This Week Health

Interviews in Action

More
This Week Health is a series of IT podcasts dedicated to healthcare transformation powered by the community

What would you like to learn about today?

Latest Episodes
View All
R25 - Podcasts Category Filter-2
  • All
  • Leadership (674)
  • Emerging Technology (500)
  • Security (310)
  • Patient Experience (298)
  • Interoperability (296)
  • Financial (289)
  • Analytics (182)
  • Telehealth (175)
  • Digital (164)
  • Clinician Burnout (160)
  • Legal & Regulatory (141)
  • AI (104)
  • Cloud (92)
View All
In the News

Cultivating Innovative AI Solutions to Enhance Patient Care

September 24, 2023

Frontline Caregivers and Staff at Cedars-Sinai Hold ‘Idea-Thons’ to Explore, Develop and Adopt Generative AI Healthcare Tools

Read More

How Meditech Plans to Integrate Google’s Generative AI Into Its EHR

September 24, 2023

EHR, EMR, medical record

Along with many other companies in the healthcare technology space, Meditech is exploring ways to enhance its software through the use of generative AI.

The EHR vendor has been partnered with Google Cloud for about five years. Over the past year, Meditech has deepened its relationship with the tech giant by exploring ways to embed Google’s generative AI into its EHR. But Meditech is not adding generative AI to its EHR capabilities just because that seems like the hot thing to do right now — the company is approaching its generative AI efforts in a steady, intentional way, COO Helen Waters said in an interview this week.

Given that the digital health field is in the midst of a generative AI hype cycle, it’s imperative that companies in this space don’t fall into the trap of implementing new technologies just for the sake of adopting something new and exciting, Waters noted. Meditech is avoiding this by focusing its generative AI efforts on specific use cases that the company thinks will have serious potential to alleviate clinicians’ burnout, she said.

For one of its generative AI projects, Meditech is using Google’s large language models (LLMs) to power the search and summarization experience within its EHR. Meditech is relying on Google’s LLMs for data harmonization so that clinicians can quickly access a longitudinal view of their patient. In other words, the effort is seeking to ensure clinicians have quick and easy access to all relevant information about a patient — including health data from the Meditech Expanse EHR, health data from legacy technology platforms, scanned handwritten notes and medical images.

Having swift access to a comprehensive view of their patient accelerates physicians’ ability to make sound, informed decisions about treatment, Waters pointed out.

Meditech is also exploring how to layer Google’s Med-PaLM 2 into its EHR’s search and summarization capabilities. Unveiled in April, Med-PaLM 2 is a medical AI system that harnesses the power of Google’s LLMS. The tool is currently being piloted at Mayo Clinic and other health systems — they are testing its ability to answer medical questions, summarize unstructured texts and organize health data.

Once multiple LLMs are layered together into the EHR, clinicians may soon be able to ask the EHR more intelligent questions about the patient data that’s being summarized, said Rachel Wilkes, Meditech’s director of marketing.

As it works to integrate Google’s generative AI into its technology, another use case that Meditech is focusing on is the auto-generation of clinical documentation. Specifically, the company is developing an EHR functionality that will generate generate a “hospital course narrative” — a summary of the patient’s stay, composed at the time of discharge.

When a patient has an acute inpatient hospital stay, the length of the stay and the complexity of the care provided can make the documentation process quite arduous at the time of discharge. Providers tell Meditech that this documentation process can take 30 minutes of a clinician’s time each time a patient leaves the hospital, Wilkes pointed out.

She said Meditech is currently working with Google to determine the best way to leverage its LLMs to generate hospital course narratives in the EHR. These summaries of a patient’s stay will be presented to clinicians in their Meditech Expanse workflow, and they will have the option to edit the summary or any drafted pieces of documentation included within it.

“We’re not doing this just to do it. We’re looking to see how we can use this technology to make sure we can help our organizations deliver safe, efficient, impactful care. We’re doing this in a thoughtful, deliberate way. We’re doing a very careful review of the use cases that we’re pursuing, how they impact existing workflows and how we can embed this into Expanse for the betterment of the experience for our users,” Wilkes declared.

