Literature Review

6 ways to cut EHR burdens for physicians AMA - American Medical Association; by Sara Berg, MS; 5/7/24 When Jane F. Fogg, MD, MPH, first became a doctor, patient charts were on paper. She looked forward to the rise of the EHR, believing electronic charting could help modernize the care she provided while also empowering herself and her patients. Funny how things turn out. “EHRs are a source of burnout—we have lots and lots of great evidence that has helped us understand the low usability and the high work burden that it adds to physicians,” Dr. Fogg, senior physician adviser at the AMA. ... Here are just a few ways that health systems and organizations can improve EHR workflows to reduce physician burden.

Best Buy lands new health system partnerBecker's Health IT; by Giles Bruce; 5/10/24The tech retailer said it joined forces with Bethlehem, Pa.-based St. Luke's University Health Network in the first quarter. The health system will use Best Buy's Current Health remote monitoring platform to treat post-discharge congestive heart failure patients. "We talk a lot about our big goal to enable care at home for everyone, and we're intentional about our role as the enabler," Best Buy Health said in a May 9 statement. "Partnering with providers, health plans and biopharma organizations is at the core of our strategy." Best Buy has been leaning into healthcare in recent years, acquiring Current Health in 2021 for $400 million and sending Geek Squad members into patients' homes to set up hospital-at-home technology.

AI governance and cybersecurity certifications: Are they worth it? CSO; by Maria Korolov; 5/6/24The International Association of Privacy Professionals (IAPP), SANS Institute, and other organizations are releasing new AI certifications in the areas of governance and cybersecurity or adding new AI modules to existing programs. These may help professionals find employment, but with the area being relatively new, experts warn certifications could be out of date almost immediately. ... On the other hand, the new AI governance and cybersecurity certifications cover the basics needed to get up to speed, create a foundation layer on which people can build later, create a common language for practitioners to use, and will typically include ongoing training requirements to help people stay current. Here, in alphabetical order by organization are all the AI governance training and certificates known at the time of publishing. ...

ONC chief: EHRs are central to AI’s role in healthcare Modern Healthcare; by Brock E.W. Turner; 5/2/24 Even as the Office of the National Coordinator for Health Information Technology celebrates its 20th birthday, the agency has little time these days to stop and smell the roses. ... [This article discusses the following questions.]

CIOs' top 15 priorities over next 3 years Becker's Health IT; by Giles Bruce; 5/1/24 CIOs' top priority over the next one to three years will be driving business innovation, according to a recent CIO survey. That differs from their current No. 1 focus, which is cybersecurity, per an April CIO story. Here are the activities CIOs plan to spend more time on in the next one to three years, according to the 2024 survey of 1,126 IT leaders: ... [click on the title's link for the list]. 

Cleveland Clinic eHospital expands to monitor 300,000 patients Becker's Health IT; by Naomi Diaz; 4/24/24 Cleveland Clinic's eHospital program has expanded and now monitors 248 patient beds in ICUs and other units across the organization's network. The eHospital program launched in 2014 as a pilot in one intensive care unit. ... The program has enabled more patients to receive care at community hospitals, reducing the need for transfers to the main campus, according to Cleveland Clinic. It has also helped decrease ICU lengths of stay and minimize the volume of calls received at night. 

AI could play role in preventing prescribing of unnecessary drugs in older adults McKnights Senior Living, by Kristen Fischer; 4/22/24 A new study finds that artificial intelligence could encourage doctors to stop prescribing drugs that aren’t necessary — especially in older adults, who tend to be on multiple medications. The report was published 4/18 in the Journal of Medical Systems. More than 40% of older adults are taking five or more prescription medications, a rate that raises their risk for potentially harmful drug interactions. ... AI isn’t a perfect tool compared with having an actual doctor. For instance, it tended not to pay much attention to a person’s pain level, suggesting that the patient stop taking pain medications but not others for clinical ailments such as high cholesterol or high blood pressure, the authors reported.

Outlook dims for resolution of eased telehealth payments and rules McKnights Senior Living, by John O'Connor; 4/16/24 The general consensus was clear during a recent House hearing aimed at addressing the temporary easing of policies and payments: Telehealth as a concept is here to stay. But as a year-end deadline to either reinforce or discard numerous COVID-era stopgap measures approaches, resolution is hardly in reach.

Message-based telehealth an increasingly important part of seniors’ healthcare, study findsMcKnights Senior Living, by Aaron Dorman; 4/11/24 Many healthcare experts, and even government agencies, are working to try to expand telehealth coverage for older adults. But much of that work considers telehealth in terms of video and/or phone conversations. E-mails and digital messaging across patient portals, however, also are part of seniors’ healthcare regimen, particularly those who are Medicare beneficiaries, finds a new study published in Health Affairs Scholar. As such, updated telehealth coverage decisions should factor in the time that older adults, their caregivers and clinicians need to exchange these messages, the researchers said.

AI in palliative and end-of-life care: "How new technology makes us feel is important" Marie Curie, by Dr. Ami Nwosu, Research Lead at the Marie Curie Hospice, Liverpool, UK; 4/11/24... People who require palliative and end of life care require specific physical, emotional, psychological and social needs, which requires holistic assessment and support. Although there are more opportunities to use AI technologies in palliative care, there may be concern from family caregivers that technology may be unable to provide the person-centered, human connection which may be desired when people are at their most vulnerable.

Modern ultrasound tech benefits extend from Alzheimer’s to palliative care McKnights Senior Living, by Aaron Dorman; 4/9/24New research is showing that ultrasound innovations can be ultra-beneficial to seniors across a wide range of applications. ... [A] valuable use of ultrasound tech could be in palliative care. Portable or handheld ultrasound diagnostic tools could allow for more effective treatment options, and reduce the need for costly rehospitalizations. These imaging tools are already available and researchers conducted a narrative study of existing literature that appeared to validate their effectiveness; based on previous findings, new portable ultrasound devices made a difference in 50% of treatment decisions, the researchers found.