Can AI Help Solve America’s Medical Records Problem?

by · Forbes
Crumpled paper around telephone fax machine transmitting HIGHLIGHTS mag. advertisement for holiday ... [+] gifts, re story on junk mail. (Photo by James Keyser/Getty Images)Getty Images

If you don’t work in a medical office, you might be asking yourself, “what medical records problem?”

However, if you’ve ever asked a hospital to send medical records to some other practice or healthcare facility, you might have an inkling of what the country’s medical professionals are dealing with.

The Old Machine: Faxes in Medical Offices

Essentially, medical offices are unable to send each other information in a direct and straightforward way. There’s a physical reminder of this in the back of many offices – making noise, spitting out paper documents.

'Sending a message by telautograph', UK, 1894. Pen and ink drawing by A S Hartrick, showing a man ... [+] using a telautograph transmitter (right). The receiver unit is on the left. The telautograph was invented and named by Professor Elisha Gray (1835-1901) in 1891 and shown at the Chicago Exhibition, USA. The apparatus was exhibited at a conversazione of the Royal Society, London, in June 1894. While most people consider the fax machine a modern invention, its use over telegraph wires started with the invention for the telautograph, a machine which transmitted and received handwritten messages. (Photo by Science & Society Picture Library/SSPL/Getty Images)SSPL via Getty Images

That’s right — it’s a fax machine.

To many first-time visitors, it might seem strange that 21st-century doctors’ offices are relying on a technology that’s been replaced in most other industries.

But there’s another problem that makes this a unique challenge for the medical world — the stringent privacy standards of HIPAA mean that systems like Docusign or various types of PDFs may not be secure enough to send through email. And if there’s not a safe digital conduit, then it’s back to the fax.

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This Vox article goes into detail about the reasons for the fax machine’s ubiquity in American medicine (you can also read this article at SentinelOne to understand the ramifications of HIPAA).

Those who were paying attention remember how the HHS HITECH act involved “meaningful use” standards set by the Obama administration, incentivizing the adoption of medical health records across the board.

The federal office was adept at getting offices to adopt EHRs and EMRs. However, the government failed to plan for the problem of interoperability, and many medical software systems don’t talk to each other, so humans have to take information from one system and funnel it into another.

The Potential of Artificial Intelligence Models

Let’s turn to a new way to potentially solve this problem.

Theoretically speaking, if AI systems can take data and make it change from any format into any other format, they should be able to help bridge the gap between different medical software systems and thereby automate nearly all of the labor-intensive processes are now done by clerks.

UNITED STATES - APRIL 21: This Telecopier 485 fax machine made by the Xerox Corporation was ... [+] intended for office use. The first fascimile machine was developed shortly after the printed telegraph by the Scottish clockmaker Alexander Bain (1810-1877) in 1842. The central principle in facsimile technology that distinguished it from printed telegraphy was that the text was scanned. The first xerographic image was produced by the American pioneer of electrophotography, Chester Carlson (1906-1968) in 1938. In 1959 the Xerox company brought out the Xerox 914, the first automatic office photocopier. Xerox introduced their first telecopier, which worked in a similar way to the photocopier but using signals transferred by telephone, in 1966. (Photo by SSPL/Getty Images)SSPL via Getty Images

An article at Andreessen Horowitz talks about solving the “messy inbox problem” by synchronizing different types of unstructured or poorly structured data into a lean, mean identification machine, so to speak.

A few diagrams provide suggestions of how to build this kind of architecture, leading to a “native-AI system of record.”

“By being able to replace human labor with LLMs, you’re effectively stepping in front of any existing downstream software systems,” writes David Haber. “The ability to synthesize unstructured voice or text data and systematically extract relevant information earns you the right to initiate (and own) other downstream workflows.”

That idea of downstream systems is relevant. Getting things right up top leads to a tighter funnel, a better way of distributing information.

At the end of the day, using the power of LLMs, we may be able to finally get past some of the data formatting that’s been bedeviling medical records offices for decades, despite the digital changeover years ago.

Promotional view of a Xerox Magnafax Telecopier, Rochester, New York, 1966. The office machine can ... [+] convert an image to sound and transmit it a telephone line, where a receiving machine reverts the sound back to an image. (Photo by Xerox/PhotoQuest/Getty Images)Getty Images

But that’s by no means the only use case for AI in this way. From finance to law, and beyond, business leaders are revolutionizing business processes by “cleaning up” data systems in these ways. Let’s keep looking at what companies are doing to reinvent their office practices. Soon, the ancient fax may be a thing of the past.