Literature Review

Hope in oncology: Where art and science collide Medscape; by Sharon Worcester, MA; 6/12/24 Carlos, a 21-year-old, laid in a hospital bed, barely clinging to life. Following a stem cell transplant for leukemia, Carlos had developed a life-threatening case of graft-vs-host disease. But Carlos' mother had faith. "I have hope things will get better," she said, via interpreter, to Richard Leiter, MD, a palliative care doctor in training at that time. "I hope they will," Leiter told her. "I should have stopped there," said Leiter, recounting an early-career lesson on hope during the ASCO Voices session at the American Society of Clinical Oncology (ASCO) 2024 annual meeting. "But in my eagerness to show my attending and myself that I could handle this conversation, I kept going, mistakenly." ... Carlos' mother looked Leiter in the eye. "You want him to die," she said. ...Editor's Note: Click on the title's link to continue reading this insightful reflection and discussion about the importance of "hope." Engage your oncology/palliative/hospice chaplains (hopefully CPE trained and Board Certified) with your medical team members to explore this core belief in "hope." Alert: AI referrals for palliative and hospice care are increasing exponentially. Clinicians must be sensitive to the human dimensions and dynamics of "hope" (which shift and change), and not be driven just by technological data.

Empathetic AI: How Genai virtual agents will be leveraged Informa; by Josh Streets; 6/3/24 Imagine you're shopping online or in a store and have a question about a product. But you don’t want to find a store employee or call into their contact center to speak with a salesperson while you wait for answers. With a simple snapshot of a QR/UPC code on the product or a tap on your mobile device within an application, you're instantly connected to a virtual agent via video chat. This AI assistant not only understands your questions but can also pick up on your facial expressions and body language via your video discussion, to respond with empathy and some level of emotional intelligence. "I can see you're a bit frustrated," the virtual agent says with a warm, reassuring tone. "Let me walk you through the product details and address any concerns you might have."Editor's Note: This AI solution might be great for shopping, but is it ethical for hospice care, especially when the person calling might be elderly and assumes they are talking with a person? How would you feel, especially if you're calling when your loved is actively dying, or has just died moments before? 

More older adults becoming comfortable with using technology to help them age in placeMcKnight's Senior Living; by Kimberly Bonvissuto; 5/28/24Although fewer older adults say their homes are equipped to allow them to age in place in 2024 compared with 2023, more of them are getting comfortable with the idea of using assistive or health-related technologies to keep them living where they are, according to the results of a US News & World Report survey. ... The majority of survey participants (95%) agreed that aging in place was an important goal, up from 93% in 2023. The 2024 report took a deeper look at why older adults are — or are not — using assistive and health-related technologies, which technologies they use the most and their experiences with that technology.

Newsweek's 24 best digital health records companies in the US Becker's Health IT; by Laura Dyra; 5/24/24 Newsweek honored 24 health records companies among the top digital health companies in the U.S. for 2024. The publication worked with Statista to identify more than 400 companies worldwide to honor among the best digital health companies of the year. Companies were evaluated by financial performance, web and app traffic data and the impact of their product or service. [Click here for] the 24 health records companies Newsweek honored as part of the inaugural World's Best Digital Health Companies 2024 list. 

Amazon seeks nonprofit healthcare, EHR expertise Becker's Helath IT; by Laura Dyrda; 5/13/24 Amazon is looking to hire leaders with experience in nonprofit healthcare and EHRs, according to recent job postings on the tech giant's website. Amazon Web Services has a listing for "Senior Solutions Architect, Healthcare, Nonprofit Health, Nonprofit Healthcare" seeking an individual with a passion for helping nonprofit healthcare providers implement cloud computing solutions. ... [Amazon] is also hiring for an account executive focused on nonprofit healthcare and global nonprofit healthcare. The company is searching for a "proven business executive in the NP healthcare sector to lead and continue to expand the business with some of our most important healthcare customers and develop new customers across a targeted greenfield market."

6 ways to cut EHR burdens for physicians AMA - American Medical Association; by Sara Berg, MS; 5/7/24 When Jane F. Fogg, MD, MPH, first became a doctor, patient charts were on paper. She looked forward to the rise of the EHR, believing electronic charting could help modernize the care she provided while also empowering herself and her patients. Funny how things turn out. “EHRs are a source of burnout—we have lots and lots of great evidence that has helped us understand the low usability and the high work burden that it adds to physicians,” Dr. Fogg, senior physician adviser at the AMA. ... Here are just a few ways that health systems and organizations can improve EHR workflows to reduce physician burden.

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:]

Can virtual reality help ease the end of life? MDLinx; Originally published on Université de Montréal News; 5/10/24 A sunny beach under an azure sky in Mexico, a bustling market in Reykjavik, a sparkling lake in Quebec’s Laurentians, a string quartet playing Bach… What if we could offer individuals in palliative care a whole range of peaceful, familiar or exhilarating experiences that they could enjoy from the comfort of their chair? What if such experiences could not only allow them to travel, discover, explore and relax, but also decrease their anxiety and physical pain? Neuropsychologist Jhon Alexander Moreno, a professor in Université de Montréal’s Department of Psychology and a researcher at the Montreal University Institute of Geriatrics Research Centre, decided to take up the challenge.

ONC chief: EHRs are central to AI’s role in healthcare Modern Healthcare; by Brock E.W. Turner; 5/2/24 Even as the Office of the National Coordinator for Health Information Technology celebrates its 20th birthday, the agency has little time these days to stop and smell the roses. ... [This article discusses the following questions.]

Prioritizing patient care: Medical technology innovations on the horizon MedCityNews; by Dhaval Shah; 5/1/24 The MedTech industry is poised for breakthroughs, owing to the rapid integration of digital ecosystems and technologies like AI and cloud. 2023 was a banner year for MedTech, especially in terms of technological innovations. Incidentally, it also witnessed the largest ever number of FDA approvals on novel medical devices in a single year. This list included a number of AI-enabled MedTech products, among others. ... Three key areas are continuing to shape the industry: 

Hospice of the Chesapeake selects Netsmart myUnity® to propel organizational growth and advance value-based care initiatives StreetInsider.com; Business Wire; 4/30/24 Netsmart and Hospice of the Chesapeake, a premier provider of hospice and palliative care services in Maryland, announce an advanced collaboration through the successful implementation of the myUnity® electronic health record (EHR) system. This move underscores Hospice of the Chesapeake's commitment to enhancing patient care, supporting organizational growth and embracing value-based care models. "Selecting myUnity fulfilled a strategic necessity for us," said Hospice of the Chesapeake CEO Rebecca Miller. "We needed a platform that could not only support our current infrastructure but also grow with us as we expand our services. ..."

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.

Operator hopes to expand residents’ digital literacy with unique tech concierge program McKnights Senior Living, by John O'Connor; 4/22/24Beginning in June, residents in some BHI Senior Living communities will be able to take advantage of a unique tech concierge program. For residents, the new service will feature on-demand tech support, alongside virtual assistance, in-home appointments and a curriculum of tailored enrichment classes and training sessions. For the operator, the program will deliver immediate tech support while also gathering and analyzing data that can be used to inform future technology investments and strategic moves.Editor's Note: How might you adapt this creative service for the persons you serve? What differences might it make in patient care? In hospice caregiver/family satisfaction? What tech support do you have for your staff, especially when they are making home or other in-the-field visits? Relating this to today's articles on the importance of "trust" and "nurses' negativity about AI," do your innovative technologies improve or impede the patient/family's needs and experiences with you?