Literature Review

AI-assisted decision-making for end-stage organ failure: Opportunities and ethical concerns Artificial Organs; by John W Haller, Olga D Brazhnik, Kathleen N Fenton; 11/17/25 ... This paper discusses current applications of AI in healthcare, emphasizing the complex decision-making necessary for patients with organ failure. It outlines how AI can support risk stratification, patient selection, and outcome prediction, particularly in transplantation practices that increasingly rely on robust data to inform care pathways. ... There is a need for standardized, high-quality data, rigorous validation, and transparent algorithms to mitigate biases that could exacerbate disparities in care. Ethical considerations demand attention to equitable access, patient privacy, and the preservation of the human element in patient-clinician relationships. 

When Medicare sent patients home sooner, Mary Naylor built the safety net Penn LDI - Leonard Davis Institute of Health Economics; by Liz Seegert; 11/17/25 When Medicare’s diagnosis-related group (DRG) payment system took effect in October 1983, hospitals adapted quickly, discharging patients faster to manage fixed reimbursement rates. Heart failure patients who once stayed eight to 10 days were going home in three to four days. But LDI Senior Fellow Mary Naylor, then a fellow with what was then known as the U.S. Senate Committee on Aging and Finance, realized no one had thought about what happened after discharge. She saw how these shifts created new risks for older adults, as hospitals lacked the infrastructure to support care continuity. ...

Santa Barbara turns holiday tables into life-saving conversations CBS-12, ABC-3, Fox-11, Santa Barbara, CA; by Patrician Martellotti I. Keyt; 11/17/25 ... Santa Barbara Neighborhood Clinics and Hospice of Santa Barbara are teaming up to prompt residents to start advance care planning — the process of deciding and documenting what kind of medical care they want if they become unable to speak for themselves. The campaign offers free bilingual appointments with witnessing and notary services, helping residents complete their healthcare directives with ease and confidence. Organizers say the holidays provide a natural setting for these conversations because families are already coming together.

And I'm thankful for everyday that I'm givin'. Both the easy and hard ones I'm livin.'." ~ "I'm Here," The Color Purple

[United Kingdom] 'I lie awake wondering how we fund our hospice' BBC News, Manchester, England; by Paul Burnell; 11/18/25 The boss of a large hospice has told how its financial problems are giving her sleepless nights. Rachel McMillan, chief executive of Moya Cole Hospice in Manchester, said it needed £20,000 daily to run it. "It keeps me awake at night - every day it is always a challenge." "The funding model is archaic, it's not fit for purpose," Ms. McMillan said. "We have to raise £20,000 every single day of the year just to keep the doors open."Editor's Note: I trust that you--our readers--can relate. And yet, our US Medicare payments provide much more financial support than UK counterparts. Still, Moya Cole Hospice--in the midst of tough financial decisions--continues to focus on quality care, as demonstrated in their ongoing top quality scores of "Outstanding" for the pattient and family care they provide.

How one Lafayette man's offer to cook for families in need turned into a mission The Acadiana Advocate; by Adam Daigle; 11/17/25 Kent Zerangue planned to open a catering business when he retired in 2017, but one experience overshadowed any need to make money. ... He began cooking for families in need and launched Food With Love, “a heart centered ministry of Hospice of Acadiana.” ... He had 10 families in six months.  ... Today, Food With Love serves about 135 families and prepares about 800 meals a week.

Meet Oscar: The cat who could predict death and comfort patients in a Rhode Island hospice doggodigest - Cats, DD Animal News; by Andrew Alpin, MSc; 11/17/25 ... Oscar, a seemingly ordinary therapy cat, possessed what appeared to be an uncanny gift, the ability to predict when patients were nearing their final moments. It is still a matter of scientific research and debate as to whether animals especially cats and dogs can predict death. ...

How CFOs can harness the power of their shifting role HealthLeaders - Analysis; by Marie Defreitas; 11/17/25 As turnover rises and expectations expand, CFOs are redefining their influence; from financial stewards to enterprise strategists and even future CEOs. The role's evolution demands new skills, deeper relationships, and a broader vision of what value means. ...

A strategic path forward for hospice & palliative care: Ira Byock, Kristi Newport, Brynn BowmanGeriPal podcast; by Eric Widera, Alex Smith, Ira Byock, Kristi Newport, Brynn Bowman; 11/13/25In June of 2025, hospice and palliative care pioneer Ira Byock published a white paper outlining the urgent challenges facing the field today. In a nutshell, he expressed concerns that the quality of hospice care in the United States has become highly variable, with disturbing frequency of unethical practices and avaricious owners. He also raised concern that the rapid increase in palliative care program growth during the first two decades of this century has stalled, leaving us with understaffed programs that are often inadequately trained. Along with Ira, we’ve invited Kristi Newport, a palliative care doctor and Chief Medical Officer of the American Academy of Hospice and Palliative Medicine, and Brynn Bowman, Chief Executive Officer of the Center to Advance Palliative Care, to discuss these issues and outline a strategic path forward for the field. In particular we talk about Ira’s four-part solution to transform the field and restore its integrity: (1) publishing clear clinical and programmatic standards, (2) making meaningful data publicly available to ensure transparency and accountability, (3) fostering quality-based competition among providers, and (4) embracing the authentic brand of hospice and palliative care—expert care that alleviates suffering and fosters well-being.

Hospice: Track errors, payment caps to avoid facing costly penalties Home Health Line, DecisionHealth; by MaryKent Wolff; 11/13/25 Keep a close eye on possible claim and billing mistakes that could lead to issues related to your payment cap. While increased revenue may seem like a good thing for providers, overpayments could lead to heightened scrutiny and financial hardships for your agency. [May require subscription for additional information]

Applied transformation in healthcare: From digital dreams to operational reality | Viewpoint Chief Healthcare Executive - Opinion; by Clay Holderman; 11/17/25 Healthcare’s digital transformation journey has entered a new, more demanding phase. No longer is it enough to simply adopt technology. Health systems are now expected to show tangible results: stronger margins, better patient access, and improved outcomes are under greater pressure than ever before. ... Here are three key insights from our analysis, and what healthcare leaders can do to make progress real.

Hospice workers call for Gov. Hochul to sign bill restricting for-profit hospices WSKG/PBS/NPR Buffalo Toronto Public Media; by Emyle Watkins; 11/14/25 A medical campus that once made history is renewing calls for better patient care. Hospice and Palliative Care Buffalo, a non-profit, opened the first combined residential and in-patient hospice campus in the United States 30 years ago. On Thursday, workers at this campus gathered to call on Governor Kathy Hochul to sign legislation preventing for-profit hospices from growing or opening until better patient safeguards are in place. Jeanne Chirico, the president of the Hospice and Palliative Care Association of New York State, says, "Why is that important? Because evidence from across the country has shown us what happens when hospice becomes a business model instead of a mission."