Literature Review

An AI chatbot outperformed physicians and physicians plus AI in a trial - What does that mean?JAMA; by Yulin Hswen, Rita Rubin; 12/27/24Jonathan Chen, MD, PhD, an assistant professor of medicine, and Ethan Goh, MBBS, MS, a postdoctoral scholar, both at Stanford University, have collaborated for 2 years on studying the integration of human and artificial intelligence to enhance clinical decision-making. They published a randomized clinical trial in JAMA Network Open on October 28 that found that the use of a large language model (LLM) did not significantly enhance physicians’ diagnostic reasoning beyond that of conventional resources. Surprisingly, though, the LLM alone performed better than the physicians did with either the LLM or the conventional resources... In our pilot study, we thought the doctors who had access to the chatbot were going to do way better than the doctors who only had access to the usual internet - UpToDate, PubMed, Google, whatever. Then when we actually did the randomized study, that didn’t turn out to be the case, which is really weird. The chatbot by itself did surprisingly better than all of the doctors, including the doctors that accessed the chatbot. That flew in the face of the fundamental theorem of informatics: human plus computer will deliver better results than either would alone. That sounds so good, right? I’ve been saying it as the last line in my talks for years. I don’t say it anymore because results like these challenge it.Publisher's note: An interesting interview with the authors of JAMA's Large Language Model Influence on Diagnostic Reasoning article, which we ran 11/16/24.

Patient sues California hospital network over ransomware attack Becker's Hospital Review; by Naomi Diaz; 1/6/24 PIH Health is facing a lawsuit over a ransomware attack that hit the health system on Dec. 1, Pasadena Star-News reported Jan. 5. Ferdinand Rivera has filed a lawsuit against PIH Health, accusing the health system of negligence, invasion of privacy and other violations following the ransomware attack. The cyberattack crippled information technology systems and phone lines across three hospitals — PIH Health Downey Hospital, PIH Health Whittier Hospital and PIH Health Good Samaritan Hospital in Los Angeles — as well as urgent care centers, physicians' offices, and home health and hospice services. Mr. Rivera's lawsuit, the first among more than a dozen filed in Los Angeles Superior Court, seeks unspecified damages, according to the Daily Journal.

Digital marketing tips for hospice and senior care services Dot Com Media; Blog post by Vlad Blits; 1/2/25 In the susceptible and competitive field of hospice and senior care, effective digital marketing strategies can be pivotal in reaching families who need these essential services. ... Here are some crucial tips on leveraging hospice marketing strategies, senior care digital marketing, building trust in healthcare marketing, and local SEO for senior care.

How healthcare AI is meeting the hype at UW HealthBecker's Health IT; by Giles Bruce; 12/6/24Ambient clinical documentation will be commonplace in healthcare three years from now, according to Chero Goswami, chief information and digital officer at Madison, Wis.-based UW Health... What is the IT project you're most excited about at your health system? I would say the stuff we're doing with ambient listening, which most others in the industry are doing as well, which is allowing providers and other members of the care team to spend more time in direct patient care, and not typing up notes, with AI capturing everything in the background and then creating a summary note, or a clinical note. It returns the clinicians to clinical practice, rather than making them glorified typists. And it also leads to a better patient experience, because the patient is very much aware that the clinician is looking at them eye to eye and having a conversation, versus looking at a keyboard. And it reduces cognitive burden. The physicians aren't completing the note at 8 o'clock at night, but doing it in real time at the clinic.

Things CIOs and CTOs need to do differently in 2025 Information Week; by Lisa Morgan; 12/18/24 As CIOs and CTOs head into a new year, they always have priorities. Greater agility is a key theme in 2025. ... “Keep ahead or at least on top of the cybersecurity, artificial intelligence, and data analytics skills that are needed. Acquire talent and develop that talent so your company remains competitive,” says [Loren Margolis, faculty, Stony Brook University]. “Find ways to use [AI and analytics] to become even more agile so you remain competitive. Also embrace them as opportunities to train and develop your workforce. Make sure your organization is a place where great tech talent can come to develop and use their skills.” The following are some other priorities for 2025:

