Literature Review

Health care attorneys: Hospice investigations coming from all sides Hospice News; by Jim Parker; 7/8/25 Hospices are subject to a rising number of investigations and audits from Medicare contractors, the U.S. Department of Health and Human Services Office of the Inspector General and, in some cases, the U.S. Justice Department, among others. Hospices need to understand the various types of investigations they may encounter and how to respond to them. Key factors are completely and accurately documenting the medical necessity of the care they receive. Hospice News sat down with Guillermo Beades and Todd Brower, partners with the law firm Frier Levitt to discuss the ins-and-outs of hospice investigations and how providers should respond.

How to give physicians autonomy—and protect them from burnout American Medical Association (AMA); by Georgia Garvey; 7/1/25 Almost everyone appreciates having autonomy at work. But when physicians spend more than a decade in high-stakes and grueling medical training, only to enter practice with virtually no control over their work environment, schedule or day, it can lead to the kind of spiraling frustration that often turns into burnout or leaving the profession entirely. “It’s one of those things where the more you try to micromanage a physician’s schedule, the more a feeling of distrust you give to the physicians ...” said Jill Jin, MD, MPH, an internist and senior physician adviser for the AMA, one of the authors of the AMA STEPS Forward® “Value of Feeling Valued Playbook.” ... Though the percentages of those experiencing burnout have declined from the peak during the COVID-19 public health emergency, 43.2% of physicians still say they have at least one symptom of burnout.  ... When physicians feel valued—... as competent professionals who have devoted immense time and energy to becoming experts at their jobs—it is proven to be positively associated with lower levels of burnout.

Visiting nurse organization makes interim leader permanent Valley News, White River Junction, VT; by Lukas Dunford; 7/3/25 The board of Visiting Nurse and Hospice for Vermont and New Hampshire has appointed a new chief executive officer. Tammy L. Tarsa, who has served as interim CEO and president of VNH since March, will replace Johanna Beliveau, who served as CEO from 2018 to 2025. Tarsa began at VNH as chief clinical officer in 2022. Since then, she led a financial sustainability plan and improved VNH’s hospice rating to four stars. The rating is based on a family caregiver experience survey, which the Center for Medicare & Medicaid Services, or CMS, uses to assess the experiences of patients and their informal primary caregivers. Tarsa also increased payouts by 310% from the Home Health Value-Based Purchasing Model, a program designed by the CMS to reward quality and efficiency in home health care. 

Natural disasters, climate change, and the impact on hospice and palliative care teams and their patients American Academy of Hospice and Palliative Medicine (AAHPM) Quarterly; by Larry Beresford; Summer 2025 Edition, 7/3/25 Several recent natural disasters, including highly destructive wildfires in Los Angeles and Maui and flooding in the North Carolina hills caused by rains from Hurricane Helene, have provided vivid reminders that disasters can happen anywhere, anytime. Hospice and palliative care providers, responsible for the care of patients with serious illnesses who live in their homes and in long-term care facilities, could be dealing with disruptions in power or phone service, other communication barriers, staffing shortages, impassible roads, even large-scale evacuations of their patients. ... Are agencies doing what they can to plan, prepare, and practice for managing disasters, which could also include human-caused crises or events like earthquakes that are not subject to weather or climate?

Hospice News ELEVATE: C-suite perspectives on hospice in 2025 Hospice News; by Sophie Knoelke; 6/30/25... This article is based on a Hospice News discussion with Susan Ponder-Stansel, CEO of Alivia Care, Scott Levy, Chief Government Affairs Officer for the National Alliance for Care at Home and Dr. Derrel Walker, CMO of The Pennant Group. This discussion took place on April 10th, 2025 during the Hospice ELEVATE conference. 

There’s a workplace leadership crisis. Here’s how to solve itForbes; by William Arruda; 6/22/25We’re living in a very different world. Just since Covid, many of the norms of business have evolved, making the workplace almost unrecognizable. AI is taking over (or at least it feels that way). There are more different generations working side-by-side, each with their own needs, expectations, and styles. Hybrid and remote work are making life more manageable for some, while at the same time reducing the sense of connection and belonging that many of us get from work. And we haven’t even touched on the geopolitical events that are impacting virtually every industry and role. All of these changes are having a major impact on leadership. [Key points include:]

