Literature Review



Now open: VITAS Healthcare inpatient hospice care at Oak Manor

03/17/26 at 03:15 AM

Now open: VITAS Healthcare inpatient hospice care at Oak Manor PR Newswire, Largo, FL; by VITAS Healthcare; 3/16/26 Residents in Pinellas County now have improved access to high-quality, compassionate end-of-life care with the opening of VITAS Healthcare inpatient care at Oak Manor in Largo. As the first VITAS inpatient center in the region, the facility strengthens the continuum of care for people facing terminal illness by providing around-the-clock clinical support in a comfortable, supportive environment. The center features 12 private patient rooms designed to offer comfort, dignity and support for patients and families. The facility ... is expected to care for more than 400 patients and their families each year. 

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Unilateral DNR? Gina Piscitello, Erin DeMartino, Will Parker

03/17/26 at 03:00 AM

Unilateral DNR? Gina Piscitello, Erin DeMartino, Will ParkerGeriPAL podcast; by Alex Smith, Eric Widera, Gina Piscitello, Erin DeMartino, Will Parker; 2/19/26Do you think your hospital should allow unilateral DNR orders? Under what circumstances? Through what process? Do you think that when you obtain the assent of a family to not code their loved one, that assent DNR should be counted as a unilateral DNR order? Should we document unilateral DNR and the rationale? Why for DNR, when we don’t document unilateral dialysis not offered, or unilateral no ECMO offered? Is the assent of a family member to a statement that we will not code their loved one a nudge, and is the assent approach ethical? Reasonable people will disagree, as we do on this podcast.

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Red Oak Hospice and Palliative Care announces enhanced initiatives prioritizing resident safety and wellness in Bridgeton, NJ

03/17/26 at 03:00 AM

Red Oak Hospice and Palliative Care announces enhanced initiatives prioritizing resident safety and wellness in Bridgeton, NJ 96.7 3WZ-FM; 3/13/26 A leading provider of compassionate end-of-life services is proud to announce its latest initiatives focused on enhancing resident safety and wellness. These updates reflect the organization’s deep commitment to the dignity and well-being of every patient, ensuring a supportive environment for families throughout the care journey. ... "Our guiding principles are centered on respect, integrity, and personalized care," our team stated. "By prioritizing resident safety and wellness, we aim to instill a sense of calm and confidence in our families."

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Top o' the mornin' to ya! May your ...

03/17/26 at 03:00 AM

Top o' the mornin' to ya! May your coffee be strong and your day be lucky! ~ Happy St. Patrick's Day from Hospice & Palliative Care Today 

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When using AI leads to “brain fry”

03/17/26 at 03:00 AM

When using AI leads to “brain fry”Harvard Business Review; by Julie Bedard, Matthew Kropp, Megan Hsu, Olivia T. Karaman, Jason Hawes, Gabriella Rosen Kellerman; 3/5/26A new study finds that certain patterns of AI use are driving cognitive fatigue, while others can help reduce burnout... Firms are incentivizing employees to build and oversee complex teams of agents—for example, by measuring and rewarding token consumption as a proxy for performance. Meta, for one, includes the number of lines of code generated by AI as a performance metric for engineers. As enterprises use more multi-agent systems, employees find themselves toggling between more tools. Contrary to the promise of having more time to focus on meaningful work, juggling and multitasking can become the definitive features of working with AI... The literature is filled with mixed signals on the relationship between AI and worker burnout. (Burnout is as a state of chronic workplace stress consisting of exhaustion, negative feelings about work, and decreased effectiveness on the job.) Some studies suggest that using AI to replace tiring tasks alleviates exhaustion; other studies, sometimes on the same populations, show AI use worsening burnout outcomes... This highlights the subtle-but-important distinction between the types of stress that AI can alleviate, and those that it may worsen. Our findings are both a guide and a warning.

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Leveraging AI, automation, and data analytics in a hospice setting

03/17/26 at 03:00 AM

Leveraging AI, automation, and data analytics in a hospice setting HealthTech; by Lindsay Myers; 3/13/26 In the hospice setting, the revenue cycle is not only complex but also uniquely fragile, as billing cannot proceed without complete documentation. The sequential nature of hospice billing, where one month’s claims must be fully processed before the next can begin, means that even minor deficiencies can halt revenue entirely. Small delays or errors upstream can have a profound impact on cash flow. ... To improve this process, the Chapters Health System is developing an AI-driven chart review process to analyze the completeness of clinical and other documentation in real time. The goal is to identify missing or inconsistent elements and route those issues directly to the party that can make corrections ...

