Literature Review

Rescue from above: How drones may narrow emergency response timesKFF Health News; by Michelle Andrews; 7/22/24Starting in September, if someone in Clemmons, North Carolina, calls 911 to report a cardiac arrest, the first responder on the scene may be a drone carrying an automated external defibrillator, or AED. “The idea is for the drone to get there several minutes before first responders,” such as an emergency medical technician or an ambulance, said Daniel Crews, a spokesperson for the sheriff’s office in Forsyth County, where Clemmons is located. The sheriff’s office is partnering on the project with local emergency services, the Clinical Research Institute at Duke University, and the drone consulting firm Hovecon. “The ultimate goal is to save lives and improve life expectancy for someone experiencing a cardiac episode,” Crews said.Publisher's note: As with all things tech, when and how might drones be used in hospice?

End-of-life decisions are difficult and distressing. Could AI help?MIT Technology Review; by Jessica Hamzelouarchive;8/1/24Ethicists say a “digital psychological twin” could help doctors and family members make decisions for people who can’t speak themselves. End-of-life decisions can be extremely upsetting for surrogates, the people who have to make those calls on behalf of another person, says David Wendler, a bioethicist at the US National Institutes of Health. Wendler and his colleagues have been working on an idea for something that could make things easier: an artificial-intelligence-based tool that can help surrogates predict what patients themselves would want in any given situation. The tool hasn’t been built yet. But Wendler plans to train it on a person’s own medical data, personal messages, and social media posts. He hopes it could not only be more accurate at working out what the patient would want, but also alleviate the stress and emotional burden of difficult decision-making for family members.

Optimizing patient data transfer processes in healthcare settings Healthcare Business Today; by Majed Alhajry; 7/28/24 Managing and transferring large and often sensitive datasets is a routine yet critical task for healthcare organizations. Practitioners and administrators regularly share substantial files containing sensitive personal health information (PHI) that must be sent not only securely and reliably, but also quickly. So how should healthcare organizations send large files? ... 

Baptist Health taps 3 vendors to build a population health system that works Healthcare IT News; by Bill Siwicki; 7/26/24With help from Oracle, Innovaccer and Salesforce, the South Florida provider is scoring big population health wins, including a 7% increase in coding gap closure rate and a 17% increase in annual wellness visit completion rates. Baptist Health South Florida operates a network of 11 hospitals covering four counties. It also includes numerous ambulatory facilities, urgent care centers and emergency departments to provide comprehensive healthcare services across the region. ... "One of our primary issues was the fragmented nature of patient data across multiple provider organizations and electronic health record systems," said Milady Cervera, vice president, population health and physician integrated networks, at Baptist Health South Florida. "This lack of interoperability made it difficult to gain a comprehensive view of our patients' health status, care history and ongoing needs. ..."

Can Artificial Intelligence speak for incapacitated patients at the end of life? JAMA Internal Medicine; by Teva D. Brender, MD; Alexander K. Smith, MD; Brian L. Block, MD; 7/22/24 Viewpoint: Imagine meeting with the daughter of a critically ill patient. The patient (her mother) had a cardiac arrest, is in multiorgan failure, and cannot communicate. The daughter is uncomfortable making decisions because they are estranged and never discussed what her mother would want in this type of situation. The patient has no advance directive or alternative surrogate. Now imagine this meeting taking place in a future where the mother’s medical visits have been audio recorded. Furthermore, you have access to an artificial intelligence (AI) algorithm that can identify and play excerpts of the mother talking about what mattered most to her. You and the daughter listen to these recordings together. Then you share that another algorithm, trained on 7 million patient records, predicts that the mother’s chance of walking again is less than 5%. ...

Keeping staff members safe and sound by optimizing security technology Security; by Paul Sarnese; 7/12/24 Nobody wants to invest in technology, only to have it go the way of the stationary bike that sits unused in the corner of a room. That holds true for healthcare organization leaders who are looking to invest in staff safety alarm systems that can help avert potentially dangerous situations. With workplace violence against caregivers increasing 115% since 2021, many healthcare organizations are, indeed, looking to protect workers from harm — and to shield their organizations from resultant financial distress.Editor's Note: Workplace violence and staff safety continues to trend as a root cause for nursing and other healthcare strikes across the nation. Examine your organization's Incident Reports and QAPI initiatives. What needs to be addressed?

