Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores | Part One episode artwork

EPISODE · Jun 3, 2026 · 29 MIN

Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores | Part One

from TCN Talks · host Chris Comeaux

Are hospice quality ratings really measuring what matters most?In this powerful episode of TCNtalks / Anatomy of Leadership, Chris Comeaux and Cordt Kassner sit down with nationally recognized hospice researcher Dr. Joan Teno to uncover the hidden problems behind hospice ratings, quality scores, and public reporting systems.Drawing on more than 30 years of experience shaping hospice and palliative care policy, Dr. Teno explains why many publicly reported quality measures may fail to capture the true experiences of patients and families. She discusses the challenges of transparency, the unintended consequences of current reporting systems, concerns about fraud and oversight, and how artificial intelligence could help transform the future of hospice quality measurement.Whether you’re a healthcare executive, hospice leader, clinician, policymaker, or nonprofit professional, this conversation offers valuable insights into the complex realities behind quality scores and what must change to better serve patients and families at the end of life.In this episode, you’ll learn:✔ Why hospice ratings may not tell the full story✔ The biggest blind spots in today’s quality measurement systems✔ How some providers avoid meaningful public reporting✔ The role of AI and data analytics in improving oversight✔ What meaningful transparency should look like for consumersChapters:0:00     Leadership Sets The Tone0:22.    Monthly Hospice News And Framework3:38.    Why Oversight Beats Payment Redesign8:28.    Transparency Limits And Small Hospice Loopholes13:10.  Blind Spots In Quality Reporting18:56   Using AI To Pick A Hospice23:45.  Moratorium And Rebuilding Trust27:30   Clinicians Needed To Catch What Models Miss29:18   Part Two TeaserGuest: Dr. Joan TenoAdjunct Professor, Brown School of Public Health | Hospice & Palliative Care Researcher | 2023 AAHPM Lifetime Achievement Award RecipientHost: Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of LeadershipC0-Host: Cordt Kassner, 👉 Subscribe for more conversations on leadership, healthcare innovation, hospice care, and mission-driven organizations.Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

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Are hospice quality ratings really measuring what matters most? In this powerful episode of TCNtalks / Anatomy of Leadership, Chris Comeaux and Cordt Kassner sit down with nationally recognized hospice researcher Dr. Joan Teno to uncover the hidden problems behind hospice ratings, quality scores, and public reporting systems. Drawing on more than 30 years of experience shaping hospice and palliative care policy, Dr. Teno explains why many publicly reported quality measures may fail to captu...

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Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores | Part One

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