Literature Review

Pursuing equity with artificial intelligence in health careJAMA Health Forum; Kevin B. Johnson, MD, MS; Ivor B. Horn, MD, MPH; Eric Horvitz, MD, PhD; 1/25The National Academy of Medicine defines equitable AI as “applications accompanied by proof of appropriate steps to ensure fair and unbiased development and access to AI-associated benefits and risk mitigation measures.” Health care–providing organizations deploying AI must take responsibility for monitoring and achieving equitable performance. There is much to learn as we face the challenge of understanding how AI applications affect long-standing inequities and discovering the best ways to harness AI to address them. By embedding equity considerations at every stage of AI development and deployment, the US can start to take meaningful steps toward using AI’s growing capabilities to tackle pressing problems in health care. 

'Fast and furious' AI sparks health system refocus Becker's Health IT; by Laura Dyrda; 2/19/25Health systems are beginning to hire chiefs of artificial intelligence and other AI leaders to bring new expertise into the system with the goal of becoming a more sophisticated, data-driven organization. Lisa Stump, executive vice president, chief digital information officer and vice dean of information technology at Mount Sinai Health System and Icahn School of Medicine at Mount Sinai in New York City, participated in the search and hiring process for Girish Nadkarni, MD, Mount Sinai's first chair of artificial intelligence and human health to create a formal department at the Icahn School of Medicine dedicated to AI. She now partners with him and the system's chief clinical officer – calling themselves the "digital and technology partners" group – to structure a center of excellence around AI and digital health, focusing on the patient and consumer experience.

20 high-performing healthcare website designs that get results Just Digital; by Just Digital Team; 2/17/25 As healthcare becomes more digital, a well-crafted healthcare website design is essential for serving patients, sharing information, and building trust. It’s often the first point of contact, making usability, clarity, and accessibility non-negotiable. ... The majority of visitors to healthcare websites are searching for information. As a result, these healthcare website designs must be appealing to the eye, user-friendly, and simple to navigate. Our team at Just Digital compiled a list of some of the best healthcare website design inspirations online. [Click on the title's link for website examples and descriptions of design elements "that get results."]

How medtech is meeting the demand for hospital-at-home care Modern Healthcare; by Lauren Dubinsky; 2/13/25 Medtech companies have their eye on the growing hospital-at-home market, which is driven largely by the rising elderly population, the prevalence of chronic diseases and favorable reimbursement policies. There have been hiccups but some of the largest health systems have leaned into providing hospital-level care at home. ... The desire to safely provide care for patients at home is creating a ripe opportunity for companies like Masimo, Cardinal Health, Medline Industries and McKesson, despite some uncertainty. The global home healthcare market was valued at $257 billion in 2023 and is projected to reach nearly $531 billion by 2032, according to a Vantage Market Research report published in September.

It’s inoperable cancer. Should AI make call about what happens next? The Harvard Gazette - Harvard University; by Alvin Powell; 2/10/25AI is already being used in clinics to help analyze imaging data, such as X-rays and scans. But the recent arrival of sophisticated large-language AI models on the scene is forcing consideration of broadening the use of the technology into other areas of patient care. In this edited conversation with the Gazette, Rebecca Weintraub Brendel, director of Harvard Medical School’s Center for Bioethics, looks at end-of-life options and the importance of remembering that just because we can, doesn’t always mean we should. When we talk about artificial intelligence and end-of-life decision-making, what are the important questions at play? ...

'It's not about technology or dashboards': What health systems need from IT execs next Becker's Health IT; by Laura Dyrda; 2/4/25 Health system IT leaders are entering a new era of leadership amid transformational technology platform purchases, artificial intelligence integration and cybersecurity advancements. But being the most technically proficient no longer guarantees leaders the top role. ... Healthcare IT leaders can become distracted by the bells and whistles of new technology and move forward without considering the patient experience. ... Staying close to the health system's mission is critical for IT leaders, and [Christopher Hutchins, senior vice president and chief data and analytics officer at Lifepoint Health] ties the technology back to patient care. He prioritizes his teammates and colleagues, listening carefully to what they need. Notable mentions: James Forrester, Chief Technology Officer at University of Rochester (NY) Medical Center; Donna Roach, CIO of University of Utah Health; and Christopher Hutchins, senior vice president and chief data and analytics officer at Lifepoint Health 

Digital meditation to target employee stress-A randomized clinical trialJAMA Network Open; Rachel M. Radin, PhD; Julie Vacarro, MA; Elena Fromer, BA; Sarah E. Ahmadi, BA; Joanna Y. Guan, BA; Sarah M. Fisher, MS; Sarah D. Pressman, PhD; John F. Hunter, PhD; Kate Sweeny, PhD; A. Janet Tomiyama, PhD; Lauren Tiongco Hofschneider, PhD; Matthew J. Zawadzki, PhD; Larisa Gavrilova, PhD; Elissa S. Epel, PhD; Aric A. Prather, PhD; 1/25Mental health is at an historic low in the US, and work stress may be a primary contributor. Work stress is associated with poorer emotional and physical well-being, as well as high absenteeism and low presenteeism. Participants were randomized 1:1 to a digital meditation program or the waiting list control condition. Participants in the intervention group were instructed to complete 10 minutes of meditation per day for 8 weeks. The findings suggest that participating in a brief digital mindfulness-based program is an effective method for reducing general and work-related stress in employees. 

