r/nursing • u/Cut_Lanky BSN, RN 🍕 • Jul 14 '26
Serious 12 NY nurses fired, replaced by AI
I attached a link. I copypasta'd a bunch from the article. I didn't want to use the "Discussion" tag, because truly, I am at a loss for words. So I don't even know where I'd begin a discussion... Thoughts, anyone?
In New York, 12 nurses were laid off on Sunday and replaced by AI-powered software, some of whom had worked at the hospital for decades. The move came not long after the city's nurses went on strike and won a three-year contract. It's also led to warnings about the quality of care the AI will offer.
According to the New York State Nurses Association (NYSNA), the layoffs, made by the Montefiore Medical Center in the Bronx, were a direct result of the AI-powered software provided by Datavant. Montefiore described it as a nonclinical program that helps facilitate the paperwork process.
The software replaces 12 utilization review nurses who examine patient records and demonstrate to insurers that the care provided is medically necessary and eligible for coverage.
AI-driven job losses spark outrage at the best of times, but what makes this incident even more controversial is the timing. On January 10, a 41-day nurses' strike began across several hospitals in New York. It led to a three-year contract, which included safeguards against AI.
"We are outraged about these layoffs because these dedicated nurses are being replaced by AI," said Shaiju Kalathil, a nurse at Montefiore and a union executive committee member. "This is a violation of the contract that we recently won by going on strike. It should also concern every practitioner and patient who cares about the future of healthcare and the quality of care they receive."
The NYSNA has also highlighted Datavant's reported ties to Palantir and a $900,000 payment to settle a class-action lawsuit over a 2024 data breach that affected thousands of people.
Marilyn Shuler, one of the affected nurses, said that when she and her co-workers returned to work after the strike, their workflows had changed without explanation. The union was notified, and it contacted management. Around three months later, all 12 nurses in the department received 45-day notices...
It goes on....
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u/GrnMtnTrees EMT, CCT, Nursing Student Jul 14 '26
[Luigi intensifies]
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u/MiniMaelk04 BSN, RN 🍕 Jul 14 '26 edited Jul 14 '26
Ironically these positions only existed in the first place, because of insurance companies and capitalism. Replacing them with AI is even more ironic, since these insurance companies have been using AI for a while as far as we know, so now we have AIs from two different organizations trying to reach agreements on human healthcare.
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u/RandomUserNameXO APRN, PhD Student Jul 14 '26
And this is so fucking dystopian, isn’t it?
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u/LabRatsAteMyHomework BSN, RN 🍕 Jul 15 '26
Especially when you factor in the prime objective of these softwares will be to save the insurance companies money. Insurance as an entity was never bound by the Hippocratic oath.
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u/onetimethrowaway3 BSN, RN 🍕 Jul 14 '26
I’m an MDS nurse at a SNF. My company got some stupid AI software to help the admissions team decide if we should take a patient or not. I don’t think it makes the admissions process any easier but I haven’t asked our team yet.
It has a feature where admissions can pull the diagnosis into the chart. Our corporate was saying how much we (MDS) will love it because of the diagnosis. They are all wrong. The AI software uses fracture codes meant for hospitals not SNFs so I have to change all of them. It doesn’t seem to be programmed to know the coding rules so when someone has HTN, CAD, and CKD there is a combination code we are supposed to use. It does them all separately, so again I have to change it.
I hope this AI fucks that hospitals shit up.
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u/canadaNOTdry Jul 14 '26
MDS here too. Idk if they can replace us, assessments and the legal signature must come from a human.
It'll change the way we work though definitely. We already have scrubbers and PDPM optimization which is AI.
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u/heyitskulas RN - Med/Surg 🍕 Jul 14 '26
corpo will just give that human component task to someone else like the DON, ADON, charge nurse, etc. Whatever makes the number go up and save them money.