Barbara Pearce honored at CT Hospice Gala for extraordinary leadership through challenging times The LaGrange Daily News, Branford, CT; by PR Newswire; 6/18/25 Barbara L. Pearce was honored for her "extraordinary leadership" during a pivotal period in The Connecticut Hospice's history at the organization's annual Bloom Gala. Held on the scenic waterfront grounds of The Connecticut Hospice in Branford, this year's gala celebrated Pearce's exceptional guardianship through a challenging time in the non-profit's 51-year history and welcomed Sylvia Allais as the new president and CEO. In 2019, Pearce accepted a temporary leadership role at Connecticut Hospice, the nation's first provider of palliative and end-of-life care for patients and their families. What was intended as a six-month interim role became a six-year commitment, with Pearce becoming the organization's president and CEO. During her tenure, Pearce secured the financial stability of Connecticut Hospice, enabling its vital mission of providing compassionate support—both at home and at the 52-bed inpatient facility—to continue for generations to come.

Winning with whiskers: A new approach to salesTeleios Collaborative Network (TCN); podcast by Chris Comeaux with Dawn Landry; 6/18/25In this engaging conversation, Chris Comeaux and Dawn F. Landry explore the intricacies of leadership, emphasizing the importance of curiosity, self-awareness, and empathy.  Dawn shares her journey in business development and her unique approach to understanding personality traits through her book, Winning with Whiskers [A Business Fable About Overcoming Obstacles by Knowing Yourself & Others]. Their discussion highlights the significance of building strong relationships and navigating friction in professional settings, ultimately advocating for a more authentic and empathetic leadership style.  Dawn discusses the importance of self-awareness, understanding personal strengths, and the dynamics of building effective relationships in both personal and professional settings.

The skills and habits aspiring CEOs need to build Harvard Business Review (HBR) - Leadership; by Vasundhara Sawhney; 6/12/25 It’s no secret that today’s business environment is volatile and unpredictable. ... CEOs have a fresh set of challenges that the standard management playbook is ill-equipped to address. As a result, many are heading for the exit. According to one survey of U.S. companies, nearly 2,000 CEOs announced their departures in 2024—the highest total on record. At the same time, executive recruiters report that fewer people are interested in, or ready to, replace these exiting CEOs. ... [We] reached out to three experts ... [and] specifically asked: What skills and behaviors should aspiring CEOs prioritize on building now to thrive in an increasingly complex world? And how can organizations support them in building these skills? Here are their answers, edited for clarity. ...

An example AI Readiness Assessment framework for C suite leaders Solutions Review; by Tim King; 6/17/25 There is no one-size-fits-all blueprint for artificial intelligence. Every organization has its own legacy systems, workforce culture, regulatory pressures, and innovation appetite. But one thing is universally true: AI success depends on readiness. Not just technical readiness, but ethical, emotional, and operational readiness across the entire enterprise. But as the pressure to “implement AI now” mounts, many organizations rush in without a clear framework for what it means to be ready. They focus on models, tools, and talent—but overlook the critical dimensions of ethics, empathy, and impact. That’s where this guide comes in. ...

Coastal Hospice announces leadership appointment: Ann Lovely to lead as President & CEO SBY Business Journal, Salisbury, MD; Press Release; 6/16/25 The Coastal Hospice Board of Directors is proud to announce the appointment of Ann Lovely, RN, BSN, CHPN, as President & Chief Executive Officer, effective immediately. Lovely has served as Interim President & CEO since June 2024, guiding the organization with strength and compassion through a period of transition. A steadfast leader and one of Coastal Hospice’s longest-tenured team members, Ann brings more than 25 years of dedication, experience, and deep knowledge of hospice and palliative care to her new role. Her appointment is a reflection of her exceptional leadership and unwavering commitment to the patients, families, and communities served by Coastal Hospice.

Choices Healthcare President and CEO to retire Central Penn Business Journal; by Rochelle Shenk; 6/12/25 Steve Knaub, president and CEO of Choices Healthcare, will retire December 31, according to a media release. Choices Healthcare is the parent organization of Hospice & Community Care and Hospice of Central PA. The media release said Knaub has been a “driving force behind the organization’s growth, steering it through significant achievements and fostering strong relationships with healthcare partners and the community”. “Serving this organization and our community has been one of the greatest honors of my life,” Knaub said in the release, “When I first joined—then Hospice of Lancaster County (in 1998)– we were caring for 140 patients a day. Today, we serve more than 1,000. That growth reflects not only the increasing need for compassionate end-of-life care, but also our unwavering commitment to meeting people where they are, with the support they deserve.”