How to prioritize AI initiatives: A strategic framework for maximizing ROI CIO; Opinion, by Santhosh Gottigere; 1/28/25 ... AI is highly disruptive and rapidly evolving at breakneck speed. Advanced versions of large language models (LLMs) are coming out at regular intervals with improved compute power capabilities. Those LLMs are also achieving the kind of increased accuracy scores on the MMLU benchmark leaderboard that have become synonymous with the version upgrade cycles we are all accustomed to with SaaS product releases like clockwork. ... Developing a clear and comprehensive strategic vision is the starting point of prioritizing AI initiatives with business goals. Answering the question “Why” sets the tone. Will AI — and specifically generative AI (genAI) — assist in your customer experience and retention efforts?  Are you hoping it will open up or drive new lines of revenue? Or is it a “we’re not sure, but we don’t want to be left behind” situation? ... [Click on the title's link to continue reading.]

How innovation is changing [hospital] length of stayHealthLeaders; by Eric Wicklund; 1/23/25 Allina Health is using technology and new ideas to reduce the time a patient spends in the hospital. They're seeing improved outcomes, reduced costs and more capacity to treat patients who need to be hospitalized.  One of the key metrics in clinical care is patient length of stay (LOS), traditionally defined as the time between a patient's admittance and discharge from a hospital. ... New technologies like AI and concepts like remote patient monitoring (RPM) and Hospital at Home are helping healthcare executives gain a better understanding of LOS, and in turn they're reducing costs and improving care management.Editor's note: How do these hospital technologies interesect with and impact your referrals for palliative and hospice referrals? For discharges to home health or senior facilities that receive care from your agency?

Healthcare Industry Team 2024 Year in Review JD Supra; by Claire Bass, S. Derek Bauer, Kevin Bradberry, Ernessa Brawley, Sarah Browning, Charlotte Combre, Payal Cramer, Emily Crosby, Vimala Devassy, Shareef Farag, Amy Fouts, Winston Kirton, Caroline Landt, Charlene McGinty, Justin Murphy, Lynn Sessions, Gregory Tanner; 1/22/25As we begin a year that will once again be transformative for the industry, we are excited to present our comprehensive 2024 year-in-review, highlighting all that has happened and the trends that will shape 2025. [Downloadable PDF from BakerHostetler, bakerlaw.com. Large categories include the following:]

Enclara Pharmacia announces patient record integration with FireNote Hospice EMR NCN - Nebraska News Channel; Business Wire Press Release; 1/21/25 Enclara Pharmacia, ... [a national] pharmacy solutions provider for the hospice and palliative care sectors, announces the launch of a new interface with FireNoteTM, an innovative hospice electronic medical record (EMR) platform. This integration enables patient demographics and medications to flow seamlessly from FireNote to Enclara’s E3 ProTM medication management system. The new software interface enables timely admissions and medication access for patients while reducing the administrative burden on nurses, a key priority for both Enclara and FireNote.“ 

CEOs face personal inflection point affecting decision making, management and culture; seek to recalculate AI journey, CEO study finds GlobeNewswire - The Futurum Group; media contact, Nati Katz; 1/21/25 Global Management Consulting Partnership Kearney, and Futurum, the leading research, intelligence and advisory firm, today jointly announced the release of the 2025 CEO AI Management study. As largest of its kind for CEO response rates within the company size targeted, the published global CEO Study examined leadership’s stance and status of organizational AI adoption, implementation and roadmaps, – revealing alarming backlash effects that CEOs may already experience. ... Futurum and Kearney managed to develop a substantial CEO playbook for AI which features five points that lead to breakthroughs in AI outcomes. [Key items from their "Five-Point CEO Playbook" include:]

ASTP Rule codifies requirements for TEFCA-Qualified health information networks McDermott Will & Emery, Washington, DC; by James A. Cannatti III, Jennifer S. Geetter, and Nathan Gray; 1/15/25 On December 16, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the NationaTl Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) final rule in the Federal Register as part of its continued focus on improving information sharing among healthcare stakeholders. Rather than codifying comprehensive substantive and procedural requirements for entities participating in TEFCA, the final rule provides a flexible framework establishing how such decisions will be made in current and future subregulatory documents.