Literature Review

100 great community hospitals | 2025 Becker's Hospital Review; by Anna Falvey; 7/11/25 Becker’s is pleased to release the 2025 edition of its “Great community hospitals” list. Community hospitals play a vital role in the fabric of the U.S. healthcare system, delivering accessible, affordable care to patients beyond major metropolitan areas. Whether serving rural regions or suburban neighborhoods, these hospitals are essential to keeping communities healthy and connected to quality care. The community hospitals recognized on this list are dedicated to clinical excellence, academic advancement and personalized, whole-person care delivery. Their mission is to elevate health outcomes within the communities they serve. 

When a fall becomes a death sentence for nursing home residents Justice News Flash; by Harve J.; 7/8/25 For nursing home residents, a trip to the hospital can be far more than a temporary setback it often marks the beginning of the end. According to data reviewed in a national nursing home longevity study by Gruber Law Offices, nearly 30% of older adults die within a month of hospital discharge. These figures suggest that transitions in care, rather than stabilizing vulnerable patients, may be accelerating their decline. ... Each year, nursing homes report between 100 and 200 falls, with the average resident experiencing 2.6 falls. These aren’t isolated accidents they’re indicators of systemic risk. Many residents already face mobility challenges, and understaffing makes close monitoring difficult. The result is a cycle: a fall leads to hospitalization, hospitalization increases frailty, and frailty increases the chance of further injury or death.

What might the past suggest about rural emergency services amidst critical access hospitals’ decline? AMA Journal of Ethics, American Medical Association; by Siân Lewis-Bevan, MD, MPH, EMT-B and Stephen Powell, MD; July 2025Critical access and other rural hospitals have struggled to remain open, which exacerbates inequity in rural residents’ access to routine and emergency health services and strains already-taxed rural emergency medical services (EMS). This article discusses the recent history of rural hospital closures and their effects on rural emergency care. This article also suggests modifications to EMS policy and practice that could improve rural community members’ access to health services and bolster EMS services in rural areas.

Palliative care knowledge, attitudes, and self-competence of nurses working in hospital settingsJournal of Palliative Care; Mona Ibrahim Hebeshy, PhD, RN; Darcy Copeland, PhD, RN; 6/25With the growing need to integrate palliative care into healthcare systems, nurses in hospital settings often provide care for patients with life-limiting conditions, many of whom lack formal education in palliative care. [Conclusions:] Nurses generally feel competent; however, they often lack confidence in addressing patients’ social and spiritual needs. They experienced unease when discussing death and exhibited paternalistic attitudes. Significant differences were found in educational background, nursing experience, personal caregiving experience, and practice setting. Positive correlations exist between attitudes, knowledge, and self-competence, indicating that greater knowledge and competence were associated with better attitudes toward end-of-life care.

Older adults spending excess time in ED, putting hospitals at risk of failing to meet new guideline, analysis finds McKnights Long-Term Care News; by Donna Shryer; 7/1/25 A new national analysis of hospital data shows that older adults in the United States increasingly are spending more time in emergency departments (EDs) than federal guidelines recommend — delays that can be harmful to aging patients. The findings come as hospitals prepare to comply with new Medicare rules aimed at improving emergency care for older adults. ... Among patients who were admitted to the hospital, more than one-third (36%) waited more than three hours after the decision was made to admit them, a delay known as boarding. These benchmarks — eight hours in the ED and three hours to admission — are part of the new Age-Friendly Hospital Measure introduced by the Centers for Medicare & Medicaid Services (CMS). As of January 2025, hospitals are required to confirm they have procedures in place to meet these time goals.

The greatest financial threat to hospitals, per revenue cycle leaders  Becker's Hospital Review; by Andrew Cass; 7/1/25Nearly half of hospital revenue cycle leaders view payer denials as the single greatest threat to their organization’s financial performance, according to a report from RCM company Knowtion Health, featuring joint research with Healthcare Financial Management Association. The report is based on a nationwide survey of 147 revenue cycle leaders, according to a June 26 Knowtion news release. 

209 women hospital and health system presidents and CEOs to know | 2025 Becker's Hospital Review - Leadership & Management; by Anna Falvey and Allie Woldenberg; 6/16/25 Becker’s is proud to recognize 209+ women presidents and CEOs leading hospitals and health systems across the nation. These inspiring leaders are champions of expanding care access, advancing equity and inclusion, and driving meaningful improvements in how healthcare is delivered. Their vision and leadership are shaping a stronger, more inclusive future for healthcare. ... This list was compiled based on nominations and editorial research. This list is not exhaustive, nor is it an endorsement of included presidents, CEOs, hospitals, health systems or associated healthcare providers. [The following persons have "hospice" in their profile.]

