Literature Review

Perspectives of hospice medical directors on challenges and solutions for improving care for persons living with dementias (PLWD) and their caregiversAmerican Journal of Hospice and Palliative Care; by Taeyoung Park, Abhay Tiwari, Elizabeth Luth, Yongkang Zhang, Simone Prather, Micah Toliver, Giancarlo Chuquitarco, Veerawat Phongtankuel; 8/25A larger proportion of PLWD [persons living with dementia] outlive the 6-month hospice eligibility requirement compared to other terminally ill patients, which leads to high rates of hospice live discharge. Hospice medical directors (HMDs) are physicians with unique insights into both the clinical aspects of care and the administrative and regulatory guidelines of hospice care delivery. To address these challenges, HMDs suggested (1) establishing a dementia-specific hospice program, (2) extending hospice benefit availability for PLWD, and (3) creating a step-down service for families experiencing live discharge from hospice. HMD participants suggested providing additional supports and/or reforming the current Medicare hospice benefits to better address end-of-life care for PLWD, who may require prolonged and intensive end-of-life support.

Keepers of the quiet goodbye: Meet the people who pulled off a hospice miracle by overcoming society’s fear of homelessness and death itself The Oberserver, Sacramento, CA; by Scott Thomas Anderson; 9/3/25 Inside the decade-long struggle to make Joshua’s House a reality in Sacramento: Craig Dresang has lived in the shadow of death since he was 8 years old. Dresang was in third grade when his mother, Joyce, was diagnosed with stage 3 cancer. At almost the same moment, his mom’s best friend was also given a devastating cancer diagnosis. She was gone six months later — an outcome that kept flashing in Dresang’s young mind. ...  ... [Scroll ahead in time.] The child who could never run from death became the professional willing to confront it. ...  [Working with YoloCares in Davis, CA, Dresang met] Marlene von Friedrichs-Fitzwater, a woman on a mission to create the first hospice shelter for unhoused people on the West Coast.

The keys to building solid disease-specific hospice programs Hospice News; by Holly Vossel; 9/8/25 Understanding the most prevalent medical conditions among aging patient populations is a significant part of developing disease-specific programs that better address physical, emotional and practical needs. ... Community needs assessments play a large role in steering the direction of a disease-specific program, said Evan Dressel, director of strategy, program development and innovation at Lower Cape Fear LifeCare.  ... Navigating service needs, strategic execution and establishing successful care collaborations are crucial components to consider when building a disease-specific program, according to Kelly Gadison, vice president of clinical practice, strategy and programs at Amedisys. ... 

Shepherd’s Cove adds program The Advertise-Gleam, Albertville, AL, by Anthony Campbell; 9/2/25 Shepherd’s Cove Hospice is proud to announce the launch of Shepherd’s Cove Counseling, a new program that provides professional mental health services for individuals, couples and families. This exciting expansion enhances Shepherd’s Cove’s care offerings by giving the community access to licensed therapy through insurance or private pay, without affecting the organization’s long-standing commitment to maintaining access, at no cost, to grief support. “Shepherd’s Cove Counseling creates space for healing, growth, and support during life’s most challenging seasons,” said Stacey Johnson, LICSW, Community Programs Director. 

Amarillo VA expands end-of-life care with new hospice unit CBS KFDA-10, Amarillo, TX; by Canion Cvazos; 8/28/25 After years of planning, the Amarillo VA has opened a new chapter in veteran care. The VA held a ribbon-cutting ceremony today to celebrate the opening for its new hospice unit. VA leaders say the goal is to create a home-like environment, where families can gather with comfort and dignity during their loved one’s final days. The hospice unit will provide 10 private rooms, each designed for a single patient, with its own bathroom and shower. 

Hospices nationwide pursue organic growth with new sites Hospice News; by Holly Vossel; 8/28/25 Hospices from across the country have sought organic growth with the recent launches of new facilities.

Navigating the Wage Index: Insights from industry experts Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Annette Kiser and Judi Lund Person; 8/20/25 The healthcare landscape is transforming before our eyes, shifting away from hospital-centered care toward home-based models.  This fundamental change raises urgent questions about Medicare's outdated reimbursement systems, particularly for Hospice providers facing a mere 2.6% rate increase while battling significant inflation. Join us in this illuminating conversation and in-depth discussion with industry experts Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC, as they sit down with Chris and explore the complexities of the final 2026 Hospice Wage Index and its impact on Hospice organizations.

How to strategically integrate AI without falling for the hype Forbes; by Mammon Baloch; 8/14/25 In the current business environment, companies must develop a clear and strategic understanding of how to leverage AI effectively. As the leader of an organization focused on AI and SaaS integrations, I've seen a pervasive and harmful myth take hold: the notion that AI is a plug-and-play miracle, capable of solving every business challenge on its own. This misconception breeds inflated expectations and distracts from the real, achievable strategic advantages that AI offers.

Over half of older employees plan to work 'indefinitely' and never retire Money Magazine; by Amd Hardy; 8/11/25 Many retirement-age Americans are planning to continue working — forever. Some 51% of employed Americans 65 or older say they expect to work “indefinitely,” according to a recent report from Asset Preservation, a financial advisory firm. Meanwhile, about 6 in 10 respondents say they plan to work “at least five more years” before retiring, putting the earliest age they would consider retiring at 70. ... Why older Americans are working so late in life seems to be a fairly even split between necessity and choice. About one half works to cover basic living expenses, like food, health care and housing, while the other half chooses to work to stay mentally and physically active. Guest Editor’s Note, Mark Cohen: As many hospices are still trying to rebuild the ranks of their volunteers to pre-pandemic levels, this report indicates the challenges may continue to grow. It’s worth noting that half of the Boomers who say they will continue working past normal retirement age would do so out of choice and not economic necessity. That opens the door to demonstrating the value and rewards of volunteer service. And for those volunteer managers younger than Boomers, it’s important to keep in mind that, more than any other generation, Boomers define themselves and measure their success in life in large part by their work.

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: 

Top 5 leadership shifts to watch after the summer break Hunt Scanlon Media; by Scott A. Scanlon and Dale M. Zupsansky; 8/4/25 ... Drawing on insights from its global network, the International Executive Search Federation (IESF) has identified five key leadership transitions that are gaining momentum. These changes promise to redefine how executives think, adapt, and drive impact as organizations head into the latter half of 2025 and beyond. ...

Caring for every breath: Carolina Caring Advanced Lung Care Program launched August 1st Carolina Caring, Newton, NC; Press Release; 8/8/25 A specialized lung care program providing care for complex respiratory conditions will bring needed comfort and support to many individuals. Launched on August 1st, 2025, Carolina Caring’s Advanced Lung Care Program helps patients receive the personalized care they need for their advanced respiratory illness at end of life, while remaining comfortably at home—leading to a reduction of hospitalizations and improved quality of life for patients and their families. 

SHPBest CAHPS Hospice Awards Strategic Healthcare Programs; retrieved from the internet 8/725 The annual SHPBest™ program was created to acknowledge hospice providers that consistently provide high quality service to families and caregivers of patients receiving hospice care. With one of the largest CAHPS Hospice benchmarks in the nation, SHP is in a unique position to identify and recognize organizations that have made family and caregiver experience a priority and have been rewarded for their efforts with high marks on the CAHPS Hospice survey. See the full list of award winners for the last calendar year.