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Show HN: Using GPT-3 and Whisper to save doctors’ time

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41–50 of 141 posts

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#41
Maybe the future of the first line of healthcare will start to use AI with the assistance of a specialized nurse to follow your health overtime and only fall back to a real doctor when a real problem occurs.

This could elevate a lot of problems we have with our public healthcare(Canada).

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#42
post #8

Will you sign a BAA for HIPAA covered entities?

They list it under their "legal documents" page: https://www.nabla.com/docs/business-associate-agreement

They're saying that they will keep the information private, but I'm wondering about whether GPT will uphold this standard as well.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#43
I don't spend much time worrying about AI ethics, but bringing AI close to patient interactions and record-keeping in healthcare seems grossly premature and irresponsible. There are countless brilliant applications of AI and the last one we need is a mediocre automated transcriptionist that distances a doctor from their responsibility to engage with the patient and can bear no accountability for error.

This is a task that perhaps can be supported with AI some day, but there are fields that deserve the application of a mature technology, not the gold rush rush game of integrating today's hottest thing.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#44
post #16

I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?

Imagine a doctor instead mumbled his notes in a non native accent into a dictation machine, and had someone on minimum wage type them up?

Um there is dictation tools which are HIPPA compliant?

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#45
post #16

I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?

HIPAA only applies to healthcare providers I think. Private companies like the extension maker can do whatever they want. At least that’s what someone on the internet told me and maybe it’s wrong.

If the provider wants to use the extension for patient care, the extension maker must be prepared to enter into an agreement to comply with the HIPAA rules.

https://www.hhs.gov/hipaa/for-professionals/covered-entities...

> If a covered entity engages a business associate to help it carry out its health care activities and functions, the covered entity must have a written business associate contract or other arrangement with the business associate that establishes specifically what the business associate has been engaged to do and requires the business associate to comply with the Rules’ requirements to protect the privacy and security of protected health information.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#46
I used to work in a hospital and one thing that was already tough was when doctors would copy massive (multiple page) notes that were mostly boilerplate, probably stored as some template in the EHR. After seeing the same note a few times, you started to learn which page to scroll to in order to view the relevant section for the patient. I would hope this system only generates clinically-relevant text for that patient, usually only 2-3 paragraphs for a standard consultation.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#47
post #16

I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?

HIPAA only applies to healthcare providers I think. Private companies like the extension maker can do whatever they want. At least that’s what someone on the internet told me and maybe it’s wrong.

No. HIPPA applies to software as the software company would be considered a business associate.

"If you handle, store or transmit protected health information (PHI) to or from a covered entity then you need to be HIPAA compliant."

Source: https://github.com/truevault/hipaa-compliance-developers-gui...

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#48
post #44

Earlier quoted context omitted.

Imagine a doctor instead mumbled his notes in a non native accent into a dictation machine, and had someone on minimum wage type them up?

Um there is dictation tools which are HIPPA compliant?

Of course, medical dictation is a whole industry. https://www.bls.gov/ooh/Healthcare/Medical-transcriptionists...

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#49
post #11
post #4

I like the idea, but I would like it even more if it was on-prem. The doctors (at least in EU) will be very wary of having their client meeting essentially recorded by a third party. With this as a cloud SaaS, patient confidentiality is essentially broken since the raw data is available to you while you transcribe it. I understand that you compete with "google speech-to-text" but this is not a feature meant to be use…

There are so many regulations and certifications to do that there are no chances anyone will have money and time to do all paperwork to host it on-perm. Because of these regulatory reasons most hospitals use so old systems that it surprises no one to see Windows XP with IE6 there. I had the pleasure myself of fixing a Material Angular bug that wasn't displaying form fields validation correctly in IE6 only 2 years ago…

Off prem is also a rats nest of regulations.

Re: Show HN: Using GPT-3 and Whisper to save doctors’ time

#50
post #8

Will you sign a BAA for HIPAA covered entities?

They list it under their "legal documents" page: https://www.nabla.com/docs/business-associate-agreement

If I were a provider, I'd probably want to see their BSA with OpenAI.
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