by Robert C Garrett
While AI presents a monumental opportunity for change, it requires an ongoing commitment to identifying and addressing the potential concerns that emerge with any new technology.
New applications of artificial intelligence (AI) repeatedly challenge what was once thought possible. This technology is having a profound impact on nearly every industry worldwide, wielding greater efficiency and transforming whole operational processes. Healthcare is no exception – AI is reshaping the way we approach patient care and treatment decisions.
It’s forecast that the global healthcare AI market will be worth almost $188 billion by 2030. This growth comes at a critical crossroads in healthcare, with a projected shortage of nearly 10 million physicians, nurses and midwives globally by 2030 at the same time as we are faced with the increased needs of an ageing population.
AI offers practical solutions that can help organizations across the globe to overcome these challenges and improve outcomes, enhance care and advance health equity.
Streamlining Healthcare Workflows
By integrating AI as part of diagnostic services, healthcare organizations are facilitating faster diagnoses and treatment decisions that improve patient outcomes.
AI’s complex algorithms provide support to radiologists, who read hundreds of medical images a day, helping them analyse images such as X-rays and MRIs quicker and more accurately. This allows care teams to prioritize complex and urgent cases, and potentially detect modalities that may require further inspection
Alleviating Workforce Burnouts
Necessary but time-consuming administrative tasks contribute to employee burnout and take clinicians away from the bedside. New AI tools can help alleviate burnout and allow staff to focus on patients by automating manual and repetitive tasks such as entering data for electronic health records and submitting prior authorization requests to insurance companies.
In addition to supporting employees in their day-to-day work, AI is helping to address staffing needs. Historically, nurse staffing has been a highly manual process relying on phone calls, text messages and spreadsheets. Today, we are increasingly using AI analytics to streamline this process, including seeking to pair team members who have previously collaborated because research demonstrates that it positively impacts productivity.
Early Disease Detection
In the US, there are an estimated 100 million people with an undiagnosed chronic disease, contributing to 90% of the country’s healthcare costs or about $3.7 trillion. Despite our best efforts, there simply isn’t enough time for healthcare providers to support all the preventive, chronic and acute care needed – one study factored that it would require physicians to work an impossible 26.7 hours per day.
AI technology can add to the exceptional care delivered by primary care providers. New tools can help support the earlier identification of disease which can impact disease progression, potentially slowing, preventing or completely stopping it.
At Hackensack Meridian Health, we have built a predictive health team that is working with stakeholders across the network to take advantage of AI technology to predict and detect disease and embed such intelligence into clinical workflows. For instance, AI has been integrated into the workflow for our primary care providers to help identify stage 3 chronic kidney disease earlier, which can help slow disease progression.
Improving Treatment
Only about 12% of drugs entering clinical trials are ultimately approved for introduction by the US Food and Drug Administration. We’re seeing the benefits of AI applications that can support this expensive and challenging process by analysing vast amounts of data to quickly identify high-potential drug candidates, predict their effectiveness and safety, and optimize their design.
Once treatments become available, we need the right intelligence to optimize effectiveness and reduce the risk of adverse effects. AI algorithms can help us get there sooner by analysing large datasets, including genetic information and medical histories, to inform treatment plans that factor in predicted outcomes and potential treatment responses.
Potential Pitfalls
While AI presents a monumental opportunity for change, it requires an ongoing commitment to identifying and addressing the potential concerns that emerge with any new technology.
For the benefits of AI to be realized on a global scale, we must be mindful of potential pitfalls and establish safeguards related to data privacy, ethical considerations, cultural sensitivity and its accessibility to diverse populations. The World Health Organization (WHO) published ethical AI guidance in 2021, cautioning that while AI holds great promise for improving the delivery of healthcare worldwide, this can happen “only if ethics and human rights are put at the heart of its design, deployment, and use.”
The potential for bias is of particular concern: if an AI algorithm is trained with data that doesn’t represent the whole population, it can exacerbate health disparities. For instance, skin cancer algorithms that were primarily trained on lighter-skinned individuals are not as effective in detecting skin cancer among darker-skinned individuals. Under-representation is a longstanding challenge in clinical research and we need more diverse data to mitigate the risk of bias.
To follow the WHO’s guidance conscientiously and responsibly, the healthcare industry must collaborate with technology developers, policy-makers and global health organizations to ensure that people remain the priority.
Hackensack Meridian is part of a nationwide US commitment to harness the potential of AI while managing the risks posed by this breakthrough technology, a collaboration recently announced by the White House. The network joins pharmacy company CVS Health, Boston Children’s Hospital and Houston Methodist West Hospital in a mission to define a set of voluntary commitments to guide our use of frontier models in healthcare delivery and payment.
With more collaboration globally and a commitment to positive change, we can harness the power of AI to improve and transform health.
(The author is the CEO of Hackensack Meridian Health. The World Economic Forum article is republished under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License)