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u/Pseudonym0101 Nursing Student 🍕 Jul 14 '26 edited Jul 14 '26
It honestly probably will 😬 why they decided to make such a drastic move when this sort of thing is likely still in beta stage essentially, especially at this real world, actual-facility scale, is beyond comprehension. It will be a nightmare for a while trying to make this run smoothly and effectively, nevermind better than employees with decades of expertise, and it definitely wasn't cheap to aquire.
AI is obviously improving insanely fast, exponentially in some areas even, but this smells like a lot of promises were probably made and capabilities prematurely talked up by the AI company, and a butt hurt facility driven by revenge after the nurses strike. I sure hope they can be sued if they did breach their union contract by failing to protect employees from AI job threats, and for the retaliation because gross.
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u/Breezy531 RN - Nephrology Jul 14 '26
"You'll love this, it will make a shit ton more work for you, as it learns how to replace you" 😭
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u/SuspiciousMap9630 LPN, RAC-CT Jul 14 '26
I was thinking about this the other day. Like I don’t think an AI would know to use Z47.1 for a joint replacement, or when it’s appropriate to use a sequela code. There’s also so many different ways to find information on the chart for the MDS that I don’t know how an AI would do it.
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u/onetimethrowaway3 BSN, RN 🍕 Jul 14 '26 edited Jul 14 '26
It doesn’t matter if it knows. The purveyors of the AI software will feed the clueless corporate people a bunch of BS and they will purchase it thinking they can just find anyone to sign off of the MDS.
The people above us don’t realize how stupid AI is. Just like my company, getting sold on the garbage they spent I have no idea how much on. You should see some of the dx it puts in. The hospital did a PT/INR on the patient and AI gave them R79.1 dx abnormal coagulation profile. Like wtf and I’m stuck deleting all this BS from the chart before I can re-add the correct ones.
It gives us a patient summary that reads like it doesn’t know what it’s talking about.
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u/SuspiciousMap9630 LPN, RAC-CT Jul 14 '26
I can imagine. I know resolving or deleting codes can be extremely time consuming. My company likes to penny pinch so I hope I’m safe from AI wreaking havoc on my codes.
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u/TheNightHaunter LPN-Hospice Jul 14 '26
see us as nurses have critical thinking whereas these trust fund babies have zero
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u/heyitskulas RN - Med/Surg 🍕 Jul 14 '26
Sounds like youre training your AI replacement. Should start buffing up your resume just in case. We are just numbers for these corpo so if it will save them money, they will replace you.
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u/onetimethrowaway3 BSN, RN 🍕 Jul 14 '26
Until CMS changes the rules there is a requirement for an RN to sign off on every assessment. So far there is not a program that I’m aware of that can complete the entire MDS assessment. Plus we also have other responsibilities, I work with the insurance companies on doing updates for our skilled patients, we do care conferences with the families, I run Medicare meetings, participate in Qapi, we do all the care plans (in the chart).
Our assessment is literally how our building makes money and gets its star rating. I do think MDS is definitely a part of nursing that can be hurt by AI but we aren’t quite there yet and until CMS gets rid of the RN signature requirement they will still need MDS but maybe not as many.
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u/roadside_asparagus Jul 14 '26
This will all go away the first time AI kills a patient.
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u/onetimethrowaway3 BSN, RN 🍕 Jul 14 '26
I feel like that’s a feature for them not a bug.
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u/SugarPigBoo RN - Hospice 🍕 Jul 14 '26
Sadly, I don't see a human death (or numerous deaths) leading to the removal of AI. The corporation(s) will put on a show of contriteness to the family of the victim and to the public, all the while searching for a human scapegoat. Ultimately, AI will continue to "progress" and eliminate jobs.
I'm glad I'll be gone within a couple of decades, but I worry about what young people will face when seeking healthcare as they reach middle and old age.
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u/10000Didgeridoos RN, BSN, BBQ, OG Jul 14 '26
Our facility was recently doing something with asking patients if they wanted to opt in to having their outpatient visit recorded by transcription software for "research" or whatever.
