Literature Review

Nevada hospital wins half-billion fraud verdict against Universal Health Services Reno Gazette Journal; by Jason Hidalgo; 9/29/25, updated 9/30/25 Saint Mary’s Health Network earned a big win in court after a jury awarded it half a billion dollars in its case against Universal Health Services. A jury in Washoe County awarded the Prime Healthcare affiliate $510 million after it found Universal Health Services liable for fraud against Saint Mary’s during the COVID-19 pandemic. The verdict included punitive damages. "This verdict affirms that the weaponization of corporate power, betrayal of physician trust, theft of proprietary information, and reckless endangerment of patients will not be tolerated,” said Saint Mary’s Health Network CEO Derrick Glum in a statement. “The verdict restores justice and allows our hospital’s mission to serve our community with compassion and dignity to endure.”

Emergency Departments report more consults for hospice, palliative care Michigan State University, East Lansing, MI; by Michigan State University; 9/25/25 One-third of Americans will visit an emergency department, or ED, within a month of their death. While EDs are primarily purposed to provide emergent care, they’re increasingly becoming an initial touchpoint for hospice and palliative care, or HPC, referrals and consultations, according to a new study from several researchers at Henry Ford Health + Michigan State University Health Sciences.  Why this matters:

“I know you didn’t want to stay”: Emergency Department conversations about disposition for people living with dementia The Gerontologist; Justine Seidenfeld, Matthew Tucker, Melissa Harris-Gersten, Gemmae M Fix, Nina R Sperber, Susan N Hastings; 8/25When people living with dementia present to the emergency department (ED), the disposition decision- to admit them to the hospital or discharge them home- can be difficult for providers. Major themes included 1) disposition conversations had significant variation in depth and content, 2) patient and care partner participation varied with disposition, and 3) satisfaction was driven by alignment of disposition preferences. Our study suggests that there are no consistent formats of disposition conversations for people living with dementia. Improving quality may be most needed when preferences are misaligned, and this should be identified early in the encounter.

[United Kingdom] Guided by empathy: How smart hospitals innovate while staying patient-centric Forrester, United Kingdom; by Shannon Germain Farraher; 9/15/25 My Visit To A Smart Hospital As a former practicing clinician, I’ve walked the halls of many hospitals — but none quite like Baden Cantonal Hospital (KSB) in Switzerland. During my recent visit, I saw firsthand how KSB is changing the narrative as it transforms into an intelligent healthcare organization (IHO). Built over a decade, the facility consolidated 13 floors of operations into three, creating a streamlined, digitally enabled environment that redefines what modern care delivery can look like. Here are some of the things that stood out to me:

The state where all hospitals have perfect health equity scores  Becker's Hospital Review; by Mariah Taylor; 9/2/25 Delaware is the only state where 100% of its hospitals scored perfectly on health equity measures, according to CMS data. The agency used hospital commitment to health equity data, such as social determinants of health data, race, ethnicity, language, gender identity, sex, sexual orientation and disability status to determine access to equitable care and coverage. Facilities were ranked on a scale of 1 to 5, with 5 being the highest score. CMS then compiled a ranking of states based on the percentage of facilities that received each score. Data was collected between January and December 2023 and was last updated Aug. 6. 

[New Zealand] 'Cuddle beds' for terminally-ill hospice patients BBC News, New Zealand; by Jack Silver; 9/5/25 A hospice in Guernsey has installed seven "cuddle beds" for patients with life-limiting or terminal illnesses. The beds, which cost £17,000 each, widen to allow patients to lie next to and embrace their love ones or pets. Les Bourgs Hospice, in St Andrews, said the beds brought "comfort, dignity, and human connection" to patients and their families. Rob Jones, from Les Bourgs, said the beds would help with the hospice's mission to "support people at one of the most difficult times of their life."

