Literature Review

'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. 

Healthcare under siege: Defending hospitals from ransomware threats Cylera; by Maureen Sahualla; 1/22/25 Hospitals today are very concerned about ransomware attacks - and rightly so. A recent research report from Comparitech, Ransomware Roundup: 2024 End-of-Year Report (published on January 9th, 2025) found:

Enclara Pharmacia announces patient record integration with FireNote Hospice EMR NCN - Nebraska News Channel; Business Wire Press Release; 1/21/25 Enclara Pharmacia, ... [a national] pharmacy solutions provider for the hospice and palliative care sectors, announces the launch of a new interface with FireNoteTM, an innovative hospice electronic medical record (EMR) platform. This integration enables patient demographics and medications to flow seamlessly from FireNote to Enclara’s E3 ProTM medication management system. The new software interface enables timely admissions and medication access for patients while reducing the administrative burden on nurses, a key priority for both Enclara and FireNote.“ 

Whom should we regard as responsible for health record inaccuracies that hinder population-based fact finding?AMA Journal of Ethics; Kathleen M. Akgün, MD, MS; Shelli L. Feder, PhD, APRN; 1/25EHR [electronic health record] use has revolutionized health information collection and analysis. This growth has led to opportunities to generate important reports about the health of hundreds of millions of people practically in real time. Steadfast commitment to high-quality data collection and reporting is necessary for all parties along the pathway of data generation: from EHR developers, programmers, and vendors to patients, clinicians, and epidemiologists. Pulling back the curtain on how each of these groups generate and interact with EHR data is imperative to assure measurement of accurate population-level health outcomes.

ASTP Rule codifies requirements for TEFCA-Qualified health information networks McDermott Will & Emery, Washington, DC; by James A. Cannatti III, Jennifer S. Geetter, and Nathan Gray; 1/15/25 On December 16, 2024, the US Department of Health and Human Services (HHS) Assistant Secretary for Technology Policy/Office of the NationaTl Coordinator for Health Information Technology (ASTP) published the Health Data, Technology, and Interoperability: Trusted Exchange Framework and Common Agreement (TEFCA) final rule in the Federal Register as part of its continued focus on improving information sharing among healthcare stakeholders. Rather than codifying comprehensive substantive and procedural requirements for entities participating in TEFCA, the final rule provides a flexible framework establishing how such decisions will be made in current and future subregulatory documents. 

How CommonSpirit Health doubled AI deployment in '24Becker's Hospital Review; by Giles Bruce; 12/31/24Many of the largest U.S. health systems increasingly pivoted toward artificial intelligence in 2024 for tasks such as clinical documentation and physician inbox management. Chicago-based CommonSpirit Health, with more than 140 hospitals across the country, was no exception.Publisher's note: Hospice implications for 2025...?

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:

Which skills will survive the AI onslaught? National Association of Corporate Directors (NACD), Arlington, VA; by Vivek Sharma and David C. Edelman; 12/17/24 ... Boards and CEOs are inundated with reports projecting doomsday scenarios of job displacement due to AI. For example, according to the World Economic Forum's The Future of Jobs Report 2020, automation and AI are expected to displace 85 million jobs globally by 2025, especially in industries such as manufacturing, data entry, and customer service due to the repetitive nature and predictable processes of these fields. AI is already disrupting many roles hitherto considered firmly within the human domain. ... Irreplaceable Human Dimensions ... In analyzing a wide range of articles on the topic, when a job scores high along any of the following three dimensions, it creates significant hurdles for displacement by AI:

Top places to work in IT: 17 health systems rank in 2025 Becker's Health IT; by Laura Dyrda; 12/10/24 Computerworld published a list of the top places to work in IT for 2025, including several prominent health systems. Foundry, the publisher for Computerworld, examined several companies across the size spectrum on their commitment to in-house IT talent, training, technical and soft skills, as well as culture, diversity and satisfaction. The publication reported 79% of companies surveyed increased the number of IT employees in the last three years, and around half plan to continue growing their IT teams next year. The health systems and provider organizations ranked include:

Dallas’ Analog Informatics emerges from stealth to modernize patient engagement in over 150 languages Dallas Innovates, Dallas, TX; by Lance Murray; 12/4/24 AIC aims to "bridge the communication gap" between healthcare providers and patients worldwide by leveraging secure AI and modern communication tools. CEO Philip Lieberman created the platform based on his experiences in caring for his hospitalized mother-in-law during the COVID pandemic. ... Shocked that he knew “more about his Amazon packages” than the state of his loved one, Lieberman vowed to use the experience and resources he’d gained from the previous multinational companies he created “to bring compassionate yet automated continuous communication to every patient and their families.” ... AIC aims to "bridge the communication gap" between healthcare providers and patients worldwide by leveraging secure AI and modern communication tools.  ... AIC said its platform “bridges the communication gap” between healthcare providers and patients, offering continuous automated logistical support in more than 150 languages.