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February 4th, 2026

Measures That Matter: How Better Metrics Can Transform End-of-Life Care / Part One

  1. Measures That Matter: How Better Metrics Can Transform End-of-Life Care / Part One Chris Comeaux 27:16

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Top News Stories of the Month, January 2026
At the end of life, quality matters—but too often, the metrics used in Hospice and palliative care fail to reflect the care patients and families actually experience. 

In Episode One of Measures That Matter: How Better Metrics Can Transform End-of-Life Care, TCNtalks / Anatomy of Leadership explores why fewer, clearer quality measures are essential for reducing variability, improving patient outcomes, and supporting value-based care at the end of life.

This episode introduces the Measures That Matter initiative through the lens of experience, data, and leadership responsibility.  Bob Tavares explains how decades of healthcare analytics revealed a fundamental problem in hospice quality measurement: an abundance of metrics that fail to differentiate performance. Many current measures cluster nearly all providers at the top, making it difficult for patients, payers, and value-based organizations to identify true centers of excellence or address variability that puts patients at risk.

From the provider and network perspective, Robin Heffernan and Mindy Stewart-Coffee highlight the real-world consequences of that variability. Across thousands of hospice and palliative care providers nationwide, quality is inconsistent—even within the same organization across different markets. Staffing changes, lack of collaboration with risk-bearing entities, and late referrals all contribute to uneven patient and Family experiences, reinforcing the need for fewer, clearer, and more actionable measures.

Episode One ultimately reframes measurement as a leadership issue—not a compliance Exercise.  Great hospice and palliative care, the panel argues, doesn’t happen by accident.  It is intentionally designed, supported by the right systems and processes, and continuously measured to reduce variability and honor patient goals.  This opening episode sets the stage for a deeper exploration of the specific metrics that matter most—and how leaders can use them responsibly to improve care where it matters most.

Host:
Chris Comeaux, President / CEO of TELEIOS

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today
& CEO and Founder of Hospice Analytics

Guest:

Bob Tavares, VP & General Manager, HealthPivots 

Robin Heffernan, PhD, Co-Founder and CEO, Empassion 

Mindy Stewart-Coffee, National Vice President, Palliative Care 

The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact.

https://www.teleioscn.org/anatomy-of-leadership

Chris Comeaux President / CEO of TELEIOS / Podcast Host

I am currently the President/CEO of Teleios Collaborative Network which is like a co-op of nonprofit hospice and palliative care organizations. I am also CEO of Teleios Consulting Group. The goal of the collaboration is to harness the best of each hospice and enable the network to better care in each community for the patients and families being served as well as introduce innovations across the membership network and work with payers for new innovative solutions for those dealing with serious or advanced illness.

I am also host two podcasts, Anatomy Of Leadership and TCNtalks. Anatomy of Leadership was inspired by my book "The Anatomy of Leadership" which I wrote for Leaders, visionaries, and change-makers. The podcast delves deep into the essence of purpose-driven and high-performance leadership.

The show guides you through a journey of discovery—revealing how effective leadership can significantly alter the trajectory of our teams, organizations, our lives, and the world at large.

We examine topics like:

- Self-Mastery
- Caring for Others
- Influence
- Intention
- Cause and Purpose

Bio

Over the years, I have become nationally known as a leader in our country’s hospice and palliative care industry, where I spent a large portion of my career as President/CEO of Four Seasons in western North Carolina, a 2009 American Hospital Association Circle of Life Award Winner. In 2005, the Carolinas Center for Hospice and End of Life Care honored me with the Peter Keese Leadership Award.

In 2006, I left Four Seasons for two years to build an alliance between the prestigious national healthcare consulting firm, the Studer Group, and Covenant Hospice in Pensacola. The vision was to transform, develop, and grow leaders throughout the hospice and palliative care world. With this venture from its infancy to an established coaching firm partnering with post-acute healthcare organizations from New York to California. I returned to Four Seasons in 2008 to apply everything learned in the trenches on leadership to an organization I knew and loved.

My hospice career began in 1997 at Covenant Hospice in Pensacola, Florida. Earlier in my career, where I worked with KPMG Peat Marwick, a “Big Four” CPA consulting firm, and with Cooper Industries, a Fortune 100 Company, in its Executive Development Program.

I have a Masters in Leadership from the Thayer Institute for Performance Virtuosity.

I am blessed to have a wonderful wife, Deshia and a proud parent of 5 children (3 boys and 2 girls). Love spending time outdoors with my family, reading, and learning in the mountains of Western North Carolina.