Literature Review
‘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.
AI and healthcare: Bob Wachter
03/16/26 at 03:00 AMAI 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.
The case for caregiver support: Better outcomes for people and organizations
03/16/26 at 03:00 AMThe 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.
New word for the day: Sláinte (pronounced slawn-cha) ...
03/16/26 at 03:00 AMHappy St. Patrick's Day! New word for the day: Sláinte (pronounced slawn-cha) to a team that makes excellence look easy.
Translating palliative care narratives into art: An arts-based knowledge translation pilot with young adult artists
03/16/26 at 03:00 AMTranslating 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.
Mom of Frosty-loving daughter on hospice shouts out Wendy’s staff for ‘lovely gesture’
03/16/26 at 03:00 AMMom 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.
Palliative care often comes late for veterans with COPD; use increases modestly
03/16/26 at 03:00 AMPalliative 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.
How closed-ended survey questions and narrative comments interact in characterizing caregivers’ overall assessment of hospice care
03/16/26 at 03:00 AMHow 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.
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 AMAlliance 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.
The non-professional virtues of the hospice volunteer
03/16/26 at 02:00 AMThe 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.
MedPAC: March 2026 Report to Congress
03/16/26 at 02:00 AMMedPAC: 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.)
AI in hospice: What every leader needs to know | part two
03/16/26 at 12:00 AMAI 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.
Avow Hospice fights new rival in Naples
03/15/26 at 03:55 AMAvow Hospice fights new rival in Naples Naples Today | Health; 3/5/26 Avow Hospice, a long-standing hospice provider in Naples, Florida, is objecting to the state's preliminary approval of a new hospice entity, Preferred Care Hospice, that Avow says would be detrimental to its operations of over 40 years in the community. Avow has filed a petition for an administrative hearing to try to overturn the state's approval of the new hospice. ... The battle between Avow Hospice and the new Preferred Care Hospice highlights the competitive nature of the hospice industry, especially in growing markets like Naples.
Hospice News 50: Hospice News Provider Rankings and Annual Trends Report
03/15/26 at 03:50 AMHospice News 50: Hospice News Provider Rankings and Annual Trends Report Hospice News; 3/10/26 Second Annual Hospice News Provider Rankings and Trends ReportThe hospice sector continues to evolve rapidly, driven by shifting ownership structures, demographic demand and new approaches to caring for seriously ill populations. For the second annual Hospice News 50 report, we partnered with Hospice Analytics to rank the largest hospice chains by 2024 Medicare claims. Drawing on proprietary data — including Medicare payments, corporate disclosures, acquisition activity and SEC filings — the report provides a detailed view of how consolidation, investment patterns and emerging players are reshaping the industry. Explore the latest data and analysis to understand the market forces driving hospice transformation — and what they mean for providers in 2026 and beyond.
Palliative care for multiple sclerosis: Managing progressive disease with compassion
03/15/26 at 03:45 AMPalliative care for multiple sclerosis: Managing progressive disease with compassion Ashland localtownpages, Aubrey, TX; by Press Services; 3/5/26 Multiple sclerosis presents unique challenges that require specialized support throughout the disease journey. Patients experience unpredictable symptoms including fatigue, pain, mobility issues, and cognitive changes. These symptoms shift and intensify over time, affecting daily life for both patients and their families. Sovereign Hospice addresses these complex needs through palliative care and hospice at home service across the Dallas-Fort Worth Metroplex.
Residential Home Health and Hospice acquires Covenant [Home Health in Pennsylvania]
03/15/26 at 03:40 AMResidential Home Health and Hospice acquires Covenant [Home Health in Pennsylvania] Hospice News; by Jim Parker; 3/10/26 Residential Home Health and Hospice has acquired Covenant Home Health in Pennsylvania for a confidential amount. Covenant provides home health, private duty and supportive services throughout nine counties in its home state. The transaction will bring Residential’s footprint to two new counties and add density in seven others. ... Residential provides skilled home health, palliative and hospice care in communities across Florida, Illinois, Kansas, Michigan, Missouri, Ohio and Pennsylvania.
Christina McNally appointed President & CEO of Carolina Caring
03/15/26 at 03:35 AMChristina McNally appointed President & CEO of Carolina Caring Carolina Caring, Newton, NC; Press Release; 2/9/26 Effective immediately, Christina McNally, MPH has been appointed President & Chief Executive Officer (CEO) of Carolina Caring. Prior to this appointment, McNally served Carolina Caring in key leadership roles, including Executive Director of the Carolina Caring Foundation, Chief Strategy Officer, and Interim Chief Executive Officer. ... As CEO, McNally will oversee all of Carolina Caring’s clinical programs and support services, which are provided to more than 11,000 patients each year.
