AI & Patient Data: CMS Accessibility Updates

by Grace Chen

CMS Pushes for Real-Time Patient Data Access, Leans on AI to Combat Clinician Burnout

Patients are increasingly seeking greater control over their health data, and the Centers for Medicare & Medicaid Services (CMS) is responding with a strategy focused on improved data accessibility and the integration of artificial intelligence. The agency aims to empower individuals and streamline healthcare delivery by fostering a more connected and efficient system. A recent TC event in Washington, D.C., represents a shift towards collaboration with the healthcare industry rather than regulatory overhaul. A senior official stated the administration is prioritizing improved data flow over new rules,recognizing the complexities of the existing healthcare infrastructure.

The Long Road to electronic Health Records

The push for greater data access acknowledges a ancient lag in technology adoption within the healthcare sector. One official recounted their experience as a labour and delivery nurse in 2002, when the initial implementation of electronic health records proved challenging. This bumpy transition, they explained, contributed to the industry’s slower uptake of new technologies compared to other sectors.

However,artificial intelligence is proving to be a notable exception.The healthcare industry is rapidly adopting AI solutions, driven by their potential to alleviate the growing burden on clinicians and enhance patient experiences. “That’s life-changing for clinicians that are burnt out at this point,” one official noted.

Addressing the Clinician Burnout Crisis with Agentic AI

The urgency to embrace AI is underscored by alarming statistics regarding clinician well-being. A 2021 study led by the American Medical Association revealed that one in five physicians and two in five nurses are considering leaving their practice, citing burnout as a key factor.

the emergence of agentic AI offers a potential solution by automating administrative tasks – such as documentation and back-office work – that contribute to clinician fatigue.”We have this opportunity now to leverage this technology to help healthcare be more human again,” said Dr. Shiv Rao, CEO and cofounder of abridge. Abridge anticipates that low-acuity care could be largely automated within the next decade, freeing up medical professionals to focus on complex cases requiring human expertise.

The Abridge tool exemplifies this trend, utilizing generative AI and ambient listening to convert clinician-patient conversations into detailed, accurate notes. This is particularly valuable, as healthcare providers are reimbursed based on the thoroughness of their documentation.

Mayo Clinic Leads the Way in AI-Driven Innovation

Leading healthcare institutions, like the Mayo Clinic, are actively harnessing the power of AI. According to Dr. Kent Thielen, CEO of Mayo Clinic in Florida, the organization possesses “troves of data” accumulated over a century of patient care, including digitized pathology slides. This wealth of information is being used to train AI-enabled tools capable of accelerating diagnoses – such as detecting pancreatic cancer more quickly – and even calculating a patient’s “biological age.”

Providers are quickly evaluating the efficacy of these tools, with Dr. Thielen noting that they “make a decision fairly quickly about whether these tools work for them.” The Mayo Clinic is also collaborating with AI startups to accelerate development and validate new technologies, further building confidence in the field.

Abridge is prioritizing transparency to foster trust. The company allows users to audit audio recordings and publicly shares benchmarks for its AI models, even self-grading its IT infrastructure. “Trust is the only currency that matters in healthcare,” Dr. Rao emphasized.

Balancing Innovation with Patient Safety and Privacy

As CMS facilitates greater data access through AI, ensuring patient consent and confidentiality remains paramount. The agency intends to create a supportive environment for AI innovation while establishing foundational safety criteria. While the specifics of these criteria are still under development, a senior official affirmed the commitment to balancing progress with patient protection.

“We want to promote innovation because we feel it’s significant to improving health and longevity,” the official stated. “But we want to balance that with safety.” The future of healthcare hinges on responsibly leveraging the power of AI to empower both patients and providers.

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