Literature Review

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 ...]

How a Lewiston health care nonprofit diversified to sustain services Mainebiz; by Laurie Schreiber; 3/20/25 Ken Albert leads Lewiston-based Andwell Health Partners, an independent, nonprofit home- and community-based health care organization. The former Androscoggin Home Healthcare and Hospice, founded in 1966, focused on home health care and hospice in Androscoggin, Oxford and Franklin counties. Rebranded in 2024 to reflect its expansion in recent years, Andwell now has locations throughout Maine, with additional service lines including in-home hospice care, Maine’s first inpatient hospice facility, the Maine Center for Palliative Medicine, community and behavioral health, mobile wound care, in-home care giving, private-duty nursing, therapy care, ad maternal and child health. This week, it opened Andwell Audiology in Lewiston. 

‘Early discussions on what to expect can lessen the strain’ Nursing Times; by Kylie Chaffin; 3/19/25 The article explains the pros and cons of nutrition and hydration at end of life and the several types of artificial nutrition and hydration that can be used, written in a way patients and families can understand. Resources and educational articles, like this one, can also be a great way to introduce new or even more effective ways nurses and care team members can support patients and families when pursuing a palliative approach to their health and wellbeing. My question for readers is, “Should the conversation of end-of-life, hospice and palliative care, and nutritional changes, be initiated sooner rather than later in patients with a terminal diagnosis?”

Health care system adaptation and resilience during the wildfire crisisJAMA Network; by Attila J. Hertelendy, PhD, Jeremy Maggin, MD, MS, and Gregory Ciottone, MD; 3/19/25 ... Within a span of hours, the Palisades and Eaton fires, propelled by record-breaking Santa Ana winds reaching 150 miles per hour, consumed more than 37,000 acres, destroyed more than 16,000 structures, and claimed 29 lives. All told, greater than 186,000 residents were placed under evacuation orders. ... The experience in Los Angeles County demonstrates the value of maintaining dual-purpose resources: facilities and personnel who can transition between routine operations and emergency response functions. This approach is exemplified by Kaiser Permanente’s successful deployment of mobile health vehicles and the use of clinically trained administrative leaders in direct patient care roles during crisis events. Key elements of successful resource mobilization include:

The biggest lessons of the last 12 months, according to 36 C-suite execs Becker's Hospital Review; by Mariah Muhammad; 3/19/25 Becker’s asked C-suite executives from hospitals and health systems across the U.S. to share their biggest lesson from the past year. Question: What is the biggest lesson you learned in the last year, and why?

AI scribes: Can technology do more than free doctors from data entry? Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 3/17/25 Since the widespread adoption of electronic health record (EHR) systems in the 1990s, the health care industry has been on a relentless quest to digitally optimize the doctor-patient interaction. Today, many predict this pursuit will be dramatically changed by the integration of artificial intelligence (AI) into nearly all aspects of EHR systems, transforming patient care and clinical workflows in ever more revolutionary ways. AI-powered EHRs are now theoretically capable of automating administrative tasks, providing real-time clinical insights, personalizing treatment plans, and allowing health care providers to focus more on patient care and less on data entry.

Publisher's Dinner: Leaders of home care firm, hospital systems gather for dialogue on improving patient care Cincinnati Business Courier; by Trinity In Home Care; 3/14/25 The Cincinnati Business Courier in late February brought together the leadership of a leading Southwest Ohio home care agency with leaders of Greater Cincinnati’s hospital and hospice systems. The goal was to connect leaders of two essential aspects of the region’s health care system – inpatient hospital care and home care – to see how they could complement and support each other in delivering patient care and growing as organizations. [Click on the title's link for quotes from various leaders from this Cincinnati area.]

Leadership with grit, grace, and a bold heartTeleios Collaborative Network; by Lynn Flanagan and Tina Gentry; 3/14/25 Leadership is not for the faint of heart!  It demands adaptability, resilience, and empathy. We all know that when we talk about leadership, we often use metaphors. The metaphor that strikes a chord with both of us is that of “grit, grace, and a bold heart.”  Leading in this way sometimes comes with titles such as “The Velvet Hammer” or “The Big Heavy,” but we digress. Grit, grace, and a bold heart may seem contradictory, but they are all essential elements to create an environment where people and ideas thrive. ... When these three elements - grit, grace, and a bold heart —come together in a leader, they create a powerful combination. It is the resilience to weather storms, the empathy to connect deeply with others, and the passion and courage to drive transformative changes. ...

