Monday 26 June 2023

Delay the A.I. Diagnosis But Get Rid of Pajama Time.

**AI-Assisted Documentation: Streamlining Healthcare with ChatGPT**

In the bustling field of healthcare, the integration of artificial intelligence (AI) has been met with excitement and anticipation. Enthusiasts predict a future where doctors are equipped with superintelligent AI assistants, offering valuable insights for patient care. However, before reaching such lofty ideals, AI in healthcare is currently focused on more practical applications. One crucial area that AI aims to address is the overwhelming burden of digital paperwork that plagues physicians.

Doctors, from esteemed medical centers to family practices, harbor a shared optimism that healthcare will reap the benefits of generative AI technology. This technology, capable of producing everything from computer programs to poetry with human-like fluency, is now being harnessed to streamline the documentation required for treatment, billing, and administrative purposes. Although still in its nascent stages, AI is already proving to be a tireless companion in combating the arduous task of medical note-taking.

Unlike AI algorithms that have already gained FDA approval for specific applications, generative AI presents unique challenges in the realm of healthcare. It has the tendency to create fabrications or “hallucinations,” which may be amusing in other industries but not when lives are at stake. Consequently, the adoption of generative AI in healthcare, especially in diagnosis and treatment planning, will be slowed down by regulatory uncertainty, patient safety concerns, and the risk of litigation. Medical professionals must carefully select use cases for AI implementation.

The burden of documentation is a leading cause of burnout among doctors and nurses, prompting many to leave the profession. Primary care physicians, in particular, find themselves devoting significant after-hours time to electronic health records, a phenomenon known as “pajama time.” Generative AI is seen as a promising tool to alleviate the physician workload crisis. Considering the urgent need for assistance in healthcare, this technology arrives at an opportune moment.

Over the years, doctors have implemented various documentation aids, such as speech recognition software and human transcribers. However, the latest generation of AI surpasses these capabilities. It not only assists with transcribing but also summarizes, organizes, and tags conversations between doctors and their patients. Leading companies in this field, including Abridge, Ambience Healthcare, Augmedix, Nuance (a Microsoft subsidiary), and Suki, are developing technology that promises to transform healthcare documentation practices.

At the University of Kansas Medical Center, ten physicians have been using generative AI software for the past two months. Dr. Gregory Ator, an ear, nose, and throat specialist and the center’s chief medical informatics officer, plans to offer this software to their 2,200 physicians in the future. However, the center remains cautious about using generative AI in diagnosis due to concerns about the reliability and transparency of its recommendations. Ensuring patient safety and avoiding ambiguity in medical reasoning are critical, and therefore, “hallucinations” are not tolerable in the medical field.

Abridge, a startup founded in 2018 by Dr. Shivdev Rao, a practicing cardiologist and former executive at the University of Pittsburgh Medical Center’s venture arm, has turned the institution into a testing ground for generative AI. Large language models, the driving force behind generative AI, inspired Dr. Rao to seek an automated solution to the clerical overload in healthcare. Even Dr. Rao’s own father, a retired individual, faced the challenge of typing medical records quickly enough. Today, over 1,000 physicians in the University of Pittsburgh Medical Center utilize the Abridge software.

Dr. Michelle Thompson, a family physician specializing in lifestyle and integrative care in Hermitage, Pennsylvania, has experienced firsthand the impact of AI in her practice. By employing the Abridge software, she now saves nearly two hours each day. This newfound time allows her to engage in activities like attending a yoga class or enjoying a leisurely family dinner. In addition to easing her workload, AI has transformed the patient experience for Dr. Thompson. With no need for typing or note-taking, she can be fully present with her patients. After obtaining their consent, Dr. Thompson simply records their conversation on her phone.

The Abridge software also empowers patients to take an active role in their own care. Immediately after a visit, patients receive a summary accessible through the University of Pittsburgh Medical Center’s online portal. Translated into plain English at a fourth-grade reading level, the summary ensures clarity and comprehension. The software even provides a recording of the visit, color-coded to highlight important medical moments such as procedures, medications, and diagnoses. Patients can click on colored tags to replay specific portions of the conversation, serving as a valuable reminder for medication instructions, exercise routines, and follow-up appointments.

