Rural and Urban Hospice Financial Comparisons

If I asked you which hospices, rural or urban, face the most financial disadvantages, most people would probably say rural hospices. However, according to research reported in the “Journal of Pain Symptom Management,” rural hospices fare no worse financially than urban hospices. In the California study, 144 hospices were urban and 44 were rural. Adjustments were made in financial performance factors such as size, years of operation, profits, insured patients, etc. Compared with urban hospices, rural hospices were at least as profitable per patient-day, and they were determined to be “significantly” more profitable than urban hospices when charitable donations were excluded. Rural hospices fared no worse financially than urban hospices, at least in California. This information indicates a need to look further into these results on a national level. You can read more details about this study here. Frances Shani Parker, Author "Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes” “Hospice and Nursing Homes Blog”

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CAREGIVERS STORE

by Rashani Rea & Kathy Douglas

Those who companion suffering daily, such as hospice nurses and volunteers, will surely appreciate this beautiful work. With 62 original art collages by Rashani Réa, five beautiful chapters by Kathy Douglas, and a foreword by Jean Watson, this exquisite book is a peaceful refuge for contemplation, inquiry, reflection and inspiration for those who traverse the joys and sorrows of nursing.

Kathy Douglas, RN, MPH-HA is a nationally recognized nurse leader, filmmaker and entrepreneur. 

Rashani Réa is a prolific artist and musician, a creatrice of sanctuaries and a respected spiritual mentor.

“This is a beloved book and beyond a book. It is an evocative, poetic, ecstatic, and inspirited sacred, experiential calling. A calling to you--YES, YOU.” 

— Jean Watson, PhD, RN, AHN-BC, FAAN, Living Legend (AAN)

“Those who companion suffering daily need to turn inward to metabolize what they have witnessed. This exquisite book, filled with beautiful images and poetic wise words, is the inspiration and support needed to grow a wise heart.” 

— Frank Ostaseski, founder and director of the Metta Institute and author of The Five Invitations: Discovering What Death Can Teach Us About Living Fully

“In this unique time of the COVID-19 pandemic, this book should be considered a tribute to the tremendous courage being displayed by nurses around the world. There is much wisdom conveyed throughout by those who have been there serving others with such grace.” 

Greg Schneider President, HVA, co-author of The Changing Face of Hospice Volunteering in Hospice and Palliative Care 

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