2024 Alzheimer's Disease Facts and Figures: Mapping a better future for dementia care navigation Alzheimer's Association, Chicago, IL; www.alz.org; 2024 2024 Alzheimer’s Disease Facts and Figures is a statistical resource for U.S. data related to Alzheimer’s disease, the most common cause of dementia. Background and context for interpretation of the data are contained in the Overview. Additional sections address prevalence, mortality and morbidity, caregiving, the dementia care workforce, and the use and costs of health care and services. The Special Report provides a comprehensive look into dementia care navigation, revealing significant insights into the experiences and challenges faced by caregivers and health care workers in helping people living with Alzheimer’s or other dementia navigate the health care system. [Click on the title's link to access and download this 149-page PDF]

Children's Respite Homes of America aims to address the severe lack of children's respite and palliative care homes in the U.S. Cision PRWeb, Scottsdale, AZ; by Children's Respite Homes of America; 3/11/25 Twenty years ago, there were no dedicated children's respite and palliative care homes in the United States. Today, there are only a handful. By contrast, the United Kingdom—a country one-fifth the size of the U.S.—has developed a network of 54 children's respite and palliative care homes. Based on population, the U.S. would need over 250 similar homes to provide equitable access. The disparity leaves countless families without essential respite care, and Children's Respite Homes of America aims to change that. ... Cottor, who co-founded Ryan House in Phoenix, Arizona, alongside his wife Holly and with strong community support, established Children's Respite Homes of America with an ambitious but necessary goal: to develop 50 children's respite and palliative care homes in 50 cities within the next five years. ...

Nursing students gain valuable insights into global palliative care and cultural perspectives UConn Today, University of Connecticut; by Grace Fontanarosa; 3/11/25 School of Nursing assistant clinical professor Amisha Parekh de Campos, Ph.D., MPH, RN, CHPN, along with senior nursing students Gillian Fulton ’25 (NUR) and Abigail Schwartz ’25 (NUR) recently returned from the End-of-Life Experiential Global Learning (EGL) spring program in Belgium. ... In such an intensive program, there is much to process. Parekh de Campos and her students regularly debriefed to address questions and embrace openness to other cultural beliefs and perspectives. “Going in, we were very focused on the medical aspect of palliative care, and this program shifted our focus to the psychosocial aspects of end of life,” say Fulton and Schwartz. 

VA in IM marks 75th anniversary as a mainstay for veterans’ care The Daily News, Iron Mountain, MI; by Betsy Bloom; 3/6/25 A winter storm didn’t stop the Oscar G. Johnson VA Medical Center from celebrating its 75th anniversary with an open house Wednesday. The facility opened on March 5, 1950 — it then was the largest construction project done in the Upper Peninsula — as strictly an inpatient hospital with 264 beds, primarily for treating World War II veterans ... [and much has] changed in 75 years. The medical center now serves about 22,000 veterans in the U.P.’s 15 counties, along with nine Wisconsin counties — more than 26,000 square miles, giving it the most rural patient base in the VA system. ...  Its hospice area now has a semi-private patio that allows even a full bed to be taken outside so those in end-of-life care can still enjoy some fresh air, said Mary Oman, [a] tour guide.Editor's note: Congratulations and thank you to the Oscar G. Johnson VA Medical Center for your history of innovating care for veterans--especially your rural care system and hospice care. 

Understanding a patient’s AI medical journey The Hastings Center; by Ian Stevens, Erin William, Jean-Christophe Bélisle-Pion, and Vardit Ravitsky; 3/5/25As artificial intelligence becomes increasingly integrated into U.S. health care, patients should know the ways in which AI is being used in their care, concludes a new paper, “Bring a ‘Patient’s Medical AI Journey’ to the Hill.” Transparency is crucial for interactions between health care providers and individual patients, as well as for systemic level uses of AI, including: