Literature Review

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.

Q&A: Nursing and the integration of technology at HIMSS25 mobihealthnews; by Anthony Vecchione; 3/10/25 Lavonia Thomas, nursing informatics officer at the University of Texas MD Anderson Cancer Center, sat down with MobiHealthNews at the HIMSS Global Health Conference & Exhibition in Las Vegas last week to discuss how nurses are implementing digital tools that help improve patient care.  ... [Thomas:] "We are having some great success in nurses' engagement and their feeling of being highly engaged. A nurse is not going to tell you, "I love the electronic health record" or certain things about technology. What is important is that they feel that they are heard, that their feedback is taken into the design and development and that their workflows are assessed." ...

Understanding a patient’s AI medical journey The Hastings Center; by Ian Stevens, Erin William, Jean-Christophe Bélisle-Pion, and Vardit Ravitsky; 3/5/25As artificial intelligence becomes increasingly integrated into U.S. health care, patients should know the ways in which AI is being used in their care, concludes a new paper, “Bring a ‘Patient’s Medical AI Journey’ to the Hill.” Transparency is crucial for interactions between health care providers and individual patients, as well as for systemic level uses of AI, including:

Exploring the role of AI in palliative care and decision-making Penn Today; by Erica Moser; 2/28/25 Oonjee Oh [nursing Ph.D studen] was the lead author on the paper “The ethical dimensions of utilizing Artificial Intelligence in palliative care,” which published in the journal Nursing Ethics in November. ... The paper applies the moral principles of beneficence, nonmaleficence, autonomy, justice, and explicability to examine the ethical dimensions of three hypothetical use cases: machine learning algorithms that predict patient mortality, natural language processing models that capture the signals of psychological distress from clinical notes, and chatbots that provide informational and emotional support to caregivers.

Can default palliative care referrals increase consults? Medscape; edited by Gargi Mukherjee; 3/4/25 A default palliative care referral intervention increased palliative care consultations by more than fivefold and decreased end-of-life systemic therapy by more than half among patients with advanced cancer being treated in the community oncology setting. ...

5 tips to determine how tech can support your physicians American Medical Association (AMA); by Georgia Garvey; 2/25/25 ... Margaret Lozovatsky, MD, vice president of digital health innovations at the AMA, recently shared five important considerations—among them establishing a governance model and agreeing on shared priorities—in designing technology to support clinical practice. Dr. Lozovatsky’s presentation was part of a two-day AMA training event to help physicians eliminate unnecessary work and free up more time to focus on what matters most—patient care. ...