Literature Review

ACC issues new tool to provide guidance on using Apple Watch for heart health monitoring American College of Cardiology; ACC News Story; 5/20/25 The ACC has issued a new "Leveraging Apple Watch for Cardiovascular Care" tool, designed to provide guidance for clinicians and patients using health data collected while wearing an Apple Watch to effectively track and manage cardiovascular health. Through the tool, clinicians can establish best practices for incorporating Apple Watch data relevant to a patient's care plan, create an implementation plan for collecting and responding to data, and develop processes for working with patients to ensure they are using the watch correctly and seeking care where appropriate. The tool also advises when an Apple Watch should not be used, including clinically indicated rhythm monitoring where immediate alerts to a clinician are needed. 

What is it like to die? University of Minnesota’s VR experience offers some answers. The Minnesota Star Tribune; by Richard Chin; 5/2/25 Our reporter returned from the Embodied Labs experience with some thoughts on what he’d like his last hours to look like. When the University of Minnesota offered to let me experience what it’s like to die, naturally I said yes. Aren’t we all morbidly curious about the undiscovered country, as Hamlet put it, from which no traveler returns? Except this time, happily, I would get to return because it would be a virtual death, an experience in a VR studio that’s part of the university’s Health Sciences Library system.

[Philippines] Virtual mourning: How Filipinos utilize Facebook to express grief and seek support – A hermeneutic phenomenological studyMarc Kenneth F. Cabañero, Ma. Teresa Tricia Guison-Bautista; 4/25This study explores how grieving Filipinos use Facebook to cope with loss and seek support, integrating traditional mourning practices with digital expressions of grief. Using a hermeneutic phenomenological approach, in-depth interviews were conducted with ten bereaved Filipinos to examine their online grieving experiences. Thematic analysis identified three key themes: the blending of traditional mourning rituals with Facebook for emotional support, the validation and relief provided by online interactions, and the role of digital mourning in fostering healing. Findings suggest that social media enhances Filipino bereavement practices by strengthening community connections and preserving cultural traditions. The study emphasizes the need for culturally sensitive digital spaces and grief support services that integrate both online and offline mourning.

CMS seeks public input on improving technology to empower Medicare beneficiaries CMS Newsroom; Press Release; 5/13/25 The Centers for Medicare & Medicaid Services (CMS) is taking bold steps to modernize the nation’s digital health ecosystem with a focus on empowering Medicare beneficiaries through greater access to innovative health technologies. The agency, in partnership with the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC), is seeking public input on how best to advance a seamless, secure, and patient-centered digital health infrastructure. The goal is to unlock the power of modern technology to help seniors and their families take control of their health and well-being, manage chronic conditions, and access care more efficiently. ...

'Patients just get violent' | Louisville healthcare workers describe attacks on the job, calling it a crisis ABC WHAS-11, Louisville, KY; by Shay McAlister, Joseph Garcia, Phillip Murrell, and MIchelle Zelli Right now Louisville’s nursing community is facing a crisis, saying they are under attack while on the job.  Since March, police have been called to three different Louisville hospitals after a nurse was assaulted. But those are only the attacks that are reported, several nurses told WHAS11 they face dangerous situations daily without the necessary support. ... The three incidents of violence against nurses sit on a map of hundreds of crimes reported at or near Louisville hospitals and nearby parking garages over the last year. According to LMPD’s crime data portal, 17 assaults were reported at Norton Hospital, 10 at Jewish Hospital, and 28 at the UofL Hospital parking garage over the last 12 months. ... “Many healthcare professionals that are harmed don't report it, and they don't report it because they don't think anybody will listen. And then there are others who think that it's part of the job. It is not part of the job,” CEO of the Kentucky Nurses Association Delanor Manson said. In 2023, Manson worked with lawmakers to formalize language requiring healthcare facilities to track incidents of violence and implement violence prevention strategies. It's a crisis for the career field. 

Ardent Health's first CDIO, a nurse, on the value of 'human-centric' technology Healthcare IT News; by Bill Siwicki; 4/23/25 Anika Gardenhire, RN, chief digital and information officer at the 30-hospital health system, is working to improve the provider and patient experience with ambient listening, augmented intelligence and more. Nashville-based Ardent Health includes 30 hospitals and more than 280 sites of care in six states, including Idaho, Kansas, New Jersey, New Mexico, Oklahoma and Texas. ... 

Using technology to improve matching drug details in hospice care Patient Safety & Quality Healthcare (PSQH); by Matt Phillion; 4/17/25 For Wise Hospice Options, prescribers had been spending an average of 15 seconds matching each flagged drug and 20 seconds per drug entering missing sig, or label, details. Recently, they incorporated clinical-grade AI from DrFirst into automating this process, enabling those same providers to spend two to three seconds per drug, with fewer medications flagged for manual review by pill icons. ... The AI implementation allowed Wise to standardize data from different systems into a workflow that allows clinicians to see complete information before ordering prescriptions, helping avoid delays and reduce errors. Clinicians continue to review medication information for accuracy and adjust based on discussions with the patient but require fewer clicks and keystrokes so they can make faster, more informed decisions. ... Why the impact on hospice is key: The first thing to consider, Faubion explains, is that when it comes to hospice patients, they are going to be on a lot of medications. ...

