Literature Review

Physician billing for advance care planning among Medicare fee-for-service beneficiaries, 2016-2021The Permanente Journal; by Nan Wang, Changchuan Jiang, Elizabeth Paulk, Tianci Wang, Xin Hu; 8/25In 2016, the Centers for Medicare & Medicaid Services started reimbursing practitioners for their time spent providing advance care planning (ACP) with patients. Results: The percentage of practitioners billing ACP visits tripled from 1.76% in 2016 to 4.56% in 2021, with the highest percentage among hospice and palliative medicine practitioners (36.94%) in 2021. ACP service volume was similar by metropolitan status for hospice and palliative medicine, but it was higher in nonmetropolitan regions for cancer-related specialties, non-cancer terminal disease specialties, and primary and geriatrics care. This nationwide analysis showed low adoption of ACP billing by 2021, and it varied widely across specialties. This may reflect practical challenges of ACP related to comfort level with ACP discussion and documentation burden among the professional communities.

AI in palliative care: A scoping review of foundational gaps and future directions for responsible innovationJournal of Pain and Symptom Management; by Selen Bozkurt, Soraya Fereydooni, Irem Kar, Catherine Diop Chalmers, Sharon L Leslie, Ravi Pathak, Anne M Walling, Charlotta Lindvall, Karl Lorenz, Ravi Parikh, Tammie Quest, Karleen Giannitrapani, Dio Kavalieratos; 8/25AI holds increasing promise for enhancing palliative care through applications in prognostication, symptom management, and decision support. However, the utilization of real-world data, the rigor of validation, and the transparency and reproducibility of these AI tools remain largely unexamined, posing critical considerations for their safe and ethical integration in sensitive end-of-life settings... AI in palliative care remains in early development, showing promise in areas such as prognosis and documentation support. However, limited validation, insufficient cross-site testing, and lack of transparency currently limit clinical applicability. Future research should emphasize external validation, inclusion of broader patient data, and adoption of open science practices to ensure these tools are reliable, safe, and trustworthy.

[Canada] Simplifying palliative symptom management: Elastomeric infusions in hospice and home careBritish Journal of Nursing; by Vincetic Bozidar, Natalie Wm Hertzman, Daphne Broadhurst; 7/25Palliative care patients often require frequent, resource-intensive, intermittent subcutaneous injections or complex infusion pumps for end-of-life symptom management. Our findings suggest that continuous subcutaneous infusions via elastomeric infusion pumps offer a promising and feasible approach to end-of-life symptom management in hospice and home care. Elastomeric infusions may enhance simplicity, acceptability, safety, efficacy, and efficiency of care, compared to traditional routine subcutaneous injections.

NIH publishes plan to drive Gold Standard ScienceNIH press release; Jay Bhattacharya, MD PhD, Director, NIH; 8/22/25I am pleased to announce the release of NIH’s new plan to promote gold standard science across all agency activities. Building on NIH’s longstanding commitment to scientific integrity, this forward-looking plan incorporates the nine, interlocking tenets of gold standard science adopted by the U.S. Government and aligns with the Department of Health and Human Services’ framework for achieving these principles... Gold Standard of Science is:

[Germany] Yes, we (still) can! A qualitative study on the dynamic process of team resilienceJournal of Management; Silja Hartmann, Matthias Weiss, Martin Hoegl; 7/25Research on psychological resilience in the workplace is on the rise, aiming to better understand how to successfully manage adverse events. To address this research gap, we conducted a qualitative study with a palliative care team that experienced work-related adverse events. This model specifies the experience of adverse events as loss events and illustrates how teams can counteract these losses and enact team resilience through the relational process of caring. Caring in teams can be enacted through four dimensions, which we refer to as understanding, being with, doing for, and enabling. By enacting these caring dimensions, teams can heal social safety and collective action capabilities and can moreover build valuable resources, which may buffer resource loss and fuel resource growth in subsequent team resilience episodes.

NFDA honors Grief Awareness Day - Aug 30National Funeral Directors Association (NFDA); email; 8/28/25With Grief Awareness Day approaching on August 30, there's an untold story about the professionals quietly on the front lines of America's grief challenges—and it's not who you might expect. Funeral directors have become essential facilitators in helping families process loss in healthy ways. They’re challenging harmful cultural myths about grief. Through thoughtful service planning and creating space for open dialogue about death, funeral directors are guiding families toward healing. National Funeral Directors Association leaders are available to discuss:

Reflections on the 20th anniversary of Hurricane Katrina - from Jamey Boudreaux, Executive Director for the Louisiana-Mississippi Hospice & Palliative Care OrganizationSpecial Guest Reflections for Hospice & Palliative Care Today; by Jamey Boudreaux; 8/28/25

Building the continuum: Inside New Day Healthcare’s growth & acquisition strategies Hospice News; by Jim Parker; 8/27/25 New Day Healthcare in 2025 has been one of the home health and hospice sector’s most active acquirers. ... Founded in 2020, New Day’s roughly 10,000 employees provide hospice, home health, pediatric and personal care to roughly 180,000 patients annually. ... Brands under the New Day’s umbrella include Phoenix Home Care & Hospice, New Age Hospice, Compassion Hospice, Home Care Providers of Texas, Pathfinder Home Health, Envision Health Partners and AssistCare, among others. ... Hospice News sat down with New Day CEO G. Scott Herman to discuss the company’s growth, its approach to acquisitions, forthcoming changes in the C-Suite and where hospice fits into its strategy.

[DRAFT] Today marks the 20th Anniversary of Hurricane Katrina

Artificial intelligence in geriatric health careHealth Affairs; by Esther S. Oh, Peter M. Abadir, Joseph Grogan, Ravi Gupta, Anne Ollen, Daniel Polsky, Peter Weems, Phillip Phan; 8/20/25Artificial intelligence (AI)-based technologies are quickly integrating into the US health care system. Unlocking their full potential for older adults—the fastest-growing demographic in the country—and rural populations facing health access and support crises is essential. On May 1, 2025, the Johns Hopkins Artificial Intelligence and Technology Collaboratory (represented by coauthors Oh, Abadir, and Phan) and the National Institute on Aging hosted a summit on the future of geriatric medicine and AI, focusing on the challenges and effects of implementing AI-based technologies. We identified policy gaps and opportunities to support the fair and efficient use of AI technologies for older adults [including:]

[United Kingdom] 'The word hospice can be terrifying - but this is why it's giving us extra life' Verve Times, story from Wetherby, UK; by Craig Fedirighi; 8/27/25 The word “hospice” often conjures up images of people living out their final days in a room surrounded by nurses. But one mother says the hospice she goes to with her family has given them a life they could never have imagined would be possible. ... The 32-year-old said: “It’s one of those things where obviously the word hospice, everyone finds it scary. One thinks it’s the worst-case scenario, but it’s not. It’s giving you that extra life that you didn’t know you could have. ..."

How to create meaning in every season of life with Dr. Trisha Welstad Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Trisha Welstad; 8/27/25 In this conversation, Dr. Trisha Welstad shares her philosophy on leadership, highlighting the importance of healthy leaders who can heal the world, demonstrating how personal pain can shape a person's purpose, and highlighting the value of reflection in leadership. Dr. Trisha Welstad explores how purpose emerges from our deepest wounds and why healthy leaders can heal the world through their wholeness.  She shares her belief that purpose isn't a luxury, but a necessity for our identity, one that develops throughout all stages of life.