A Strategic Path Forward for Hospice & Palliative Care: Ira Byock, Kristi Newport, Brynn Bowman

A Strategic Path Forward for Hospice & Palliative Care: Ira Byock, Kristi Newport, Brynn Bowman

Author: Alex Smith, Eric Widera November 13, 2025 Duration: 53:05

In June of 2025, hospice and palliative care pioneer Ira Byock published a white paper outlining the urgent challenges facing the field today. In a nutshell, he expressed concerns that the quality of hospice care in the United States has become highly variable, with disturbing frequency of unethical practices and avaricious owners. He also raised concern that the rapid increase in palliative care program growth during the first two decades of this century has stalled, leaving us with understaffed programs that are often inadequately trained. 

Along with Ira, we've invited Kristi Newport, a palliative care doctor and Chief Medical Officer of the American Academy of Hospice and Palliative Medicine, and Brynn Bowman, Chief Executive Officer of the Center to Advance Palliative Care, to discuss these issues and outline a strategic path forward for the field. 

In particular we talk about Ira's four-part solution to transform the field and restore its integrity: (1) publishing clear clinical and programmatic standards, (2) making meaningful data publicly available to ensure transparency and accountability, (3) fostering quality-based competition among providers, and (4) embracing the authentic brand of hospice and palliative care—expert care that alleviates suffering and fosters well-being. 

So take a listen and dive a little deeper with these resources, and dont forget, you too can get involved in AAHPM (click here for opportunities):

 


Hosted by UCSF physicians Alex Smith and Eric Widera, GeriPal-A Geriatrics and Palliative Medicine Podcast creates a vital space for conversation at the intersection of aging and serious illness care. This isn't a dry lecture series; it's a dynamic dialogue where Eric and Alex bring on leading experts to unpack the complexities of geriatric and palliative medicine. They delve into the latest research that should change practice, tackle the ethical dilemmas that provoke debate, and explore the nuanced clinical challenges that professionals face daily. The tone is engaging and often surprisingly lighthearted, with moments of humor and even the occasional song, making profound topics more accessible. Whether you're a clinician, nurse, social worker, or any professional dedicated to this field, this podcast offers a blend of evidence-based insights and practical wisdom you can use. It’s a resource that acknowledges the weight of the work while fostering connection and continued learning. For those seeking formal education credits, AMA PRA Category 1 CME and MOC credit are also available through the show. Tune in to join a community committed to improving care for older adults and those with serious illness.
Author: Language: English Episodes: 100

GeriPal - A Geriatrics and Palliative Medicine Podcast
Podcast Episodes
400th Episode Celebration: Ask Us Anything, Hot Ones-style [not-audio_url] [/not-audio_url]

Duration: 1:00:57
Lynn Flint and Anne Kelly join as hosts in a reprise of last year's ask us anything format. Thank you for sending in your terrific questions! Lynn and Anne condensed them to about 20, and we ran through them rather rapid…
Unilateral DNR? Gina Piscitello, Erin DeMartino, Will Parker [not-audio_url] [/not-audio_url]

Duration: 50:24
Do you think your hospital should allow unilateral DNR orders? Under what circumstances? Through what process? Do you think that when you obtain the assent of a family to not code their loved one, that assent DNR should…