L.A.-area cyber attack could impact 17m patient records GT - Government Technology - Cybersecurity; by Scott Schwebke; 12/12/24 Hackers claim they have retrieved 17 million patient records, including confidential personal and medical information, in a ransomware attack on PIH Health that has paralyzed operations at three hospitals, the Southern California News Group has learned. The Dec. 1 attack downed computer and most phone systems at PIH Health Downey Hospital, PIH Health Whittier Hospital and PIH Health Good Samaritan Hospital in Los Angeles. Also compromised were urgent care centers, doctors offices and a home health and hospice agency operated by PIH. PIH officials on Wednesday declined to comment on a threatening typewritten letter purportedly faxed by the cyber criminals late last week, saying they are working with a cyber forensic specialist and the FBI to untangle the ransomware attack. The FBI also declined to discuss the ongoing investigation.

Will AI help improve healthcare security in 2025? Health IT Answers; by Roberta Mullin; 12/10/24 The healthcare sector is particularly vulnerable to cybersecurity risks and the stakes for patient care and safety are particularly high. Healthcare facilities are attractive targets for cyber criminals in light of their size, technological dependence, sensitive data, and unique vulnerability to disruptions. Strengthening our cybersecurity infrastructure and defending against malicious attacks requires vigilance, vision, and collaboration. Can AI help improve healthcare security? We asked our experts what improvements to security we might see in 2025. Here is what they had to say. ... [Click on the title's link to read input from 21 healthcare IT experts.]

Forcura and Axxess announce palliative care software integration Bluefield Daily Telegraph, Jacksonville, FL; Business Wire; 12/9/24 Forcura, a healthcare workflow management company, announced a strategic partnership enhancement with Axxess, the leading global technology platform for healthcare at home, by expanding connectivity to Axxess’ palliative care platform. Consequently, Axxess’ palliative care client organizations now can manage the workflow associated with onboarding and coordinating care for patients through a bi-directional API integration with Forcura. Together, Forcura and Axxess can provide shared home health, hospice, home care and palliative care clients a seamless interoperable experience.

PIH Health hospitals targeted in ransomware attack CBS News KCAL, Los Angeles, CA; by Laurie Perez and Dean Fioresi; 12/4/24 PIH Health was targeted in a ransomware attack, forcing officials to completely shut their network offline and leaving millions in the dark when it comes to healthcare. ... Officials say that they were targeted on Sunday by a "criminal act" that "compromised their network." In turn, network services were turned off at their hospitals in Downey, Whittier and downtown LA. ... "Meeting the healthcare needs of our communities remains our highest priority," said a statement from PIH Health. "We continue to provide care during our downtime procedures at all of our facilities, including all three hospitals, medical offices, home health, hospice, outpatient imaging and laboratory."

What healthcare CFOs don’t know about cybersecurity — and what they should ask their CISOs Healthcare Finance Technology (HFMA); by Plante Moran; 12/2/24Cybersecurity is a growing concern for all healthcare organizations amid the ongoing rise of ransomware attacks and other threats. In 2023, the number of reported data breaches in the U.S. rose to an all-time high of 3,205, a 78% increase from 2022, while the average cost of a healthcare data breach hit $10.93 million. What’s driving these alarming figures isn’t necessarily a lack of technology or talent. ... By rethinking their approach to collaboration and risk management, healthcare CFOs can more effectively align security with both technology and the business to help their organizations become more resilient. ... How ready is our organization for an attack? ... 

Aged care nursing in the digital future Atlassian Jira, Australia; by Flinders University; 11/27/24 The results call for nurses to be included when digital innovations are in development, so they can actively shape their implementation and ensure high-quality, compassionate care for residents in their final stages of life. "In Australia and around the world, we have seen a significant increase in digital technologies in the health care sector," says study lead author Dr. Priyanka Vandersman, a Senior Research Fellow at Flinders University's Research Center for Palliative Care, Death and Dying (RePaDD).  "In aged care, these digital approaches can include helping with care planning and assisting with managing medication, but we need to ensure that nurses are equipped with the digital skills needed to use these tools effectively, while continuing to provide high quality, person-centered care."

8 digital healthcare trends for 2025 Perficient; by Lysa Young-Bates; 11/15/24 Our experts are closely monitoring eight healthcare trends that are shaping industry leaders’ strategies in 2025. ... Let’s dive into the eight healthcare trends and pragmatic innovations that our experts are helping HCOs navigate in 2025.