Literature Review

National Alliance CEO Steve Landers on hospices’ top policy priorities Hospice News; by Jim Parker; 11/6/25Medicare advantage and telehealth are key hospice policy priorities for the National Alliance for Care at Home. On the home health front, the organization is also embroiled in efforts to stave off proposed payment and Medicaid cuts. The Alliance came into being last year with the merger between the National Hospice and Palliative Care Organization and the National Association for Home Care & Hospice. Hospice News spoke with Alliance CEO Dr. Steven Landers about how the two legacy organizations are integrating, the hospice public policy landscape and how providers can get involved at a grass roots level.

The secret to a successful AI rollout? It's all about timing - and these 5 factors ZDNET; by Mark Samuels; 11/3/25 AI rollouts fail 95% of the time. Here's how to get yours right. ... Five business leaders share their tips. ...

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?

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. 

New Joint Commission Guidance on the use of Artificial Intelligence in healthcare The National Law Review; by  Paul R. DeMuro, PhD, Brandon K. von Kriegelstein, Taylor M. Stilwell Katten; 10/28/25 On September 17, 2025, the Joint Commission, in collaboration with the Coalition for Health AI (“CHAI”), issued its first high-level framework on the responsible use of artificial intelligence (“AI”) in healthcare.  The Guidance on the Responsible Use of AI in Healthcare (“Guidance”) is intended to help hospitals and health systems responsibly deploy, govern, and monitor AI tools across organizations.  The goal of the Guidance is to help “…the industry align elements that enhance patient safety by reducing risks associated with AI error and improving administrative, operational, and patient outcomes by leveraging AI’s potential.” ... The seven core elements articulated by the Guidance are:

AHA responds to OSTP request on AI policies for health care American Hospital Association; by Ashley Thompson, AHA Senior Vice President, Public Policy Analysis and Development; 10/27/25 ... On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations, our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and other caregivers — and the 43,000 health care leaders who belong to our professional membership groups, the American Hospital Association (AHA) appreciates the opportunity to provide comment on the Office of Science and Technology Policy (OSTP) request for information (RFI) regarding regulatory reform on artificial intelligence (AI). ... [Our] members have urged that policy frameworks strike the appropriate balance of flexibility to enable innovation while ensuring patient safety. The AHA offers four categories of recommendations to maximize the potential for AI to improve care, accelerate innovation and support the health care workforce.

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.

Hospice & Palliative Care Network of Maryland calls for action on short hospice stays: New issue paper highlights urgent need for earlier access to careHospice & Palliative Care Network of Maryland press release; by Peggy Shimoda; 10/23/25The Hospice & Palliative Care Network of Maryland (HPCNM) has released a new issue paper, “Short Hospice Stays in Maryland: Ensuring Patient-Centered Care at End-of-Life,” revealing that Maryland ranks 46th nationally for hospice length of stay. With a median of just 18 days in 2024, patients and families miss the full benefit of hospice services that promote comfort, dignity, and peace at the end of life... “Short hospice stays are not just a clinical problem—they’re a systems challenge,” said Dr. Jennifer Kennedy, HPCNM Board Member and Chair of the Short Length of Stay Workgroup. “Earlier conversations, coordinated care, and improved discharge practices can help patients receive the care they deserve sooner.”

New AI tools target providers looking to succeed in TEAM demo Modern Healthcare; by Diane Eastabrook; 10/10/25 Key Takeaways

The 5 leadership skills that AI will never replace (and how you can harness them) Fast Company; by Alexis Zahner; 10/3/25 Artificial Intelligence is here to stay. It’s reshaping industries, expediting innovation, and shifting how we work at unprecedented speed. For many leaders and employees alike, that reality sparks an uneasy question: if AI can do my work, where does that leave me? The answer lies not in competing with AI, but in doubling down on what makes us distinctly, and irreplaceably, human. ... Here are five leadership skills that AI will never replace, and how you can harness them to stay future-ready:

Seasons Hospice hosts commemoration as it closes hospice house, forges ahead with in-home care KTTC, Rochester, MN; by Caitlin Alexander; 10/10/25 Local nonprofit organization Seasons Hospice hosted a somber but significant moment on Friday as it commemorated its hospice house. After more than 25 years, Seasons Hospice is closing the doors of the hospice house, as it now shifts its focus to serving patients and families with in-home hospice care. “I had a hard time at first accepting that and getting beyond it, but I did,” one of the founders, Sarah Oehlke, said. “I’m very grateful that you have sustained our quality-of-care standards for all of the years.” “We have together provided comfort, dignity and compassion to countless families during life’s most poignant moments,” Board President Dawn Beck said. ... Seasons Hospice previously spoke about a declining census at the hospice house, especially in recent years, noting the shift toward people wishing to spend their final days in their homes with loved ones.Editor's Note: This Seasons Hospice is in Rochester, Minnesota; not to be confused with other hospice organizations throughout the nation with "seasons" in its name. They gave their hospice house both a "good life" and "a good death." We draw attention to the shift they described "toward people wishing to spend their final days in their homes with loved ones," and will continue to be on the lookout for similar trends. To quote from an ancient poet, "To everything there is a season ..." We wish Seasons Hospice well through its continued transitions.

Conspiracy of verticals:  Rethinking healthcare models with Peter Benjamin Teleios collaborative Network (TCN); video/podcast hosted by Chris Comeaux with Peter Benjamin; 10/8/25 In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for Hospice Care. Peter highlights the significant role of assisted living facilities in Hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of Palliative Care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management.