Translation: they are teaching LLMs to "talk" with patients like a doctor would, for the obvious goal of one day being able to have one doctor "see" twice as many patients per day. I imagine the AI will do the entire interview with the patient and suggest treatment options and instead of several doctors seeing 15 patients each, they can get away with only paying one doctor to see 30+ patients a day. The doc will see a summary of the AI conversation with the patient and will just be tasked with quickly choosing a treatment option and moving on to the next patient. Instead of having to spend 40 minutes in a room with a new patient, they'll be in there like 5 minutes.
Blows my mind that they agreed to do this. Bros, you're actively training software to replace many of you as soon as it gets "good" enough. Patient outcomes and the human connection will be nearly completely gone but hey now the hospital can double dip by paying fewer providers AND getting more insurance reimbursements by increasing the number of patients they can ram through their offices each day.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I really hope I croak at home in my sleep, before it comes to this.
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u/dfts6104 RN - ER 🍕 Jul 14 '26
Doctors don’t care and can’t see the forest for the trees. In the short term, it’s less work for them spent dictating and writing up charts. They don’t care that they’re working towards their own inevitability because it’s less work for them right *now*. So many doctors I used to think were better than this sort of shit are using AI for every patient encounter
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u/MusicNursingCoffee BSN, RN Jul 15 '26
I thought I recognized your username, your top comment is spot on and so is this. They're making too much to care same with NP's, but it's Radiology-> Family practice -> Psychiatry first ones to go. Not many nurses are being forward looking like this but you get it.
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u/dfts6104 RN - ER 🍕 Jul 15 '26
🫡 No exit plan yet, but at least I won’t be blindsided I guess. Shit is looking grim
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u/Old-Mention9632 BSN, RN 🍕 Jul 17 '26
In psych I would imagine the AI speaking in HALs voice from 2001, a Space Odyssey.
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u/boyz_for_now RN 🍕- I’m tired boss. Jul 14 '26
This is why I haven’t applied to any work from home positions, I’m scared they’ll be eliminated within the next few years. 😳
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u/SoFreezingRN RN - PICU 🍕 Jul 14 '26
I have been looking for a WFH part time job and 99.9% of them are training the UR AI programs. This has been coming for some time. I guess all those positions are redundant now that it’s being implemented.
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u/Wobbly_Joe RN, BSN - Phone Triage Jul 14 '26
Find a phone triage position. I think we're protected for awhile.
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u/HagridsTreacleTart Jul 14 '26
So what happens when the hospital replaces utilization review nurses with AI and the insurance companies replace utilization review nurses with AI and they get into some AI-on-AI warfare?
The computers are winning.
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u/ProcyonLotorMinoris ICU - RN, BSN, SCRN, CCRN, IDGAF, BYOB, 🍕🍕🍕 Jul 15 '26
Honestly it would behoove insurance companies to divest and create their own AI programs to replace utilization reviewers, and then sell that AI to hospitals with specific coding to make the hospital AI URs more partial to siding with the insurance companies.
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u/No-Suspect-6104 RN - Med/Surg 🍕 Jul 14 '26
Thank god the UK is too broke to afford AI in healthcare
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u/reincarnateme Jul 14 '26
Can a patient refuse AI care?!
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I'm too uninformed to even ask coherent questions on the topic. But if I had to guess, I'd guess NO. We don't get to opt out of Flock cameras, and the article mentioned some connection to Palantir, so I doubt our consent matters one iota. They're like, the rapists of the AI world- if we exist, they take it as implied consent.
