Literature Review

8 health system CEOs on the turbulence defining 2025 Becker's Hospital Review; by Kelly Gooch and Kristin Kuchno; 4/16/25 From capacity constraints to reimbursement pressures, health system CEOs are navigating a changing healthcare landscape. One of the top concerns in 2025 is the potential for Medicaid funding cuts. A recent report estimates hospitals could face a $31.9 billion loss in revenue if federal proposals to scale back Medicaid expansion move forward. CEOs from across the country — including safety-net systems, academic medical centers and expanding regional providers — recently shared how they are preparing for continued uncertainty and what strategies they are prioritizing in response.

Hospitalists in a bind when cancer prognosis hasn’t sunk inMedscape; by Jake Remaly; 4/15/25 When a patient with cancer is admitted to the hospital, the reason might not be related to the malignancy. But the hospitalist in charge sometimes becomes aware of a major disconnect: The patient, who they just met, does not grasp the severity of their cancer prognosis. On the one hand, the hospital medicine team and patient have advance directives and goals of care to consider, which may steer the course of the hospitalization and any use of hospice. The cancer prognosis — the patient might only have months to live, for example — could be a key component of those conversations. On the other hand, explaining the cancer situation should fall to the oncologist, right? ...

Rural US loses 43% of independent physicians: 5 things to know Becker's Hospital Review; by Kelly Gooch; 4/7/25 The number of independent physicians in U.S. rural areas declined 43% over five years — from 21,956 in January 2019 to 12,467 in January 2024 — according to an Avalere study sponsored by the Physicians Advocacy Institute. ... Five things to know:

Are hospitalists becoming de facto PCPs for patients with complex illness? Today's Hospitalist; by Colleen Peggenburg, MD, MS; April 2025 Key takeaways:

Moffitt Cancer Center to offer inpatient hospice Becker's Hospital Review, Tampa, FL; by Elizabeth Gregerson; 3/31/25 Tampa, Fla.-based Moffitt Cancer Center has partnered with Clearwater, Fla.-based Empath Health to offer inpatient hospice services. Moffitt care teams will continue to care for patients while nurses from Suncoast Hospice of Hillsborough in Tampa, part of Empath Health, will ensure inpatient hospice care criteria is met. Moffitt’s palliative medicine team will also “collaborate closely” with the hospice care team ... Moffitt CEO Patrik Hwu, MD, prioritized partnering with a hospice agency two years ago, the release said. “One of the biggest benefits of this partnership is the option for patients and their loved ones to transition from curative treatment to receiving compassionate end-of-life care while they continue maintaining relationships with their care team at Moffitt,” Kerry Hoerner, BSN, RN, senior vice president of Empath Health’s hospice division, said in the release. 

Palliative care in the intensive care unit: An integrative review of intensive care unit health care professionals' views and experiences Dimensions of Critical Care Nursing (DCCN); by Berit Lindahl and Susan Kirk; May-Jun 2025 ... Our findings suggest there is variation in how palliative care in the ICU is conceptualized and interpreted. Intensive care unit professionals need enhanced competencies and training to develop their confidence in providing palliative care and improve role clarity. Such training should focus on serious illness conversations with patients/families and interdisciplinary teamwork. Integration of palliative consultants into the ICU could be further developed.

MaineHealth Memorial Hospital leverages telehealth in unexpected ways MaineHealth, North Conway, ME; Press Release; 3/312/25 When a patient presenting with stroke symptoms arrives at MaineHealth Memorial Hospital's emergency department, time is of the essence. It could take hours to arrange for medical transport and get that patient to a tertiary care center like MaineHealth Maine Medical Center to see a stroke neurologist. Using telehealth, these patients can receive this specialized care if it is necessary in less than 30 minutes. While telehealth is often associated with remote home visits, MaineHealth Memorial Hospital also uses it to enhance on-site care. Using remote consult technology, MaineHealth specialists can offer local care teams expert advice at the bedside or in the exam room. [Continue reading ...]

Children as living solid organ donors: Ethical discussion and model hospital policy statementThe Journal of Clinical Ethics; Gyan C. Moorthy, Aidan P. Crowley, and Sandra Amaral' Spring 2025In recent years, more attention has been paid to living donation as a means to reduce the suffering of individuals with end-stage kidney or liver disease. Implicated ethical issues include medical risk and risk of coercion, counterbalanced by improved medical outcomes and the benefits of saving a life. Living donation becomes particularly ethically complicated with the prospect of child donation, given the child’s developing autonomy and uniquely dependent status. We outline four broad ethical considerations pertinent to living child organ donation: (1) beneficence, (2) respect for the family as a moral unit, (3) respect for the child as a person, and (4) justice. We conclude that it can be ethical for a healthy child to donate a kidney or liver lobe to a close relative who has exhausted other options provided that certain protections are put into place.

