Literature Review

Hospital CEOs ask patients to receive care at home Becker's Hospital Review; by Madeline Ashley; 5/14/24 Hospital executives are making the push to move more care, specifically recovery rooms and exams, out of the hospital and into patient homes, to potentially save money and improve finances as the country continues to move out of the pandemic, Politico reported May 11. And Congress is supporting these efforts by introducing legislation that would expand at-home care and to allow Medicare to continue funding telehealth. Here are five findings from the report: ... [Click on the title's link to read more.]

Top 5 AI concerns for nurses Becker's Health IT; by Giles Bruce; 5/8/24Nurses have been expressing concern about healthcare artificial intelligence lately, with some even marching in protest against the technology. But what are their main qualms with AI? [According to a recent study:]

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may help professionals find employment, but with the area being relatively new, experts warn certifications could be out of date almost immediately.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. ...

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]. 

Nurses have reservations about use of AI on the job: survey McKnights Senior Living; by Kathleen Steele Gaivin; 4/29/24More than half of the nurses responding to a new survey by Cross Country Healthcare said they have reservations about the potential benefits of artificial intelligence in the nursing field. The online survey of 1,127 nursing professionals and students at hospitals and other healthcare facilities was conducted Jan. 18 to March 11. Respondents who said they are uncomfortable using AI expressed concerns about the potential absence of empathy and diminished patient connection. Those who said that they are comfortable with using AI on the job expressed a belief that the technology enhances efficiency, documentation, data analysis and research, upskilling opportunities and automated monitoring systems.

FTC finalizes changes to data privacy rule to step up scrutiny of digital health apps Fierce Healthcare; by Heather Landi; 4/26/24 The Federal Trade Commission (FTC) finalized a rule Friday that aims to tighten the reins on digital health apps sharing consumers' sensitive medical data with tech companies. The agency issued a final version of its revised Health Breach Notification Rule to underscore the rule’s applicability to health apps in a bid to protect consumers' data privacy and provide more transparency about how companies collect their health information.

Hospital CEOs chart paths into healthcare's futureBecker's Hospital Review; by Kelly Gooch; 4/24/24Hospital and health system CEOs understand the need to meet demand for healthcare services while also focusing on the well-being of employees and strengthening the talent pipeline. They are also focusing on healthcare education and workforce development. Additionally, they are zeroing in on technology or partnerships that can expand capacity, help improve care and drive innovation. The innovation piece particularly resonates with Bert O'Malley, MD, president and CEO of Baltimore-based University of Maryland Medical Center.

Nurses protest AI at Kaiser Permanente Becker's Health IT, by Giles Bruce; 4/22/24 Hundreds of nurses gathered April 22 to protest the use of artificial intelligence at Oakland, Calif.-based Kaiser Permanente. The California Nurses Association held the demonstration at Kaiser Permanente's San Francisco Medical Center to coincide with the beginning of KP International's Integrated Care Experience conference. "It is deeply troubling to see Kaiser promote itself as a leader in AI in healthcare, when we know their use of these technologies comes at the expense of patient care, all in service of boosting profits," said Michelle Gutierrez Vo, BSN, RN, a president of the California Nursing Association and registered nurse at Kaiser Permanente Fremont (Calif.) Medical Center, in a statement. ...

Integrating AI in Palliative Care: A comparative perspectiveElBlog.PL - Decoding AI: Unveiling the Future of Machine Intelligence, by Roman Rember; 4/19/2Jan Gärtner (51), the head of a Palliative Center in Basel, Switzerland, recently shed light on the fundamental differences in the use of artificial intelligence (AI) in palliative care across the United States and Switzerland. ... The Swiss model emphasizes the commencement of palliative care much earlier in the patient’s journey. ...

The Promise and Pitfalls of AI in Medicine: Guest Bob WachterGeriPal Podcast, by Eric Widera and Alex Smith, with Bob Wachter; 4/18/24Our guest today is Bob Wachter, Chair of Medicine at UCSF and author of the Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age.  Bob recently wrote an essay in JAMA on AI and delivered a UCSF Grand Rounds on the same topic.Publisher's note: An interesting exchange. With apologies for the lenght, this portion of the transcript caught my eye:

Remote SNF monitoring partnership promises 25 percent rehospitalization reduction McKnights Senior Living, by Josh Henreckson; 4/15/24 A new partnership between technology company Circadia Health and 81 skilled nursing facilities operated by Ciena Healthcare aims to significantly improve preventive care and reduce preventable rehospitalizations. Circadia’s C100 remote monitoring devices ... will be installed in residents’ rooms. They are capable of continuously monitoring key vital signs like residents’ breathing rate, heart rate and unusual motions and compare them with personalized profiles. 

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.

Ethical issues abound in adoption of Artificial Intelligence in cancer care Oncology Nurse Advisor; 4/4/24There may be ethical barriers to the adoption of artificial intelligence (AI) into cancer care, according to a study published online March 28 in JAMA Network Open. Andrew Hantel, M.D., from the Dana-Farber Cancer Institute in Boston, and colleagues evaluated oncologists’ views on the ethical domains of the use of AI in clinical care. The analysis included 204 survey responses from 37 states. ... “These findings suggest that the implementation of AI in oncology must include rigorous assessments of its effect on care decisions as well as decisional responsibility when problems related to AI use arise,” the authors write.