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11 New Interventions Improve Serious Illness and End of Life Care

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New York, NY (September 22, 2026) The Rita and Alex Hillman Foundation (RAHF) today announced eleven grants to support innovative, early-stage interventions that seek to improve the provision of care for the seriously ill and those at the end of life.

The $550,000 in funding, part of a collaborative effort with The Arthur Vining Davis Foundations (AVDF), will advance nursing-driven initiatives addressing a variety of health issues.

“How we care for people experiencing serious illness or at end of life is a bellwether for the strength and integrity of our society,” said Ahrin Mishan, Executive Director of The Rita and Alex Hillman Foundation. “By investing in bold, nursing-driven models of care, we can ensure that all people, including marginalized communities, receive the trustworthy and high-quality care they deserve.”


Philanthropic Partnership Drives Progress

Launched in 2018, the Hillman Emergent Innovation: Serious Illness and End of Life (HSEI) program was created to address a critical gap in funding for pre-evidence, nursing-driven interventions. In 2021, an innovative co-funding partnership with The Arthur Vining Davis Foundations, significantly expanded the program's reach. Today, the HSEI program has funded a total of 69 bold, early-stage interventions—backed by $4.2 million in funding.

“We are proud of our longstanding collaboration with The Rita and Alex Hillman Foundation,” said Michael Murray, President of The Arthur Vining Davis Foundations. “Our partnership has expanded the evidence base for dignified, culturally competent care for people our healthcare system too often overlooks — evidence that can carry promising pilot projects into lasting, scalable change for the communities that need it most.”


HSEI Grantees Address a Range of Healthcare Challenges

This year’s grants demonstrate a commitment to the design, development, and delivery of better and more accessible care. The 2026 HSEI grant recipients are:

