Literature Review

Why 95% of AI rollouts fail and what L&D leaders can do about it Big Think+; 10/7/25 Companies are pouring resources into AI, yet capability gaps hold employees back from using it effectively. ... MIT recently reported that 95 percent of AI projects fail to deliver measurable outcomes. Despite the unprecedented investment, productivity gains are elusive, employee adoption is shaky, and the business case often collapses under scrutiny. How can we surround ourselves with the most powerful technology in human history, spend billions deploying it, and still struggle to prove it makes us better? The answer isn’t hiding in the models or the code. The real story and the real risk are sitting right in front of us. ... If you only push the tech, you’ll be part of the 95 percent of failures. If you only focus on people, you’ll underestimate what’s at stake. Success requires advancing both at the same time, with equal intentionality.

Dallas nonprofit plans first hospice house for people experiencing homelessness NBC DFW-5, Dallas, TX; by David Goins; 10/7/25 ... Tucked along a quiet, tree-lined street just east of downtown Dallas sits a historic property that will soon house a new concept for North Texas — a hospice house designed to provide end-of-life care in a safe, supportive environment for those living unsheltered. Chris Culack, CEO of the Visiting Nurse Association of Texas, said the organization’s mission has long centered on supporting vulnerable populations. The group currently provides meals for homebound neighbors in Dallas, Denton and Rockwall counties, as well as in-home hospice care in 16 counties statewide. 

Pine Tree Hospice celebrates 40th anniversary at Peaks Kenny State Park The Piscataquis Observer, Bangor, ME; by Staff, Piscataquis Observer; 10/6/25 Sixty-plus volunteers and their family members gathered on Saturday, Sept. 20 to celebrate Pine Tree Hospice’s 40 years of providing free care and comfort to families in the greater Piscataquis County community. ... Executive Director Kristen Wortman credits the group’s longevity to the devotion of its volunteers to serving isolated and often house-bound neighbors in their communities, caregivers and those grieving the loss of a loved one. Pine Tree Hospice continues to focus on neighbors helping neighbors. Services are free and provided to clients without medical referral.Editor's Note: Congratulations to this out-of-the-box, rural, "non-medical" hospice that saw end-of-life care needs and found creative "neighbors-helping-neighbors" ways to meet them. Put this into context of 1985, in an ongoing rural environment at the uppermost northeast corner of the U.S., long before Medicare became the norm. 

Healthcare AI in the United States — navigating regulatory evolution, market dynamics, and emerging challenges in an era of rapid innovation The National Law Review; by Nadia de la Houssaye, Andrew R. Lee, Jason M. Loring, Graham H. Ryan of Jones  Walker LLP; 10/2/25 The use of artificial intelligence (AI) tools in healthcare continues to evolve at an unprecedented pace, fundamentally reshaping how medical care is delivered, managed, and regulated across the United States. As 2025 progresses, the convergence of technological innovation, regulatory adaptation (or lack thereof), and market shifts has created remarkable opportunities and complex challenges for healthcare providers, technology developers, and federal and state legislators and regulatory bodies alike. ...

End-of-life outcomes and staff visits for hospice recipients residing in assisted living Journal of the American Medical Directors Association; by Wenhan Guo, Shubing Cai, Yue Li, Brian E McGarry, Thomas V Caprio, Helena Temkin-Greener; 9/26/25 Objectives: ... We hypothesized that more frequent staff visits and specific regulatory provisions would be associated with improved EOL outcomes. ... Conclusions and implications: Hospice staffing intensity, especially clinical visits, appears to be associated with EOL outcomes for AL residents. AL state regulations are also associated with hospice quality. These findings underscore the role of both organizational practices and regulatory policy in shaping hospice experiences in AL settings.

B2B website navigation: Structure that guides complex buyersTrajectory; updated 9/29/25 ...  42% of users will abandon your website as soon as they experience issues with functionality or usability. ... When someone can't find basic information quickly, they don't just leave your website. They question your company's competence. ... If [the site visitor] can't find the information category they need within 10-20 seconds, they often assume it doesn't exist and leave. That's not much time to prove you have answers to their complex questions. Your navigation must immediately signal that you understand their needs and have the depth of information they require.Editor's Note: Though written for B2B, these lessons matter for hospice websites (B2C). Patients, caregivers, healthcare decision makers, and family members of diverse generations need clarity in moments of stress. Review your website’s navigation through their intergenerational eyes—can they quickly find what hospice is and how to begin care? Clear pathways reflect the heart of hospice care: guidance and compassion.