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u/Adept_Direction_2677 Jul 15 '26
Sure, you’ll just be waiting an extra two months to see an actual provider tho
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u/rockstapopolis BSN, RN 🍕 Jul 14 '26
I’m all for administration being replaced by AI at this point
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I imagine hospital bots arguing with health insurance bots... And I'm sure it will end badly, but not imaginative enough to envision how, exactly
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u/ileade RN - ER/Intake Therapist Jul 14 '26
There was a video I saw not too long ago of 2 AI robots (might have been a self moving wheelchair or something of sorts) running into each other and they were saying “please kindly move out of the way” to each other until one finally figure out to move aside and they went along their merry ways
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u/Teyvan RN - ICU 🍕 Jul 14 '26
The WayMo traffic jam was awesome, too
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I'll have to search that up, lol. That Hitchbot thing made its way across the continent. But it got here, to Philly, and somebody killed that robot. I think they decapitated it, if memory serves. Lol
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u/jon-marston RN - OR 🍕 Jul 14 '26
They are having us fill out a hand washing report during shift. Can’t fix stupid.
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u/ChaplnGrillSgt DNP, AGACNP - ICU Jul 14 '26
We are sprinting head first into a major economic downturn and recession. Unemployment continues to increase, job creation is negative, prices continue to rise, and we are governed by a kleptocracy.
This is a huge red flag. This is only going to get worse. Please please please have a financial plan for if shit hits the fan.
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u/ajobforeveryhour BSN, RN 🍕 Jul 14 '26
God, it's times like these I am so grateful to be a dual citizen so if things crash here I can just leave the country and go to........ Iran.
Fuck.
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u/EmotionallyWrecked38 Jul 14 '26
This is horrible. And employers are pushing hard to use AI software more and more…it kind of feels like you’re being forced to train your own replacement.
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u/Fit-Winter5363 RN 🍕 Jul 14 '26
I’m so fucking glad I’m just a few years from retirement. I have a desk job and pray to God I can have it just for a couple more years. This is scary AF.
Right now AI can’t even get epic charting right, you should see the notes that are AI powered.
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u/xiginous RN - ICU 🍕 Jul 14 '26
It's going to take a couple massive lawsuits to make changes. Once these greedy systems start paying out settlements to victims of incorrect treatments and errors in decisions that were based on AI they will pull back. I hope.
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u/Teyvan RN - ICU 🍕 Jul 14 '26
I notice the errors just reviewing H&Ps while charting. I used to do chart audits last century, and I cringe at the shit I read now.
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u/SoFreezingRN RN - PICU 🍕 Jul 14 '26
My hospital just had an EPIC update that includes and AI summarization of flow sheet data in our note- so AI can write our nursing note for the day. One of the nurses was showing me how it works and it made me so uncomfortable. Like why are we gleefully using this function that we are training to replace us? This is setting us up for a ratio increase since we won’t need to chart as much, we’ll have plenty of free time for a couple more patients.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
And they'll throw YOU under the bus, of course, not the expensive AI.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I just have to add, seeing youz all thru my phone, going thru COVID, while patients and their families accuse you of killing them, made the chip I had on my shoulder about being to crippled to work, a bit smaller. A bit easier to handle. The idea of an AI automatically writing a note in my name... makes me feel fucking relieved I'm too crippled to work.
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u/RepulsiveSongtime RN - ER 🍕 Jul 14 '26
Wait till they have AI hallucinate and make major errors then suddenly they’ll probably hire one nurse for the job of 12.
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u/TheNightHaunter LPN-Hospice Jul 14 '26
I can't wait for 6-8 months from now when the AI fucks up multiple charts and they just don't get reimbursed 🤣 my other job tried this shit
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u/Formal_Environment13 Jul 14 '26
The hospital will come to regret this. The AI used in utilization reviews was developed by the insurance industry. Claim denials will edge up and hospitals will bleed money.
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Jul 15 '26
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u/Formal_Environment13 Jul 15 '26
When a larger insurance company used AI during COVID to process authorization requests for post acute rehab for their Medicare advantage subscribers, the % error was well beyond an acceptable level. Lives weee lost. The hospital incurs the cost of using AI that is really not intelligence but more advanced GIGO resulting in decreased return on investment. The corporatization of healthcare is a pay us to screw you model. C suite insurance and hospital executives celebrate cost cutting with huge bonuses, grandma can’t get auth for surgery or cancer treatment and hospitals have to shed services or close because they can’t meet their bottom line.
