Practical AI in Healthcare

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

57 min · I går
episode S1, E43 - Isaac "Zak" Kohane, MD, PhD (Chair, Biomedical Informatics, Harvard Medical School; founding Editor-in-Chief, NEJM AI) cover

Description

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.

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44 episodes

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

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.

Yesterday57 min
episode S1, E40 - Jeff Smith — AI Regulation, Transparency & Innovation from the Government Perspective artwork

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
episode S1, E39 - Sarah Rossetti, RN, PhD: Nursing Informatics & the CONCERN Early Warning System artwork

S1, E39 - Sarah Rossetti, RN, PhD: Nursing Informatics & the CONCERN Early Warning System

On National Nurses Day, Practical AI in Healthcare welcomes its first nurse: Sarah Rossetti, RN, PhD, of Columbia University. Her CONCERN early warning system takes an unusual approach to predicting patient deterioration. Instead of modeling a patient's vital signs and labs, it models the nurse's documentation behavior, since the frequency and timing of charting reflect clinical concern long before the numbers move. In a 74-unit randomized trial of more than 60,000 patients, published in Nature Medicine, CONCERN was associated with a 35.6% reduction in instantaneous mortality risk. Rossetti and the hosts unpack the method, the counterintuitive rise in ICU transfers, equity safeguards, and what ambient AI means for the signal. https://practicalaiinhealthcare.com/episodes/#S1E39 [https://practicalaiinhealthcare.com/episodes/#S1E39] More on Sarah Rossetti's work: https://www.dbmi.columbia.edu/profile/sarah-collins-rossetti/ [https://www.dbmi.columbia.edu/profile/sarah-collins-rossetti/]

31. maj 202653 min