It is well-known that patients often forget up to 80 percent of the information conveyed during medical visits. The recorded and AI-generated summary serves as a resource for patients to revisit, reinforcing important instructions and recommendations. After the appointment, physicians receive a clinical note summary for review. Links to the doctor-patient conversation transcript allow for verification of the AI’s work, building trust in the system.

Dr. Hitchcock, a family physician in Chattanooga, Tennessee, has also experienced the benefits of AI through Abridge software. While he acknowledges the impressive capabilities of AI, he remains cautious about relying on AI for diagnoses due to legal, regulatory, and practical concerns. Still, the newfound freedom from tedious digital documentation allows him to enjoy his evenings rather than being consumed by endless paperwork, a ubiquitous aspect of the American healthcare industry. However, Dr. Hitchcock recognizes that AI is not a silver bullet for solving the ongoing healthcare staffing shortage.

In conclusion, generative AI holds great promise for the healthcare field, particularly in alleviating the burden of documentation. While its integration will be hindered by regulatory challenges, concerns about patient safety, and the risk of litigation, AI-powered tools like Abridge are already transforming the daily lives of physicians. Not only does AI streamline administrative tasks, but it also fosters better patient engagement and improves overall healthcare experiences. As AI technology continues to advance, the future of healthcare looks brighter than ever before.

**Editor’s Notes**

The integration of AI in healthcare, particularly in documentation, presents a tremendous opportunity for streamlining processes and improving patient care. While regulatory and safety concerns may slow down its acceptance, the positive impact of AI systems like Abridge cannot be ignored. By freeing physicians from the shackles of excessive paperwork, these technologies enable them to focus on what truly matters—their patients. As we venture into this AI-driven future, the potential for enhancing healthcare delivery is vast. For more updates on AI and its role in healthcare, visit GPT News Room.

**Opinion Piece: AI’s Empowering Role in Enhancing Healthcare Delivery**

Artificial intelligence has long been touted as a transformative force across various industries, and healthcare is no exception. The integration of AI-powered tools in healthcare documentation is a prime example of how technology can empower medical professionals and create more efficient workflows.

As someone deeply familiar with the challenges of the healthcare industry, I am excited to witness the impact that AI is already having on physicians’ lives. The ability to offload time-consuming tasks, such as medical note-taking, allows doctors to allocate more time to patient care and personal well-being. AI acts as a tireless scribe, capturing and summarizing conversations, ultimately easing the physician workload crisis and combating burnout.

Furthermore, AI technology fosters patient engagement and improves health outcomes. By providing patients with easily accessible summaries and recordings of their medical visits, AI empowers individuals to take a more active role in their own care. Remembering crucial information, adhering to treatment plans, and scheduling follow-up appointments are made simpler with the help of AI-powered tools.

However, it is essential to recognize the challenges and limitations of AI in healthcare. Regulatory hurdles, patient safety concerns, and the potential for inaccurate recommendations remain hurdles on the path to widespread adoption. While cautious and strategic implementation is necessary, it shouldn’t deter us from harnessing the potential of AI to revolutionize healthcare. Continued research, clear guidelines, and open dialogue between healthcare professionals, regulatory bodies, and AI developers are crucial for ensuring the responsible and effective use of AI technology.

Overall, the future of healthcare powered by AI is promising. With the support of innovative companies like Abridge, healthcare professionals can navigate the daunting landscape of documentation with confidence and efficiency. As AI continues to advance and address industry challenges, we can expect an exciting era of improved patient care, physician satisfaction, and streamlined healthcare processes.

**Editor’s Notes**

For more information about the transformative potential of AI in various industries, explore the GPT News Room. Stay up-to-date with the latest AI developments and their impact on the world we live in. Visit us at [GPT News Room](https://gptnewsroom.com).

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