In 2009 I participated in a panel at an MIT Symposium on complex systems where I gave a talk on complex social organizations. The panel included talks on financial, energy, and healthcare systems by three eminent leaders in their fields. I was particularly impressed by the talk given by Denis Cortese, who at the time was the president and CEO of the Mayo Clinic, and who after retiring in 2010, joined Arizona State University as Foundation Professor and director of its Center for Healthcare Delivery and Policy.
Dr. Cortese explained that healthcare is a system of coupled systems. Healthcare is composed of three interconnected domains: knowledge, — the domain of medical research, where new ideas, inventions and medical approaches are developed; care delivery, — the domain of physicians and hospitals where patients are treated; and payers, — the domain of insurance and governments that pay for the delivery of healthcare. Each of these domains is quite large and complex in its own right, but their convoluted interactions is one of the main reasons why healthcare systems are so incredibly complex.
Could AI now help us better deal with the inherent complexity of healthcare systems? After decades of promises and hype, AI has finally become the defining technology of our era. Over the past two decades, the necessary ingredients have come together to propel AI beyond universities and research labs into the broader marketplace: powerful, inexpensive computer technologies; advanced algorithms and models; and huge amounts of all kinds data. Data has been the key element in the major AI advances over the past 20 years, including big data and data science in the 2000s, machine and deep learning in the 2010s, and Large Language Models (LLMs) and generative AI in the past few years.
In trying to understand the potential use of AI in healthcare systems, I came across the work of John Halamka. Dr. Halamka is president of the Mayo Clinic Platform, an organization that aims to drive innovations in diagnosis, treatment, and operational improvements in healthcare systems. He’s also a prolific writer, having authored a number of articles and books on the subject.
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