{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T22:03:09Z","timestamp":1789855389530,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R56 AG085541"],"award-info":[{"award-number":["R56 AG085541"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Live discharge occurs for 20% of hospice enrollees, resulting in loss of support and disruptive care transitions, with higher risk for patients with Alzheimer's disease and related dementias (ADRD). Little is understood about how data\u2010driven clinical decision support tools (e.g., predictive algorithms) might support decision making regarding live discharge. As hospices adopt value\u2010based care, identifying opportunities and challenges for data\u2010driven tools to predict and support live discharge holds great potential to support hospice patients and their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with 20 hospice leaders in clinical care, quality, and data science at seven non\u2010profit United States hospices. Four\u2010step rapid analysis and deductive approaches were used to summarize interview content in response to research questions and identify cross\u2010organizational themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants identified multilevel\u2014individual and family, organizational, community, and system\u2014challenges and facilitators to support patients following live discharge. Families dealing with ADRD face a heavier care burden but also access ADRD\u2010specific programs. Participants expressed strong interest in using predictive tools to identify patients at increased risk for live discharge and either support them to remain in hospice or facilitate robust discharge planning. Participants emphasized the importance of tool specification and clinical workflow integration to make predictive tools useful and impactful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hospices face barriers to support hospice patients and caregivers experiencing burden and suboptimal outcomes following live discharge. Predictive modeling could be a potentially powerful tool to facilitate support for patients discharged alive, provided they are accurately specified and thoughtfully integrated into clinical workflows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70621","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T09:05:41Z","timestamp":1785747941000},"page":"2659-2668","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospice Care in the Era of\n                    <scp>AI<\/scp>\n                    : Hospices' Views on Data\u2010Driven Tools to Support Live Discharge Decisions"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1496-1235","authenticated-orcid":false,"given":"Elizabeth A.","family":"Luth","sequence":"first","affiliation":[{"name":"Rutgers University  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Brennan","sequence":"additional","affiliation":[{"name":"Care Dimensions  Danvers Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Hurley","sequence":"additional","affiliation":[{"name":"Care Dimensions  Danvers Massachusetts USA"},{"name":"New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kira G.","family":"Sheldon","sequence":"additional","affiliation":[{"name":"Rutgers University  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6312-9686","authenticated-orcid":false,"given":"Yongkang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services \u201cHospice Monitoring Report\u201d(2025) accessed November 7 2025 https:\/\/www.cms.gov\/files\/document\/hospice\u2010monitoring\u2010report\u20102025.pdf."},{"key":"e_1_2_12_3_1","unstructured":"U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services \u201cMedicare Hospice Benefits\u201d(2025) https:\/\/www.medicare.gov\/publications\/02154\u2010medicare\u2010hospice\u2010benefits.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16242"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14859"},{"key":"e_1_2_12_6_1","unstructured":"A.Muma A.Chung A.Nandi et\u00a0al. \u201cHospice Care Index Technical Report. U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services\u201d(2022) accessed November 7 2025 https:\/\/www.cms.gov\/files\/document\/hospice\u2010care\u2010index\u2010hci\u2010technical\u2010reportjuly\u20102022.pdf."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878\u20103620893"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0595"},{"key":"e_1_2_12_9_1","unstructured":"\u201cNHPCO Facts and Figures: Hospice Care in America. National Hospice and Palliative Care Organization\u201d(2018)."},{"key":"e_1_2_12_10_1","unstructured":"\u201cNHPCO Facts and Figures: Hospice Care in America. National Hospice and Palliative Care Organization\u201d(2021)."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231168401"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0337"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.03.006"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0228"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.11520"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010023\u201008031\u20108"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2016.1272075"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hly040"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.01.002"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.02.286"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214221109984"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911\u2010018\u20100677\u20108"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2021.88578"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.7763\/IJMLC.2015.V5.506"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18505"},{"key":"e_1_2_12_26_1","volume-title":"Qualitative Research Practice: A Guide for Social Science Students and Researchers","author":"Ritchie J.","year":"2014"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010019\u20100853\u2010y"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2024.100313"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091241302044"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.25302\/10.2021.IHS.160234070"},{"key":"e_1_2_12_31_1","volume-title":"Report to the Congress: Medicare and the Healthcare Delivery System, Chapter\u00a09 Hospice Services","author":"Medicare Payment Advisory Commission","year":"2025"},{"key":"e_1_2_12_32_1","first-page":"47","volume-title":"Health Information Technology Adoption and Utilization in Long\u2010Term and Post\u2010Acute Care Settings","author":"Dougherty M.","year":"2023"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70621","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70621","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70621","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:18:21Z","timestamp":1789852701000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70621"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,3]]},"references-count":31,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/jgs.70621"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70621","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,3]]},"assertion":[{"value":"2026-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}