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Ontario family doctor says new AI notetaking saved her job

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181–190 of 274 posts

Re: Ontario family doctor says new AI notetaking saved her job

#181

How about improving the processes and reduce the amount of forms and admin work instead?

This is another version of "use public transport instead of throwing billions on futile self driving cars" -- it's the correct, rational thing to do, but it's not the American way!

Car ownership continue to grow around the world. Maybe not everywhere, but definitely in countries where public transportation is popular, such as the Netherlands. The number can be found easily.

Re: Ontario family doctor says new AI notetaking saved her job

#182
post #176
post #113

Earlier quoted context omitted.

The HIPPA rules on health data are fairly strict, otherwise your doctor, hospital and so on could already be doing wrong. Personally I have a dumb TV, car, doorbell and fridge so not much spying there. The phone I'm less sure of.

Working at the edge of cybersecurity and privacy, you've just stepped in it: there is no "Health Insurance Portability and Privacy Act". It's the "Health Insurance Portability and Accountability Act" (HIPAA). (And I see that noone corrects you below. [edit -- actually a few people do, or the comments are continuing]) Gravity is a fairly strict law too. Maybe you should review what it covers, what it doesn't. The Act…

It's a bit unfair since it's an easy mistake to make but I treat HIPPA as the equivalent of seeing a resume that says someone knows SAP, Bash, JAVA, GIT, Perl. The capitalization is kind of bozo-signaling. HIPPA is bozo-signaling.

I wouldn't expect right capitalization of FedRAMP. But JAVA vs. Java and HIPPA vs HIPAA just seem like you're not truly familiar.

Re: Ontario family doctor says new AI notetaking saved her job

#183
post #174

Earlier quoted context omitted.

> So the same as doctors making occasional big dangerous mistakes that cause lives. Will it be? There are already unanswered questions on who's liable if Tesla's FSD runs you into someone.

I would assume you, the person behind the wheel of the car. Much the same the doctor/staff hitting the submit button on the validity of the records statement.

So Boeing should not have any liability for the MCAS crashes, because the pilots were in control?

Re: Ontario family doctor says new AI notetaking saved her job

#184

Earlier quoted context omitted.

I'm saying getting close to perfection is truly dangerous territory, because everyone gets very complacent at that point. As a concrete example: https://www.cbsnews.com/news/pilots-fall-asleep-mid-flight-1...

We are already there with humans. Most people take a doctor at their word and don't bother to get a second opinion.

At that point, you've at least consulted with a medically trained professional who's licensed (which they have to regularly renew), has to complete annual CME, can be disciplined by a medical board, carries medical malpractice insurance, etc.

There should be requirements for any AI tool provider in the medical space to go through something like an IRB (https://en.wikipedia.org/wiki/Institutional_review_board) given they're fundamentally conducting medical experimentation on patients, and patients should have to consent to its use.

Re: Ontario family doctor says new AI notetaking saved her job

#185
post #162

Earlier quoted context omitted.

That can be easily solved without an EMR. In fact, that's a good AI use case

This doesn't make any sense... an AI is going to be reading the EMRs.

Sorry, I'm talking about traditional EMR.

But you are correct, 'record' will be a storage service with no front end required inputs from the doctor. That's the point. Inputs and outputs without a keyboard or mouse. Just natural language.

In effect, EMRs would become voice-enabled AI chatbots.

Re: Ontario family doctor says new AI notetaking saved her job

#186

Earlier quoted context omitted.

There are already too many restrictive law and rules in the US around healthcare, and here you want to add another restriction.

Ok, I’ll bite. List some concrete examples. Otherwise, I have to land on the default that regulation is good and works better than a free-for-all.

>Ok, I’ll bite. List some concrete examples.

How generous of you

Re: Ontario family doctor says new AI notetaking saved her job

#187
post #140
post #108

Earlier quoted context omitted.

would you care about data privacy when you're dead?

I feel like you were trying to make a point here, but I have no idea what it was.

We are made of electrons. Every electron is the same. Electrons have no sense of privacy.

Re: Ontario family doctor says new AI notetaking saved her job

#188

Earlier quoted context omitted.

And what is your recourse? There's no private cause of action for HIPAA violations.

Bingo. As a new ambulance chaser, I was having some real difficulty getting the medical records for a client - no response for weeks and weeks and weeks. Aha! I thought. HIPAA gives them 30 days(sortof). We'll sue, and surely there's an attorney fee provision in there. Easy money. GOOGLE Wait what? No private cause of action! All I can do is file a complaint with HHS! That said, depending on your state, you may be ab…

> GOOGLE

Maybe ChatGPT would have given you a more favourable answer?

Re: Ontario family doctor says new AI notetaking saved her job

#189

I think these tools are the solution to the shortage of doctors, and will greatly improve performance by taking more parameters into account. Not sure though if a simple LLM can do that. (Shortage of doctors is a thing at least in DE and CH) Doctors study like 10 years to follow a decision tree based on patient background and symptoms. Especially in countries where education is harder to get by this can be useful, I…

The solution to the shortage of doctors is to stop letting doctors decide the supply of doctors. Its a special interest problem. Doctors organize, bribe/lobby politicians, limit licenses, make extra money/get more power, repeat. The excuse 'there isnt enough surgeries', is a chicken and egg problem. More doctors lower the cost, making surgery more reasonable and not necessarily a last ditch option. Not to mention, we…

My limited understanding is that residency programs are a bottleneck and they’re mostly funded by the federal government. I don’t think doctors have control over this?

Re: Ontario family doctor says new AI notetaking saved her job

#190
post #46

Earlier quoted context omitted.

... which, from TFA, adds up to 19 hours (ie >2 extra working days) per week, time that could be (and is) spent seeing other patients.

no argument with the benefit for doctors. I know docs who say they are squeezed because their day is engineered in a way to force them to do paperwork later just wondering what computer process takes minutes. is it building the linux kernel every time?

To be blunt, Enterprise Cloud Architecture is a really good way to make a bunch of fast servers process work slower than a several-generations-old laptop on WiFi. You got trash integrations with all kinds of compromises, queues galore, awful “low-code” solutions somewhere in the mix, cloud VMs with comically tiny network pipes, all kinds of nonsense.
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