Literature Review

Inside Compassus’ 2-pronged plan to expand Providence joint venture Home Health Care News; by Morgan Gonzales; 11/11/25 The joint venture between Compassus and not-for-profit health system Providence is set to expand through two key growth tactics. ... For the first pillar, the joint venture aims to expand through multiple sources within Providence, including case management, discharge planning, hospital-based clinicians and Providence’s ambulatory environment. ... Its second growth strategy looks outside of the Providence ecosystem for referrals, whether from long-term care facilities, skilled nursing facilities or physicians working directly with patients. 

The human cost of health care automation MedPageToday's KevinMD.com; by Christie Mulholland; 11/8/25 AI is rolling out in medicine faster than most of us can process. Ambient scribes documenting visits. Clinical decision support algorithms. Automated prior authorizations. The promises are compelling: reduced clerical burden, more face-time with patients, less burnout. I wanted this. As a palliative care doctor and director of physician well-being at my institution, ... [when] AI tools promised relief, I advocated for them. ... 

Improving access to inpatient hospice: Implementation and impact of a dedicated comfort care service in a tertiary care hospitalJournal of Palliative Medicine; by Neha Kayastha, Eric Pollak, Yvonne Acker, David Fisher, Noppon Setji, David Casarett; 10/25Many hospitalized patients on comfort care (CC) have a high symptom burden and qualify for General Inpatient Hospice (GIP) care. At our institution, many hospitalized patients who qualified for GIP were unable to discharge to stand-alone hospice facilities due to clinical instability or lack of beds. In July 2022, we created the General Medicine 24 (GM24) Comfort Care and Hospice Team to improve access to high-quality hospice services for hospitalized CC patients. In the three years since the creation of GM24, GIP admissions have increased annually, now 107% higher compared to the year before GM24 was created. Discharges to stand-alone inpatient hospice facilities have increased by 65% in the three years since GM24 was created compared to the year before GM24 was created.

UW Health: Initiative enhances hospice and palliative care programs WisBusiness, Madison, WI; Press Release; 11/4/25 A new UW Health initiative improves the hospital’s hospice care process to ensure patients receive the best, most coordinated care possible throughout their end-of-life journeys. The initiative provides inpatient and emergency department hospice enrollment at University Hospital, ensuring that patients nearing the end of life receive timely, compassionate support and more coordinated care between the health system and the hospice agency. This program, created in partnership with regional hospice organizations and hospital staff, aims to improve continuity of care for patients already getting care in the UW Health system, according to Dr. Jeff Pothof, chief quality officer and emergency medicine physician, UW Health. 

If you treat AI like software, you’ll miss the real transformation Forbes; by Nirit Cohen; 11/2/25 ... When employees work with AI, ownership blurs. Who is responsible for an outcome — the person, the model, or both? Who retrains the system when it learns the wrong lesson? Who decides when to trust a recommendation and when to challenge it? These are not IT questions; they’re questions for the people closest to the work — the ones who understand how value is actually created. This is why the biggest risk isn’t technical. It’s human. 

Live discharges of patients in hospice home settings-Relief or grief: A narrative studyThe American Journal of Hospice & Palliative Care; by Jacek T Soroka, Amanda L Paulson-Blom, Alla Blotsky, Jennifer L Derrick, Margaret T Mudroch; 10/25Approximately 20% of hospice patients in the US are discharged alive, often due to Medicare regulations. One of the caregivers described discharge as distressing and poorly coordinated; the other reported a positive experience shaped by prior knowledge and financial resources. Both emphasized the importance of clear communication, care planning (eg, to avoid loss of durable medical equipment), and interdisciplinary support. Live hospice discharge can cause emotional and practical disruption, especially when not accompanied by a care transition plan or access to durable medical equipment. This study highlights the need for team-based communication, sensitivity in language, and continued support. Assistant Editor's note: There can be immense ambivalence among patients and loved ones when one is discharged alive from hospice. Usually, these patients have been with hospice for many months or even years. Perhaps the discharge is viewed as good news-even GREAT news(!) that the patient has "graduated" from hospice. Maybe loved ones will throw a graduation party(!) as it means that the patient is no longer terminally ill (as defined by hospice regulations). On the other hand, some patients/loved ones can become very distraught, wondering how they will get along without having a nurse to call in the middle of the night, without their beloved aide who brightens their day with the TLC of the bath-hair-nail care, and without the support and guidance of their social worker and/or chaplain. Some patients/loved ones will feel angry and abandoned. Best practices dictate that hospices be proactive in discharge planning when the health of their long length-of-stay patients hits a plateau; discharge should never come as a surprise. There should be frequent and ongoing discussions with the patient/loved ones about the potential for live discharge. Discharge planning needs to include: how the patient will get their DME/medical supplies/medications?, who does the loved one call in the middle of the night if there is a medical crisis?, who can provide tangible support and spiritual guidance (if desired)?, and can palliative care ease the transition once hospice has discharged?

