Literature Review

Jury convicts home health agency executive of fixing wages and fraudulently concealing criminal investigation U.S. Department of Justice - Office of Public Affairs; Press Release; 4/14/25 A federal jury convicted a Nevada man today for participating in a three-year conspiracy to fix the wages for home healthcare nurses in Las Vegas and for fraudulently failing to disclose the criminal antitrust investigation during the sale of his home healthcare staffing company.  According to court documents and evidence presented at trial, Eduardo “Eddie” Lopez of Las Vegas, Nevada conspired to artificially cap the wages of home healthcare nurses in the Las Vegas area between March 2016 and May 2019. The three-year conspiracy affected the wages of hundreds of Las Vegas registered nurses and licensed practical nurses who provide care to patients in their homes. During the pendency of the government’s investigation, Lopez then sold his home healthcare staffing company for over $10 million while fraudulently concealing the government’s criminal investigation from the buyer.  

What healthcare leaders can learn from palliative medicine Becker's Hospital Review; by Elizabeth Gregerson; 4/18/25 The American Academy of Hospice and Palliative Medicine in March appointed Kristina Newport, MD, as chief medical officer for the organization.  Dr. Newport currently serves as chief of palliative care for Hershey, Pa.-based Penn State Health. She recently spoke with Becker’s about her priorities as AAHPM’s new CMO, as well as the role palliative care can play in oncology.Question: Congratulations on your appointment, what are your top priorities in this new role?Dr. Kristina Newport: Thank you. It’s really a privilege to be in this role and give back to the organization that raised me up. I’ve been a member of the Academy since 2007 when I was a medical resident, so the academy really has guided my career. One of my first priorities is to understand our members’ needs.  ... My second priority is developing and strengthening the relationships we have with other organizations who share our mission.  ... [The] foundations of palliative care are to prioritize what matters to patients and address the whole person through human connections and relationships. We have strong evidence in the literature that says when we do that well, we decrease non-beneficial treatment and improve the patient’s well-being, as well as the well-being of people that care for them. At the same time, we decrease unnecessary costs in the healthcare system while improving healthcare worker satisfaction. 

Palliative care and advanced cardiovascular disease in adults: Not just end-of-life care: A scientific statement from the American Heart Association AHAIASA Journals - American Heart Association; by Lucinda J. Graven, PhD, APRN, FAHA, Lisa Kitko, PhD, RN, FAHA, Martha Abshire Saylor, PhD, MSN, BA, RN, Larry Allen, MD, MHS, FAHA, Angela Durante, PhD, RN, Lorraine S. Evangelista, PhD, RN, CNS, WAN, FAHA, Amy Fiedler, MD, James Kirkpatrick, MD, Lakeisha Mixon, MSW, and Rachel Wells, PhD, MSN, BA on behalf of the American Heart Association Complex Cardiovascular Nursing Care Science Committee of the Council on Cardiovascular and Stroke Nursing; and Council on Cardiovascular Surgery and Anesthesia; 4/17/25  ... This scientific statement (1) discusses the application of effective communication, shared decision-making, age-friendly care, and advance care planning in advanced cardiovascular disease palliative care; (2) provides a summary of recent evidence related to palliative care and symptom management, quality of life, spiritual and psychological support, and bereavement support in individuals with advanced cardiovascular disease and their care partners; (3) discusses issues involving diversity, equity, and inclusion in cardiovascular disease palliative care; (4) highlights the ethical and legal concerns surrounding palliative care and implanted cardiac devices; and (5) provides strategies for palliative care engagement in adults with advanced cardiovascular disease for the care team.

Why good palliative care clinicians get fired JAMA Network - Viewpoint; by Abby R. Rosenberg, MD, MS, MA; Elliot Rabinowitz, MD; and Robert M. Arnold; 4/14/25 Even the most seasoned palliative care clinician gets fired. In the past year, one of us was fired after asking whether a patient endorsing suicidal ideation had access to a gun; the patient requested not to see the palliative care team because we asked intrusive questions and documented the encounter. One of us was fired after supporting a family’s decision to discontinue life-sustaining therapies for their loved one with multisystem organ failure; the primary intensivist suggested palliative care overstepped in discussing options for which the family (and clinical teams) was not ready. And one of us was fired after sharing the impression that a patient with cancer was dying; the family suggested they preferred the oncologist’s version of a more hopeful future.

More than just meds: What a palliative care pharmacist learned from the bedside Pharmacy Times; by Trinh Bui, PharmD, Yale New Haven Health; April 2025 Issue A palliative care pharmacist highlights a spectrum of clinical opportunities for patients, caregivers, and clinicians when rounding at the bedside. ... I hold a unique clinical position. In 2018, the National Palliative Care Registry reported that less than 10% of national palliative care (PC) programs have a dedicated pharmacist. I am a member of the PC consultation service at a cancer hospital affiliated with a large tertiary academic medical center in New Haven, Connecticut. Routinely, we are consulted for at least 40 patients a day, with more than 2000 consults in 2024. ... A benefit of having a clinical pharmacist on the interdisciplinary team includes the ability to provide off-label medication to optimize complex medication regimens while honoring patients’ psychosocial, cultural, and spiritual needs. ...