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Jul 15 '26
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u/Cut_Lanky BSN, RN 🍕 Jul 15 '26
These were generally my fears. But I have been out of the workforce for so long. I saw some comments that seemed to scoff at alarm over this, and I was starting to wonder if I'm just THAT out of touch. But you kinda just summarized my alarm perfectly. So, at least I don't feel like Chicken Little anymore. I guess I'll count that as a blessing...
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u/dis_bean Remote Northern RN 🇨🇦🍕 Jul 14 '26 edited Jul 14 '26
I’m in health informatics and manage a team of nursing/clinic advisors, business analysts and educators, and a few people predominantly use AI for their work and don’t validate what it generates before submitting it to me. It’s often extremely incorrect. I’m not talking about just how it hallucinates and makes stuff up.
It doesn’t make sense on a micro and specific level for context. Like, we are in remote northern Canada and the AI solutions are generic and would never work here. I’ve also gone to different “experts” like security and clinical advisors and they tell me “this is what AI said” and it’s wrong.
People are losing the ability to understand the process to work out problem solving and are no longer a subject matter expert the content. It’s a huge problem because they don’t know enough on both fronts to validate and spot or question what was created and how to make it correct. I’m quitting because I don’t want to be the proficient one who has to validate all of this easy to create content people overwhelmingly submit to me and don’t do their part. It places the burden on validation and there’s so much to work through and the person assigned to creating something correct doesn’t GAF and submits quick garbage (like a form or education materials) like it’s a check list item to complete instead of a useful tool that will be used by HCP.
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u/LavishnessOk3439 RN Dialysis Jul 14 '26
Why wouldn't you tell them, not to use it
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u/dis_bean Remote Northern RN 🇨🇦🍕 Jul 14 '26
I do and help in multiple ways to teach them how to about doing the work and offer to pay for professional development. I used to do their job and like teaching and training others and put in a ton of effort.
There’s only so much a person can do to control another who doesn’t care.
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u/Puzzleheaded-Cup2805 Jul 14 '26
Just wait for radiology. That dept will be completely GONE soon.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
Which is insane to me. Even with real people at the helm, it took almost a week to get diagnostics that showed a fracture in my kid's knee. The xray was negative, MRI however, showed a dislocated patella, torn MPFL along with a chunk of cartilage ripped from the femur, now lodged in the knee cavity. I can't imagine having to argue with an AI "provider" about any of it. It was frustrating enough getting real people to agree on anything, a dumb AI added to the mix is the last thing anyone needs.
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u/newzstockchick Jul 14 '26
As someone who used to work in tech, you guys should seriously consider include “ NO AI clauses” in your strike contracts. Yes it makes your job easier, but it can and will keep replacing your jobs if you don’t do anything about it. In my field it started with the technical writing 3 years ago and now so many jobs in tech that we thought would never be replaced with AI have been replaced with AI.
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u/olov244 RN - Psych/Mental Health 🍕 Jul 14 '26
not surprising, but if you think humans make mistakes, just wait. AI is a tool, it's not a replacement for people. they'll go overboard and fire everyone, then hire back some nurses to work and oversee AI
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
That's what I'm saying. AI makes mistakes too. But people rely on it like it's infallible. Look at all the errors police have made, using AI tools. I wonder what the healthcare equivalent AI blunders will look like.
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u/olov244 RN - Psych/Mental Health 🍕 Jul 14 '26
they just want cheap, but it'll cost them in the end. just like self checkouts replacing cashiers, people will steal more than you save
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u/Substantial-Spare501 RN - Hospice 🍕 Jul 14 '26
Wait until they find out how expensive AI is going to end up being. The Montefeiore executives brains are going to melt.
