Befund · Page 2

Private ChatGPT accounts have long been co-writing letters. Why bans merely make the use invisible — and the playbook of stocktaking, rules, a safe alternative and training.

General practitioners read three to ten discharge letters a day — and often cannot find what they need. What makes a letter useful to its recipients can be taught. A short style guide.

Under §87 of the BetrVG, Germany's Works Constitution Act, the Betriebsrat (works council) almost always has a say in employer-provided AI. What hospital leaders should know about co-determination, works agreements and demonstrable anonymity.

A QM report in which every figure resolves to its query and the language model never sees individual data. All of it is planned — and we are laying the architecture open now anyway, so you can measure us against it.

Live and deliberately narrow: aiomics documents the admission conversation — individual patients, a desktop microphone, deletion after 72 hours with proof. Why this scope follows from the error data, and who it does not fit.

Muster 61, DRV forms, findings reports: how forms emerge from the substantiated record, what is live today and what is planned — and when a simple form tool remains the better choice.

Coding suggestions only for what is explicitly documented, a deterministic §301 gate before transmission: what we are building, why it is designed this way — and why we disclose the status before the module is released.

Draft generation is live, the verified pipeline is planned: how aiomics builds physician and discharge letters with a source pointer per sentence, why omissions are the bigger error — and where we are not the right choice.

We regulate how long a doctor may work, but not how hard the day grinds down their judgement. The most dangerous fatigue in a hospital is not in the legs. It is in the part of the mind that makes careful decisions — and clumsy software spends it for free.

We keep debating whether AI will replace doctors. The real threat is quieter: a data environment so noisy it stops clinicians from thinking at all. A case for tools that curate the evidence rather than predict the answer.

An admission board that runs live in production, has no field for clinical urgency, and lets no case sink from view. Why both are deliberate — and where we are not the right choice.

The case dialogue is won where the documentation is created. How aiomics runs payer review procedures, what is live, what is in development — and where we are not the right choice.

Taking over legacy records without poisoning the new record: a human confirms every patient assignment — “Confirm all” does not exist. What is live, what is planned, where we do not fit.

A referrer portal that never grades practices and leaves the analysis with the hospital — in pilot preparation, and named as such. What it will do, who can start today, and where we do not fit.

Most of what makes an admission record stand up to payer review already exists before the patient arrives — in the referral documents. How structured extraction, verification and provenance prepare an evidenced admission record.

Tandem Health, Recare, voize, FICUS, aiomics: who does what, who is certified for what, and which questions separate the categories? A sober overview for hospital decision-makers.

In rehab, the same medical history is written four times: order, application, extension request, discharge report. A verified record turns these into evidenced excerpts — and already runs in German rehab clinics today.

Peer-reviewed studies show that AI physician letters omit relevant information two to three times more often than they invent it. Which checks belong between draft and signature — and what to measure vendors against.

Dictation is solved, conversation is not: why speaker attribution is the real weak point of clinical speech recognition — and what content analysis and microphone hardware change about it.

Gathering numbers, building tables, drafting text: the quarterly QM report costs quality management officers days. What an automatically drafted report would have to look like for an auditor to trust it.

In legacy record migration, identity matching is the riskiest step: a single misassigned document poisons all later work with the chart. The safeguards hospitals should demand.

Payer audits shifted 1.197 billion euros from German hospitals to insurers in 2022. Why hospitals that only defend individual cases never move the rate — and how defense and prevention become a loop.

The QM-RL (the G-BA quality management directive) mandates patient and staff surveys; the BAR agreement tightens certification duties in rehab. The obligation is usually fulfilled on paper — and rarely evaluated.

1,000 to 2,000 faxes a month, ten inquiries per admission, 20 to 30 practices behind 80 percent of the volume: why hospital occupancy is decided at the front door — and what to measure referral management software against.