The silent crisis of Gen AI anxiety in the workplace HR Perspectives; by Dr. Gleb Tsipursky; 10/27/25 The conversation about generative AI (Gen AI) is unavoidable in today’s business landscape. It’s disruptive, transformative, and packed with potential—both thrilling and intimidating. As organizations adopt Gen AI to streamline operations, develop products, or enhance customer interactions, the inevitable side effect among employees is anxiety. Will jobs vanish? Will expectations shift overnight? Can they keep up with the learning curve? These questions aren’t just whispers in the break room; they’re front and center for many teams. 

10 smart questions to ask before hiring an IT services company DesignRush; by Sergio Oliveira; 10/28/25 A first-hand guide for CEOs on how to vet IT vendors, avoid scope traps, and ensure accountability beyond the pitch. ... Every IT partner looks capable during a pitch — that’s their job. The challenge is separating an agency's confidence from day-to-day reality. I’ve learned that asking the right questions early is the only way to find out how potential agencies will handle change, protect uptime, and keep you in control of your own data. 

Strategies for managing rising healthcare premiums with Jason Bradshaw Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Jason Bradshaw; 10/29/25 In this episode of TCNtalks, host Chris Comeaux welcomes back Jason Bradshaw, a seasoned benefits consultant with USI Insurance Services. Together, they unpack why healthcare premiums are rising, where volatility is coming from, and how employers can regain control without gutting benefits.  Jason shares practical funding models, transparency tools, and a playbook for building a cost culture that actually moves behavior.

After her son’s painful death, a Cheshire mother highlights Connecticut’s pediatric hospice gap New Haven Register, Norwalk, CT; by Cris Villalonga-Vivoni; 10/26/25 Carolyn Torello believes that no parent should outlive their children, yet that became her reality. ...  As his condition worsened, the family faced his impending death without the support of pediatric palliative or hospice care. No provider, she said, seemed to know how to help or where to begin. He died at 15 years old in 2021. ... In 2020, an estimated 7,800 children in Connecticut were living with complex medical conditions that limited their life expectancy and could have benefited from palliative or hospice care, according to data from the National Survey of Children's Health. ... Torello thinks that if Michael had access to hospice care, he could have died with greater dignity, and their family could have focused on simply being together. ... Efforts to create a more formalized pediatric palliative care system have been underway since 2024, led by a state-commissioned working group that will make recommendations to the legislature on potential reforms.

Ensuring safe, effective transitions to hospice Hospice News; by Jim Parker; 10/22/25 Trust, coordination among staff and speedy processes are essential to hospice referral management. This is according to new research from Transcend Strategy Group. For the consulting firm’s most recent Insights Report it conducted in-depth interviews with hospice admissions and business development professionals to identify recurring themes, barriers and opportunities. ... “We have to remember that for the person calling this is probably one of the worst days of their life — if it’s a family member, or if they’re calling on behalf of themselves — and they need help urgently,” Tony Kudner, chief strategy officer for Transcend Strategy Group, told Hospice News.

Poverty, food insecurity, and housing instability among US health care workersJAMA Network; by Anthony Zhong, Chloe Gao, Donald Szlosek, Dang Nguyen, Maelys J. Amat, Russell S. Phillips; 10/22/25The US health workforce faces projected shortages of more than 180 000 physicians and 200 000 registered nurses in the next decade. Burnout, poor working conditions, and inadequate wages have been cited as key drivers of these shortages. However, the prevalence of financial hardship can affect worker retention and job performance. This study evaluated rates of poverty, food insecurity, and housing instability among US health care workers... Rates of financial hardship varied by occupational group. Direct care/support workers reported the highest rates of financial hardship across all measures, including poverty (9.63%), food insecurity (24.50%), and housing instability (13.64%).Publisher's note: An interesting question - do we know these rates among hospice workers?

Bay County hospice facility Brian’s House temporarily closes its doors mlive.com, Hampton TWP, MI; by Joey Oliver; 10/17/25 Brian’s House Community Group, an end-of-life care facility, has announced its temporary closure after eight years of serving terminally ill patients and their families. The facility at 664 W. Nebobish Road has served more than 1,000 families since opening its doors in June 2017, according to a statement from the board officers and members. The organization cited financial challenges as the primary reason for the closure. ... The facility operated on a sliding scale fee structure that was significantly lower than assisted living residences and often provided free care to families with low or no income.