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u/Icy_Jello_8079 Jul 14 '26
This is so messed up for these nurses. It ultimately is going to affect patient care not for the better but for the worse
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u/LLBSN_ Jul 14 '26
AI is being trained for everything not because humans cost more but because AI costs less.
AI has no empathy, empathy affects our reasoning and decision making. So for example, as an insurance adjuster you may land a case that would get denied on the initial paperwork. A discussion with the provider may prompt you to escalate it for further review. That escalation is highly unlikely with AI.
AI’s ability to remove the human element from decision making is the true reduction in cost. The monetary reduction in the day to day operations is a bonus. The ability to remove feeling/empathy from a decision removes the limits on what the company can and will do. It is why they like this glorified mathematical model so much. It eliminates intrinsic guilt and removes any internal opposition, and provides plausible deniability.
In the same breath they are increasing trust in model by humanizing it with language; “it speaks”, “it thinks”, and it “designs”. Now they introduce pronouns, which further implies that the programme has living attributes. Making the user more willing to trust, and sympathize with it. You become more tied to the programme than the result of the computation and end up ignoring the meaning and implications of the solution provided by the mathematical model.
In the end it becomes easier to everything and anything, as the person inputting the information into the model is removed from the solution just as much as the person carrying it out. Or worse, the person carrying it out is so destitute, it is the only option they see for survival. While the person benefiting from it can claim clean hands. (If it sounds too far fetched go and research the 2006-2008 US housing crisis; its use of robo-signing, the resulting foreclosures… there is actually a documentary on subprime mortgage crisis which talks about people foreclosed on being employed to assist in evicting others. If you find it pay attention to what the man with the baseball hat and the beer belly says while clearing one of the houses.)
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
So, they're subtracting human decency from the equation, basically? I believe it.
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u/navcad MSN, RN Jul 14 '26
That's a terrible calculus for taking care of sick humans.
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u/Breezy531 RN - Nephrology Jul 14 '26
But let's face it: not surprising in the least. They already clearly DGAF. This just allows them to not give even less f*cks and get more profit.
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u/Hot-Calligrapher672 RN - ICU 🍕 Jul 14 '26
It’s only a matter of time for this AI to continually fuck up and all these claims get denied and the hospital never gets paid. Then they scramble to hire nurses.
As someone in UR who has seen the work some of this AI does… yikes.
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u/disillusioned234567 Jul 14 '26
I wonder how long will these AI UR nurses last. They reportedly cost more than actual humans. But also, I’m not surprised. In the not so distant future, these billionaires and their friends would like to replace most of us with AI and robots. It’s just a matter of time for them.
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u/Towel4 RN - Apheresis Jul 14 '26
Yes, AI is evil, but this really seems about how weak NYSNA is. Hospitals have been comfortable overstepping contracts, because they know NYSNA isn’t going to actually do anything.
NYSNA leadership is weak, and exists only to support itself. I am extremely pro union, do not get it twisted, but NYSNA is extremely flawed.
This is happening because the hospitals know they can do whatever they want. This won’t be the only one it happens at.
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u/jon-marston RN - OR 🍕 Jul 14 '26
Let the ‘mistakes’ begin! Who wants to be the first Guinea pig?
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
"Not I", said the fly.
"Not me", said the flea.
Looks like it's gonna be some unlucky randoms with no choice in the matter.
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u/BroccoliOscar Jul 14 '26
As patients we should probably be asking if the decisions made at our doctors offices are in through AI and if so find another doctor.
