{ "meta": { "exportedAt": "2026-09-22T18:27:44.086Z", "formatVersion": 2, "selection": { "q": "utilization-review", "system": "", "harm": "", "context": "", "country": "", "role": "", "relation": "unknown", "evidence": "", "year": "", "response": "", "severity": "", "verification": "", "view": "incidents", "sort": "added" }, "totalIncidents": 1, "coverage": { "cases": 1, "countries": 1, "languages": 1, "unknownLocation": 0, "locationPending": 0, "unknownLanguage": 0, "unknownDate": 0, "lawsuits": 0, "regulatory": 0, "minors": 0, "coreRelations": 0, "contextualRelations": 0, "mixedRelations": 0, "unknownRelations": 1, "relationPending": 0, "relationUnknown": 1 }, "countingNote": "Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.", "affectedCountNote": "Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.", "source": "NOPE Incident Tracker", "url": "https://nope.net/incidents", "license": "CC BY 4.0" }, "incidents": [ { "id": "2026-montefiore-nurses-replaced-ai-layoffs", "caseFacts": { "claims": [ { "id": "c1", "status": "reported", "evidence": [ { "locator": "Paragraphs 1-2 and 13: 39 years; 'one of 12 nurses who were laid off Sunday'; 'on 28 May, when all 12 nurses in her department received 45-day notices'.", "relation": "supports", "source_id": "s1" }, { "locator": "Paragraphs 1-7: NYSNA alleges Montefiore plans to lay off nurses; one of 12 nurses slated to be laid off after 39 years; council member asks Montefiore to stop the 45-day displacement clock.", "relation": "context", "source_id": "s2" } ], "assertion": "According to the Guardian’s 13 July 2026 report, twelve utilization-review nurses at Montefiore hospital in the Bronx, one with 39 years’ service, received 45-day layoff notices on 28 May and were laid off on 12 July.", "causal_attribution": "The Guardian reports the completed layoffs from the union and nurse account. Its “Sunday” reference in the Monday 13 July article resolves to 12 July 2026; Norwood News on 2 July reports plans only. Montefiore did not specifically comment on the layoffs." }, { "id": "c2", "status": "disputed", "evidence": [ { "locator": "Opening layoff account attributes replacement by AI-powered software to NYSNA; the utilization-review passages describe nurses reading patient charts and justifying care to insurers.", "relation": "supports", "source_id": "s1" }, { "locator": "The passage about nurses at the town hall raising concerns about the company selected for the proposed work names Datavant and attributes the information to union officials. The utilization-review section describes chart review and insurer approvals.", "relation": "supports", "source_id": "s2" }, { "locator": "TechSpot relays the Guardian and union account, including Datavant. It is not independent confirmation of the asserted reason for the layoffs.", "relation": "context", "source_id": "s3" }, { "locator": "Final employer-response paragraphs: Montefiore calls the union’s claims inaccurate and misleading and describes a nonclinical paperwork program; it does not specifically address the layoffs.", "relation": "contradicts", "source_id": "s1" }, { "locator": "Final employer-response passage quotes Montefiore spokesperson Joe Solmonese calling NYSNA’s claims inaccurate and misleading and saying the hospital invests in technology to improve care and outcomes. It does not explain the particular program or address the layoffs specifically.", "relation": "contradicts", "source_id": "s2" } ], "assertion": "The New York State Nurses Association says the nurses were replaced by AI-powered software, reported as supplied by Datavant, that reviews patient records to justify care to insurers.", "causal_attribution": "Union attribution disputed by the employer." }, { "id": "c3", "status": "reported", "evidence": [ { "locator": "Paragraphs 8-12: contracts after the strike included AI safeguards; union executive says the layoffs violate the contract; workflow changed without explanation.", "relation": "supports", "source_id": "s1" }, { "locator": "Paragraph 4: council member calls on Montefiore to abide by the nurses' contract.", "relation": "context", "source_id": "s2" } ], "assertion": "The union says the layoffs violate the contract won after the January 2026 strike, which included safeguards against AI; the nurses say their workflow changed without explanation when they returned in February.", "causal_attribution": "Union and nurses' account; no arbitration or legal finding reported." } ], "effects": [ { "label": "loss_of_employment", "claim_id": "c1", "direction": "negative" } ], "sources": [ { "id": "s1", "url": "https://www.theguardian.com/technology/2026/jul/13/nurses-new-york-ai", "kind": "news_report", "access": "read", "language": "en", "translation_note": "Read in English on 2026-09-15; datePublished 2026-07-13.", "independence_group": "guardian" }, { "id": "s2", "url": "https://www.norwoodnews.org/nysna-allege-montefiore-plans-to-replace-some-nurses-with-ai-systems/", "kind": "local_news", "access": "read", "language": "en", "translation_note": "Read