Literature Review

Doyel: I didn't know how strong and kind my special Mom was. Not until she started dying. Indianapolis Star, Indianapolis, IN; by Greg Doyle; 10/1/25 The last time we talked, I told my mom the truth: I’d missed just how wonderful she was. Make no mistake, I knew she was wonderful. Kind, considerate, strong – she checked all the best boxes. And generous? Mom’s the most generous person I’ve ever known, and I’ve known it for years. But I didn’t know just how generous she was. Not until she started dying. Didn’t know how strong she was, either. Not until she was so weak she couldn’t stand on her own two feet. That’s when I finally saw it. ...

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.”

Strengthening mental health literacy enhances job well-being in palliative care Oncology Nures Advisor; by Megan Garlapow, PhD; 10/1/25 Positive mental health literacy (PMeHL) significantly improved job well-being among palliative care nurses, with job crafting acting as a partial mediator in this relationship, according to a study published in BMC Psychology. These results highlight the importance of psychological resources and proactive role adjustments for supporting nurses working in high-stress palliative care settings.Editor's Note: "Job crafting" is the process by which employees actively shape and redefine their roles to enhance job satisfaction, engagement, and meaning in their work. 

Human judgment: The magic ingredient for making AI work across aging services disciplines McKnights Senior Living; by Kimberly Marselas; 9/29/25 From tackling a scabies outbreak in a long-term care facility to scheduling shifts and helping write plans of correction that satisfy regulators, a range of aging services providers are eagerly already putting artificial intelligence to work. But what is it not doing for them? Taking the place of human staff members, their workplace knowledge or their clinical judgment. That was a resounding takeaway of a recent McKnight’s Tech Summit webinar exploring how AI technologies are supporting care teams role by role. 

Hospice: A vital safety net for sepsis survivors South Florida Hospital News and Healthcare Report; by Lauren Loftis, MD, VITAS regional medical director; 10/1/25Sepsis remains one of the most complex and deadly medical conditions treated in hospitals today. ... For patients with advanced illness or multiple comorbidities, the post-sepsis period is often marked by functional decline, emotional distress, and a high risk of rehospitalization or death. ...For sepsis survivors with advanced illness, hospice offers a bridge between high-intensity hospital care and the realities of life at home. It provides interdisciplinary support—including a physician, nurse, hospice aide, social worker, chaplain, volunteer, and bereavement specialist—tailored to the patient’s evolving needs.

Instilling hope: A comprehensive model of cancer care for younger adults Targeted Oncology; by Andrea Eleazar, MHS and Shane Dormady, MD, PhD; 9/29/25 In the past decade, the incidence of numerous cancer types has increased, particularly among younger adults under age 50. For younger adults, many of whom are primary breadwinners of their households or in the height of their educational or professional careers, a cancer diagnosis at this life stage can be unexpected and jarring. ... In an interview with Targeted Oncology, Shane Dormady, MD, PhD, medical director of El Camino Health Cancer Center, describes the unique needs and challenges of younger adults, outlines El Camino Health’s comprehensive care strategy, and offers insights and considerations for treating and interacting with this patient population.

Hospice of Santa Barbara’s No One Dies Alone Program ensures that those who are alone and actively dying, have someone at their bedside Santa Barbara Independent, Santa Barbara, CA; by Hospice of Santa Barbara; 9/29/25Hospice of Santa Barbara’s (HSB) No One Dies Alone (NODA) program has partnered with local senior living facilities in Santa Barbara for over a decade, providing compassionate volunteer support to seniors in their final 24 to 72 hours when family or friends are unavailable. Currently, NODA has 21 trained volunteers serving in the program. Before becoming a NODA volunteer, applicants must graduate from a six-week patient care training and serve as a patient care volunteer for a minimum of 9 months before attending a NODA specific training. Most NODA volunteers have been with the program for years and feel a strong commitment to the work they do.

Commentary: New York must act now to protect quality hospice care Times Union; by Cara Pace, Liz Krueger and Amy Paulin; 9/30/25 When your loved one is entering the final stage of their life, who would you rather manage their care: a nonprofit solely dedicated to providing the highest quality care possible? Or a private entity seeking to maximize profits? ... However, for-profit hospices now account for 70% of the market, up from 5% 35 years ago. This comes despite studies showing that for-profit hospices provide fewer essential services, employ less skilled staff, receive a higher volume of complaints and contribute less to their communities than their nonprofit counterparts. ... That's why we introduced legislation (S.3437/A.565) to prohibit the state from approving new applications for the establishment, construction or increased capacity of for-profit hospice entities. The two existing for-profit providers would not be touched, though their capacity to expand would be limited. The legislation now awaits Gov. Kathy Hochul’s signature.Editor's Note: For-profit or non-profit status alone does not speak to the quality of care provided by the individual hospice. Some for-profits provide excellent care; some non-profits do not. This article speaks to evidence-based data, quality scores, patterns, trends, and cumulative results from CAHPS, HIS (which is being replaced by the HOPE Tool, effective today), and more. Examine quality scores in your services with the National Hospice Locator (ranked by scores), provided by National Hospice Analytics.

Danbury hospice gets $2 million to expand care for children with life-limiting illnesses Shelton Herald, Bridgeport, CT; by Cris Villalonga-Vivoni; 9/30/25 A Danbury-based nonprofit hospice center is receiving $2 million in state funding to expand its pediatric care services and help more families access specialized end-of-life care. Founded in 1983, Regional Hospice and Home Care of Western Connecticut is the only nonprofit hospice in the state providing hospice care to children under 21 with life-threatening conditions. However, its capacity remains limited amid rising demand. In 2020, there were an estimated 7,800 children in Connecticut with complex medical conditions that limit their life expectancy and could benefit from palliative and hospice care, according to the National Survey of Children’s Health.

October is a symphony of permanence and change. ~ Bonaro W. Overstreet

Chapters Health System strengthens California health services Investors Hangout; by Evelyn Baker; 9/30/25 Chapters Health System, renowned as a leading advocate for chronic illness care and the largest nonprofit hospice network in the nation, has recently announced a significant step forward. The organization has finalized its affiliation with Hospice of Santa Cruz County, marking an exciting expansion of the Chapters Health West division within California. ... The integration of Hospice of Santa Cruz County into the Chapters Health West division follows earlier affiliations with established entities like Nathan Adelson Hospice and Willamette Vital Health, enhancing the comprehensive service offerings available in the region. 

Melinda Mullet: Hospice helps us die well. But barriers and misconceptions prevent access to services. The Spokesman-Review, Spokane, WA; by Melinda Mullet; 9/28/25 Hospice helps us die well. But barriers and misconceptions prevent access to services. ... To read an in-depth analysis of the barriers to hospice and the steps needed to ensure a robust end-of-life care in the future, my full report, “The Hope of Hospice: Reimaging End-of-Life Care in an Aging America,” is available at cpjustice.org/flipbook/2025-hatfield-prize-reports.