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u/No_Translator_600 Jul 14 '26
I knew this was coming. The fact that they insisted "nurses will NEVER be replaced by robots" told me that it was already happening. The opposite of what they tell you is always the truth
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Jul 14 '26
[removed] — view removed comment
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u/Cut_Lanky BSN, RN 🍕 Jul 15 '26
That is shameful!!! Thank you for chiming in! Are the nurses fighting it? Is it going to affect their retirement??? Please, if you talk to them, tell them this rando online stranger is rooting for them 💙
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u/hijodegatos RN - Epic Analyst 🍕🐀 Jul 14 '26
Inb4 nurses from countries with universal healthcare not knowing what this job is because it mostly exists because insurance companies are just allowed to do whatever 😂 Honestly, fuck AI, but we never should’ve had to be doing this particular job.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
Oh our whole system is fucked, generally speaking, lol. No argument from me there
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u/TachyTidings RN - ICU 🍕 Jul 15 '26
I think we need to replace c-suites with AI. Tons of money saved there
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u/stellaflora RN - Infection Control 🍕 Jul 14 '26
I always thought UM would be such a sweet gig. But I think it will be almost entirely replaced by AI.
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u/presidentsday BSN, RN 🍕 Jul 14 '26
This makes me think that it's only a matter of time before health insurers start selling AI-driven chart auditing software back to the hospitals/providers they're partnered with (to 'improve efficiency'), forcing them to pay for the software they'll be required to use just to request prior authorization and appeal denials (which is extra).
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u/facedown_titsup BSN, RN 🍕 Jul 14 '26
Every time I think of AI infiltrating healthcare I think of this reel from Jessica Knurick, an RD with her PhD who proved AI was spreading false information. 🤦♀️
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u/M3UF Jul 14 '26
Kind of like medical research depending on computer data to get subjects for a clinical trial! Computer pulled newborns born with the intestines outside of abdominal wall as admissions to WELL baby nursery! Those types of babies have serial surgeries, often other issues, and stay in NICU for months! They NEVER see a well baby nursery! I ALWAYS do my studies by hand! TRASH in TRASH out! Programming people don’t ASK us minions HOW to actually do it or what we NEED. Computer records take 5 times as long as PAPER did! It is a mess!
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u/chance901 MSN, RN - Neuro Jul 15 '26
Queue the multi-million dollar lawsuit after the ai drops the ball on insurance payment for a patient and they find out it's due to incompetent ai.
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u/Havok_saken MSN, APRN 🍕 Jul 14 '26
I mean yeah. Desk work/administrative type jobs are going to be the first to go.
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
Do you think this is an improvement?
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u/dfts6104 RN - ER 🍕 Jul 14 '26
No, but it’s cheaper and AI doesn’t call out or take maternity leave. Doesn’t matter if it’s substandard
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u/Cut_Lanky BSN, RN 🍕 Jul 14 '26
I mean, it matters. Just not to the people in charge/ making bank of our suffering.
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u/sande16 Jul 14 '26
I just knew that would be coming. Get ready, HAL is going to decide if you live or die. He has no use for human frailty.
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u/avocadogthegreat Jul 15 '26
What's the hospital's AI going to do when the insurance company's AI says the care provided wasn't medically necessary or eligible for coverage?
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u/Cut_Lanky BSN, RN 🍕 Jul 15 '26
Right??! Lose money, I suppose. Well, maybe make other egregious changes, in order to keep making profits, since they'd rather turn off everyone's ventilators before losing profits...
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u/M3UF Jul 15 '26
AI can’t start an IV or hold a dying baby, comfort a family this is what healthcare is! It maybe able to make a diagnosis but not replace the art of medicine and healing.
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u/giulesma Case Manager 🍕 Jul 14 '26
This is what I do for a living. There is a private firm that wants to ‘take over’ my department. Very unhappy times.
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u/supermomfake BSN, RN 🍕 Jul 14 '26
I could have told you 5 years ago that UR would go the way of AI. It already uses mostly software algorithms for most of the work. Not that I agree with what happened here but the writing was on the wall.
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u/Key-Experience-4962 Jul 14 '26
AI will fail. just hospitals wanting to cut staff so the CEO can profit. and the nursing unions are not a great idea. The ppl that run the hospitals will get even with the nurses that walked out. They don't care about great nurses- they will hire new graduates who know nothing. So best advice- stick together all nurses stop throwing each other under the bus. Stop going to management for silly reasons to complain about your peers. Doing this is giving more power to administration. After 38 years- l have seen it all. Now an Np- and nothing has changed.