on 2026-09-15; published 2026-07-02, before the layoffs took effect.", "independence_group": "norwood" }, { "id": "s3", "url": "https://www.techspot.com/news/113092-new-york-hospital-replaces-12-nurses-ai-prompting.html", "kind": "tech_news_relaying_guardian", "access": "read", "language": "en", "translation_note": "Read in English on 2026-09-15; relays the Guardian and union statements. Datavant is also named in the earlier Norwood News report; the supplier attribution remains the union’s.", "independence_group": "guardian" }, { "id": "s4", "url": "https://www.wnylabortoday.com/news/2026/07/16/new-york-city-labor-news/it-should-concern-every-patient-who-cares-about-their-quality-of-care-twelve-laid-off-nysna-represented-nurses-at-montefiore-hospital-in-the-bronx-are-being-replaced-by-artificial-intelligence/", "kind": "labor_news_relaying_guardian", "access": "read", "language": "en", "translation_note": "Read on 2026-09-15; summary of the Guardian report.", "independence_group": "guardian" } ], "version": 1, "ai_roles": [ "institutional_use" ], "contexts": [ "work", "health" ], "unknowns": [ "Datavant is named in Norwood News’s reporting of the union’s account and in TechSpot. The inspected sources do not independently verify the supplier, deployment details or asserted replacement of nurses by AI; Montefiore disputes the union’s characterization.", "Whether the nurses were offered other positions, and whether a grievance or arbitration followed, is not reported.", "No patient harm is documented; the union's concerns about missed diagnoses are predictions.", "Montefiore's precise description of the program is limited to the quoted statement." ], "geography": { "basis": "Event and affected persons: Montefiore hospital in the Bronx, New York City (Guardian; Norwood News). No court proceeding is reported.", "court_countries": [], "event_countries": [ "US" ], "affected_person_countries": [ "US" ] }, "publication": { "basis": "Published under the 2026-09-15 charter as a work-context adverse experience: twelve identified job losses that the union attributes to an AI deployment and the employer disputes. One nurse who spoke publicly is not named here.", "reviewed_on": "2026-09-15" }, "ai_involvement": { "basis": "The nurses' union says the 12 utilization-review nurses were replaced by AI-powered software (identified as Datavant in Norwood News and TechSpot, both attributing the information to the union). Montefiore calls the union's claims inaccurate and misleading and describes the change as a nonclinical paperwork program; it did not comment on the layoffs specifically.", "status": "disputed" }, "person_relations": [ "unknown" ] }, "name": "Bronx: twelve Montefiore utilization-review nurses laid off; their union says AI software replaced them, the hospital disputes it", "summary": "According to the Guardian’s report from the union and nurse account, on 12 July 2026 twelve utilization-review nurses at Montefiore hospital in the Bronx, New York, were laid off after receiving 45-day notices on 28 May. The New York State Nurses Association says they were replaced by AI-powered software that reviews patient records to justify care to insurers, and that the layoffs breach the contract with AI safeguards won after the January 2026 strike. Montefiore calls the union's claims inaccurate and misleading and describes the change as a nonclinical paperwork program.", "incidentDate": "2026-05-28", "incidentEndDate": "2026-07-12", "incidentKind": "single_event", "incidentDatePrecision": "range", "exposurePattern": "unknown", "reportedDate": "2026-07-02", "aiSystem": "AI-powered utilization-review software (reported by the union as supplied by Datavant)", "aiCompany": "Montefiore Medical Center (deployer); Datavant (reported supplier)", "severity": "medium", "verificationStatus": "credible", "harmCategories": [], "harmOutcomes": [ "professional_harm" ], "harmOutcomeSummary": "Twelve nurses lost their jobs; their union attributes the layoffs to an AI software deployment that the hospital characterises differently.", "frameworkFacets": [], "causationStatus": "disputed", "participantUsersAffectedMin": 0, "otherPeopleHarmedMin": 12, "affectedCountStatus": "exact", "affectedCountEvidence": "Twelve nurses in one department received notices and were laid off (Guardian; Norwood News). No patient harm is documented.", "victimAgeRange": "adult", "outcomeType": "media_coverage", "outcomeStatus": "ongoing", "primarySourceUrl": "https://www.theguardian.com/technology/2026/jul/13/nurses-new-york-ai", "primarySourceLabel": "The Guardian, 13 July 2026: 'The New York nurses replaced by AI: It should concern every patient who cares about quality of care'", "firstPublishedAt": "2026-09-15T03:23:47.418469+00:00", "scopeVersion": "facts-v3", "tags": [ "work", "layoffs", "hospital", "utilization-review", "nurses", "institutional-use" ] } ] }