New possibilities in performance reporting are emerging due to artificial intelligence (AI), and among its compelling applications are predictive analytics and natural language processing (NLP).
The education technology company DeepLearning.AI describes NLP as a discipline that enables machines to understand, interpret, and generate human language. NLP can also analyze unstructured data from diverse sources. On the other hand, predictive analytics, according to IBM, uses historical data, statistical modeling, data mining techniques, and machine learning to make predictions about future outcomes.
Case Study: AI-Powered Performance Reporting in Healthcare
In its case study about UHS, Nuance stated that Dragon Medical One allows doctors to verbally record patient updates, current illness history, and treatment plans directly into their electronic health record (EHR) from almost any location. Using software like Microsoft Power BI, Dragon Medical One can also provide detailed insights into performance metrics at various levels. The reports include productivity forecasts, dictation quality data, and industry-wide comparisons.
Nuance pointed out the growing need for efficient documentation in healthcare as doctors are now being evaluated on quality metrics, which are publicly reported to the government. The software company also explained that the scores of physicians and hospitals are determined based on the accuracy of the documentation of patient conditions and the care provided. “Physicians, however, don’t always give themselves credit for the real medical complexity of the patient because of the extra time it takes to fully document it,” the report states.
In light of this, Nuance emphasized that CAPD aims to strengthen human intelligence by providing automatic suggestions to the doctor during patient care, but only when there is an alternate diagnosis or additional medical data that needs to be taken into account. This fully integrated system also allows UHS to analyze patient interactions in real time through the use of NLP.
Results of UHS’ initiatives show that there was a 12% increase in the case mix index (CMI) when physicians agreed with the CAPD clarifications and updated patient documentation. The healthcare AI system also improved the identification of “extreme” cases of disease severity by 36% and mortality risk by 24%. In addition, they recorded a 69% reduction in transcription costs year over year, resulting in $3 million in savings.
Next Steps
Companies planning to use AI in performance reporting can start by identifying areas in their operations where unstructured data is prevalent and manual processes are time-consuming. Next, it is important to develop an AI strategy that aligns with the company’s objectives.
Moreover, organizations should consider forming partnerships with AI solution providers due to their specialized expertise, experience, and ability to provide customized solutions more quickly and cost-effectively than developing in-house capabilities from scratch. Lastly, companies should invest in training their staff to work alongside AI technologies to cultivate a culture of innovation and continuous improvement.
While integrating AI into performance reporting is promising, it requires alignment with organizational objectives and flexibility from stakeholders. Click here if you’re interested in more practical applications of AI in strategy and performance management.
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Editor’s Note: This article was written with the help of Francesco Colamarino, a former Management Consultant at The KPI Institute.
In May 2023, Samsung Electronics prohibited its employees from using generative artificial intelligence (AI) tools like ChatGPT. The ban was issued in an official memo, after discovering that staff had uploaded sensitive code to the platform, which prompted security and privacy concerns for stakeholders, fearing sensitive data leakage. Apple and several Wall Street Banks have also enforced similar bans.
While generative AI contributes to increased efficiency and productivity in businesses, what makes it susceptible to security risks is also its core function: taking the user’s input (prompt) to generate content (response), such as text, codes, images, videos, and audio in different formats. The multiple sources of data, the involvement of third-party systems, and human factors influencing the adoption of generative AI add to the complexity. Failing to properly prepare for and manage security and privacy issues that come with using generative AI may expose businesses to potential legal repercussions.
Safety depends on where data is stored
So, the question becomes, how can businesses use generative AI safely? The answer resides in where the user’s data (prompts and responses) gets stored. The data storage location in turn depends on how the business is using generative AI, of which there are two main methods.
Off-shelf tools: The first method is to use ready-made tools, like OpenAI’s ChatGPT, Microsoft’s Bing Copilot, and Google’s Bard. These are, in fact, nothing but applications with user interfaces that allow them to interact with the base technology that is underneath, namely large language models (LLMs). LLMs are pieces of code that tell machines how to respond to the prompt, enabled by their training on huge amounts of data.
In the case of off-the-shelf tools, data resides in the service provider’s servers—OpenAI’s in the instance of ChatGPT. As a part of the provider’s databases, users have no control over the data they provide to the tool, which can cause great dangers, like sensitive data leakage.
How the service provider treats user data depends on each platform’s end-user license agreement (EULA). Different platforms have different EULAs, and the same platform typically has different ones for its free and premium services. Even the same service may change its terms and conditions as the tool develops. Many platforms have already changed their legal bindings over their short existence.
In-house tools: The second way is to build a private in-house tool, usually by directly deploying one of the LLMs on private servers or less commonly by building an LLM from scratch.
Within this structure, data resides in the organization’s private servers, whether they are on-premises or on the cloud. This means that the business can have far more control over the data processed by its generative AI tool.
Ensuring the security of off-the-shelf tools
Ready-made tools exempt users from the high cost of technology and talent needed to develop their own or outsource the task to a third party. That is why many organizations have no alternative but to use what is on the market, like ChatGPT. The risks of using off-the-shelf generative AI tools can be mitigated by doing the following:
Review the EULAs. In this case, it is crucial to not engage with these tools haphazardly. First, organizations should survey the available options and consider the EULAs of the ones of interest, in addition to their cost and use cases. This includes keeping an eye on the EULAs even after adoption as they are subject to change.
Establish internal policies. When a tool is picked for adoption, businesses need to formulate their own policies on how and when their employees may use it. This includes what sort of tasks can be entrusted to AI and what information or data can be fed into the service provider’s algorithms.
As a rule of thumb, it is advisable not to throw sensitive data and information into others’ servers. Still, it is up to each organization to settle on what constitutes “sensitive data” and what level of risk it is willing to tolerate that can be weighed out by the benefits of the tool adoption.
Ensuring the security of in-house tools
The big corporations that banned the use of third-party services ended up developing their internal generative AI tools instead and incorporated them into their operations. In addition to the significant security advantages, developing in-house tools allows for their fine-tuning and orienting to be domain and task-specific, not to mention gaining full control over their interface user experience.
Check the technical specifications. Developing in-house tools, however, does not absolve organizations from security obligations. Typically, internal tools are built on top of an LLM that is developed by a tech corporation, like Meta AI’s LLaMa, Google’s BERT, or Hugging Face’s BLOOM. Such major models, especially open-source ones, are developed with high-level security and privacy measures, but each has its limitations and strengths.
Therefore, it would still be crucial to first review the adopted model’s technical guide and understand how it works, which would not only lead to better security but also a more accurate estimation of technical requirements.
Initiate a trial period. Even in the case of building the LLM from scratch, and in all cases of AI tool development, it is imperative to test the tool and enhance it both during and after development to ensure safe operation before being rolled out. This includes fortifying the tool against prompt injections, which can be used to manipulate the tool to perform damaging cyber-attacks that include leaking sensitive data even if they reside in internal servers.
Parting words: be wary of hype
While on the surface, the hype surrounding generative AI offers vast possibilities, lurking in the depths of its promise are significant security risks that must not be overlooked. In the case of using ready-made tools, rigorous policies should be formulated to ensure safe usage. And in the case of in-house tool deployment, safety measures must be incorporated into the process to prevent manipulation and misuse. In both cases, the promises of technology must not blind companies to the very real threat to their sensitive and private information.