Photo: invincible_bulldog, Getty Images

Read More

Epic's biggest moves in 2023

September 24, 2023

From deepening its integration of Microsoft's generative AI tools into its ecosystem to rolling out a new online app gallery, here are 14 of Epic Systems' biggest moves this year:

  1. UPMC is moving from nine EHRs to Epic Systems.
  2. Epic Systems integrated two-way patient texting, which allows hospitals and health systems using its software to offer patients mobile messaging that can send them alerts about appointments, prescriptions and billing.
  3. Epic said it will roll out an online app gallery to help users find resources and connections.
  4. Epic Systems founder and CEO Judy Faulkner told audiences at the company's annual Users Group Meeting that the vendor plans to provide more training for workers struggling to learn its software systems, connect millions more patient records to data systems and use generative AI to reduce provider workload.
  5. Epic Systems and Microsoft again expanded their partnership and will integrate conversational, ambient and generative AI technologies into Epic's EHR ecosystem.
  6. KeyCare, the only Epic-based virtual care company in the U.S., ended its first year with 10 health system and health tech partnerships.
  7. Epic created the "Partnership and Pals" collaboration program allowing companies to work with the vendor.
  8. Epic Systems said it will partner with Nuance, a clinical documentation software company owned by Microsoft, to integrate GPT-4-powered clinical documentation technology into the company's EHR software. Under the partnership, Nuance's Dragon Ambient eXperience Express, an AI-powered clinical documentation application that uses GPT-4, will be integrated into Epic.
  9. According to KLAS Research, the EHR vendor added 83 hospitals to its network in 2022, the most of any EHR vendor last year.
  10. Leading health systems from across the country, including Palo Alto, Calif.-based Stanford Health Care and Rochester, Minn.-based Mayo Clinic, have pledged to use Epic's software to share health information with the Trusted Exchange Framework and Common Agreement.
  11. Epic entered a partnership with Microsoft to develop and integrate generative AI into its EHR software. Under the partnership, the companies will combine Microsoft's Azure OpenAI Service with Epic's EHR software. UC San Diego Health, Madison Wis.-based UW Health, Chapel Hill, N.C.-based UNC Health and Palo Alto, Calif.-based Stanford Health Care have already started to use the new integration to automatically draft message responses.
  12. The EHR vendor snagged New Hyde Park, N.Y.-based Northwell Health as a new customer. The health system will move from an Allscripts EHR system to an Epic one.
  13. Epic Systems was approved for onboarding to join the Trusted Exchange Framework and Common Agreement, a new health information exchange framework.
  14. Epic was named the top overall health IT software suite for the 13th year in a row in the 2023 Best in KLAS Awards.

Copyright © 2023 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

Read More

Reproducibility of GPT4 in Healthcare - An Experiment

September 24, 2023

Bill Russell on a recent podcast covered HealthcareITNews article entitled "Generative AI 'not reliable yet,' says Mayo Clinic's John Halamka, M.D., M.S."

I've been enthralled by OpenAI's function calling where you can basically request a response in JSON to plug into your user interface (ie FHIR app, mPage, etc).

So I created a simple webapp at gptexperiments.patient.dev that would use function calling and let the user enter a triage nurse blurb and get the top five likely conditions according to GPT4, as well as probability and reasoning.

gptexperiments.patient.dev

As I played around with it, I noticed that even with the same exact input, GPT would give me different answers. So I captured 50 sequential API requests using functional calling against the OpenAI API and put them in a google sheet ("overall" sheet) You can check out the exact object sent at the bottom (and copy and paste for yourself)

The nursing triage note (user prompt) was "55M hx of DM, HTN with 2 weeks of right upper quadrant, chest pain."

49/50 (98%) of the time, GPT returned the top, most probable diagnosis as having to doing with gallbladder disease (acute cholecystitis, chronic cholecystitis, gallstones, etc).

Oddly, the one non-gallbladder related top diagnosis was GERD, which is somewhat disturbing as I asked GPT to image they were an ER doc ... and I don't know any ER doc who would think the most probable diagnosis in a "55M hx of DM, HTN with 2 weeks of right upper quadrant, chest pain" would be GERD. I imagine most would think of more life threatening diagnoses as acute coronary syndrome, gallbladder pathology, pancreatitis, etc.

I asked GPT Advanced Data Analysis to help with how similar each run was to the other. It suggested using Jaccard similarity.

"On average, the runs have a Jaccard similarity of 3.41%±6.97%, indicating that there's a moderate amount of variation in the diagnoses generated across different runs."

GPT Advanced Data Analysis Jaccard Similarity for 50 Runs of Triage Nurse Narrative to five conditions.

My take home from the experiment is:

  1. Function calling has insane potential for FHIR apps / mPages / anything in the EHR that can do a simple network request and then process JSON.

  2. There is a considerable amount of variation which worries me, but it probably produces more relevant and useful NLP responses than anything we got. It brings to mind the saying, "Don't let perfect be the enemy of getting stuff done." Given the right use cases (such as a co-pilot for differentials based on minimal triage text), functions calling in GPT can be helpful in the ER, especially at 3am.

Addendum:

I used the default temperature (0.8) in creating the sheet overall. I ran again with temperature = 0 on overall2. There does seem to be less variation, however, there is still considerable variation beyond the top two diagnoses.