Seeking human empathy, health insurers turn to AI Modern Healthcare; by Nona Tepper; 3/27/25 When Florida Blue wanted its call center employees to demonstrate greater emotional intelligence when dealing with customers, the nonprofit health insurance company enlisted a tutor incapable of emotion. A generative artificial intelligence, or genAI, chatbot instructs 30 Florida Blue customer service representatives on how to behave like human beings when interacting with other human beings. The chatbot guides workers on human behaviors, such as when to slow their speech, when to hasten a call to its conclusion and what to recommend to policyholders. The company plans to expand this pilot program to its entire 1,600-person call center team this year. [Continue reading ... access may be limited]Editor's note: Is this backwards? What happened to human kindness? Courtesy and core respect? I am a lifelong lover of new technologies. Still, I am surprised at this seemingly-backwards twist. For whatever works, may we learn and grow in "[behaving] like human beings when interacting with other human beings."

Bill Gates AI jobs: 3 roles that will surviveArchynewsy; 3/30/25...  Despite the potential for widespread automation, Gates identifies three key areas where human expertise will remain indispensable: creative work, those requiring high levels of emotional intelligence, and skilled trades. These professions share a common thread – they rely on uniquely human capabilities that AI currently struggles to replicate. ... Gates predicts substantial changes in sectors like healthcare and education, with AI potentially handling many diagnostic and instructional duties currently fulfilled by doctors and teachers. ... [Continue reading ...]

MaineHealth Memorial Hospital leverages telehealth in unexpected ways MaineHealth, North Conway, ME; Press Release; 3/312/25 When a patient presenting with stroke symptoms arrives at MaineHealth Memorial Hospital's emergency department, time is of the essence. It could take hours to arrange for medical transport and get that patient to a tertiary care center like MaineHealth Maine Medical Center to see a stroke neurologist. Using telehealth, these patients can receive this specialized care if it is necessary in less than 30 minutes. While telehealth is often associated with remote home visits, MaineHealth Memorial Hospital also uses it to enhance on-site care. Using remote consult technology, MaineHealth specialists can offer local care teams expert advice at the bedside or in the exam room. [Continue reading ...]

The power of data in enhancing hospice care at United Hospice Mid-Hudson News, Hudson Valley, NY; by Mid-Hudson News Staff; 3/23/25 ... United Hospice CEO Cara Pace said data plays a crucial role in tracking patient health status, symptom management, and overall comfort. ... Hospice care must evolve to meet the changing needs of patients and families. By leveraging data, United Hospice can make informed decisions about service expansions, patient care enhancements, and operational improvements. Data-driven insights guide leadership in planning for the future, ensuring that the organization remains responsive to community needs while continuing to provide exemplary care. ... [Hospices] must be attentive to the experiences of both patients and their families. “By systematically collecting feedback through surveys and other data collection methods, United Hospice can assess satisfaction levels, identify areas for improvement, and address concerns proactively,” Pace said. “This continuous engagement fosters trust and strengthens relationships with families and the broader community.” ... [Continue reading ...]

Community health workers and technology interventions' impact on palliative support globally Journal of Palliative Medicine; by Alekhya Gunturi, Margarita Pertierra, Irma Elizabeth Huayanay Espinoza, Maya Kavita Ramachandran, Mpho Ratshikana Moloko, Karl A Lorenz; 3/20/25Background: Palliative care has the potential to relieve burdened global health systems but is in short supply in many low-resource settings. Community health workers (CHWs) and digital health tools/telephonic support have the potential to scale scarce palliative care resources and improve outcomes for seriously ill adults in home/community settings.  Conclusions: CHWs and digital health/telephony can improve quality of life, health care use, and caregiver support. Most research focuses on physical and psychological aspects of care instead of cultural aspects of care. Future research is needed to explore culturally tailored interventions in minority populations and low- and middle-income countries, as well as investigate emerging remote technologies to allow for scaling palliative care into home/community settings.Editor's note: Pair this with Hospice community responds to proposed DEA telehealth prescribing rule, posted 3/21/25.

AI scribes: Can technology do more than free doctors from data entry? Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 3/17/25 Since the widespread adoption of electronic health record (EHR) systems in the 1990s, the health care industry has been on a relentless quest to digitally optimize the doctor-patient interaction. Today, many predict this pursuit will be dramatically changed by the integration of artificial intelligence (AI) into nearly all aspects of EHR systems, transforming patient care and clinical workflows in ever more revolutionary ways. AI-powered EHRs are now theoretically capable of automating administrative tasks, providing real-time clinical insights, personalizing treatment plans, and allowing health care providers to focus more on patient care and less on data entry.