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AI and Innovation in Healthcare Daniel Barchi @DanielJBarchi

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Page 1: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

AI and Innovation in Healthcare

Daniel Barchi

@DanielJBarchi

Page 2: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Providing Care Across New York

3.6 MILLIONPATIENT VISITS IN 2018

693,454ED VISITS IN 2018

10,263PHYSICIANS IN 2018

4,067BEDS IN 2018

25,857DELIVERIES IN 2018

At 10 hospital campuses, NYP’s

extraordinary doctors, nurses, and

staff provide outstanding care to

patients across the region.

Page 3: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Our Partnership

Page 4: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

The Speed of the Future

Page 5: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

“How did you go bankrupt?"

The Speed of the Future

Page 6: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

“How did you go bankrupt?"

“Two ways. Gradually, then suddenly.”

The Speed of the Future

Page 7: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Platform Disruption

Page 8: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Platform Disruption

Page 9: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Platform Disruption

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Page 10: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Platform Disruption

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Page 11: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Why is Technology Important?

Page 12: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Technology Levels Disparities

Page 13: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Technology Levels Disparities

Transportation Education Language Cost

Page 14: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Technology Levels Disparities

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Page 15: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Telemedicine

Page 16: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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TeleStroke

Page 17: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Mobile Stroke Unit

Page 18: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 19: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Virtual Urgent Care

Page 20: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

NYP Telemedicine Visits

Page 21: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Robotics

Page 22: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Robotics in Food Service and Logistics

Page 23: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Robotics in Food Service and Logistics

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Page 24: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Robotics

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Page 25: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Intelligence

Page 26: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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“Any decision that can be made in less than one

second can be replaced by Artificial Intelligence”

– Andrew Ng

Page 27: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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“AI is doing essentially everything that requires

‘thinking’ but has failed to do most of what people

and animals do ‘without thinking.'” -Donald Knuth

Page 28: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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“AI is doing essentially everything that requires

‘thinking’ but has failed to do most of what people

and animals do ‘without thinking.'” -Donald Knuth

HardEasy

Page 29: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 30: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Muffin or Chihuahua

Page 31: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Bagel or Dachsund

Page 32: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Croissant or Shar Pei

Page 33: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Narrow Intelligence (ANI)

Artificial General Intelligence (AGI)

Artificial Super Intelligence (ASI)

Artificial Intelligence

Page 34: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Narrow Intelligence

Human

Performance

Computer

Performance

www.waitbutwhy.com

Page 35: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial General Intelligence

2040?Human

Performance

Computer

Performance

www.waitbutwhy.com

Page 36: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

www.waitbutwhy.com

Page 37: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

Page 38: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

8.00 am ASI

Page 39: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

9.00 am 10x Humans

8.00 am ASI

Page 40: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

9.00 am 10x Humans

8.00 am ASI

10.00 am 1,000x Humans

Page 41: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

9.00 am 10x Humans

8.00 am ASI

10.00 am 1,000x Humans

1.00 pm Cure Cancer

Page 42: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Super Intelligence

2060?

‘Singularity’

9.00 am 10x Humans

8.00 am ASI

10.00 am 1,000x Humans

1.00 pm Cure Cancer

3.30 pm Humans?

Page 43: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

“Most people aren't spending a lot of time

right now worrying about singularity—they

are worrying about "Well, is my job going

to be replaced by a machine?"

1

Page 44: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Artificial Intelligence - Don’t Start with Moon Shots

2013 Diagnose / recommend treatment plans using AI

2017 On hold - $62 M with no clinical use

2018 Hotel recommendations, billing, IT solutions

Page 45: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 46: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 47: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Applying Artificial Intelligence

Direct

Clinical

Care Clinical Efficiency

Clinical Trials

Finance

IT

HR

Analytics

Page 48: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Length of Stay

Page 49: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Length of Stay

Page 50: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Length of Stay

Page 51: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 52: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Page 53: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Cognitive Insight

Page 54: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Cognitive Insight

Page 55: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Robotic Process Automation

Centralized Timekeeping

Revenue Cycle – Claims Follow Up

Accounts Payable Automation

Inventory Management

Insurance Verification

Page 56: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Robotic Process Automation

Page 57: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Digital Non-Clinical - Clinical Appeals Optimization

57

Page 58: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Digital Non-Clinical - Clinical Appeals Optimization

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Hip Replacement

CHF

Workplace Accident

Page 59: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Digital Non-Clinical - Clinical Appeals Optimization

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Hip Replacement

CHF

Workplace Accident

Page 60: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Digital Non-Clinical - Clinical Appeals Optimization

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43% 57%

Hip Replacement

CHF

Workplace Accident

Page 61: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

I need a cardiologist who

speaks Chinese

Page 62: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS
Page 63: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Artificial Intelligence - Access

600+ phone numbers

1,000+ agents

7,780,000 visitors

1,000+ web pages

Right answer

Right agent

Syllable

Page 64: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Fail Fast

Page 65: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

Start Fast

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Page 66: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Algorithmic bias

Risks from Technology

Workforce impact

Black box problem

Ethical use of data and AI

Page 67: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

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Healthcare IT - It is not about IT

80% people

15% process

5% technology

Page 68: AI and Innovation in Healthcare - New York Chapter ... 20191012 NYACP Scientific Meeting (1)(1).pdfProviding Care Across New York 3.6 MILLION PATIENT VISITS IN 2018 693,454 ED VISITS

AI and Innovation in Healthcare

Daniel Barchi

@DanielJBarchi