Literature Review

Bill Gates AI jobs: 3 roles that will surviveArchynewsy; 3/30/25...  Despite the potential for widespread automation, Gates identifies three key areas where human expertise will remain indispensable: creative work, those requiring high levels of emotional intelligence, and skilled trades. These professions share a common thread – they rely on uniquely human capabilities that AI currently struggles to replicate. ... Gates predicts substantial changes in sectors like healthcare and education, with AI potentially handling many diagnostic and instructional duties currently fulfilled by doctors and teachers. ... [Continue reading ...]

Bioethics Artificial Intelligence Advisory (BAIA): An Agentic Artificial Intelligence (AI) framework for bioethical clinical decision support Cureus; by Taposh P. Dutta Roy; 3/12/25 Healthcare professionals face complex ethical dilemmas in clinical settings in cases involving end-of-life care, informed consent, and surrogate decision-making. These nuanced situations often lead to moral distress among care providers. This paper introduces the Bioethics Artificial Intelligence Advisory (BAIA) framework, a novel and innovative approach that leverages artificial intelligence (AI) to support clinical ethical decision-making. The BAIA framework integrates multiple bioethical approaches, including principlism, casuistry, and narrative ethics, with advanced AI capabilities to provide comprehensive decision support. 

Digital Transformation 101: A handy primerHealthcare IT News; by Bill Siwicki; 3/21/25 Robert Slepin, chief digital officer at SE Health and an emeritus CIO adviser at Epic, describes the key aspects of digital transformation that provider organizations need to understand, primary technologies involved and how to best organize the effort. Healthcare IT News sat down with him to discuss aspects of digital transformation efforts that provider organizations don't quite have a firm grasp on to begin with, the primary technologies involved in digital transformation, how to organize such a comprehensive effort as digital transformation, and his transformation effort at SE Health. [Continue reading ...]

Q&A: Nursing and the integration of technology at HIMSS25 mobihealthnews; by Anthony Vecchione; 3/10/25 Lavonia Thomas, nursing informatics officer at the University of Texas MD Anderson Cancer Center, sat down with MobiHealthNews at the HIMSS Global Health Conference & Exhibition in Las Vegas last week to discuss how nurses are implementing digital tools that help improve patient care.  ... [Thomas:] "We are having some great success in nurses' engagement and their feeling of being highly engaged. A nurse is not going to tell you, "I love the electronic health record" or certain things about technology. What is important is that they feel that they are heard, that their feedback is taken into the design and development and that their workflows are assessed." ...

4 strategies to build trust in new technologies and drive meaningful change Kyndryl; by Farhaz Thobani; 3/3/25 Four strategies every organization can use to build trust in new technologies and drive successful transformation:

CIO hiring on the rise: How to land a top tech exec role in 2025 CIO; by David Weldon; 2/25/25 Job opportunities are picking up for CIOs and other IT leaders in 2025, but so are expectations, with AI, change acceleration, and business transformation at the top of most companies’ wish lists. Early returns on 2025 hiring for IT leaders suggest a robust market. For some recruitment firms, job growth for tech executive positions is at great heights.

Hospices traverse the ‘new twists’ in increasingly complex auditing processes Hospice News; by Holly Vossel; 2/20/25 Auditors are raising new questions around two common issues in hospices’ Medicare claims — documentation supporting patient eligibility and the physician narrative. Program integrity issues and quality concerns have raised the bar of regulatory oversight in recent years, with auditing activity ramping up as more providers undergo multiple audits simultaneously each year. ... Claim denials most frequently occur due to insufficiently documented evidence that demonstrates a patient’s eligibility within the physician narrative explanation, Nowicki stated. Auditors have increasingly required more details to support a patient’s six month terminal illness prognosis, potentially stretching the boundaries of hospice requirements stipulated by the U.S. Centers for Medicare & Medicaid Services (CMS), he indicated. [Click on the title's link to continue reading.]

'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.

Improving quality of life and end-of-life care: Standardizing goals of care notes in EHRs EurekAlert! - American Association for the Advancement of Science (AAAS), Indianapolis, IN; Regenstrief  Institute, peer-reviewed publication; 2/19/25 ... A new study by researchers from Regenstrief Institute, the Indiana University School of Medicine and Indiana University Health presents the standardized goals of care note they developed, deployed and evaluated as a quality improvement initiative at IU Health, a large, statewide healthcare system. ... The study authors report:

The intersection of medicine and humanity in palliative care Michigan Technology News; Guest Column; 2/19/25 Palliative care stands as a testament to the intricate balance between medical science and human compassion. ...  The human side of palliative care is as vital as its clinical aspect. Patients in palliative care are not just medical cases; they are individuals with personal histories, emotions, and relationships that require acknowledgment and respect. ... This approach necessitates a deep level of empathy and an understanding that every patient’s journey is unique. ...

BrightStar, Compassus, Empath harness clinical, data and product power Home Health Care News; by Joyce Famakinwa; 2/10/25 Clinical power, data power and product power offer three ways of examining some of the top priorities for home-based care companies in 2025. Compassus, BrightStar Care and Empath Health all have a range of initiatives and achievements that are relevant to these areas, which leaders with the three organizations delved into during a panel discussion at the recent Home Care 100 conference. ...

'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 

Use of digital health technologies by older US adultsJAMA Network Open; Cornelius A. James, MD; Tanima Basu, MS, MA; Brahmajee K. Nallamothu, MD, MPH; Jeffery T. Kullgren, MD, MPH, MS; 1/25Older adults use various types of DHT [digital health technologies], and they use patient portals most often. Although some older adults have unique physical and cognitive needs that can affect the utility and usability of DHTs, in aggregate they share some predictors of DHT use with younger adults. Additionally, our study showed a statistically significant association between non-Hispanic Black race and ethnicity and DHT use. Various factors may contribute to this finding, including medical mistrust among Black patients leading to decreased engagement with the health system and increased reliance on DHTs. This study highlights the need to carefully consider the unique characteristics of older adults when developing and deploying DHTs to avoid worsening the digital divide.