Literature Review

The path to the future may be the un-obvious: Top news stories, July 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 8/6/25 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action. Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. 

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.

Hollywood Home Health, Hospice, and Palliative Care to harness Artificial Intelligence to enhance home health delivery HomeHealthProvider.com; 7/15/25Hollywood Home Health, Hospice, and Palliative Care ... announced today its strategic investment in artificial intelligence (AI) to enhance operational efficiency and improve clinical outcomes. ... The AI platform will integrate with existing electronic health records (EHRs), billing systems, and care coordination software, helping nurses and therapists access real-time insights, prioritize urgent needs, and reduce documentation time. In the office, AI will assist with scheduling optimization, patient eligibility verification, and compliance reporting - areas known to slow down response times and overburden staff.

Chapters Health System expands care in Richmond, VA and surrounding counties PR Newswire; by Chapters Health System; 7/31/25 Chapters Health System, the nation's leading chronic illness innovator and largest nonprofit hospice provider, announces the opening of its newest program offering comprehensive hospice services and grief support to Richmond, VA – and the surrounding counties of Chesterfield, Goochland, Hanover, Henrico and Powhatan. Operating under Chapters Health Hospice, this new program will leverage the resources, infrastructure, and best practices of the nation's largest nonprofit network, while remaining grounded in the leadership of a team that is deeply rooted in the Richmond community. ... The opening of Chapters Health Hospice in Richmond, VA expands the Chapters Health System presence in the state following the 2023 affiliation of Capital Caring Health, which serves the Northern Virginia Region.

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. 

S.2287 - Palliative Care and Hospice Education and Training Act Congress.gov, 199th Congress (2025-2026); bill sponsored by Sen. Tammy Baldwin; introduced 7/15/25 Introduction: To amend the Public Health Service Act to increase the number of permanent faculty in palliative care at accredited allopathic and osteopathic medical schools, nursing schools and other programs, including social work, physician assistant, and chaplaincy education programs, to promote education and research in palliative care and hospice, and to support the development of faculty careers in academic palliative and hospice care. [Click on the title's link the full document.]

Public welcomed inside Heather’s House, North Dakota’s 1st freestanding hospice Grand Forks Herald, Fargo, ND; by Robin Hueben and Michael McGurran; 7/22/25 The public is getting its first look inside North Dakota's first freestanding, inpatient hospice house. Several hundred people turned out for a program and open house at HIA Heather's House on Tuesday, July 22, from 10 a.m. to 6 p.m. at 3800 56th Ave. S., Fargo, put on by HIA Health. The letters HIA stand for "hearts in action." HIA had previously been known as Hospice of the Red River Valley before changing its name in June. ... Nancy Andrews, president of the HIA Hospice Board, greeted the crowd on behalf of the board and the facility staff. "I welcome you to the grand opening of this sacred place — a place of peace, compassion and dignity," she said. [For more background, read our 4/23/24 post, Hospice of the Red River Valley celebrates milestone in Heather's House construction.]

Filling the gaps with the loss of Wilshire Health and Community Services NBC KSBY-6, California's Central Coast; by Dylan Foreman; 7/22/25 At the end of June, the longtime medical service provider Wilshire Health and Community Services, which offered everything from hospice and home health care to community services like counseling and transportation, closed its doors, leaving clients looking for help elsewhere. ... [Services] like home health and hospice care are being transferred over to organizations like Dignity Health Home Health and Hospice Care, getting 50% of the patients from Wilshire and sending offers out to 30% of their staff. According to Wilshire, on any given day, they could have at least 250 clients.

CIOs’ tech wishlist: What IT leaders would buy with a blank check Becker's Health IT; by Naomi Diaz; 7/14/25 If hospital and health system CIOs had unlimited resources, where would they place their biggest technology bets? Becker’s asked several IT leaders: If you had a blank check to invest in one technology tomorrow, what would it be and why? [Only a few responses are listed here. Go to the source article for the IT leaders' name, organization, role, and answer.]

51 healthcare leaders’ takes on doing more with less Becker's Hospital Review; by Allie Woldenberg, Kelly Gooch, Mariah Taylor, Giles Bruce, Kristin Kuchno, and  Andrew Cass; 7/17/25 It’s a directive that hospitals and health systems of every size know well — whether sprawling academic medical centers, multistate nonprofit systems or rural, independent 25-bed hospitals. While the phrase isn’t new, the urgency behind it is intensifying. The nation’s healthcare workforce remains fragile, forcing leaders to distinguish between staffing gaps that are temporary hurdles or structural limitations. Revenue projections for health systems have shifted dramatically ... Against this backdrop, Becker’s set out to understand how health system leaders across the U.S. are interpreting and enacting the mandate to “do more with less” today. From June 9 to July 15, we spoke with executives across the country, in every type of market, hospital, and health system, to hear how they are navigating this evolving landscape. ...Editor's Note: Scan through these with a sharp eye toward improving the quality of patient care while "doing more with less." I applaud many of these leaders for not just focusing on cutting costs, but for using these crucial changes as a vehicle to improve patient care.

Hospice of the Piedmont CEO: Doubling down on community-based support Hospice News; by Holly Vossel; 7/16/25 Virginia-based Hospice of the Piedmont is sharpening its focus on home-based care services and unfurling several initiatives in this realm. The future of end-of-life care delivery has increasingly shifted into the home, according to Nancy Littlefield, president and CEO at Hospice of the Piedmont. While demand for facility-based hospice care is also rising, sustaining these services has become increasingly difficult, she indicated. Several hospices have shuttered their facility-based programs in recent years, with many citing financial headwinds as a leading reason fueling inpatient center closures. Financial strains were among the challenges that led to the difficult decision to close Hospice of the Piedmont’s Center for Acute Hospice Care, Littlefield said. ... Hospice News recently sat down with Littlefield to learn more about how hospices are sustaining and growing their services in today’s economic and financial climate.

Silver tsunami brings new challenges for end-of-life care NPR Network, KANW New Mexico Public Radio; by Jenny Kinsey; 7/16/25 ... Inhora isn’t a hospice but it describes itself as a social model hospice house that provides a place to be. The nonprofit opened in April and contracts with several local hospice providers to provide end of life support. ... Inhora gets its support through donations and volunteer help which enables their guests to stay for free. That’s the idea behind Inhora, said Miles Gloetzner, RN, Inhora’s founder and Executive Director. ... Investigating the idea led him to the Omega Home Network, a national network of comfort care homes, and other communities with the same mission bringing comfort and caring to those at the end of life . That’s when he realized his dream was not his alone. A comfort care home or social model hospice house provides free room and board for patient/guests and a family member or friend while they receive hospice care. ... Comfort homes like Inhora are found across Mountain West states, including Colorado, Nevada, Utah, Idaho, and Wyoming. The idea isn’t new. For instance, the Omega Home Network was founded in 2003 in Tulsa, Oklahoma. It is a national organization of 50 comfort care homes – and growing rapidly with 79 in development.