DIHI Impact Volume 25

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40 episodes

Description

Reading articles published in DIHI's "Volume 25", written by December 2024. https://dihi.org/about-us/impact-reports/

Episodes

Intro: A Year of AI and Human Connection at DIHI

DIHI Impact Volume 25

A Year of AI and Human Connection at DIHI. Over the past year, the Duke Institute for Health Innovation (Called DIHI) has forged ahead with several endeavors integrating artificial intelligence (AI) and machine learning solutions into healthcare operations, focused on working with our frontline clinicians. While not as new as they might seem, these technologies have matured significantly, offering unprecedented opportunities for enhancing patient care and operational efficiency simultaneously.

Mar 21, 2025 · 4:19

RFA Project Briefs from 2024

DIHI Impact Volume 25

RFA 1. An Automated Post-Hospitalization Track for Patients Discharged on Outpatient Parenteral Antimicrobial Therapy

Mar 21, 2025 · 4:07

RFA-1. An Automated Post-Hospitalization Track for Patients Discharged on OPAT

DIHI Impact Volume 25

An Automated Post-Hospitalization Track for Patients Discharged on Outpatient Parenteral Antimicrobial Therapy. This work team includes Dr. Molly Hillenbrand, Dr. Michael Yarrington, Dr. Kristen Dicks, Jamie Daniel, Will Knechtle and the rest of the DIHI team.

Mar 21, 2025 · 4:21

RFA-2. Making it EASY to Schedule Telehealth Visits in Rheumatology

DIHI Impact Volume 25

Making it EASY to Schedule Telehealth Visits in Rheumatology. Written by David Leverenz, MD, Master of Education

Mar 21, 2025 · 5:16

RFA-3. Automating CMS Quality Measure Curation

DIHI Impact Volume 25

DIHI Innovation Award Project: Automating CMS Quality Measure Curation. The team includes

Mar 21, 2025 · 4:37

RFA-4. Machine Learning in Lower Back Pain Triage

DIHI Impact Volume 25

Use of Machine Learning to Support Triage of patients with lower back pain. The team leadership included

Mar 21, 2025 · 4:34

RFA-5. Duke Raleigh Hospital Automated Staff and Bed Assignment

DIHI Impact Volume 25

Duke Raleigh Hospital Automated Staff and Bed Assignment. There’s a big Problem when patients spend excess days in the hospital.

Mar 21, 2025 · 3:27

EXP-1. Health Record Optimization to Identify Candidates for Pre-exposure Prophylaxis

DIHI Impact Volume 25

Health Record Optimization to Identify Candidates for Pre-exposure Prophylaxis. Written by Aleefia Hassan and Maryam Aziz

Mar 21, 2025 · 7:04

EXP-2. Cardiogenic Shock Overview

DIHI Impact Volume 25

Cardiogenic Shock. by Dr. Henry Foote

Mar 21, 2025 · 4:35

EXP-3. Federated Learning with Healthcare AI & Owkin

DIHI Impact Volume 25

Federated Learning: Revolutionizing Healthcare AI with Owkin. By Bradley Hintsee

Mar 21, 2025 · 5:09

EXP-4. Understanding and Managing Clinical Metadata with Poseidon

DIHI Impact Volume 25

Understanding and Managing Clinical Metadata with Poseidon. By Bradley Hintsee and Jamie Daniel

Mar 21, 2025 · 8:19

AIGE-1. HEAAL: AI Impact on Health Equity

DIHI Impact Volume 25

Framework for assessing the impact of AI on health equity: Health Equity Across the AI Lifecycle (HEAAL). by Jee Young Kim, P.H.D.

Mar 21, 2025 · 5:46

AIGE-2. Crating an AI Training Program for Physicians, with the AMA

DIHI Impact Volume 25

Creating an AI ethics training program for physicians in collaboration with the American Medical Association . by Jee Young Kim, PhD

Mar 21, 2025 · 3:42

AIGE-3. AI Governance in Canadian Healthcare

DIHI Impact Volume 25

Title: Establishing an AI governance system to facilitate the safe and responsible adoption of AI software in a Canadian context. by Jee Young Kim, P.H.D.

Mar 21, 2025 · 3:07

AIGE-4. Building a one-of-a kind AI evaluation rubric tool

DIHI Impact Volume 25

Building a one-of-a-kind Artificial Intelligence product evaluation rubric tool . By Vaibhav Jha. “Artificial Intelligence” will be abbreviated as “AI”.