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Alliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations

03/17/26 at 03:00 AM

Alliance concerned by MedPAC’s misguided 2026 home health and hospice payment recommendations National Alliance for Care at Home, Alexandira, VA and Washington, DC; Press Release; 3/13/26The National Alliance for Care at Home (the Alliance) is deeply concerned by the Medicare Payment Advisory Commission’s (MedPAC) March 2026 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice. The Commission’s findings focus on payment adequacy, access to care, quality, financial performance, and projections for 2026 and beyond. The Alliance previously expressed concern in response to MedPAC’s vote in January 2026.

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Drew Brees visit delights Saints fan living final days in hospice care in Southern California

03/17/26 at 03:00 AM

Drew Brees visit delights Saints fan living final days in hospice care in Southern California Fox 8, New Orleans; by Ken Daley; 3/14/26 Hall of Fame quarterback Drew Brees this week paid a surprise visit to a devoted Saints fan living out his final days at a hospice care facility in Southern California. According to social media posts from the Southern California Hospice Foundation, a 48-year-old man identified as Eddie likely has 1-2 weeks to live after being diagnosed with a terminal brain tumor and undergoing four surgeries in the past month that were unable to improve his prognosis. The initial post last Tuesday said Eddie had been transferred to the Heavenly Home hospice in Mission Viejo, an Orange County community between Los Angeles and San Diego. It said Eddie was originally from New Orleans, has always been a devoted fan of the Saints, and especially admired Brees. The post said one of his final wishes was simply to meet an NFL player.

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Is hospice over-sedating my mom?

03/17/26 at 03:00 AM

Is hospice over-sedating my mom? AgingCare; by Ginger May; 3/11/26 This might be a common question. Mom was signed on to hospice nine days ago. ... Prior to hospice, she was alert and going down to meals each day and participating in conversations. ... Hospice recommended a small dose of morphine to reduce the cough and as they explained "to relax the airway." [Descriptions of her mother's decline. ...] Yesterday, I talked to the hospice nurse and told her I thought it was too much. The nurse disagreed and said mom needed it to prevent "air hunger" and is more comfortable with it than without it. I felt like if I disagreed too much, I was depriving my mother of "comfort." ...Editor's Note: Yes—this is a common question. Families often wonder whether medications intended for comfort are instead taking their loved one away too quickly. Leaders, listen carefully to this daughter’s experience with the hospice nurse. When families question a medication or express fear, what actually happens next? Are their concerns welcomed? Or, dismissed and perhaps even debated? Communication at the bedside does more than explain care. It shapes whether families carry trust—or regret—into bereavement.

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Pediatric Resource Guide

03/17/26 at 03:00 AM

Pediatric Resource GuideThe HAP Foundation press release; 3/16/26Our team with the Lynda P. Bollman’s Pediatric Program collected as many resources as we could find to assist patients, families, and practitioners. Our goal is for this Resource Guide to be an efficient and effective tool to aid in caring for children with a serious illness and their families navigating their journey... The Pediatric Resource Guide is divided into several categories (i.e., financial support, transportation support, emotional wellness support, etc.) to ease navigation. You will also be able to break some sections into subcategories (i.e., Midwest, East, West, etc.)...

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Hospice of Humboldt announces $250,000 matching gift

03/17/26 at 03:00 AM

Hospice of Humboldt announces $250,000 matching gift My Humboldt Life, Eureka, CA; 3/15/26 Hospice of Humboldt is pleased to announce a $250,000 matching gift from the owners of Premier Financial Group to support the continued growth of its Home-Based Palliative Care program. ... Launched in 2022, Hospice of Humboldt’s Home-Based Palliative Care program currently serves 70 patients and meeting the next fundraising goal will allow them to expand to 140 individuals. “Nearly 30 years ago, our founders set out to model how organizations can invest meaningfully in their communities through a strong culture of giving,” said Wayne Caldwell, CFP®, Chairman of the Board and Founder of Premier Financial Group. 

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Report: Over 40% of hospice centers in L.A. County ‘show multiple indicators’ of fraudulent activity

03/17/26 at 03:00 AM

Report: Over 40% of hospice centers in L.A. County ‘show multiple indicators’ of fraudulent activity One America News; by Addie Davis; 3/13/26 Over 700 of the roughly 1,800 hospice agencies in Los Angeles County show multiple state identified indicators of fraud, according to an analysis by CBS News. A 2022 California state audit highlights a staggering 1,500% surge in hospice agencies since 2010. By 2019, Los Angeles County’s density of hospice centers reached six and a half times the national average relative to its elderly population — a saturation point linked to an estimated $105 million in Medicare overbilling, according to CBS News.

