“Since they became publicly available in late 2022, generative artificial intelligence (genAI) tools such as ChatGPT have elicited enormous enthusiasm, as well as concern, in all sectors of the economy,” said “Will Generative Artificial Intelligence Deliver on Its Promise in Health Care?,” a recent article in the Journal of the American Medical Association (JAMA) by Robert Wachter, — professor and chairman of the Department of Medicine at the University of California, San Francisco (UCSF), and Erik Brynjolfsson, — professor and director of the Digital Economy Lab at Stanford University.
“But the potential impact of genAI in health care seems particularly noteworthy. In a field in which an estimated 30% of the $4.3 trillion spent each year in the US adds little to no value, in which many tens of thousands of people die yearly from preventable mistakes, and in which access to care is fragmented and inequities are commonplace, it is natural to be enthusiastic about the potential for genAI to improve quality, efficiency, equity, and patient experience.”
A few weeks ago I posted an entry in my blog on “AI and the Future of Healthcare Systems,” in which I discussed the huge challenges posed by the inherent complexity of the healthcare sector of the economy. Healthcare is a system of coupled systems, comprised of medical and pharmaceutical research; the delivery of healthcare to patients by a variety of practitioners, including hospitals, physicians, nurses, and pharmacists; and the insurance companies and governments that pay for healthcare. The convoluted interactions of these various domains, — each of which is quite large and complex in its own right, — is one of the main reasons why healthcare systems are so incredibly complex.
Given the central role of data in AI, electronic health records (EHRs) play a critical role in the development of AI systems capable of dealing with the complex real-world challenges in the healthcare industry. As explained by the Centers for Medicare & Medicaid Services (CMS): “An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports.”