Mar 21, 2025 · 4:32

LLM-1. LLMs for HIV Care Engagment

DIHI Impact Volume 25

Leveraging a Large Language Model to deploy a tool for accurate care engagement classification among patients with HIV within the Duke University Health System. By Aleafia Hasan and Naseem Alavian

Mar 21, 2025 · 8:32

LLM-2. Inbasket Messaging with LLMs

DIHI Impact Volume 25

Inbasket Messaging with Large Language Models. By Karthick Pejavara

Mar 21, 2025 · 10:05

LLM-3. Duke Health Policy Assistant – The RAG journey with Dr Mike Kent, Erin Hamtil, Sam Fiske, Katie Clark+

DIHI Impact Volume 25

“Duke Health Policy Assistant – The RAG journey”. By Matt Gardner

Mar 21, 2025 · 8:42

LLM-4. Keep Large Language Models Local

DIHI Impact Volume 25

Keep Large Language Models Local. By Marshall Nichols and Mike Revoir

Mar 21, 2025 · 4:44

LLM-5. LLM Model Frontier in 2024

DIHI Impact Volume 25

Large Language Models and generative AI continue to dominate the discourse across industries and the economy in 2024. Since the advent of ChatGPT, many other companies have contributed to the burgeoning landscape of LLMs and generative AI solutions. In the past two years, Anthropic, Meta, Mistral, and many other labs have contributed state-of-the-art models that have greatly improved the general performance of LLMs in what seems to be an arms race. In healthcare, generative AI solutions promise to automate burdensome processes, augment clinician workflows, and increase the overall efficiency of health systems, payors, and other healthcare players. Despite all of this activity, there is some emerging evidence that the investment into generative AI is still outpacing the return in terms of solutions, especially when it comes to investment in compute resources. On the other hand, there are exciting new developments in the world of large language models, especially when it comes to post-training, compute-heavy workflows. As I discussed last year, this is largely due to the last-mile problem of integrating generative AI into real-world workflows, which requires custom development and careful evaluation of solutions that go beyond demos that impress but are ultimately insufficient to transform the status quo.. The arms race

Mar 21, 2025 · 8:59

TEAMTAKE-1. Intrapreneurial Healthcare Strategy

DIHI Impact Volume 25

This article explores how information fluidity, artificial intelligence (AI) in healthcare, and intrapreneurial spirit may be united to drive innovation at Duke University. It emphasizes the importance of bolstering intellectual property, strategic AI adoption, and a resilient culture. . There are four key assertions. One. Innovation should be driven by problems and needs. Even so, at Duke, we have many outstanding assets to leverage. Two. We healthcare professionals have a desperate need for information fluidity and local innovation. Third. Generative AI and LLMs are a tool, not a solution! Fourth, healthcare leaders should reduce their focus on incomplete solutions that do not leverage their assets. This includes focusing too exclusively on improving the core business, undervaluing the human value-add, and over-investing in external technology products. Finally, I propose a solution: catalyze internal innovation and build a community of intrapreneurs.

Mar 21, 2025 · 19:15

TEAMTAKE-2. Commercializing Innovation: Insights from Suresh Balu - In Restaurant

DIHI Impact Volume 25

Our Team's Take on Commercializing Innovation: An Interview with Suresh Bahlu. Interviewed by Will Connectlee from DeeHigh and Feydor Kossakovski from the Duke Office of Translation and Commercialization.. A New Innovation is Great, but how do you get it out there - to the masses?

Mar 21, 2025 · 33:04

TEAMTAKE-3. Tracking Health Innovations with Statistical Process Control from a Pediatric Project

DIHI Impact Volume 25

Utilizing Statistical Process Control to Track the Impact of Our Health Innovations: Lessons from a Pediatrics Project. Written by Will Ratliff, M.B.A.

Mar 21, 2025 · 5:23

TEAMTAKE-4. Perspectivation in Healthcare

DIHI Impact Volume 25

Perspectivation in Healthcare: Driving Innovation Through Diverse Perspectives. By: Jamie Daniel, who was inspired by Carl Friedrich Graumann and Werner Kallmeyer, who wrote the book, Perspective and Perspectivation in Discourse.

