Literature Review

A broader end-of-life-view: The need for hospice and palliative care extends beyond the elderly, as the patient population at Transitions LifeCare suggestsTriangle Business Journal, Raleigh, NC; by Connie Gentry; 2/7/25 Although the likelihood of developing cancer is highest for anyone over age 65, the American Cancer Society’s annual report on cancer statistics, released last month, noted increasing incidents of many cancer types among younger adults and women. ... But positive outcomes were also reported: The cancer mortality rate in the U.S. declined by 34 percent from 1991 to 2022 and, since 1970, cancer mortality in children 14 years and younger has declined by 70 percent and among adolescents ages 15 to 19 years it has dropped by 63 percent. ... Although the majority of their hospice patients are over the age of 75, Transitions LifeCare is seeing an increase in younger patients. Last year, roughly 9 percent of their hospice patients were under age 65, almost evenly divided between women and men.

After 'code issue,' veterans no longer receive free care at UP hospice site MyUpNow.com, Houghton, MI; by Thomas Fournier; 2/5/25 For a veteran staying at hospice care facility, it's important family can visit, especially in rural areas. But what happens when their facility no longer qualifies as a hospice facility for the Veteran's Health Administration (VHA)? Omega House Executive Director Mike Lutz said he received a call from the local Veteran's Affairs (VA) office in Iron Mountain late December 2024 informing him that they would "no longer be servicing veterans at Omega House." ... Veterans who would usually receive a reimbursement through the VA for their hospice care would no longer be able to find that at Omega House, leaving them to get their care 100 miles away or more. 

'It's not about technology or dashboards': What health systems need from IT execs next Becker's Health IT; by Laura Dyrda; 2/4/25 Health system IT leaders are entering a new era of leadership amid transformational technology platform purchases, artificial intelligence integration and cybersecurity advancements. But being the most technically proficient no longer guarantees leaders the top role. ... Healthcare IT leaders can become distracted by the bells and whistles of new technology and move forward without considering the patient experience. ... Staying close to the health system's mission is critical for IT leaders, and [Christopher Hutchins, senior vice president and chief data and analytics officer at Lifepoint Health] ties the technology back to patient care. He prioritizes his teammates and colleagues, listening carefully to what they need. Notable mentions: James Forrester, Chief Technology Officer at University of Rochester (NY) Medical Center; Donna Roach, CIO of University of Utah Health; and Christopher Hutchins, senior vice president and chief data and analytics officer at Lifepoint Health 

4 critical mistakes to avoid during your workday project Becker's Hospital Review; In collaboration with Healthcare IT Leaders; 2/3/25 The success of a Workday implementation doesn’t just hinge on technology but on people. According to recent research, up to 80% of digital transformation initiatives fail. ... For organizations looking to avoid these pitfalls, here are four critical staffing mistakes to avoid as outlined in our Workday Resource Planning & Staffing Guide:

Too much, too fast: Constant change creating corporate burnout Global Finance; by Bill HInchberger; 2/4/25 Change fatigue can strain employees and organizations, and it is getting worse. To reduce the harm, companies are turning to more thoughtful, gradual strategies. ... Hardly a fad pushed by human resources, the phenomenon known as “change fatigue” can affect the bottom line through workforce churn, reduced ability of workers to adapt to further change, and lower productivity. ... Whether adopting new technologies or reacting to external change, many if not most companies appear to be in a constant state of flux. Over 75% of corporations revamp their business model every two to five years, according to a study by WalkMe, a San Franciso-based software-as-a-service firm... Major initiatives tend to favor faster speed and larger scope. Yet there are signs that more gradual solutions might be more effective and less traumatic.

Former Apex Hospice director can proceed with retaliation suit Bloomberg Law; by Daniel Seiden; 1/31/25 A former medical director at Illinois-based Apex Hospice and Palliative Care can move forward with her claim that the company violated the False Claims Act by firing her in retaliation for calling attention to Medicare fraud, a federal district court said. [She] adequately alleged that Apex fired her because she refused to certify patients who would be covered by Medicare but were otherwise ineligible for hospice care, Judge Virginia M. Kendall of the US District Court for the Northern District of Illinois said Thursday.

Behind the scenes: Caring for the caregivers Harvard Magazine; by Lydialyel Gibson; 1/30/25 When I was in seventh grade, my best friend’s father was diagnosed with early onset Alzheimer’s. He was in his late 50s. ... My sharpest memories from that time are of my friend’s shock and grief as her father deteriorated, and of her mother’s incredible stamina. ... That was more than 30 years ago. ... [When] I heard about the work of Christine Ritchie, a geriatrician and palliative care physician who studies the caregiver experience, I knew I wanted to talk to her. Ritchie directs the Dementia Care Collaborative at Massachusetts General Hospital (MGH) and teaches at Harvard Medical School, and has been doing this research for decades. ... The caregivers are the heart of this story. Across the country there are more than 11 million other people like them, who continue to fill these difficult, precious, necessary roles. [Click on the title's link to continue reading this important article.]