Ohio hospital closesBecker's Hospital Review; by Kelly Gooch; 3/21/25 East Ohio Regional Hospital, a 140-bed healthcare facility in Martins Ferry, has closed, local media outlets reported. Signs posted at EORH entrances March 20 said “Hospital closed! Please go to the nearest hospital Trinity, Reynolds or Wheeling!” according to the outlets, including The Intelligencer and NBC and Fox affiliate WTOV. ... Also in March, EORH announced the closures of the pharmacy and long-term care and skilled nursing facility, as well as the layoff of “ancillary services” to strengthen efforts to prioritize payroll disbursement. 

Ohio reported its first measles case in 2025. Here’s what you need to know about this highly contagious virus. Signal Cleveland, Cleveland, OH; by Sue Zake and Reegan Davis Saunders; 3/25/25 An unvaccinated adult in Ashtabula contracted the first case of measles in Ohio, according to the Ohio Department of Health. The individual had contact with someone who recently traveled internationally and was confirmed to have contracted the highly contagious respiratory virus. ... As of March 20, the CDC has reported 378 confirmed cases in the U.S.  — 95% of those who became ill were either unvaccinated or had an unknown vaccination status. Twenty-seven percent of children under 5 years of age who contracted measles have been hospitalized since Jan. 1. Here’s more information to help you understand the disease and protect yourself and your family [and prfoessionals]. [Continue reading ...]

Calvary Hospital doubles down on palliative care and hospice expansion Becker's Hospital Review; by Kelly Gooch; 3/24/25 Michael Fosina began serving as president of Calvary Hospital in New York City in January, bringing decades of healthcare experience to the role. ... Mr. Forsina told Becker’s he’s excited about Calvary’s mission as the organization celebrates its 125th anniversary. Recently, the hospital integrated services with its parent organization, ArchCare, the healthcare ministry of the Archdiocese of New York. Mr. Fosina shared his perspective on Calvary’s role in New York and its future in meeting patient needs. ... [Michael Fosina described:] "ArchCare has all of the components of post-acute care when you include our end-of-life hospital and our hospice program. The integration allows us to accept patients, move patients around, have them stay connected with the physician — the team physician. So the transitions of care are not as dramatic as if you’re going from one organization to the next organization." [Continue reading ...]

From risk to resilience: Leveraging blockchain to safeguard patient data and drive interoperability Healthcare Business Today; by Krista Bowman; 3/21/25 The numbers tell a startling story. Over 42% of the U.S. population is estimated to have had their healthcare records compromised in 2024 alone, exposing critical vulnerabilities within systems meant to protect patient privacy. A staggering 146 million records were impacted in 13 high-profile data breaches, including the largest healthcare breach in history at Change Healthcare, which affected an estimated 100 million individuals. ... In the U.S., a few healthcare companies are exploring blockchain applications. Humana, MultiPlan, Optum, Quest Diagnostics, and UnitedHealthcare have formed the Synaptic Health Alliance to explore the use of blockchain technology to modernize provider data management.

How our partnership with LovEvolve fosters the message of compassionate care Carolina Caring, Newton, NC; 3/20/25 ... Founded and designed by professional artist Sunny Goode, LovEvolve is a mission-driven organization producing scarves, blankets, and swaddles which hold creative attention to color theory and the message of love. ... LovEvolve has distributed their products across thirteen hospitals nationwide, allowing over 61,000 newborns to be wrapped in love. ... Cardinal Kids [Carolina Caring's pediatric palliative medicine and hospice program] began distributing LovEvolve blankets and swaddles to our hospice patients in December 2024. Though these items are a recent addition to our story, families have already shared that these gifts bring lasting meaning to their hospice experience. These blankets are memory makers, reminding families of the impact that their child has had on this world. Sometimes, parents use the blankets whenever they spend the night with their children at the hospice house. The blankets have also been regifted to siblings as a tangible reminder of their brother or sister. The visual cue of love has been a source of peace for many of our Pediatric nurses, as well.