Mar 21, 2025 · 8:03

LEGACY-1. CKD and e-consults

DIHI Impact Volume 25

In the summer of 2014, Dr. Blake Cameron was a nephrology and informatics fellow with bold ideas about leveraging data and technology to improve healthcare. He sought out universal problems hiding in plain sight.. The idea at that time was to leverage existing patient data to detect and intervene on progressing chronic kidney disease to prevent dialysis ‘crash starts’ - when patients are put on dialysis emergently. These patients, at higher risk of poor outcomes, were frequently unaware of their progressing chronic kidney disease (that is, CKD) and not receiving adequate treatment.

Mar 21, 2025 · 12:40

LEGACY-2. Duke TeleHOPE Program

DIHI Impact Volume 25

The Duke TeleHOPE program, a multidisciplinary initiative to improve care transitions between hospitals and skilled nursing facilities (Sniffs), has successfully reduced readmission rates and reduced Sniff costs over five years. This innovative program leverages weekly teleconferences to facilitate communication and collaboration between hospital and Sniff care teams.. Problem

Mar 21, 2025 · 5:56

LEGACY-3. SymMon: Duke University's COVID-19 Response App

DIHI Impact Volume 25

The Duke COVID-19 Symptom Monitoring App, known as SymMon, was a cornerstone of Duke University's pandemic response. The app's development, spearheaded by the Duke Institute for Health Innovation (DeeHigh) and the Duke Office of Information Technology (O.I.T.), played a pivotal role in the successful reopening of campus. The app was launched for iOS and Android phones in July 2020 to facilitate the safe return of student-athletes to campus, roughly three weeks after the project team first met to conceive the solution. It quickly ramped up to over 16,000 users in the next two weeks as faculty, students, and staff returned to campus for the Fall 2020 semester. The app included several key features that made it highly effective in managing the health and safety of the Duke community during the pandemic: . 1. Health Checks: Users could complete daily health checks, which included symptom reporting and temperature logging. This feature helped in early detection of potential COVID-19 cases. Usage scaled from 11,000+ health checks in July 2020 as student-athletes returned to 195,700+ in August and 291,000+ in September as the Fall 2020 Semester began.

Mar 21, 2025 · 3:05

LEGACY-4. Autism & Beyond Study

DIHI Impact Volume 25

'Autism & Beyond' was a study of young children's mental health that sought to better understand and identify risks for development. The study aimed to test video technology to analyze a child's emotions and behavior. This technology was adopted to screen young children in their homes for autism and mental health challenges, such as anxiety or tantrums. Early intervention is crucial for improving outcomes in children with autism. . The app, which leveraged Apple's ResearchKit, used the front-facing camera on an iPhone to record a child's reactions to stimulus videos and used facial recognition software to automatically locate key features of the child's face so that we could measure emotions and head position. Most of our innovation came in the video portion of the app. As the child sat on the parent's lap watching four short video clips, the device's user-facing 'selfie' camera recorded the child's reactions to the videos, which were designed to make them smile, laugh and be surprised. Analytical software in the app automatically marked key landmarks on the child's face and assessed their emotional responses. For example, in a short video of bubbles floating across the screen, the video algorithm looked for movements of the face that would indicate joy. We made an accessible tool that combined this video analysis with patient-reported questionnaires. It is important to note that all data collected was anonymized and stored securely, adhering to the highest standards of privacy and data security.

Mar 21, 2025 · 3:20

LEGACY-5. Voices of Duke Health

DIHI Impact Volume 25

The Department of Medicine and the Duke Health Office for Patient Safety and Clinical Quality developed the Voices of Duke Health initiative with support from DeeHigh’s 2018 Innovation Grant. We designed this podcast as a “listening booth” with the mission of giving Duke Health providers, students, and patients a new platform to be vulnerable and share their stories. This mission to bridge understanding amongst our listeners provided us with a different way to explore how we could better support each other. In 2019, Voices of Duke Health won the ABIM Foundation Trust Practice Challenge, an initiative to build or rebuild trust in healthcare systems – a testament to the success of the project. It was also recognized by the AAMC Group on Institutional Advancement during the Best Practices in Digital Storytelling from Around the GIA session. . The Voices of Duke Health group set up a recording booth within the Duke Medicine Pavilion Patient Resource Center waiting room and ventured into various departments with a mobile cart to meet people where they were. Within the first year of the project launch, the Voices of Duke Health recorded 150 voices for 15 podcast episodes. The total number of listens before April 25, 2019 surpassed seven thousand. One of the most impactful episodes in the first season was “Episode 10: The Gauntlet.” In this episode, Dr. Anthony Galanos spoke about the death of his son, Nicholas, and coping with grief at home and work. Dr. Galanos discussed his thoughts about how to support someone who has lost a family member by being present and “do[ing] what’s good for the person as opposed to what’s good for you.” Beyond the impact that this podcast has had on listeners, participants in the listening booth reported feeling more energized, centered, or empowered even when they were nervous before entering the listening booth.

