Literature Review

Following the CrowdStrike outage, healthcare stresses the importance of prevention HealthCare Brew; by Cassie McGrath; 7/25/24... [The recent CrowdStrike outage] affected millions across all sorts of industries, from healthcare to travel. ... However, amid the chaos, what has largely gone untold are stories of the companies that emerged unscathed. And within those unaffected companies lies a lesson for others, according to Andrew Molosky, president and CEO of Tampa-based Chapters Health System. ... “We’ve really focused on business continuity, redundancies, safety nets, and understanding of the difference between cybersecurity as a task and cybersecurity as a cultural commitment of your organization,” Molosky said. ... These investments, Molosky said, included protocols for documenting on paper, using a backup application that provides patient information when electronic medical records and other systems are offline, and allowances for bringing in personal devices to use if company devices go down. 

Baptist Health taps 3 vendors to build a population health system that works Healthcare IT News; by Bill Siwicki; 7/26/24With help from Oracle, Innovaccer and Salesforce, the South Florida provider is scoring big population health wins, including a 7% increase in coding gap closure rate and a 17% increase in annual wellness visit completion rates. Baptist Health South Florida operates a network of 11 hospitals covering four counties. It also includes numerous ambulatory facilities, urgent care centers and emergency departments to provide comprehensive healthcare services across the region. ... "One of our primary issues was the fragmented nature of patient data across multiple provider organizations and electronic health record systems," said Milady Cervera, vice president, population health and physician integrated networks, at Baptist Health South Florida. "This lack of interoperability made it difficult to gain a comprehensive view of our patients' health status, care history and ongoing needs. ..."

A 'TsunamAI' of change is coming to healthcareForbes; by Lee Shapiro; 7/24/24 In the last 50 years, there have been significant developments that have forever improved the delivery of healthcare. Consider imaging (MRI/CT scans), minimally invasive surgery, anti-viral therapies, precision medicine (e.g., CRISPR and gene editing) and near or complete eradication of diseases like polio and smallpox. As we look back 50 years from now, we will have experienced seismic changes from AI. When I've spoken with healthcare leaders, they've pointed to a progression of AI adoption that will occur in the following three categories, which you should consider for your organization: administrative, research and development, and care delivery.  

Telehealth can drive more meaningful serious illness conversations in MDS, AML AJMC - American Journal of Managed Care; by AJMC contributor; 7/10/24 Using telehealth to have conversations about serious illnesses with patients may help increase clinician confidence in having these types of conversations, suggest findings from a small pilot study. Researchers collected feedback from 20 clinicians implementing a telehealth serious illness conversation with their patients with acute myeloid leukemia and myelodysplastic syndrome (MDS). The group found the intervention was considered simple and easy, and helped clinicians better understand the unique needs of their patients at end of life. The findings were published in JMIR Formative Research.

Health systems oppose new cybersecurity rules Becker's Health IT; by Giles Bruce; 7/8/24 Health systems and industry trade groups are objecting to new cybersecurity reporting requirements proposed by the Cybersecurity and Infrastructure Security Agency. The recommended rule under the Cyber Incident Reporting for Critical Infrastructure Act of 2022 would, among other things, require covered entities to report cyberattacks within 72 hours and ransom payments within 24 hours. The proposal, which is estimated to cost the industry $1.4 billion, would exempt small and critical access hospitals.

Why nurses are protesting AIHealthcare Brew; by Tom McKay; 6/26/24Continuous data collection and analysis is hardly a replacement for knowledge, nursing unions say, and sometimes gets in the way of care. The largest nursing union in the US, National Nurses United (NNU), is sounding the alarm about the use of AI in healthcare. In April, the union’s affiliate California Nurses Association (CNA) protested an AI conference helmed by managed care consortium Kaiser Permanente. Like workers in other sectors who are worried about AI encroachment, the nurses fear that the tech is contributing to the devaluation of their skills amid what they say is already a “chronic” understaffing crisis, nurses reported in an NNU survey of 2,300 registered nurses and members in early 2024. But the NNU, which represents approximately 225,000 nurses across the country, also claims healthcare operators are using AI hype as a pretext to rush half-baked and potentially harmful technologies into service, says Michelle Mahon, NNU’s assistant director of nursing practice.

7 of the top tech and IT jobs in demand for the future TechTarget; by David Weldon; 6/24/24 Businesses of the future will rely on workers with IT skills even more than they do today. Find out which jobs might be most in demand and what those roles entail. ... Organizations are having to create new tech roles and redefine existing ones to manage the integration of AI and data into core business functions. Meanwhile, cybersecurity continues to be a top concern, as do digital transformation and cloud computing. These challenges are increasing the demand for job roles that merge technical expertise with strategic business acumen. ... So, what will be some of the hottest IT jobs of the future? ... Roles are listed in alphabetical order. 