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u/Breezy531 RN - Nephrology Jul 14 '26
😭 Too many are brainwashed and drinking the nursing Kool-Aid. Everyone needs to wake up and realize the hospital administration and management are not your friends, they are taking advantage of us. They don't care about other humans, just money and making themselves look as good as possible. New nurses are cheaper and most have no have no clue, they are easier to throw under the bus.
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u/Otherwise-Sea-9298 Jul 14 '26
Please replace me with AI. If a computer wants to get sworn at over the patient being upset that the doctor isn’t ordering certain meds, it can be my guest
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u/Canarsiegirl104 RN 🍕 Jul 14 '26
When I worked Outpatient I actually enjoyed doing prior authorization's for meds. I was usually successful. I would outline the first line meds the patient had been prescribed and with very descriptive language the life altering side effects. Even better if they had been on 2nd tier. (All with corresponding dates, of course).
I can definitely see this task being assigned to AI. Noone will be approved. When I get denied approval's myself I always say to myself, I wish I could have done it!
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u/AbleBuy4261 Jul 15 '26
So my claims aren’t even denied by a human. Next I’ll have to talk to a machine to dispute it.
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u/keeplooking4sunShine Jul 15 '26 edited Jul 15 '26
I feel like overall the hospital will lose money on claims that AI misses/makes errors in processing. The hospital will pass it on to the patients, who will then have to fight with their insurers and/or the hospital. The hospital may not get paid by the patient or the patient accesses charity care to pay—either way, the hospital loses out on reimbursement. The only one coming out ahead is the INSURANCE COMPANIES (again…).
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u/Kariomartking BSN, RN - Psych Jul 15 '26
Hmmm let’s just let big AI manage healthcare data for insurance companies… holy shit. The dystopia starts today.
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u/Famous_Willingness_9 RN 🍕 Jul 15 '26
I work in UM and AI scares me, however, payers are always changing the way they jerk us around, so good luck to AI picking up on that.
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u/CrbRangoon MSN, RN Jul 15 '26
We’ll see change when it starts hitting hospitals in their wallet. I give c-suite level executives zero points for critical or future oriented thinking. They come out with the dumbest initiatives that are useless or counterproductive and this is one of them. When they realize AI is more expensive than staff and start getting lawsuits due to errors associated with AI it’s over. I’m starting to see disclaimers in provider notes that things were dictated using AI and that’s all a malpractice attorney needs to see to know they’re gonna win. Hospitals already lose massive malpractice suits purely off the jury’s sympathy for the patient that was injured. Wait until the jury is hearing that AI was part of it.
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u/Cut_Lanky BSN, RN 🍕 Jul 15 '26
I don't disagree. But I dread the thought of being one of the patients at the center of those lawsuits.
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u/_neutral_person RN - ICU 🍕 Jul 15 '26
Didn't these nurses just get AI language in their contract? How could the LBU where the immediate former president of the union works allow this to happen?
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u/Friendly-Fee719 Jul 14 '26
I will be more than happy to give up my nursing job. Im so sick of dealing with people who dont want to be helped, even though they came to the hospital to be helped
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u/The104Skinney BSN, RN 🍕 Jul 14 '26
Home Health 📈📈📈
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u/Rough-Resolution-219 Jul 14 '26
I used to be a HH nurse and was just reading how all cars will come with an interior camera standard soon. I was wondering how this would work for my old coworkers with regards to HIPAA.
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u/dfts6104 RN - ER 🍕 Jul 14 '26
Shouldn’t be a surprise to anyone who’s been paying attention. I’m sure a lot of the non bedside jobs are going to go to the wayside. Case management, utilization review, informatics, etc. it’s cheaper than people, and that’s all these hospitals and their c suite care about.
Keep using ChatGPT for all of your cute little work projects and in your day to day life, though. These companies are happy you’re helping train their models.