Literature Review

Signs it’s time for in-home healthcare: 11 warning signs U.S. News & World Report News; by Barbara Sadick; 5/27/26 

Hospitality exec brings hotel playbook to senior living, hits 97% occupancy Pacific Business News, Hawaii; by Cathy Cruz-George; 5/14/26 Mark Tsuda had three decades of hospitality experience when he joined the opening team of Ilima at Leihano, a luxury senior living community in Kapolei, in 2016. He previously was a regional executive for Aston Hotels & Resorts, ... Ilima at Leihano - which provides independent living, assisted living and memory care - has held an occupancy rate of between 95% and 97% over the past six years, supported by 92 employees who balance hotel-style services with healthcare needs and recreation. ... If a resident is in hospice, they can stay with us. Hospice is outsourced to local providers like Malama Ola and Island Hospice, ...

Proposing a framework to license autonomous clinical AI: as autonomous clinical AI continues to evolve, we need uniform regulatory standards, says LDI Fellow Penn LDI - Leonard Davis Institute of Health Economics; by Alon Bergman, PhD; 5/15/26 Late last month, Utah’s Medical Licensing Board called for the immediate suspension of the state’s pilot program with the AI company Doctronic. The program lets a chatbot evaluate patients and recommend prescription renewals for nearly 200 chronic condition drugs, with the state planning to phase out physician review of each case. The board said that it only learned about the pilot after it had launched. Its warning was blunt: proceeding without proper clinical oversight “potentially places Utah citizens at risk.” ... Utah is one of at least 47 states now considering more than 250 bills governing clinical AI, producing a patchwork of rules on bias audits, payment policy, and patient consent.Editor's Note: See related article by the same author Alon Bergman, AI doctors should be licensed. Here’s a framework to do that: Utah's pilot program with Doctronic shows that federal action is necessary. 

Don’t guess with health: Samaritan helps families identify the best care level for their aging loved one citybiz | New York, Philadelphia, Pittsburgh | Non-Profit; by Samaritan; 5/11/26When a loved one’s health begins to decline, families often face one of the most difficult questions in caregiving: What kind of care do they really need? Is it time for home-based primary care? Would palliative medicine improve quality of life while still seeking treatment? Or is hospice the most appropriate next step? ... With a full continuum of services—from primary care to end-of-life care—Samaritan helps families navigate complex healthcare decisions with compassion, expertise, and clarity. ... Editor's Note: Excellent descriptions for "choosing the right level of care" with simple, clear information and "navigation" services.

Pennant acquires senior living communities in Arizona and Wisconsin US National Times, Eagle, ID; Press Release by Globe Newswire; 5/1/26 The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice, home care and senior living companies, announced today that effective May 1st 2026, it has assumed operations of three senior living communities across Arizona and Wisconsin, expanding Pennant’s operations by 194 units. The three operations are all subject to triple net leases. ...

Improving advanced practice clinicians' knowledge and comfort of physician orders for life-sustaining treatment form: A homecare quality improvement initiativeGeriatric Nursing; by Jeanette M Ruiz, Yvonne Y Wu, Kristen R Choi, Emily J Martin, Eden R Brauer; 4/26Many advanced practice clinicians (APCs) lack formal training on how to effectively discuss the Physician Orders for Life-Sustaining Treatment (POLST) with chronically ill older adults, often leading to communication gaps and delayed end-of-life decisions. This quality improvement initiative aimed to improve APCs knowledge and comfort in initiating and documenting POLST discussions with community-dwelling geriatric patients. A one-hour online training, incorporating didactic instruction, role-playing, and debriefing, was delivered for APCs providing home-based care. Surveys conducted before and after the training measured ... improvements ...  in POLST completion documentation ... , POLST discussions documentation ... , POLST upload documentation ... , hospice knowledge ... , palliative care knowledge ... , preparedness to discuss POLST ... , comfort with end of life conflict discussions ... , addressing religious/cultural perspectives ... , and use of structured communication frameworks ...

Virtual reality for serious illness: connecting, healing, and inducing awe | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Kathleen Benton and Teri Yarbrow; 4/29/26 What if, even in the most limiting and uncertain moments of serious illness, a person could still experience freedom, movement, beauty, and a renewed sense of meaning? In this episode, Kathleen Benton and Virtual Reality (VR innovator Teri Yarbrow reveal how virtual reality is reshaping Hospice and Palliative Care by restoring something often lost in modern medicine—human experience.  As care becomes increasingly clinical and documentation-driven, VR creates space for patients to reconnect with meaning, beauty, and identity beyond their diagnosis.

Connecting palliative care and age‑friendly care to support what matters most Institute for Healthcare Improvement; by Marian Grant; 4/8/26 ... The 4Ms Framework of an Age-Friendly Health System identifies the core subjects that should drive the care of older adults. The 4Ms (What Matters, Medication, Mentation, and Mobility) align with the approach of palliative care teams and are part of their comprehensive assessment. Age-friendly leaders and team members can use the expertise of palliative care colleagues to implement the 4Ms. Editor's Note: Click here for a great graphic of this "4Ms Framework." It states, "For related work, this graphic may be used in its entirety without requesting permission. Graphic files and guidance at www.ihi.org/AgeFriendly.

New CMS delivery models enable senior living providers to get paid for what they’re already doing McKnights Senior Living, Nashville, TN; by Kimberly Bonvissuto; 4/1/26 Speakers at the 2026 National Investment Center for Seniors Housing & Care Spring Conference on Tuesday shared several new federal programs that offer senior living providers opportunities to showcase their value and to get paid for what they are already doing in chronic disease prevention and management. 

Sovereign Hospice guides Dallas-Fort Worth families through hospital discharge The Malone Telegram, Aubrey, TX; by Baaba Sampson; 3/12/26 Families facing hospital discharge for a loved one with a terminal illness often feel overwhelmed by the sudden shift in care responsibilities. Sovereign Hospice addresses this challenge by providing seamless coordination between hospital teams and home-based hospice services. The organization serves all counties within the Dallas-Fort Worth Metroplex, offering same-day admission and round-the-clock support.