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Job Board 3/17/26

03/17/26 at 12:00 AM

* CEO, Hildegard House, nonprofit, Louisville, KY

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‘Shadow AI’ continues to lurk in healthcare settings

03/16/26 at 03:00 AM

‘Shadow AI’ continues to lurk in healthcare settingsHealthcare Brew; by Patrick Kulp; 2/19/26A recent survey found close to a fifth of workers admitted to using unapproved tools. At a time when tech companies want to make AI tools as standard-issue as stethoscopes, the technology is seemingly everywhere in the healthcare industry. But some of its use still remains in the shadows, so to speak—ungoverned by workplaces and rife with security and patient safety risks, experts said. This so-called “shadow AI” remains problematic, according to a recent survey from professional software provider Wolters Kluwer: Nearly a fifth (17%) of more than 500 healthcare workers admitted to tapping unauthorized AI in the workplace. And two in five said they’d encountered such a tool but didn’t use it.

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AI and healthcare: Bob Wachter

03/16/26 at 03:00 AM

AI and healthcare: Bob WachterGeriPAL podcast; Alex Smith, Eric Widera, Bob Wachter; 2/5/26Today we interviewed Bob Wachter about his book, “A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future.” You may recall we interviewed Bob in April 2024 about AI, and at that time he was on the fence about AI – more promise or more peril for healthcare? As his book’s title suggests, he’s come down firmly on the promise side of the equation.

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The case for caregiver support: Better outcomes for people and organizations

03/16/26 at 03:00 AM

The case for caregiver support: Better outcomes for people and organizationsCAPC press release; 2/23/26The Case for Caregiver Support: Better Outcomes for People and Organizations, a new publication from CAPC, outlines how hospital-based psychosocial support for caregivers benefits caregivers, patients, and the hospitals themselves.

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New word for the day: Sláinte (pronounced slawn-cha) ...

03/16/26 at 03:00 AM

Happy St. Patrick's Day! New word for the day: Sláinte (pronounced slawn-cha) to a team that makes excellence look easy.

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Translating palliative care narratives into art: An arts-based knowledge translation pilot with young adult artists

03/16/26 at 03:00 AM

Translating palliative care narratives into art: An arts-based knowledge translation pilot with young adult artists Palliative Care and Social Practice; by Kristina A. Smith, Philippe Blanchard, Susan Law, and Kelli Stajduhar; 2/25/26 Objectives: This knowledge translation project explored arts-based approaches for translating palliative care narrative data into creative forms, examining the feasibility of converting research narratives into accessible art forms that could facilitate engagement with death-related topics. Results: Over 25 artistic works illustrating death and dying experiences were created. The collaborative translation process revealed that undergraduate artists could effectively interpret and visualize complex palliative care narratives through diverse artistic approaches. Course evaluations and informal feedback indicated that artists found the experience meaningful and challenging, and expressed interest in further exploration of death-related topics. Editor's Note: Go to this article and scroll down past "Results" to see photos of these artworks and their descriptions.

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Mom of Frosty-loving daughter on hospice shouts out Wendy’s staff for ‘lovely gesture’

03/16/26 at 03:00 AM

Mom of Frosty-loving daughter on hospice shouts out Wendy’s staff for ‘lovely gesture’ NBC Today Show; by Heather Marin, RD; 3/13/26 ... [Mary Adams] wanted to give a shoutout to a Wendy’s drive-thru employee in Palm Desert, California, who made her feel seen on a weekly Frosty run that’s deeply bittersweet. ... Purdie’s sister, Gretchen, was diagnosed with glioblastoma in 2023 [... and chose hospice care in January 2025]. Her appetite is limited these days. “Every week,” Purdie explains. “Someone from our family, usually my mom, goes to Wendy’s and gets six chocolate Frostys.” ... When Adams arrived at her local Wendy’s to pick up the weekly supply recently, a staff member recognized her. “Hey, you’re late!” said the team member, handing over the drink tray, “No spoons, right?” “Many days, there are very few reasons to smile while being a caregiver for her terminally ill daughter, but that interaction was a bright spot,” says Purdie. The whole family was touched that someone noticed the routine that is for them both life-sustaining and painful.

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Palliative care often comes late for veterans with COPD; use increases modestly

03/16/26 at 03:00 AM

Palliative care often comes late for veterans with COPD; use increases modestlyU.S. Medicine - The Voice of Federal Medicine, Atlanta, GA; by Mary Anne Dunkin; 3/13/26 Chronic obstructive pulmonary disease (COPD) is associated with substantial symptom burden, functional decline and frequent hospitalizations, making early palliative care an important component of comprehensive management. Yet, despite an increased focus by the VA on such care, new research suggested that many veterans with COPD still receive little or no palliative support—and, when they do, it often begins late in the course of illness. 