‘It’s going to be the expectation’: Alternative care models reshape home-based care Home Health Care News - Hospital at Home; by Joyce Famakinwa; 6/10/25 At-home care providers are looking to the future. This means seriously investing in alternative home-based care models, such as hospital-at-home and Program of All-Inclusive Care for the Elderly (PACE). DispatchHealth, Contessa Health and Alivia Care are some of the organizations that have jumped headfirst into alternative home-based care models, enabling the creation of more comprehensive care delivery models. While alternative care models come with inherent challenges, including a complex regulatory environment and higher capital investments, these models are set to become an expectation for home-based care providers.

From hospital to home: Mastering transitions of care and preventing re-hospitalizations Mayo Clinic; by Mayo Clinic Press Editors; 6/3/25 Physically moving from one healthcare setting to another — whether it be from the hospital to rehab, or rehab to nursing home — can be a complicated process, both logistically and emotionally. And in the midst of all of that hubbub, it can sometimes be hard for the person in the center of it all to feel like they’re properly being heard. On this episode of Aging Forward, Dr. Maria De la Garza talks about the commonality of communication errors between health providers during care transitions, the importance of caregivers and loved ones in the process, a how to center the patient and their wishes in their care.

Hospitalists should champion hospice as ‘life with dignity’ Medscape; by Julie Peck; 5/29/25 If anyone can put a positive spin on the end of life, it’s Charles Vialotti, MD, director of Hospice Care at Holy Name Medical Center’s Villa Marie Claire in Bergen County, New Jersey. Violotti, who at the age of 80 lives at the 20-bed Villa Marie Claire to serve its residents full-time, says the hospice industry needs hospitalists’ help with sort of a rebrand, one that will almost certainly have a positive effect on patient and family satisfaction. “Providers used to stress offering people death with dignity. And if you think about that, who is ever going to choose anything that offers death? Death in any form is still death,” Vialotti said. “So, we really like to focus on offering people life with dignity, giving people back choice, giving them the option to structure their final days, weeks, or months the way they would most like to see it happen."

66 top hospitals for patient experience, safety: Healthgrades Becker's Hospital Review; by Mariah Taylor; 5/14/25 A total of 66 hospitals received both Healthgrades’ Outstanding Patient Experience and Patient Safety Excellence awards. Healthgrades released its 2025 Outstanding Patient Experience Award, which recognizes hospitals that provide top-quality care while ensuring a positive healthcare experience for patients. The company analyzed data from 3,059 hospitals that submitted at least 100 patient experience surveys to CMS between January and December 2023. It used 10 metrics from the Hospital Consumer Assessment of Healthcare Providers and Systems patient survey data. ... Read more about the methodology here. For patient safety, Healthgrades analyzed 14 patient safety indicators using inpatient data from the Medicare Provider Analysis and Review file and the Agency for Healthcare Research and Quality’s Patient Safety Indicators Technical Specifications and AHRQ WinQI software. Read the methodology here. ...

Health systems need radical transformation. Are C-suites ready? Becker's Hospital Review; by Laura Dyrda; 5/21/25Health systems faced with ever-thinning margins and uncertain financial future may be tempted to double-down on cost cutting as an immediate option relief. But for most, that’s not the best option. ... “Amid unprecedented volatility, resource constraints, and technological disruption, how can healthcare executives rapidly adapt and transform their organizations to sustainably deliver high-value care, optimize operational efficiency, and preserve workforce resilience and empathy?” posed Craig Albanese, MD, CEO of Duke University Health System in Durham, N.C. The question is urgent and complex. Hospital leaders are searching for connecting points with old friends, rivals, community organizations and other stakeholders to problem-solve together. They’re also pursuing larger strategic changes instead of small fixes to truly build sustainable organizations for the future. ...

The government should invest now in healthcare cybersecurity, says HSCC Healthcare IT News / HIMSS Media; by Andrea Fox; 5/20/25 Financially-constrained hospitals and health systems need federal funding and support to augment their cybersecurity workforces, according to a Health Sector Coordinating Council report to HHS. Funding shortfalls and workforce shortage leave small, rural and resource-constrained healthcare providers especially vulnerable to ransomware attacks that disrupt care delivery. That's a reality that cannot be ignored, according to a new report, prepared for the U.S. Department of Health and Human Services, by the Health Sector Coordinating Council's Cybersecurity Working Group.