As our industry rapidly evolves, it can be challenging to keep an eye on emerging trends and industry changes. What should home health and hospice executives watch for this year? I’ll cover some key areas for leaders to watch that can affect operational efficiency, regulatory compliance and patient outcomes.
There’s already a lot of buzz about how AI-powered tools can be used to transform delivery of care in the home, and I expect that to continue. But it’s important to have a realistic understanding of what AI can and cannot do. I believe the biggest opportunity with AI is allowing caregivers to shift from reactive to proactive care based on predictive analytics fed by direct engagement and observation, as well as from passive collection of data in a patient’s home. I think about AI technology’s strengths as the three Ps: passive, predictive, proactive.
But truly effective AI tools shouldn’t only be about offering dashboards filled with data. It’s important to understand what users need from an AI algorithm by answering two key questions: Is the information the tools provide accurate? And if so, is it helpful? Data that doesn’t provide insights to help caregivers act or make decisions is just extra information.
When evaluating AI tools, it’s helpful to focus on specific use cases. Fall risk is a good example. Often, changes in daily activities or medications, a new diagnosis, or even something as basic as dehydration can indicate an increased risk of a resident falling. If this information is gathered and given to the right person in time to affect a patient’s care, it can make a big difference.
De-identified data in senior living settings is showing us a strong correlation between a person’s changes in health and an increased fall risk. When caregivers can identify and proactively manage behavioral changes like sleep habits, cognitive abilities and speech patterns, resident outcomes can be significantly improved.
There has also been a lot of talk in the past few years about remote patient monitoring (RPM) technology, including everything from wearables and home-based equipment to passive monitoring of vital signs and other health metrics. I’ve seen mixed results from these tools. Some studies show improved outcomes and reduced hospitalizations, and others showed little correlation between RPM solutions and better outcomes. Combined with issues managing equipment, training users and covering costs of RPM devices, successes were hard to find.
More recently, there’s growing interest in passive monitoring, such as LIDAR (Light Detection and Ranging). These systems can track changes in a patient’s activities of daily living as well as events like fall detection, and correlate that data to changes in a patient’s health—both improvements and declines. Tools like LIDAR are a great example of the three Ps mentioned above: passive, predictive and proactive.
We’re also seeing work on using AI to create personalized care plans. AI can evaluate a patient’s medical history, genetic dispositions and lifestyle changes to develop care plans. They can also review any history relevant to a home health or hospice episode—for example, a knee replacement or COPD exacerbations—to develop a care plan that will keep that patient out of the hospital and make sure they have the services they need.
Another area of active research is using AI-powered chatbots. Chatbots have been shown to deliver more accurate information when answering patient questions on several topics, and have the advantage of being available 24/7. To help both clinicians and patients become comfortable with chatbots, I recommend starting with simple use cases. To ease clinicians and patients into using chatbots, I suggest beginning with straightforward applications. For instance, during a home visit, a nurse could use a voice-activated chatbot to quickly check the next therapist appointment instead of relying on a tablet or mobile device. This approach highlights the tool’s simplicity and accuracy in real-world settings. Chatbots can support the patients and family caregivers, as well, by providing basic information such as when the next nurse visit is scheduled, rather than calling the home health agency or texting the nurse.
A big part of finding and retaining staff is having tools that help them do their jobs during actual work hours, rather than before or after a shift. For example, it can take an hour or more for a clinician to review a patient’s history in preparation for a visit. Then during the visit, there’s documentation of patient interactions, and finally, wrapping up the visit and completing the day in a timely fashion. These are time-intensive tasks that indicate a big opportunity for a tool called natural language processing (NLP).
NLP tools can scan documents, such as a patient’s medical history, from an EHR or via access to CommonWell or other HIEs. Another example is faxed information during the referral intake process. If those faxes are reformatted into digital documents, NLPs can extract key information from them and help guide intake decisions based on capacity and clinical expertise, streamlining the process and saving significant time.
We often hear that agencies spend a lot of time identifying the right person to see the right patient at the right time. AI-supported tools can make scheduling decisions quickly, ensuring you have the capacity and right staff to see scheduled patients, which helps you see more patients and supports better satisfaction for staff and patients.
AI-driven scrubbing tools can also save time by helping ensure patient data collected during a visit is accurate and complete. These tools can alert the clinician as they’re making an entry that there is contradictory or missed information, saving them the time and effort of returning to the patient for additional information or having to dig through files to gather required data.
Self-service technology tools that use AI algorithms can also lead to better patient engagement. Rather than picking up a phone to get information or details they missed or forgot, patients can access digital educational tools that include their care plan, medication list, other instructions. This helps reduce the burden on clinicians and others to support patients, and gives patients access to the information they need at any time convenient for them.
There are so many fascinating advances in AI that it’s tempting to dive in and start leveraging the benefits. I’ve been asked whether it’s possible to move too fast when considering adopting AI tools. I think it’s possible, especially if you haven’t really thought about what you want to accomplish. Before adopting any new technology, think about the end state you’re after. And keep in mind that there is so much change taking place that sometimes, being a fast follower may be a better choice than being on the bleeding edge of new technology.
AI-driven tools have the potential to enable more personalized, proactive and continuous care by using data to monitor health conditions, enhance communication and predict potential issues. At MatrixCare, as we continue to develop AI-powered solutions, we’re focused on driving improved efficiency for caregivers so they can deliver high quality care and help patients live well.
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Tim is the General Manager, Home Health and Hospice, at MatrixCare. He is a seasoned healthcare leader, keenly focused on advancing data-driven technology solutions, driving operational excellence, and fostering strategic innovation. Building on more than 25 years of extensive success leading software operations, Tim guides the overall strategic direction and operational execution of MatrixCare's Home Health and Hospice business vertical.
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