Appendix: This is what was sent to GPT 50 times in a row:


Read More

Cultivating Innovative AI Solutions to Enhance Patient Care

September 24, 2023

Frontline Caregivers and Staff at Cedars-Sinai Hold ‘Idea-Thons’ to Explore, Develop and Adopt Generative AI Healthcare Tools

Read More

How Meditech Plans to Integrate Google’s Generative AI Into Its EHR

September 24, 2023

EHR, EMR, medical record

Along with many other companies in the healthcare technology space, Meditech is exploring ways to enhance its software through the use of generative AI.

The EHR vendor has been partnered with Google Cloud for about five years. Over the past year, Meditech has deepened its relationship with the tech giant by exploring ways to embed Google’s generative AI into its EHR. But Meditech is not adding generative AI to its EHR capabilities just because that seems like the hot thing to do right now — the company is approaching its generative AI efforts in a steady, intentional way, COO Helen Waters said in an interview this week.

Given that the digital health field is in the midst of a generative AI hype cycle, it’s imperative that companies in this space don’t fall into the trap of implementing new technologies just for the sake of adopting something new and exciting, Waters noted. Meditech is avoiding this by focusing its generative AI efforts on specific use cases that the company thinks will have serious potential to alleviate clinicians’ burnout, she said.

For one of its generative AI projects, Meditech is using Google’s large language models (LLMs) to power the search and summarization experience within its EHR. Meditech is relying on Google’s LLMs for data harmonization so that clinicians can quickly access a longitudinal view of their patient. In other words, the effort is seeking to ensure clinicians have quick and easy access to all relevant information about a patient — including health data from the Meditech Expanse EHR, health data from legacy technology platforms, scanned handwritten notes and medical images.

Having swift access to a comprehensive view of their patient accelerates physicians’ ability to make sound, informed decisions about treatment, Waters pointed out.

Meditech is also exploring how to layer Google’s Med-PaLM 2 into its EHR’s search and summarization capabilities. Unveiled in April, Med-PaLM 2 is a medical AI system that harnesses the power of Google’s LLMS. The tool is currently being piloted at Mayo Clinic and other health systems — they are testing its ability to answer medical questions, summarize unstructured texts and organize health data.

Once multiple LLMs are layered together into the EHR, clinicians may soon be able to ask the EHR more intelligent questions about the patient data that’s being summarized, said Rachel Wilkes, Meditech’s director of marketing.

As it works to integrate Google’s generative AI into its technology, another use case that Meditech is focusing on is the auto-generation of clinical documentation. Specifically, the company is developing an EHR functionality that will generate generate a “hospital course narrative” — a summary of the patient’s stay, composed at the time of discharge.

When a patient has an acute inpatient hospital stay, the length of the stay and the complexity of the care provided can make the documentation process quite arduous at the time of discharge. Providers tell Meditech that this documentation process can take 30 minutes of a clinician’s time each time a patient leaves the hospital, Wilkes pointed out.

She said Meditech is currently working with Google to determine the best way to leverage its LLMs to generate hospital course narratives in the EHR. These summaries of a patient’s stay will be presented to clinicians in their Meditech Expanse workflow, and they will have the option to edit the summary or any drafted pieces of documentation included within it.

“We’re not doing this just to do it. We’re looking to see how we can use this technology to make sure we can help our organizations deliver safe, efficient, impactful care. We’re doing this in a thoughtful, deliberate way. We’re doing a very careful review of the use cases that we’re pursuing, how they impact existing workflows and how we can embed this into Expanse for the betterment of the experience for our users,” Wilkes declared.

Photo: invincible_bulldog, Getty Images

Read More

Epic's biggest moves in 2023

September 24, 2023

From deepening its integration of Microsoft's generative AI tools into its ecosystem to rolling out a new online app gallery, here are 14 of Epic Systems' biggest moves this year:

  1. UPMC is moving from nine EHRs to Epic Systems.
  2. Epic Systems integrated two-way patient texting, which allows hospitals and health systems using its software to offer patients mobile messaging that can send them alerts about appointments, prescriptions and billing.
  3. Epic said it will roll out an online app gallery to help users find resources and connections.
  4. Epic Systems founder and CEO Judy Faulkner told audiences at the company's annual Users Group Meeting that the vendor plans to provide more training for workers struggling to learn its software systems, connect millions more patient records to data systems and use generative AI to reduce provider workload.
  5. Epic Systems and Microsoft again expanded their partnership and will integrate conversational, ambient and generative AI technologies into Epic's EHR ecosystem.
  6. KeyCare, the only Epic-based virtual care company in the U.S., ended its first year with 10 health system and health tech partnerships.
  7. Epic created the "Partnership and Pals" collaboration program allowing companies to work with the vendor.
  8. Epic Systems said it will partner with Nuance, a clinical documentation software company owned by Microsoft, to integrate GPT-4-powered clinical documentation technology into the company's EHR software. Under the partnership, Nuance's Dragon Ambient eXperience Express, an AI-powered clinical documentation application that uses GPT-4, will be integrated into Epic.
  9. According to KLAS Research, the EHR vendor added 83 hospitals to its network in 2022, the most of any EHR vendor last year.
  10. Leading health systems from across the country, including Palo Alto, Calif.-based Stanford Health Care and Rochester, Minn.-based Mayo Clinic, have pledged to use Epic's software to share health information with the Trusted Exchange Framework and Common Agreement.
  11. Epic entered a partnership with Microsoft to develop and integrate generative AI into its EHR software. Under the partnership, the companies will combine Microsoft's Azure OpenAI Service with Epic's EHR software. UC San Diego Health, Madison Wis.-based UW Health, Chapel Hill, N.C.-based UNC Health and Palo Alto, Calif.-based Stanford Health Care have already started to use the new integration to automatically draft message responses.
  12. The EHR vendor snagged New Hyde Park, N.Y.-based Northwell Health as a new customer. The health system will move from an Allscripts EHR system to an Epic one.
  13. Epic Systems was approved for onboarding to join the Trusted Exchange Framework and Common Agreement, a new health information exchange framework.
  14. Epic was named the top overall health IT software suite for the 13th year in a row in the 2023 Best in KLAS Awards.

Copyright © 2023 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

Read More

Reproducibility of GPT4 in Healthcare - An Experiment

September 24, 2023

Bill Russell on a recent podcast covered HealthcareITNews article entitled "Generative AI 'not reliable yet,' says Mayo Clinic's John Halamka, M.D., M.S."

I've been enthralled by OpenAI's function calling where you can basically request a response in JSON to plug into your user interface (ie FHIR app, mPage, etc).

So I created a simple webapp at gptexperiments.patient.dev that would use function calling and let the user enter a triage nurse blurb and get the top five likely conditions according to GPT4, as well as probability and reasoning.

gptexperiments.patient.dev

As I played around with it, I noticed that even with the same exact input, GPT would give me different answers. So I captured 50 sequential API requests using functional calling against the OpenAI API and put them in a google sheet ("overall" sheet) You can check out the exact object sent at the bottom (and copy and paste for yourself)

The nursing triage note (user prompt) was "55M hx of DM, HTN with 2 weeks of right upper quadrant, chest pain."

49/50 (98%) of the time, GPT returned the top, most probable diagnosis as having to doing with gallbladder disease (acute cholecystitis, chronic cholecystitis, gallstones, etc).

Oddly, the one non-gallbladder related top diagnosis was GERD, which is somewhat disturbing as I asked GPT to image they were an ER doc ... and I don't know any ER doc who would think the most probable diagnosis in a "55M hx of DM, HTN with 2 weeks of right upper quadrant, chest pain" would be GERD. I imagine most would think of more life threatening diagnoses as acute coronary syndrome, gallbladder pathology, pancreatitis, etc.

I asked GPT Advanced Data Analysis to help with how similar each run was to the other. It suggested using Jaccard similarity.

"On average, the runs have a Jaccard similarity of 3.41%±6.97%, indicating that there's a moderate amount of variation in the diagnoses generated across different runs."

GPT Advanced Data Analysis Jaccard Similarity for 50 Runs of Triage Nurse Narrative to five conditions.

My take home from the experiment is:

  1. Function calling has insane potential for FHIR apps / mPages / anything in the EHR that can do a simple network request and then process JSON.

  2. There is a considerable amount of variation which worries me, but it probably produces more relevant and useful NLP responses than anything we got. It brings to mind the saying, "Don't let perfect be the enemy of getting stuff done." Given the right use cases (such as a co-pilot for differentials based on minimal triage text), functions calling in GPT can be helpful in the ER, especially at 3am.

Addendum:

I used the default temperature (0.8) in creating the sheet overall. I ran again with temperature = 0 on overall2. There does seem to be less variation, however, there is still considerable variation beyond the top two diagnoses.

Appendix: This is what was sent to GPT 50 times in a row:


Read More
View All
Insights by Kate Gamble
View All
Our Partners

Premier

Diamond Partners

Platinum Partners

Silver Partners

This Week Health
Healthcare Transformation Powered by Community
Looking to connect or attend events? Visit our sister organization, 229 Project
Click here.

© Copyright 2024 Health Lyrics All rights reserved