What executives can learn from how and why hospitals plan for a crisis Forbes; by Edward Segal; 9/2/25 

Palliative care use and end-of-life care quality in HR+/HER2- metastatic breast cancerBreast Cancer Research and Treatment; by Julia G Cohn, Susan C Locke, Kris W Herring, Susan F Dent, Thomas W LeBlanc; 8/25Metastatic breast cancer (MBC) is incurable, despite therapeutic advances, especially in hormone receptor positive (HR+) and human epidermal growth factor-2 negative (HER2-) disease. Of 102 patients, 85 died during the study period, and over half (55%) received aggressive EoL [end of life] care. Half had some form of SPC [specialist palliative care], and rates of aggressive EoL care were comparable between those who engaged with SPC and those who did not. The most common indicators of aggressive EoL care included multiple ED visits (28%) and hospital admissions (23%) in the last 30 days of life as well as in-hospital location of death (24%). Although 72% enrolled in hospice care, 9% of patients were on hospice for ≤ 3 days. This real-world study demonstrates that many patients with HR + /HER2- MBC [metastatic breast cancer] receive aggressive EoL care despite some engaging with SPC and many enrolling in hospice. 

Improved outcomes and cost with palliative care in the Emergency Department: Case-control studyThe Western Journal of Emergency Medicine; Brandon Chalfin, Spencer M Salazar, Regina Laico, Susan Hughes, Patrick J Macmillan; 7/25This small pilot case-control study included a subset of all patients referred by emergency physicians and hospitalists for palliative care within 24 hours of registration, physically present in the ED. CONCLUSION: Embedding hybrid physicians in the ED significantly shortened hospital stays and reduced charges for seriously ill patients. A notable secondary outcome was that 26.5% of ED visits in the case group did not result in hospital admission, compared to all controls being admitted ... In addition, more cases than controls had a code status of comfort care at discharge ... These findings support the further exploration of integrating such physicians into ED settings to enhance patient care and optimize hospital resources.

Advocate Health investing $3B across rural footprint: 8 things to know Becker's Hospital Review; by Alan Condon; 8/15/25 Charlotte, N.C.-based Advocate Health is investing more than $3 billion across its rural operations to preserve care access, expand services and build a sustainable pipeline of providers for the future. The investment comes at a time when nearly half of rural hospitals are operating at a loss and 800 are at risk of closure, according to an analysis by the Center for Healthcare Quality and Payment Reform. Twenty-one of Advocate Health’s nearly 70 hospitals are located in rural counties across six states, along with more than 320 rural clinics and a network of mobile and virtual programs [including hospice care]. 

Palliative delays associated with increased length of stay in older traumatic brain injury patientsThe Journal of Trauma & Acute Care Surgery; by Sarah A Hatfield, Parima Safe, Cleo Siderides, Anjile An, Cassandra V Villegas, Nicole Goulet, Robert J Winchell, Elizabeth Gorman; 7/25Trauma Quality Improvement Program guidelines recommend early goals of care discussions (≤72 hours) for older patients with severe injuries. Patients (55 years or older) with moderate to severe TBI [traumatic brain injury] ... were retrospectively identified at a level I trauma center (2020-2022). Conclusions: Delayed PI [palliative intervention] is associated with increased LOS [length of stay] in older TBI patients, with no survival difference compared with early PI. Palliative interventions should be introduced early to reduce morbidity in patients with potential poor prognosis.

Hospitals accused of hiding deaths, storing bodies for months, and not telling families Nurse.org; by Brandy Pinkerton, RN; 7/25/25 Families in the Sacramento area say they spent months, and in some cases years, desperately searching for loved ones who had vanished—only to discover that their remains had been left to decompose, unidentified and forgotten, in an off-site morgue operated by Dignity Health hospitals. Now, a series of lawsuits and regulatory audits allege that one of California’s largest healthcare systems demonstrated “callous, reckless, and outrageous failure” by neglecting to notify families of patient deaths, withholding death certificates, and consigning bodies to languish in storage, compounding the anguish of those left behind. 

Bipartisan bill offers ‘meaningful’ immigration reform that could help address senior living workforce needs, leaders say McKnights Senior Living; by Kimberly Bonvissuto; 7/1/25 A bipartisan immigration reform bill proposing a pathway to legal resident status for certain undocumented immigrants — including direct care workers — is earning the support of the senior living and care industry. The recently re-introduced Dignity Act of 2025 “offers the solution to our immigration crisis: secure the border, stop illegal immigration and provide an earned opportunity for long-term immigrants to stay here and work,” sponsor Rep. Maria Elvira Salazar (R-FL) had said in introducing the bill. [Its co-sponsor is] Rep. Veronica Escobar (D-TX).