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How closed-ended survey questions and narrative comments interact in characterizing caregivers’ overall assessment of hospice care

03/16/26 at 03:00 AM

How closed-ended survey questions and narrative comments interact in characterizing caregivers’ overall assessment of hospice care Rand.org, published in American Journal of Hospice and Palliative Medicine; by Denise D. Quigley, Anagha Alka Tolpadi, Danielle Schlang, Joshua Wolf, Rebecca Anhang Price, Melissa A. Bradley; April 2026 online ahead of  print Introduction: Responses to open-ended questions on experience surveys provide rich information and are useful for quality improvement (QI). We examine the usefulness of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey comments for informing hospice QI.Conclusion: Closed-ended questions on the CAHPS Hospice Survey elicit comprehensive insights on hospice care experiences. While many caregivers elected to provide open-ended feedback, a minority of these comments were actionable for QI, and comments did not provide substantial, unique information. CAHPS Hospice Survey measures are sufficient, without open-ended comments, to guide QI, prioritize actions, benchmark performance and assist caregivers in hospice selection.

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Alliance submits comment letter on the Department of Education’s notice of proposed rulemaking, ‘Reimagining and Improving Student Education’ (RISE)

03/16/26 at 03:00 AM

Alliance submits comment letter on the Department of Education’s notice of proposed rulemaking, ‘Reimagining and Improving Student Education’ (RISE) National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 3/3/26 The National Alliance for Care at Home (the Alliance) has submitted a response to The Department of Education’s proposed rule, titled Reimagining and Improving Student Education (RISE).  While the Alliance appreciates the Department’s aim of promoting fiscally responsible spending, the comment letter expresses concern that the proposed rule’s narrow definition of professional degree, and the resulting exclusion of nursing, physical therapy, physician assistant, occupational therapy, and social work advanced degree programs, would have a unintended consequence for the healthcare workforce and the millions of Americans who depend on care delivered in the home.

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The non-professional virtues of the hospice volunteer

03/16/26 at 02:00 AM

The non-professional virtues of the hospice volunteer Journal of Applied Philosophy; by Michael B. Gill; 3/12/26 Volunteers have long played a significant role in hospice care. Much of the care volunteers provide consists of weekly hour-long in-home visits. Home-visiting hospice volunteers are not professionals, nor are they strangers or intimates. Hospice volunteers will not typically face moral dilemmas, nor be called upon to make dramatic decisions. Nonetheless, hospice volunteering can exemplify a neglected area of in-between ethics – a subset of what Brownlee has called the ‘ethics of interacting’ – that can redound to the wellbeing of all concerned. This article explores the in-between ethics of hospice volunteering and the opportunities it affords to cultivate virtues of attention and gratitude.

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MedPAC: March 2026 Report to Congress

03/16/26 at 02:00 AM

MedPAC: March 2026 Report to CongressMedPAC Reports; 3/12/26Medicare Benefit: National health care spending grew rapidly in 2023 and 2024, by 7 percent in each of these years. By 2024, national health care spending totaled $5.3 trillion. Health care spending has made up an increasing share of the country’s gross domestic product (GDP) over time, rising from about 13 percent of GDP in 2000 to 18 percent in 2024. Medicare spending grew more rapidly than national health care spending in 2023 and 2024 (by 9 percent and 8 percent, respectively), in part due to changes in Part D financing that shifted more of the cost of prescription drug coverage from beneficiaries to the federal government. By 2024, Medicare spending totaled $1.1 trillion—equivalent to 21 percent of national health care spending and 3.8 percent of GDP. (Please see the full report here for additional detail.)

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AI in hospice: What every leader needs to know | part two

03/16/26 at 12:00 AM

AI in hospice: What every leader needs to know | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Ernesto Lopez; 3/11/26 Artificial intelligence is rapidly entering healthcare, but what does it really mean for Hospice leaders?  In this episode of TCN Talks/Anatomy of Leadership, host Chris Comeaux sits down with Ernesto Lopez—founder and CEO of 1520 AI and a longtime Hospice executive—to unpack the opportunities, risks, and realities of AI in Hospice. Drawing on his background as a registered nurse, healthcare executive, and Harvard Business School–trained data analyst, Ernesto explains how artificial intelligence is evolving and why Hospice organizations must approach it with both curiosity and caution. 

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