. Lisa Lang, a world-renowned expert in the Theory of Constraints, reveals why most leaders waste resources by focusing on the wrong problems. Dr. Lisa Lang and Chris Comeaux examine the application of the Theory of Constraints (TOC) in various industries, with a particular focus on healthcare and manufacturing.  They discuss the unique challenges faced by healthcare leaders, including regulatory pressures and staffing shortages, and how TOC can provide a structured approach to problem-solving and how to create breakthrough solutions for your organization. 

Prevention of acute hospital transfers for long-term care residents at the end of life American Journal of Hospice and Palliative Medicine (AJHPM); by Kirsten Lanpher, DMS, MSPA, PA-C and Kirsten Brondstater, DMS, MSPAS, PA-C; 3/24/25 Findings: Long-term care residents are a vulnerable population with advanced comorbidities who often require high acuity care and are subject to preventable transfers to the hospital at the EOL. These disruptions in EOL care cause harm and complications, negatively impacting quality of care. The consequences of these events can be mitigated with early advance care planning to include documentation of EOL care goals, onsite medical clinicians to make critical decisions and provide care within LTC facilities, and adequate staffing with proper palliative and hospice care training. Conclusion: Immediate action is needed to advocate for this high risk population and implement interventions to prevent hospital transfers at the EOL, therefore improving quality of care and positively influencing LTC residents’ EOL experience.

3 major tactics used by hospice scammers Hospice News; by Jim Parker; 4/18/25 Among the numerous tactics that unscrupulous hospices use to commit fraud, three are rising to the forefront. Four states have garnered national attention as fraud hotbeds — Arizona, California, Nevada and Texas. These regions have seen swarms of new hospices emerging and receiving Medicare dollars. Numerous reports of unethical or illegal practices have surfaced, particularly among these new companies. ... One common practice among them is to keep their patient census low to avoid regulators’ attention, Judy Lund Person, principal of the consulting firm Lund Person and Associates, ... Among these providers, three principal tactics are emerging, according to Sheila Clark, president and CEO of the California Hospice and Palliative Care Association. ...

Without support, seniors aging in place may elect facility-based care, study finds McKnights Home Care; by Adam Healy; 4/16/25 Older adults aging in place may rethink whether they want to receive care at home if they do not receive certain aging-in-place supports from their care providers and loved ones, according to a new study published in the Journal of the American Geriatrics Society. The researchers interviewed nearly 300 older adults receiving care at home and in long-term care facilities. ... The first theme was participants’ personal health experiences. ... Similarly, loss of health of loved ones and friends may also influence where patients want to receive care. ... The final factor influencing older adults’ aging preferences was time, the study found. 

Why risk managers need to address SaaS security Risk Management; by Chithra Rajagopalan; 4/15/25 As organizations increasingly adopt cloud-based software-as-a-service (SaaS) apps that store and handle sensitive and proprietary company data, cybersecurity risks have quickly become direct financial concern. The stakes around SaaS have never been higher—today, current spend on SaaS tools like Workday, Google Workspace and ServiceNow is in the hundreds of billions, or approximately $8,700 per employee. ...

HHS restructuring and workforce reductions – key implications for the health care industry JD Supra; by Mintz.com; 4/15/25 ... As part of the department-wide restructuring plan, HHS is in the process of consolidating 28 different divisions into 15 divisions. As of April 4, 2025, it had also reduced the number of Regional Offices from ten to five. ...