Mythbusting some misconceptions about operational improvement technology HIMSS; by Bill Siwicki; 7/10/24 Revenue cycle management is a great place for operational improvement technologies. These technologies can leverage process and task mining to give leaders a bird's-eye view of their teams' workflows. But according to 20-year healthcare veteran Todd Doze, CEO of Janus Health, a revenue cycle management technology company, there are three common myths associated with operational improvement technologies:

6 guidelines from ASCO on AI, cancer care Becker's Hospital Review; by Ashleigh Hollowell; 6/25/24 Leaders at the American Society of Clinical Oncology published a formal document June 25 that outlines what the group deems as the most appropriate use of artificial intelligence when it comes to clinical oncology care. ... When considering AI technology for oncological care, the American Society of Clinical Oncology says clinicians should keep the following principles in mind to guide their use: 

How 'Human-Kind' AI can reshape your business Forbes; by Mark Cameron; 7/1/24 As AI models mature, their impact on the economy is becoming increasingly profound. They offer unprecedented opportunities for innovation and efficiency. Here's how. ... AI enables traditional businesses to accomplish more with fewer resources. ... As AI begins to take over mundane tasks, the role of the human workforce is evolving. Employees are no longer cogs in the machine—they're becoming value creators. The focus is evolving toward roles that require critical thinking, creativity and emotional intelligence—areas where humans excel, but AI still has limitations. This shift necessitates upskilling and reskilling initiatives to prepare the workforce for new, high-value roles in an AI-driven economy.

Telemedicine and e-Health: May issue Telemedicine and e-Health; Editor-in-Chief Charles R. Doearn, MBA, FATA and Executive Editor Karen Rheuban, MD, FATA; published monthly The leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. [Relevant titles include the following. These are included in this current May's print edition, many were previously published "online ahead of print."]

The ‘Inter-AI’ Period: 7 key actions leaders should take now CEOWorld Magazine; by Nada R. Sanders, PhD; 6/20/24 Generative AI is not transient, part of a hype cycle, or a fleeting trend. It’s a game-changing innovation that’s opened the door to novel human-machine partnerships, AI-driven superintelligence, and a new way to win in business. In the AI timeline, we’ve entered “The Inter-AI Period,” a small window of opportunity where leaders can shape how they use AI now and in the future. This window of opportunity is short—perhaps a few years at most—after which decision processes embedded in AI will harden. ... By studying transformative AI leaders ... and conducting interviews with dozens of corporate CEOs, we’ve identified seven key actions every leader should take now:

Rendever and Lenovo collaborate to bring virtual reality experiences to Carolina Caring seniors Fox 8, Boston, MA; by Rendever; 6/19/24 Rendever, the Boston-based company pioneering the future of aging through virtual reality (VR), announces the deployment of its virtual reality platform with Lenovo to Carolina Caring patients. The rollout allows clinicians and caregivers to bring expansive, once-in-a-lifetime VR experiences to older patients whose worlds have become limited. Over the last year, Rendever and Lenovo combined their products into a joint solution that senior living providers can easily adopt to improve the quality of life for older adults through positive shared experiences. Rendever’s award-winning virtual reality solution delivered on Lenovo’s ThinkReality VRX headset provides an all-in-one standalone solution that meets the evolving needs of enterprises with modern virtual reality with six degrees of freedom, full color, and high-resolution experiences. Rendever is deployed in over 700 communities nationwide and looks to further expand with the addition of Carolina Caring in collaboration with Lenovo. 

Better manage privacy concerns related to AI in healthcare Fior Reports; by Becca Roberts; 6/17/24 Artificial intelligence technologies offer tremendous potential in healthcare, but it is critical for organizations to carefully consider the complex privacy concerns associated with different types of AI products and deployments, says Karen Habercoss, privacy officer at UChicago Medicine. “It’s critical to really understand what the use cases are and how we can minimize the amount of data we share to protect our patients, their privacy and their data,” she said. “I'm very much in favor of AI. I think it will bring about a fundamental change in the way we care for patients clinically in healthcare. Those are the very positive things that will come out of it. But with that comes a great responsibility to protect our patients from things they may not understand,” she said.