Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality… | ScholarDeck

Paper

Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality Improvement Project.

New research · Internal Medicine

Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 4w

StudyJournal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association· Jul 2026

Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality Improvement Project.

Maryam Gaibi, Ritchell Dignam, Mary Lou Affronti

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Palliative & End-of-LifeStudyClinical practiceQ2IF 1.0

Structured end-of-life conversations were followed by a 61.8% drop in hospice hospitalizations.

Reducing Hospitalization in Adult Hospice Patients by Leveraging End‑of‑Life Conversations: A Quality Improvement Project.

Maryam Gaibi … Mary Lou Affronti

Journal of hospice and palliative nursing · Jul 2026

Purpose

Included (1) increasing the frequency of EOL conversations as part of advance care planning from 18.5% to 40%.

Results

hospitalizations dropped substantially after starting structured end-of-life conversations

11%

Baseline

4.25%

Post-implementation

More results

(2) Decreasing the percentage of Bronx and Manhattan hospice live discharges due to hospitalization from 11% to 9% within 3 months.

More results

A structured EOL conversation model for hospice admissions, combining admission-day discussions with follow-ups within 7 days was implemented to enhance documentation (compliance) and care planning while supporting sustainability through staff training and interdisciplinary collaboration.

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Conclusion

The implementation of a 2-touchpoint EOL conversation model demonstrated improvement in hospitalization.

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