  • Ann Aastha: AI-Driven Bereavement and Grief Support for Rural Communities
    In rural communities, where gaps in palliative and bereavement care persist, grieving individuals have difficulty accessing timely mental health support. Ann Aastha is a digital platform that uses AI to screen for depression, anxiety, and sleep disruption and to translate the results into culturally tailored, personalized grief support for people in rural communities.
    Principal Investigator: Nancy Dias, PhD, RN, MSN, FPCN, East Carolina University
  • Affirming Futures: Guiding Family-Building Decisions for Gender Minority Cancer Survivors
    For transgender and gender-diverse cancer survivors, building a family involves navigating complex reproductive, legal and financial decisions. This project adapts an evidence-based decision aid to create Affirming Futures, pairing survivor-informed guidance with a nurse-led implementation toolkit to facilitate gender-affirming communication and referral care.
    Principal Investigator: Lauren Ghazal, PhD, FNP-BC, University of Rochester
  • GUIDE-SMI: Serious Illness Communication Guide for People with Serious Mental Illness
    Individuals with serious mental illness experience disparities in end-of-life care and have limited opportunities to articulate treatment preferences before a crisis occurs. GUIDE-SMI enables inpatient psychiatric nurses to initiate proactive, trauma-informed conversations regarding goals of care and document them in electronic records to ensure patient wishes are honored.
    Principal Investigators: Jeannette Kates, PhD, APRN, AGPCNP-BC, FPCN, and Angela Gerolamo, PhD, APRN, PMHNP-BC, University of Pennsylvania
  • Transforming Choices: Advance Care Planning for Gender-Diverse Older Adults
    Advance care planning for transgender and gender-diverse older adults is often marked by gaps in care and a lack of tailored resources, leaving many without a clear plan for the serious illness decisions they may face. Co-designed with community members, this nursing-driven project develops Transforming Choices, a digital resource that pairs advance care planning education with psychosocial support to foster agency.
    Principal Investigators: Lauren Catlett, PhD, RN, CNL, and Windy Alonso, PhD, MS, RN, FHFSA, FAHA, FAAN, University of Virginia
  • Improving Care Interactions for Nursing Home Residents with Dementia and Pain
    Nursing home residents living with dementia and unaddressed pain are vulnerable to negative interactions with staff that diminish quality of life and escalate distress. This project pilots the Fostering Positive Care Interactions program, where nursing home staff better recognize behaviors indicating pain and deliver compassionate, high-quality care.
    Principal Investigators: Rachel McPherson, PhD, MA, and Barbara Resnick, PhD, CRNP, FAAN, FAANP, University of Maryland
  • Trauma-Informed Advance Care Planning for Cancer Patients with Substance Use Disorders
    Cancer patients with co-occurring substance use disorders face significant barriers to timely care and end-of-life planning, barriers that disproportionately affect low-income patients and people of color. This project pilots a trauma-informed, nurse-led advance care planning model in an outpatient harm reduction clinic to reduce anxiety regarding death and strengthen patients' trust in healthcare.
    Principal Investigator: Christine Kimpel, PhD, RN, MA, The Ohio State University
  • Nurse-Led Perinatal Palliative Care for Families Facing Fetal Loss
    Families confronting a life-limiting fetal diagnosis experience profound grief that, for marginalized and non-English-speaking parents, is compounded by communication barriers and systemic gaps in care. This project embeds a nurse-led perinatal palliative care intervention into a pediatric hospital setting to provide holistic, culturally tailored support.
    Principal Investigator: Erin Denney-Koelsch, MD, FAAHPM, University of Rochester
  • School-Based Support for Children Grieving a Sibling's Illness or Death
    Schools often lack support for students experiencing the serious illness or death of a sibling. This project partners with school nurse practitioners and educators nationwide to establish an evidence-based framework and practical toolkit for school-based sibling bereavement care.
    Principal Investigators: Sarah Wawrzynski, PhD, RN, and Kim Mooney-Doyle, PhD, RN, CPNP-AC, FAAN, Nemours Children's Hospital
  • Building Community-Led Infrastructure for Serious Illness Care and Education
    For underserved communities, high-quality palliative care remains out of reach when it stays within clinical silos instead of extending into trusted local settings. The Supportive Care Collaborative will pilot two regional, nurse-led community coalitions in California that unite clinicians, faith leaders, and grassroots advocates to deliver culturally responsive serious illness education and care.
    Principal Investigators: Natalie Dickson, MS, RN, CNS, ACHPN, and Loren Pogir, MPA, Supportive Care Collaborative
  • Centering HUG: Trauma-Informed Grief Support for Black Mothers Impacted by Gun Violence
    Black mothers on Chicago’s West Side who have lost children to firearm violence carry immense trauma with limited access to culturally responsive, professional grief services. Working with a grassroots community organization, this project will adapt group care principles to create Centering HUG, which combines trauma-informed education and peer dialogue to support community healing.
    Principal Investigators: Sadandaula Rose Muheriwa-Matemba, PhD, MScMid, BScNEd, DipN, RNM, and Rohan Jeremiah, PhD, MPH, University of Illinois Chicago
  • Tiempo Juntos en Casa: Active Living for Spanish-Speaking Older Adults with Cognitive Impairment
    Low-income, Spanish-speaking older adults experiencing cognitive impairment face persistent obstacles in accessing physical activity programs designed for their language, culture, and community context. Grounded in a holistic nursing model, Tiempo Juntos en Casa deploys bilingual community health promoters to deliver home-based physical activity sessions that improve sleep, enhance cognitive health, and promote well-being.
    Principal Investigator: Adriana Perez, PhD, CRNP, ANP-BC, FAAN, FGSA, and Se Hee Min, PhD, PMHNP-BC, RN, University of Pennsylvania

About The Rita and Alex Hillman Foundation

The Rita and Alex Hillman Foundation advances bold, nursing-driven innovations that promote equitable, person-centered, and trustworthy care. It is committed to helping ignite and develop game changing interventions and cultivating a vibrant ecosystem of nurse innovators, grantees, and partners dedicated to building a healthier future for all.
For more information, please visit www.rahf.org.

About The Arthur Vining Davis Foundations

The Arthur Vining Davis Foundations were organized in 1952 and are supported by two trusts established by Mr. Arthur Vining Davis. The Foundations aim to bear witness to Mr. Davis’ successful corporate leadership and his ambitious philanthropic vision. Since their inception, the Foundations have given over 3,800 grants totaling more than $300 million to colleges and universities, hospitals, medical schools, and divinity schools.
For more information, please visit www.avdf.org.


Media Contact
Takouhi Mosoian, The Rita and Alex Hillman Foundation (press@rahf.org)

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To help us in the evaluation and analysis of projects, all proposals, documents, communications, and associated materials submitted to The Rita and Alex Hillman Foundation (collectively, “Submission Materials”) will become the property of the Foundation and will be shared with other members of the Advisory Committee, Board of Directors, and other funding partners or potential funding partners. We will report publicly on the number of applications received.

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