Practical AI in Healthcare

S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective

43 min · 7. Juni 2026
Episode S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective Cover

Beschreibung

What happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on Practical AI in Healthcare. Smith walks us through ONC's proposed HTI-5 rule, including a striking move to treat AI agents as "users" with the same data-access rights as clinicians, and a new question about whether blocking data from being written back into the EHR is itself information blocking. We also dig into the limits of what a regulator can actually do, and why the real work is coordination across agencies rather than control from any one of them. https://practicalaiinhealthcare.com/ [https://practicalaiinhealthcare.com/] https://www.youtube.com/@PracticalAIinHealthcare [https://www.youtube.com/@PracticalAIinHealthcare]

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45 Folgen

Episode S1, E44 - Reflections #6: After Five Episodes, What Still Has to Be Human? Cover

S1, E44 - Reflections #6: After Five Episodes, What Still Has to Be Human?

In their sixth Reflections episode, Steve and Leon look back across five conversations (Sarah Rossetti, Jeff Smith of ONC, Hugo Campos, Fred Bennett, and Zak Kohane) and decide, deliberately, not to force a single grand theme. What surfaces anyway is one question asked five ways: as AI gets genuinely capable, what still has to be human, and what makes it trustworthy? They cover Rossetti's CONCERN system that models the nurse instead of the patient, ONC giving AI agents patient-like data rights, the tension between patient empowerment and black boxes you don't understand, the Minimum Trustable Product, and Kohane's method for measuring the values a healthcare AI actually acts on. A practical tour of where good is starting to look real.

Gestern48 min
Episode S1, E43 - Isaac "Zak" Kohane, MD, PhD (Chair, Biomedical Informatics, Harvard Medical School; founding Editor-in-Chief, NEJM AI) Cover

S1, E43 - Isaac "Zak" Kohane, MD, PhD (Chair, Biomedical Informatics, Harvard Medical School; founding Editor-in-Chief, NEJM AI)

A quiet war is underway over who controls your health data in the age of AI, and the front-runners aren't the usual suspects. Dr. Isaac "Zak" Kohane, Chair of Biomedical Informatics at Harvard Medical School and founding editor of NEJM AI, traces the line from SMART on FHIR (the accidental standard he helped create in 2009) to today's battle for the doctor-facing AI layer, where companies like OpenEvidence are outrunning the EHR incumbents. He also unveils his Human Values Project, which measures the values embedded inside clinical AI models, and warns how easily payers and pharma could tune them. A two-act conversation about freeing data and guarding values.

28. Juni 202657 min
Episode S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective Cover

S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective

What happens when the rules for getting AI into clinical care are written by someone who has spent his career inside both the advocacy world and the government? In this episode, we talk with Jeff Smith of ONC at HHS, the first government official on Practical AI in Healthcare. Smith walks us through ONC's proposed HTI-5 rule, including a striking move to treat AI agents as "users" with the same data-access rights as clinicians, and a new question about whether blocking data from being written back into the EHR is itself information blocking. We also dig into the limits of what a regulator can actually do, and why the real work is coordination across agencies rather than control from any one of them. https://practicalaiinhealthcare.com/ [https://practicalaiinhealthcare.com/] https://www.youtube.com/@PracticalAIinHealthcare [https://www.youtube.com/@PracticalAIinHealthcare]

7. Juni 202643 min