How to prioritize AI initiatives: A strategic framework for maximizing ROI CIO; Opinion, by Santhosh Gottigere; 1/28/25 ... AI is highly disruptive and rapidly evolving at breakneck speed. Advanced versions of large language models (LLMs) are coming out at regular intervals with improved compute power capabilities. Those LLMs are also achieving the kind of increased accuracy scores on the MMLU benchmark leaderboard that have become synonymous with the version upgrade cycles we are all accustomed to with SaaS product releases like clockwork. ... Developing a clear and comprehensive strategic vision is the starting point of prioritizing AI initiatives with business goals. Answering the question “Why” sets the tone. Will AI — and specifically generative AI (genAI) — assist in your customer experience and retention efforts?  Are you hoping it will open up or drive new lines of revenue? Or is it a “we’re not sure, but we don’t want to be left behind” situation? ... [Click on the title's link to continue reading.]

The tech shaping healthcare in 2025, per 61 leaders Becker's Health IT; by Naomi Diaz; 1/28/25 Healthcare leaders told Becker's that emerging technologies such as ambient listening, AI-driven automation, and advanced remote patient monitoring are set to transform healthcare in 2025 by tackling workforce shortages and boosting operational efficiency. 

The iatrogenic consequences of medicalising grief: Resetting the research agenda Sociology of Health & Illness: by Sarah Gurley-Green, Lisa Cosgrove, Milutin Kostic, Lauren Koa, and Susan McPherson; published 11/28/25, distributed via Evermore 1/28/25When the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, there was a firestorm of controversy about the elimination of the bereavement exclusion. Proponents of this change and of the proposed “complicated grief” designation believed that this change would help clinicians recognise major depression in the context of recent bereavement. Other researchers and clinicians have raised concerns about medicalising grief. In 2022 “prolonged grief disorder” (PGD) was officially included in the DSM-5-TR in the trauma- and stressor-related disorders section. ... As human rights activists have argued, bereavement support is an inalienable human right, one that is centered on the right to health and well-being, for “bereavement health is as intrinsic to our humanity as any other aspect of health and citizenship” (Macaskill 2022). That is why there are increasing calls for investing in bereavement as a public good and for “cultivat[ing] a bereavement-conscious workforce.” (Lichtenthal et al. 2024, e273). As Lichtenthal notes, it is not only clinicians but also institutions and systems that must “shift bereavement care from an afterthought to a public health priority.”Editor's note: "Iatrogenic" refers to unintentional consequences/condition from a medical intervention. In the hospice context, this means bereavement/grief from the hospice death. How many patients do you serve? The CMS Hospice Conditions of Participation identify "bereavement" and/or "grief" 155 times. What priority do you give to bereavement care before, at and after your patients' deaths?

DEA proposed telemedicine prescribing rule could burden hospice physicians and hospice operations Morgan Lewis, Washington, DC; by Howard J. Young, Jacob J. Harper, and Roshni Edalur; 1/27/25 Signaling a possible future approach to regulating Schedule II-V prescribing via telemedicine in lieu of in-person examinations, on January 17 the DEA issued a notice of proposed rulemaking regarding its next iteration of controlled substance prescribing controls. With comments due March 18, 2025, the Proposed Rule is not subject to the Trump administration’s executive order freeze on new proposed regulations. [Click on the title's link to continue reading.]

You’re not imagining it. The ‘quad-demic’ is making everyone sick. New Jersey Advance Media; by Jackie Roman; 1/27/25 A quadruple threat of viruses is driving up emergency room visits and hospital admissions across the United States, including in New Jersey. Public health experts warn a “quad-demic” — a contagious combination of COVID-19, influenza, RSV and norovirus — has increased pressure on New Jersey hospitals this winter. Emergency department visits and hospital admissions remain elevated for COVID-19, influenza, and RSV, according to the state’s latest respiratory illness surveillance report. ... The Centers for Disease Control and Prevention estimates that there have been at least 16 million illnesses, 190,000 hospitalizations, and 8,300 deaths from flu so far this season. Thirty-one of those deaths were among children, according to the CDC. [Click on the title's link for more data and a national map, with updates by the CDC on 1/22/25.] 

Why drug prices & modern tech matter in hospice care, too, with Nick Opalich Capital Rx; podcast with Nick Opalich; 1/24/25 For Episode 51 of the Astonishing Healthcare podcast, we spoke with Nick Opalich, CEO of HospiceChoice Rx. We learned about how end-of-life care is evolving in the U.S., including the roles pharmacy and technology play in the hospice industry. Nick discusses some similarities between the hospice pharmacy benefit management (PBM) and commercial PBM spaces, such as the importance of a great pharmacy network and independent pharmacies, why the drug price index matters (NADAC vs. AWP), medication access, and disconnected systems. A former pharmacy owner himself, Nick explains the importance of helping hospice providers control drug spend, which is usually the second highest cost behind labor, and reimbursement trends/pressure.