Telemedicine and e-Health: May issue Telemedicine and e-Health; Editor-in-Chief Charles R. Doearn, MBA, FATA and Executive Editor Karen Rheuban, MD, FATA; published monthly The leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. [Relevant titles include the following. These are included in this current May's print edition, many were previously published "online ahead of print."]

171K+ clicks saved: Inside Johns Hopkins' nurse documentation revamp Becker's Clinical Leadership; by Erica Carbajal; 6/17/24 Across healthcare, efforts to advance documentation are often focused on enhancing physicians' workflow. But at Baltimore-based Johns Hopkins Hospital, leaders are equally focused on improving documentation in nursing. ... [The] American Nurses Credentialing Center recognized Johns Hopkins with 10 exemplars, one of which recognized the hospital as a leader in nursing informatics. Case in point: The hospital has saved nurses 170,620 clicks in four months, April Saathoff, DNP, RN, vice president and chief nursing information officer at Johns Hopkins Medicine, told Becker's. ... "Instead of the nurse having to go in and document on every single row on a head-to-toe reassessment for the patient, we now have some fields added to the top where the nurse can document reassessment changes noted or reassessed no changes," Dr. Saathoff said, adding that the changes are saving nurses an average of 13 minutes per reassessment. Editor's Note: What might your organization be able to streamline in your online documentation? Before IT or clinical management decides unilaterally, get input from your clinicians who make the visits and use the system. Include your psychosocial/spiritual care team members as well, as you might delete something crucial that they need.

Better manage privacy concerns related to AI in healthcare Fior Reports; by Becca Roberts; 6/17/24 Artificial intelligence technologies offer tremendous potential in healthcare, but it is critical for organizations to carefully consider the complex privacy concerns associated with different types of AI products and deployments, says Karen Habercoss, privacy officer at UChicago Medicine. “It’s critical to really understand what the use cases are and how we can minimize the amount of data we share to protect our patients, their privacy and their data,” she said. “I'm very much in favor of AI. I think it will bring about a fundamental change in the way we care for patients clinically in healthcare. Those are the very positive things that will come out of it. But with that comes a great responsibility to protect our patients from things they may not understand,” she said. 

Ransomware spikes after Change hack Becker's Health IT; by Naomi Diaz; 6/13/24 Following Change Healthcare's admission that it paid off hackers after its ransomware attack, there has been a spike in healthcare-related cyber incidents, Wired reported June 12. In April, cybersecurity firm Recorded Future identified 44 instances of cybercriminal groups targeting healthcare organizations with ransomware attacks. These attacks involved stealing data, encrypting systems and demanding ransom payments while holding networks hostage. This marks the highest number of healthcare ransomware victims recorded in a single month during Recorded Future's four years of data collection, Allan Liska, a threat intelligence analyst at the company told Wired. 

'I don't ever trust Epic to be correct': Nurses raise more AI concerns Becker's Health IT; by Giles Bruce; 6/14/24 Nurses continue to voice concerns about artificial intelligence and its integration into EHRs, saying the technology is ineffective and interferes with patient care. Nurses from health systems around the country spoke to National Nurses United, their largest labor union, for a June 5 story about issues with such programs as automated nurse handoffs, patient classification systems and sepsis alerts. Multiple nurses cited problems with EHR-based programs from Epic and Oracle Health that use algorithms to determine patient acuity and nurse staffing levels. "I don't ever trust Epic to be correct," Craig Cedotal, RN, a pediatric oncology nurse at Kaiser Permanente Oakland (Calif.) Medical Center, told the nurses' union. "It's never a reflection of what we need, but more a snapshot of what we've done." ... Hundreds of nurses protested AI at Kaiser Permanente San Francisco Medical Center in April.

WorldView announces Referral AI, the most accurate referral classification platform to increase home health and hospice revenue Investors Observer; by PR Newswire; 6/10/24 WorldView , a leading provider of integrated healthcare technology to the top home health and hospice EHR/EMR platforms, today announced the upcoming launch of Referral AI, an enhancement to automate intake referrals using a custom AI/ML model built specific for the healthcare industry. ... Home health and hospice agencies receive many forms of electronic documents in their inbox, including referrals for new patient service. Referrals must be acted on quickly, but with documents being dozens of pages, they often sit unread or, worse, are missed or overlooked. Over time, the referral can become invalid, resulting in lost revenue for the agency and posing a risk of delayed service for patients.