NHPCO NewsLine Fall 2021 - 39
Advancing
a Culture of Equity in
Hospice & Palliative Care
by Nicole McCann-Davis
A guiding principle of hospice and palliative care is that every human life matters. Central to this guiding
principle is whole-person care which acknowledges that each patient is their own individual with their own
history, objectives, identity, beliefs, and values.
While this is a North Star for hospice organizations, it is imperative that we ask ourselves as hospice and
palliative care providers a sensitive - and oftentimes challenging - question: How are we working to improve
our understanding of what it means to provide a true culture of equitable care to those we are honored to
care for, and just as importantly, providing access for those communities often underserved by hospice?
To address the need for equitable care, we must acknowledge that
equity requires us to provide the necessary support to meet the
individual physical, spiritual, and psychosocial needs of each patient and
family. This is no small mission especially as concerns of barriers in
access to high-quality care continue to engulf our healthcare system,
and specific to hospices, we find underserved communities are often
most impacted. Patients and their families often associated with
underserved communities and underutilizing hospice care include, for
instance but not limited to, racial and ethnic minorities, diverse religions
populations, members of the LBGTQ+ community, patients living in rural
areas, and individuals experiencing economic insecurity.
Several factors do impact the existing disparities regarding hospice
utilization by members of underserved communities. Experience tells us
that lack of awareness or understanding of hospice, culturally-based
apprehension regarding cessation of curative treatment, and even a
refusal to acknowledge the dying process contribute to the gaps in
utilization. It's important to identify and act upon the additional factors
that are preventing many from benefiting from a higher quality end-oflife
experience and the accompanying bereavement support.
As providers, we are positioned to improve access by shifting our often
long-held organizational beliefs - if not implicit biases. It is our
responsibility to elevate and increase cultural sensitivity training for
Newsline / Fall 2021 39
Be Present
Respect
Confidentiality
Assume
Positive Intent
Speak
Your Truth
Suspend
Judgement
Make Room
For All Voices
Expect & Accept
Non-Closure
NHPCO NewsLine Fall 2021
Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2021
IDC 2021 (display ad)
Table of Contents
Signature Programs (display ad)
Edo's Message
Finding Your Value (feature article)
Payment Model Primer
LAC 2022 (display ad)
FY 2022 Hospice Wage Index
Updates to Hospice Quality Reporting Program
Care Vention (display ad)
NHPCO Launches Re-envisioned CaringInfo
Making POLST Portable
Career Center (display ad)
Advancing a Culture of Equity
NHPCO Quality Connections (display ad)
Hospices Earning Recognition
STAR Upgrades Complete
2021 Interdisciplinary Conference
Submit LAC22 Session Proposal
New LGBTQ+ Resource Guide
Ooma (display ad)
Updates We Honor Veterans
Caleb Tiller Joins NHPCO
back cover
NHPCO NewsLine Fall 2021 - Intro
NHPCO NewsLine Fall 2021 - 1
NHPCO NewsLine Fall 2021 - IDC 2021 (display ad)
NHPCO NewsLine Fall 2021 - Table of Contents
NHPCO NewsLine Fall 2021 - Signature Programs (display ad)
NHPCO NewsLine Fall 2021 - Edo's Message
NHPCO NewsLine Fall 2021 - Finding Your Value (feature article)
NHPCO NewsLine Fall 2021 - 7
NHPCO NewsLine Fall 2021 - 8
NHPCO NewsLine Fall 2021 - 9
NHPCO NewsLine Fall 2021 - 10
NHPCO NewsLine Fall 2021 - 11
NHPCO NewsLine Fall 2021 - 12
NHPCO NewsLine Fall 2021 - 13
NHPCO NewsLine Fall 2021 - 14
NHPCO NewsLine Fall 2021 - 15
NHPCO NewsLine Fall 2021 - Payment Model Primer
NHPCO NewsLine Fall 2021 - 17
NHPCO NewsLine Fall 2021 - 18
NHPCO NewsLine Fall 2021 - LAC 2022 (display ad)
NHPCO NewsLine Fall 2021 - FY 2022 Hospice Wage Index
NHPCO NewsLine Fall 2021 - 21
NHPCO NewsLine Fall 2021 - 22
NHPCO NewsLine Fall 2021 - 23
NHPCO NewsLine Fall 2021 - 24
NHPCO NewsLine Fall 2021 - Updates to Hospice Quality Reporting Program
NHPCO NewsLine Fall 2021 - 26
NHPCO NewsLine Fall 2021 - 27
NHPCO NewsLine Fall 2021 - 28
NHPCO NewsLine Fall 2021 - Care Vention (display ad)
NHPCO NewsLine Fall 2021 - NHPCO Launches Re-envisioned CaringInfo
NHPCO NewsLine Fall 2021 - 31
NHPCO NewsLine Fall 2021 - Making POLST Portable
NHPCO NewsLine Fall 2021 - 33
NHPCO NewsLine Fall 2021 - 34
NHPCO NewsLine Fall 2021 - 35
NHPCO NewsLine Fall 2021 - 36
NHPCO NewsLine Fall 2021 - Career Center (display ad)
NHPCO NewsLine Fall 2021 - Advancing a Culture of Equity
NHPCO NewsLine Fall 2021 - 39
NHPCO NewsLine Fall 2021 - 40
NHPCO NewsLine Fall 2021 - NHPCO Quality Connections (display ad)
NHPCO NewsLine Fall 2021 - Hospices Earning Recognition
NHPCO NewsLine Fall 2021 - 43
NHPCO NewsLine Fall 2021 - STAR Upgrades Complete
NHPCO NewsLine Fall 2021 - 2021 Interdisciplinary Conference
NHPCO NewsLine Fall 2021 - Submit LAC22 Session Proposal
NHPCO NewsLine Fall 2021 - Ooma (display ad)
NHPCO NewsLine Fall 2021 - Updates We Honor Veterans
NHPCO NewsLine Fall 2021 - Caleb Tiller Joins NHPCO
NHPCO NewsLine Fall 2021 - back cover
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