Deprescribing at the End of Life: Jennifer Tjia, Jon Furuno, Simon Mooijaart
03/15/26 at 03:30 AMDeprescribing at the End of Life: Jennifer Tjia, Jon Furuno, Simon MooijaartGeriPal podcast; by Eric Widera, Alex Smith, Jennifer Tjia, Jon Furuno, Simon Mooijaart; 2/26/26In this episode of the GeriPal Podcast, we tackle the pressing topic of deprescribing at the end of life with expert guests Jennifer Tjia, Jon Furuno, and Simon Mooijaart. The conversation focuses on identifying medications that should almost always be discontinued—such as statins, osteoporosis meds, finasteride, and vitamins, which offer minimal benefit for patients with limited life expectancy. We also delve into more nuanced cases, such as antithrombotics, which present complex decisions that challenge clinicians, particularly when prognosis spans the many weeks to months range. Finally, we explore practical strategies for engaging patients and families in deprescribing conversations.
Cambia Health Foundation releases comprehensive evaluation of Sojourns Scholar Leadership Program
03/15/26 at 03:25 AMCambia Health Foundation releases comprehensive evaluation of Sojourns Scholar Leadership Program Business Wire, Portland, OR; Press Release; 3/3/26 Cambia Health Foundation today released the results of a comprehensive evaluation of its Sojourns Scholar Leadership Program, demonstrating the significant impact of a 10-year, $25 million investment in developing the next generation of palliative care leaders. ... The program’s goals were measured against more than 175 sources, as well as 18 individual interviews, 5 focus groups and a comprehensive written survey completed by 117 individuals, including program participants and industry experts. Notable findings include:
Granite VNA names James Culhane President and CEO
03/15/26 at 03:20 AMGranite VNA names James Culhane President and CEO Granite VNA, Concord, NH; Press Release; 3/5/26 After a rigorous and comprehensive executive search, Granite VNA, New Hampshire’s largest not-for-profit home health and hospice agency, has named James Culhane as its next President and CEO. He will succeed Beth Slepian, who has served in that role since 2015, upon her retirement in June 2026. Culhane has served as President and CEO of Lake Sunapee Region VNA & Hospice in New London, New Hampshire, since 2015.
Love hurts: Leadership, quality, and the future of hospice & palliative care | part one
03/15/26 at 03:15 AMLove hurts: Leadership, quality, and the future of hospice & palliative care | part one Teleios Collaborative Network (TCN Talks); podcast by Chris Comeaux with Dr. Alex Smith and Dr. Eric Widera; 3/4/26 TCNtalks / Anatomy of Leadership host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast, leaders in Palliative Care and Hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of Hospice and Palliative Medicine.
Demystifying the end: Hospice care impact on the Black community
03/15/26 at 03:10 AMDemystifying the end: Hospice care impact on the Black community Word In Black | Houston Defender; by Laura Onyeneho; 3/2/26 ... For African American, Afro-Caribbean and African immigrant families, generational trauma and a lack of trust in the healthcare system often lead to delayed decisions about hospice care. “There’s been a historical gap in access and trust,” said [Monica James, Community Engagement Coordinator for Houston Hospice]. “Our goal is to show up consistently, to listen and to let these communities know they have options and that they’re not alone.” ... “For communities of color, we have to meet people where they are. That means understanding family dynamics, faith and what dignity means to different people,” she said.
Oregon legislature passes bill Stop Bad Actors from Taking Advantage of Hospice Patients
03/15/26 at 03:05 AMOregon legislature passes bill Stop Bad Actors from Taking Advantage of Hospice Patients OregonLegislature.gov, Salem, OR; Press Release, Office of Senator Deb Patterson; 3/4/26 Hospice began as a movement to provide end-of-life care for terminally ill patients. However, corporate investors have started buying up hospice agencies and reducing services as they try to maximize profits. In some states, this has led to patterns of fraud, abuse, and neglect. Today, the Oregon Legislature passed the Protecting the Dying Act (SB 1575), which enhances state oversight of hospice agencies. ... Senator Patterson began work on this issue after it was brought to her by a local hospice provider in her community. Iria Nishimura, CEO of Willamette Vital Health in Salem, said, “Hospice serves patients and families during the most vulnerable time of life. The state has a responsibility to ensure that providers entering this field are qualified, ethical, and capable of deliver high-quality care.”
