Literature Review

Providers still navigating Change outage as systems are restored Modern Healthcare, by Lauren Berryman; 4/10/24 Providers are seeing some improvements following the Change Healthcare cyberattack nearly two months ago, but not necessarily because they are reconnecting to restored systems. Hospitals and medical groups are submitting claims to payers through alternate vendors, allowing them to generate cash. But the level of claims and payments moving among healthcare organizations that had heavily relied on Change Healthcare is still far from normal.

Virtual reality therapy offers ‘sustained improvement’ in cancer-related pain Healio, by Josh Friedman; 4/8/24  Individuals with cancer reported significantly reduced pain immediately following a 10-minute virtual reality (VR) session, study results published in Cancer showed. The findings from the randomized trial suggest that pain reductions associated with VR use are sustainable for up to 24 hours and produced a reduction in pain bothersomeness and destress, according to researchers. 

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. 

Northwell, Memorial Hermann and others join Aegis consortiumModern Healthcare, by Gabriel Perna; 4/2/24 Nine health systems, including Northwell Health and Memorial Hermann Health, System joined a digital consortium led by startup studio Aegis Ventures. Aegis, which creates, invests and operates digital health companies, said Tuesday the consortium will develop, invest in and deploy digital health solutions. 

USDA Rural Development accepting applications for grants to fund high-speed Internet and digital equipment for rural and tribal communitiesU.S. Department of Agriculture Rural Development, by Leigh Hallet; 4/4/24The U.S. Department of Agriculture (USDA) Rural Development invites grant applications for two programs that fund broadband access. The Distance Learning and Telemedicine (DLT) Grant Program helps organizations provide online training, education, and health services. It funds services, training, and equipment to digitally connect people to education, training, and health care resources.

FDA approves AI Tool that can detect sepsis Forbes, by Cailey Gleeson; 4/3/24 The U.S. Food and Drug Administration approved an AI tool that can diagnose sepsis, Prenosis, the company behind the software, announced Wednesday, the latest in a series of agency approvals for AI diagnostic tools. ... At least 350,000. That’s how many adults who develop sepsis die from the condition or are discharged to hospice annually, according to the U.S. Centers for Disease Control and Prevention. 

Hospital struggles to restore MyChart months after cyberattack Becker's Health IT, by Giles Bruce; 4/1/24 Lurie Children's Hospital of Chicago is still trying to restore its MyChart patient portal two months after a cyberattack took its systems offline. ... The organization was struck by a "known criminal threat actor" and disconnected its IT and phone systems Jan. 31. A hacking group later claimed it sold the hospital's data for $3.4 million. Lurie Children's has since restored its phones, email and EHR, but has been working to reinstate MyChart for weeks.

Northwell backs 'emotionally intelligent' AI voice startupBecker's Health IT, by Gile Bruce; 3/28/24The venture capital arm of New Hyde Park, N.Y.-based Northwell Health is backing a startup that is developing a conversational artificial intelligence platform that mimics human speech. Northwell Holdings participated in a $50 million series B funding round March 27 for Hume AI, which was founded by a former Google researcher to provide "near-human-level conversation" with AI. Northwell has already invested several million dollars in the "emotionally intelligent" voice interface.Editor's Note: Is this an April's Fools Day joke? No. Will these replacements of human conversation improve or potentially harm the patient/caregiver experience? What outcomes could be generated if $50 million was invested in making human professionals more emotionally intelligent? For this high-tech oriented hospice and palliative editor/leader, this direction raises patient/caregiver/professional concerns and cautions. 

How healthcare AI is regulated by the FDA, HHS, state laws Modern Healthcare, by Gabriel Perna; 3/26/24 Widespread oversight of artificial intelligence in healthcare is still a work in progress but that doesn’t mean the technology is completely unregulated. ... There are areas where developers, providers and insurers are regulated in how they use AI. Federal agencies like the Food and Drug Administration and Health and Human Services Department have some oversight authority. Also, a few states have enacted laws governing use of AI within clinical care.

5 weeks of uncertainty: How the Change breach has unfolded Modern Healthcare, by Tim Broderick; 3/25/24 The healthcare industry is starting to play catch-up following a cyberattack on UnitedHealth Group’s Change Healthcare subsidiary nearly five weeks ago that forced the company to disconnect its vital everyday systems. Change Healthcare processes about 50% of medical claims and manages prior authorization requests and reimbursement processes. The unprecedented network outage has forced hospitals, nursing homes, pharmacies and other providers to scramble as they try to mitigate operational and financial challenges. ... Here's a closer look at the fallout from the Change Healthcare cyberattack.

AI scribe saves doctors an hour at the keyboard every dayAMA, by Andis Robeznieks; 3/18/24 When a health system rolls out new technology that it insists will make physicians’ lives easier, the announcement is typically met with skepticism. But the use of augmented intelligence (AI)—often called artificial intelligence—has changed that. The Permanente Medical Group’s rollout of ambient AI scribes to reduce documentation burdens has been deemed a success, saving most of the physicians using it an average of one hour a day at the keyboard. ... Refinement of the tool, however, is ongoing. ... For example, one physician mentioned scheduling a patient’s prostate exam, but the AI scribe recorded that the exam had been performed. 

UnitedHealth says unit Change has restored and rebuilt functions handled by Amazon Reuters; 3/20/24 UnitedHealth Group said on Wednesday its unit Change Healthcare's cloud-based services for handling medical claims were completely rebuilt and restored, about a month after a cybersecurity attack on the subsidiary crippled healthcare in the United States. Amazon's cloud services for two of Change Healthcare's applications were restored from backups and cleared by their cybersecurity partners, the insurer said. 

Give generative AI another decade to revolutionize healthcare Modern Healthcare - Opinion, by Keith Figoli; 3/15/24... Generative artificial intelligence is poised to transform healthcare by enabling solutions to effectively address [common patient care] challenges. This cutting-edge technology opens new avenues for innovation in diagnosis, treatment planning, operations efficiency and overall healthcare delivery–and industry leaders are taking notice. A recent survey revealed that 25% of healthcare organizations implemented a generative AI solution in 2023, while 58% plan to adopt one this year. However, the generative AI-driven transformation won’t – and shouldn’t – happen overnight.