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.

Virtual visits boost hospice home care services across Dallas-Fort Worth area The Smithfield Times, Aubrey, TX; Press Services; 9/26/25 Sovereign Hospice in Aubrey, TX, explains how telehealth and virtual visits help patients and families get hospice home care services faster. In the Dallas–Fort Worth area, these tools let nurses and doctors check patients quickly and answer questions without delay. Families far away can also join care meetings by video, making them part of the journey and improving understanding of the services the hospice offers.

Emergency Departments report more consults for hospice, palliative care Michigan State University, East Lansing, MI; by Michigan State University; 9/25/25 One-third of Americans will visit an emergency department, or ED, within a month of their death. While EDs are primarily purposed to provide emergent care, they’re increasingly becoming an initial touchpoint for hospice and palliative care, or HPC, referrals and consultations, according to a new study from several researchers at Henry Ford Health + Michigan State University Health Sciences.  Why this matters:

Building blocks of hospice family caregiver support Hospice News; by Holly Vossel; 9/24/25 Untapped reimbursement opportunities exist when it comes to developing a sustainable family caregiving infrastructure in the face of rising demand for home-based hospice care. ... Among the payment avenues with potential to improve support for caregivers is the Medicaid-funded Structured Family Caregiving (SFC) program. SFC coverage includes a modest financial stipend to health care providers that offer home- and community-based services for caregivers. ... Roughly 63 million Americans are family caregivers, an increase of nearly 50% since 2015, according to a report from the National Alliance for Caregiving and AARP. About one-in-every-four adults is a caregiver to a family member, with 40% of these individuals providing high-intensity care, the report found. About half of the nation’s caregivers reported negative financial impacts, with one-in-five unable to afford basic needs such as food and 25% taking on debt. Additionally, one-in-five caregivers have poor health outcomes, the report found.Editor's Note: Are you aware that the 2008 CMS Hospice Conditions of Participation identify the "family" 423 times? (Yes, I've searched, counted, and categorized.) Click here for AARP's 2025 edition of Caregiving in the US.

The new clinician-scholars—dual training in medicine and humanities drives health research innovation JAMA; by Vinayak Jain, MD; Kayla Zamanian, MS; Lakshmi Krishnan, MD, PhD; 9/18/25 Clinicians and researchers operate in an evolving landscape that demands innovative approaches to knowledge production and dissemination. Emerging technologies like artificial intelligence are transforming health care, public trust in scientific institutions is deteriorating, and major centers of biomedical research are grappling with programmatic and funding disruptions. In response, a new paradigm of clinician-scholar must emerge—one equipped not only with scientific fluency, but also the conceptual, analytical, and structural tools of humanities and social sciences.

CMS launches landmark $50 billion Rural Health Transformation Program CMS Newsroom - Rural Health; Press Release; 9/15/25 Today [9/15], the Centers for Medicare & Medicaid Services (CMS) unveiled details on how states can apply to receive funding from the $50 billion Rural Health Transformation Program created under the Working Families Tax Cuts Act to strengthen health care across rural America. This unprecedented investment is designed to empower states to transform the existing rural health care infrastructure and build sustainable health care systems that expand access, enhance quality of care, and improve outcomes for patients. ... The Rural Health Transformation Program invites all 50 states to apply for funding to address each state’s specific rural health challenges. 

Low-cost respite service offered North Central News, Phoenix, AZ; by NCN Staff; 9/17/25 A new program is bringing together Arizona State University students and Hospice of the Valley to provide support to families caring for a person with dementia at home or in a facility. RISE — Respite In Student Engagement is a unique partnership between ASU and Hospice of the Valley’s Supportive Care for Dementia program. RISE connects students with families to provide affordable respite for caregivers and meaningful engagement for the person living with dementia in their home or in a facility. The rate is $20 per hour and families pay the student directly. RISE students are not employees or contractors for ASU or Hospice of the Valley. All students are background checked, and ASU students who join RISE receive evidence-based dementia training from the Dementia Care and Education Campus in Phoenix.