Live from Day 2 of the Last Visit First podcast at the 2026 Home Care 100 Leadership Conference in Scottsdale, Charles McDonough, President and CEO of Delaware Hospice, joins the podcast to discuss the evolving definition of "community care."

As the leader of the nation's first hospice in the first state, Charles isn't just leaning on legacy—he’s leaning into disruption. In this briefing, he explores how Delaware Hospice is leveraging the GUIDE model to redefine dementia care and why "upskilling" internally is the only sustainable answer to the national nursing crisis. Charles and Tom also dive into a provocative discussion on state licensure laws: are they protecting quality, or are they artificially suppressing the workforce?

Chapters:

• 02:15 – The Dementia Mandate: Why specialized cognitive care is the next industry frontier.
• 04:45 – Scaling Through Partnership: Expanding into Pennsylvania and Maryland via non-profit collaboration.
• 06:30 – The Licensure Bottleneck: Is it time for a universal clinical license?
• 08:50 – Virtual-First Care: Connecting rural patients to elite clinical resources.

Connect with Charles and Delaware Hospice:

• Website: https://www.DelawareHospice.org
• LinkedIn: https://www.linkedin.com/company/delaware-hospice-inc../
• Charles's LinkedIn: https://www.linkedin.com/in/charlesmcdonough

Special thanks to our sponsors:

• Premier Sponsor:⁠⁠⁠⁠⁠⁠ Trella Health⁠⁠⁠⁠⁠⁠
• Premier Sponsor: ⁠⁠⁠⁠⁠⁠Homecare Homebase⁠⁠⁠⁠⁠⁠
• Premier Sponsor: ⁠⁠⁠⁠⁠⁠Maxwell TEC⁠⁠⁠⁠⁠⁠
• Premier Sponsor: ⁠⁠⁠⁠⁠⁠Lincoln Healthcare Leadership⁠

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