Transitioning Pediatric Patients Into Adult Palliative Care Programs

Navigating the nuanced differences of adult versus pediatric palliative care delivery can be a challenging feat for seriously ill youths as they age and transition between these two realms. Pediatric patients often experience burdensome care transitions as they reach adulthood, according to Dr. Daniel Karlin, associate clinical professor University of California, Los Angeles’ (UCLA) David […]

Using a Hospice Data ‘Toolbox’ to Tune Up Health Equity

Hospice providers have leveraged data in various ways to both identify and address the biggest barriers to access and unmet needs among underserved terminally ill patient populations. Some avenues may be more fruitful than others. Hospices need careful consideration when implementing more equitable patient data collection methodologies that lead to impactful change, according to Brittany […]

Training Hospice Workers to Face Existential Distress, ‘Death Anxiety’

Hospice providers that integrate a deep focus on emotional well-being in their staff training efforts could see improved workforce and patient satisfaction. Hospice and palliative care workers often lack training around the complexities of death anxiety and the various emotional and physical tolls it can take on an individual, according to Dr. Keri Brenner, psychiatrist, […]

Psychological Trauma Can Worsen Symptom Burden at End-of-Life

Recent research has found that traumatic experiences can lead to increased pain and symptom burden at the end of life, along with a greater likelihood of emotional suffering and isolation. Collective trauma experiences have been associated with higher instances of pain and dyspnea among more than half of seniors nationwide, a recent study found, published […]

Breaking the Silence: The Mounting Need for Trauma-Informed Hospice Care

Traumatized and abused hospice patients and providers often experience an array of lingering physical, emotional and psychological effects that can fall into a silent abyss of unmet needs. Breaking down the barriers to stronger trauma-informed end-of-life care requires heightened awareness, legislative action and improved care delivery approaches. Some hospice providers have training and education around […]

Pediatric Palliative Care: The Forces Impeding Quality

Pediatric palliative care providers have room for improvement when it comes to understanding the factors that can impact health care decisions among seriously ill young adults and adolescents. A diverse range of social, emotional and psychological developmental factors can complicate the ability of pediatric palliative providers to navigate advance care planning conversations and deliver goal-concordant […]

Palliative Care’s Biggest Growing Pains

Strains on reimbursement, referrals and staffing represent the biggest obstacles to palliative care providers’ viability and growth. It takes time to build up the payment, referral and workforce resources needed to support a sustainable palliative care program, according to Dr. Stephen Goldfine, chief medical officer at Samaritan Healthcare & Hospice. The New Jersey-based nonprofit offers […]

Palliative Care Providers Walk a Reimbursement Tightrope

Though revenue streams for palliative care are often shallow, these services can generate sustainable growth for providers who can play their cards right with payers. Providers walk a tightrope when it comes to ensuring that their palliative care services are financially sustainable, according to Lynn Spragens, founder and partner of Spragens & Gualtieri-Reed, a North […]

Community Education Crucial to Improving Hospice Access Among Unhoused Populations

Identifying patients and finding referral sources are two challenging issues when it comes to reaching homeless populations in need of hospice. Improving equitable, quality care for homeless populations involves providing education to internal hospice staff and to community care partners and referral sources, according to Nycole Snodgrass, director of operations for hospice and palliative at […]

Facility-Bound Hospice Patients Less Likely to Get SIA Visits

Hospice providers in facility-based settings may be underutilizing Medicare’s service intensity add-on (SIA). Compared to routine home care, patients receiving the general inpatient level of care (GIP) were 22.8% less likely to have a SIA-applicable visit, according to an analysis by Abt Associates. SIA visits for patients in GIP on average had 67.6 fewer minutes. […]