I have an advance directive, not because I have a serious illness, but because I have a family. ~ Ira Byock, MD

CMS clarifies physician referral authority, tightens attestation requirements in proposed hospice ruleInside Health Policy; by Jalen Brown; 4/11/25... The proposed rule would explicitly allow the physician member of the hospice interdisciplinary group (IDG) to recommend patients for hospice care, addressing a gap in current regulations over which physicians have that authority. While CMS already lets IDG physicians certify that a patient is terminally ill and eligible for hospice, the existing admission rules only name the hospice medical director or physician designee as authorized to recommend admission. CMS also wants to strengthen documentation requirements for hospice recertification, ... Starting at day 180 and every 60 days thereafter, Medicare requires a hospice physician or nurse practitioner (NP) to conduct a face-to-face visit with the patient before recertifying eligibility. After the visit, the clinician must provide a written attestation confirming that the visit occurred and was used to assess whether the patient still qualifies for hospice care. Under CMS' proposal, that attestation would also need to include the clinician's signature and the date signed, submitted as a clearly labeled section or addendum to the recertification form. 

The power of film to change medical culture: A Q&A with a physician-filmmaker about her latest documentary MedPage Today; by Genevieve Friedman; 4/15/25... We spoke with Jessica Zitter, MD, a critical care and palliative care physician in California, about shifting her career beyond clinical medicine and into the world of film-making. Zitter has produced three documentaries that use storytelling to inspire healthcare providers to connect to their work with purpose, community, and compassion, and in 2022, she founded the production company Reel Medicine Media. Her latest documentary, "The Chaplain & The Doctor," explores her relationship with Betty Clark, a chaplain on Zitter's palliative care team, and the value that can grow from an unlikely partnership.

Rochester’s Art of Observation program helps medical students and clinicians cultivate essential clinical skills University of Rochester, Rochester, NY; by Melissa Pheterson; 4/8/25 After a day of seeing and treating patients, eight faculty-physicians from the University of Rochester Medical Center met at the University’s Memorial Art Gallery (MAG). They sat on folding stools before a painting of a woman and three children gathered around a table, on which the woman appeared to be cutting something. ... “What do you see?” said Natercia Rodrigues ’19M (MS), an assistant professor at the School of Medicine and Dentistry, a family physician in the UR Medicine Primary Care network, and the group’s facilitator. Designed to enhance observational skills for healthcare professionals, the sustained viewing and structured dialogue help participants unpack their assumptions, consider different perspectives, and avoid jumping to conclusions—among other cognitive biases— ... [Continue reading ...]

Hospice of Americus-Sumter County Georgia establishes nursing scholarship at GSW Georgia Southwestern State University, Americus, GA; 4/9/25 The Hospice of Americus-Sumter County Georgia has announced the creation of a new scholarship aimed at supporting students enrolled in Georgia Southwestern State University’s (GSW) Associate of Science in Nursing (ASN) program. Designed to foster local talent and address the growing need for qualified healthcare professionals, the scholarship specifically targets non-traditional students with healthcare experience or those who are first responders from Sumter County and the surrounding region. ... By prioritizing individuals already embedded in healthcare and emergency services, the fund supports career advancement and ensures that compassionate, experienced caregivers remain within the community. [Continue reading ...]

Statement by the American Nurses Association on organizational restructuring within the US Department of Health and Human Services American Nurses Association (ANA); Press Release; 4/8/25 The American Nurses Association is aware of the recent personnel changes and organizational restructuring within the US Department of Health and Human Services (HHS). These developments have sparked concerns among nurses nationwide regarding the potential impact on essential programs and services delivered by HHS in collaboration with nurses, patient advocates, and other healthcare providers. ... The association will monitor that re-structured capacity and promptly report any gaps we identify to the Administration and Congress to ensure the needs of nurses, and the public are met by our federal partners. It is imperative that Secretary Kennedy and Administration leaders ensure the uninterrupted continuation of the vital work of these agencies. Federal agencies must have the necessary staff to carry out the public health, research, quality, and operational work that the American people rely on for their health and well-being. [Continue reading ...]

What role do immigrants play in the direct long-term care workforce? KFF; by Priya Chidambaram and Drishti Pillai; 4/2/25 President Trump has made a slew of immigration policy changes focused on restricting entry at the border and increasing interior enforcement efforts to support mass deportation. While these actions are focused on undocumented immigrants, they likely will have ripple effects across immigrants of all statuses and millions more people living in immigrant families. Mass deportations could negatively impact the U.S. economy and workforce, given the role immigrants play, particularly in certain industries. ...