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How Clinicians can adapt to Rise of Machine Learning and AI

Shahid N. Shah
November 07, 2017
240

How Clinicians can adapt to Rise of Machine Learning and AI

Keynote presented at Technology Association of Georgia (TAG) 2017 Health IT Leadership Summit.

Shahid N. Shah

November 07, 2017
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Transcript

  1. ML is here. AI is coming.
    How will the medical profession
    change in the next 10 years?
    Data democratization and liberation does for
    medical science what social media did for news
    @ShahidNShah

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  2. 15 year old student discovers cure for rare disease
    while gaming
    Computer creates treatment for prostate cancer

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  3. Technology has digitized our experiences
    Last and past decades
    Digitize
    mathematics &
    engineering
    Digitize maps,
    literature, news
    Digitize
    purchasing,
    social networks
    Predict crowd
    behavior
    This and future decades
    Digitize
    biology
    Digitize
    chemistry
    Digitize
    physics
    Predict human
    behavior
    Gigabytes and petabytes, all sharable Petabytes and exabytes, not shareable

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  4. Machine Learning and AI in healthcare will be slowed by intermediated business
    models, misunderstood regulations such as HIPAA / FDA QSR and protective
    regulations such as licensure and credentialing.

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  5. What's not going to change in healthcare?
    Do no harm, safety
    first, and reliability
    effect on standard of
    care
    Statutory cruft &
    regulatory burdens
    increase over time
    Government as
    dominant purchaser
    Outcomes based
    payments
    intermediation &
    pricing pressure
    Eminence & consensus
    driven decisions as
    collaboration increases
    Increased use of
    alternate sites of care

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  6. Regulations and data privacy will hold AI at
    bay…only for a little while .

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  7. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Docs and nurses
    as clerical staff
    TODAY

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  8. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    PGHD, Med Device
    Connectivity
    TODAY, ACCELERATING

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  9. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Automating
    retrospective
    visibility
    TODAY

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  10. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Pattern matching
    mastery
    (unsupervised and
    supervised)

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  11. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Use past knowledge
    to make rudimentary
    predictions about the
    future

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  12. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Finding known
    needles in haystacks
    and pop health
    TODAY, MAY SKIP FOR ML

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  13. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Semi autonomous
    intelligence which
    needs humans
    ARRIVING SOON

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  14. The Digital Transformation Spectrum
    Manual Data
    Collection
    Systems
    Integration
    Reporting
    and Analytics
    Data Mining
    Predictions
    Machine
    Learning
    Augmented
    Intelligence
    Artificial
    Intelligence
    Real intelligence
    indistinguishable
    from humans and
    fully autonomous
    YEARS AWAY

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  15. Data ushering in Scientific Method 3.0 .
    1.0
    Identify
    phenomenon
    Think about
    nature
    Fit to known
    patterns
    Guess at
    answers
    3.0
    Identify
    data
    Generate
    questions
    Mine data
    Answer
    questions
    2.0
    Identify
    problem
    Ask
    questions
    Collect
    data
    Answer
    questions

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  16. How will we know if we’ve reached 3.0 ?

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  17. RESPONSIBLE
    AND
    ACCOUNTABLE

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  18. OUTCOMES MATTER

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  19. How will medical roles evolve or be
    eliminated?
    Find other
    opportunities
    within 2-3 years
    Clerical
    Focus on value-added
    tasks such as revenue
    growth or new
    business development
    within 3-5 years
    Administrative
    •Learn data science
    •Seek digital imaging and
    digital pathology
    integration opportunities
    •Become telehealth native
    Early career
    clinical
    •Learn to teach computers
    •Become a digital
    transformation change
    agent / leader
    •Drive telehealth across the
    multiple institutions
    Mid career
    clinical • Learn to teach
    computers your
    wisdom
    • Ignore the
    transformation and
    retire early
    Late career
    clinical

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  20. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Cohort specific
    Personalized
    Risk Data Sharing

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  21. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Auto Literature Review
    Specialty-specific Content

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  22. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Auto Adjudication
    Fraud Detection
    Quality Compliance
    Contract Adherence

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  23. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Patient Self Diagnostics
    Unlicensed Pro Diagnostics
    Digitally and Heuristically Guided Diagnostics
    Images (self, guided, consulted)
    Labs and Chemistry (self, guided, consulted)
    Multi-omics (self, guided, consulted)
    Molecular Biology

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  24. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Auto Triage for Low-risk
    Augmented Triage for Higher risk
    Infection control / Anti-microbial Stewardship
    Consulted Tele Diagnostics
    Med Device Continuous Diagnostics

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  25. Where ML and AI are applicable (care)
    Therapies
    Therapeutic
    Tools
    Diagnostics
    Diagnostic
    Tools
    Patient
    Administration
    Payer Admin
    Clinical
    Professional
    Education
    Public Health
    Education
    Patient
    Education
    Most Regulation
    Least Regulation
    Physical
    Mental (chat, VR, etc.)
    Digital (nutritional, etc.)
    Clinical Research ( “systematic review automation”)
    Drug Development
    Clinical Discovery (unattended and digital)

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  26. Where ML and AI are applicable (data)
    Proteomics
    Genomics
    Biochemical
    Imaging
    Behavioral
    Phenotypics
    Admin
    Economics
    Connectivity Integration Transformation Comprehension Enrichment Insights Cognition
    No ML or AI possible without these

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  27. How should machines go through medical training?
    Which medical school will have the first machine
    learning algorithm training department?

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  28. HOW CAN WE BEAT AI?
    L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)

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  29. Here’s the formula that can keep you relevant
    Lv
    → Leadership value = (target a large number greater than 1)
    • Kc
    → inquisitive knowledge of industry led by curiosity about why things are the way they are +
    • Spj
    → visionary strategy informed by problems to be solved and jobs to be done +
    • C2 → communication & coordination +
    • (a)Ti
    2 → application of actionable transformative technology fully integrated into complex workflows +
    • Rpfu
    → understanding performance, financial, and utilization risk (shared, one-sided, two-sided)
    • Ewo
    → execution through workforce optimization
    • SQ → status quo is a constant, the size of which depends upon your organization. It means do no harm,
    focus on patient safety, reliability, intermediation, & maintain eminence and consensus based decision making
    Lv
    =
    SQ
    Kc
    + Spj
    + C2 + (a)Ti
    2 + Rpfu
    + Ewo

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  30. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    Inquisitive
    knowledge of
    healthcare industry
    led by curiosity
    WONDER WHY

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  31. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    PTBSs
    JTBDs
    Visionary strategy informed by PTBSs &
    JTBDs

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  32. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    Coordination and communication

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  33. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    Actionable transformative technology fully
    integrated into workflows

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  34. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    Financial Risk is shifting from payers more to providers and patients
    Utilization Risk is being shared
    Performance Risk is now borne by providers

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  35. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    Execute with ruthless attention to workforce
    optimization

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  36. L
    v
    = (i)K
    c
    + (v)S
    PJ
    + C2 + (a)T
    i
    2 + R
    PFU
    + E(wo)
    - Shahid Shah
    “Learn how to craft strategy, apply
    it to corporate culture, master
    workforce change management,
    and you’ll be in demand for life.”
    -Shahid Shah ☺

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  37. Thank You.
    Find this and many other of my decks at
    http://www.SpeakerDeck.com/shah
    ML is here. AI is coming.
    How will the medical profession change in the next 10 years?
    @ShahidNShah
    [email protected]

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