Mar 21, 2025 · 3:14

Update 01: Sepsis Watch Expansion into Duke Regional

DIHI Impact Volume 25

Sepsis Watch 2-point-O Expansion into Duke Regional Hospital. By Will Ratliff, MBA

Mar 21, 2025 · 3:34

Update 02: Launching a Health AI Practice Network

DIHI Impact Volume 25

Diffusion of Capabilities: Launching a Practice Network. By Aleafia Hasan, B Pharm, M-B-A

Mar 21, 2025 · 2:52

Update 03: Pythion Predictive Models for Surgery

DIHI Impact Volume 25

Pie-Theon: New Models Using Narratives. written by Freya Gulamali and Will Knechtle, MBA, MPH.

Mar 21, 2025 · 6:02

Update 04: Maternal Early Warning System

DIHI Impact Volume 25

Maternal Early Warning System Update. (We call it Mews for short). By Will Knechtle, MBA, MPH

Mar 21, 2025 · 4:05

Update 05: Predicting Immune-Related Adverse Events with ML

DIHI Impact Volume 25

Immune-related adverse events machine learning model silent evaluation. By Noah Prizant

Mar 21, 2025 · 5:04

Update 06: Duke Opioid Sedation Risk Score (DOSA)

DIHI Impact Volume 25

The Duke Opioid Sedation Assessment Risk Score. Team members included Dr. Padma Gulur; Mary Cooter Wright, Master of Science; Dr. Eugenia R McPeek Hinz, Master of Science;

Mar 21, 2025 · 5:16

Update 07: Support for Patients with Peripheral Artery Disease, Expanding to Diabetic Patients with threatened limbs

DIHI Impact Volume 25

Ongoing Support for Patients with Peripheral Artery Disease, Expanding to Diabetic Patients with threatened limbs. The project team included Dennis Narcisse, M-D; Hope Weissler, M-D; Will Ratliff, MBA; Bradley Hintze, PhD; Pamela Cohen, B-A; Daniel Costello, MPA; Holly Alvarado, PharmD, CCP; Manesh Patel, M-D; Jill Engel, DNP, ACNP; Mary Schilder, RN; Benjamin Smith, PhD; Steven Lippmann PhD; Tara Kinard, RN, MSN, MBA; Faye Farber, M-D; Dawn Coleman, M-D; and Schuyler Jones, M-D

Mar 21, 2025 · 6:22

Update 08: Pediatric Emergency Fever Alert System

DIHI Impact Volume 25

Implementing an Informatics-Driven Notification System for Patients with High-Risk Conditions Presenting with Fever in the Pediatric Emergency Department. The project team included Noah Prizant; Shems Saleh; Will Ratliff, MBA; Marshall Nichols, M-S; Mike Revoir, B-S; Matt Gardner, B-S;

Mar 21, 2025 · 5:14

Update 09: Early Detection of Pediatric Sepsis Through Digital Phenotyping

DIHI Impact Volume 25

Evaluation of a Digital Phenotype for the Early Recognition of Pediatric Sepsis. The project team included

Mar 21, 2025 · 3:44

Update-10: EHR Problem List Reconciliation Initiative

DIHI Impact Volume 25

DIHI Interval Problem List Clean Up 2024. The project team included Dr. Genie McPeek Hinz, M-S; Dr. Rashaud Senor; Dr. Tim Tsai, D-O; Dr. Lisa Nadler; Trace Brown; Matt Gardner, B-S; Will Ratliff, MBA; and Suresh Balu, M-S, MBA

Mar 21, 2025 · 3:25

DIHI STUDENT EXPERIENCES, 2024

DIHI Impact Volume 25

Welcome, Freya Gulamahlee. Please tell us about your experience.. We welcome Dr. Henry Foote.

Mar 21, 2025 · 15:09