[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427535-105":59,"doc-detail-427535-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","hospice-administrator-perspectives-on-supporting-patients-after-live-discharge-issue-s2-research","Hospice Administrator Perspectives on Supporting Patients after Live Discharge - Issue S2 - Research","","Live hospice discharge disenrolls patients prior to death and affects roughly 15% of enrolled individuals. This study investigates how hospices support patients after discharge, especially those at increased risk for adverse outcomes such as hospitalization, and how predictive tools might identify high-risk individuals. Interviews with 10 senior hospice administrators across clinical care, data science, quality assurance, and operations at three hospices reveal reliance on informal and formal referrals, along with geographic service gaps and limited follow-up infrastructure.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hospice-administrator-perspectives-on-supporting-patients-after-live-discharge-issue-s2-research/427535/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hospice-administrator-perspectives-on-supporting-patients-after-live-discharge-issue-s2-research/427535.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-18","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What is “live hospice discharge” and why is it important?","Question",{"text":112,"@type":113},"Live hospice discharge occurs when patients are disenrolled before death, affecting about 15% of enrollees. It raises concerns for families and hospice agencies due to the risk of poor post-discharge outcomes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do hospices support patients after live discharge?",{"text":117,"@type":113},"Hospices support discharged patients through informal connections with healthcare providers and community organizations, and through formal referrals to intra-organizational services such as palliative care and GUIDE.",{"name":119,"@type":110,"acceptedAnswer":120},"What factors did administrators identify as contributing to poor post-discharge outcomes?",{"text":121,"@type":113},"Administrators cited geographic disparities in post-hospice service availability, along with a lack of formal infrastructure and incentives for hospices to follow up with enrollees.",{"name":123,"@type":110,"acceptedAnswer":124},"What role could predictive tools play after live discharge?",{"text":125,"@type":113},"Participants saw potential value in predictive tools to identify individuals at risk for adverse outcomes. They emphasized the need to address measurement validity and end-user buy-in, and to ensure tools are specified carefully and trusted by users.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},427535,1791297707,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":24},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Innovation in Aging, 2025, Vol. 9, No. S2 769  \nAbstract citation ID: igaf122.2614  \nHOSPICE ADMINISTRATOR PERSPECTIVES ON SUPPORTING PATIENTS AFTER LIVE DISCHARGE  \nKira Sheldon1, Elizabeth Luth2, Miriam Ryvicker3, Caitlin Brennan4, and Yongkang Zhang5, 1. Rutgers University--New Brunswick, New Brunswick, New Jersey, United States,  \n2. Rutgers University, New Brunswick, New Jersey, United States, 3. VNS Health, New York, New York, United States, 4. Care Dimensions, Danvers, Massachusetts, United States,  \n5. Weill Cornell Medicine, New York, New York, United States Live hospice discharge occurs when patients are disenrolled  \nprior to death, impacting approximately 15% of enrollees. Addressing individuals’ needs after live discharge, particularly those at increased risk for poor outcomes, is a challenge for patients and their families and a concern for hospice agencies and the Centers for Medicare and Medicaid Services. This study examined how hospices support patients discharged alive and the potential for predictive tools identifying individuals at risk for poor post-discharge outcomes (e.g., hospitalization) to help prevent these outcomes. We analyzed interviews with 10 senior level hospice administrators in roles that impact live discharge (clinical care, data science, quality assurance, and clinical operations) at three hospices in the Northeastern and Southern United  \n770 Innovation in Aging, 2025, Vol. 9, No. S2  \nStates. Participants shared that hospices support discharged patients through informal connections with healthcare providers and community organizations and formally through referral to other intra-organizational services (e.g., palliative care, GUIDE) .  \nThey perceived geographic disparities in availability of post-hospice services and lack of formal infrastructure and incentives for hospices to follow-up with enrollees as contributing to poor post-discharge outcomes. They recognized the potential benefit of predictive tools to identify individuals at risk for poor post-discharge outcomes, provided concerns regarding measurement validity and end-user buy-in were adequately addressed.  \nCareful, comprehensive discharge planning, referrals to other organization services (for larger hospices) and building connections with community services and primary care (for smaller hospices) may improve continuity of care and prevent poor outcomes following live discharge from hospice. Predictive tools may be useful if carefully specified and trusted by end-users.","cbCaioSh6MUg6FIV","https://ap.wps.com/l/cbCaioSh6MUg6FIV","pdf",1350467,"English","# Abstract\n## Study purpose\n## Methods and participants\n## Key findings\n## Implications and recommendations","[{\"question\":\"What is “live hospice discharge” and why is it important?\",\"answer\":\"Live hospice discharge occurs when patients are disenrolled before death, affecting about 15% of enrollees. It raises concerns for families and hospice agencies due to the risk of poor post-discharge outcomes.\"},{\"question\":\"How do hospices support patients after live discharge?\",\"answer\":\"Hospices support discharged patients through informal connections with healthcare providers and community organizations, and through formal referrals to intra-organizational services such as palliative care and GUIDE.\"},{\"question\":\"What factors did administrators identify as contributing to poor post-discharge outcomes?\",\"answer\":\"Administrators cited geographic disparities in post-hospice service availability, along with a lack of formal infrastructure and incentives for hospices to follow up with enrollees.\"},{\"question\":\"What role could predictive tools play after live discharge?\",\"answer\":\"Participants saw potential value in predictive tools to identify individuals at risk for adverse outcomes. They emphasized the need to address measurement validity and end-user buy-in, and to ensure tools are specified carefully and trusted by users.\"}]","Hospice Administrator Perspectives on Supporting Patients after Live Discharge - Issue S2 - Research | PDF",1790644155]