The tech giant is aiming to get on a strong competitive footing against Amazon and Microsoft, but experts say the tech faces challenges in the world of medicine.
to sell new AI products to hospital clients, since Nuance’s medical dictation software is already used by 550,000 doctors. “Nuance has an enormous footprint in healthcare,” says Alex Lennox-Miller, an analyst for CB Insights, which makes Microsoft “well-positioned” for the use of its generative AI software for administrative tasks in the sector.
But no one is there yet. What all the cloud companies have presented to customers are building blocks, says Dekate. That is, plenty of ways to utilize their AI platforms in bespoke applications their customers have to build. But what those customers want are fully-built solutions. The idea of using multiple models to solve a complex problem, known as “composite” artificial intelligence, presents an interesting challenge for the cloud providers, says Dekate. They are simultaneously offering their own in-house models but also partnering with other companies in order to offer “the promise of choice,” he says. Dekate expects that more and more we’ll start to see Google, Microsoft and Amazon start offering services to help customers be able to evaluate different models.
But as models are trained on more and more data, there can be issues with performance. In July, a group of researchers from Stanford and UC Berkeley said their tests suggested that GPT-4’s performance had suffered some, echoing anecdotal reports that can be seen on developer fora. Although this was a preliminary finding and researchers are still learning how generative AI models work, this does spark some concern, especially as it’s not entirely clear how such AI systems arrive at their answers.
When it comes to using Augmedix’s tool, the doctor directly asks the patient for their consent to record the examination and use an AI tool for note-taking, says Schlosser. For the nurse handoff tool, which is not patient-facing, it falls under HCA’s broader privacy consent around using patient data for research and process improvement, he says. HCA is also working on using generative AI for ER discharge summaries, as well as handoffs from the ER to inpatient.
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