Can Learning Machines Unlearn? (wired.com)

https://www.wired.com/story/machines-can-learn-can-they-unlearn/

How much data?

I’ve been thinking about this a lot. In our recent work designing predictive algorithms using linear regressions and neural networks, and similar approaches, we’ve discussed the use of EHR (electronic health record) data, and have had some success using such algorithms to reduce deaths from sepsis (blog post from 10/6/2021).

One of many problems, is “how much data?” And it has been interesting to work with our data science colleagues on creating a model, and then carefully slimming it down so that our models can run on smaller data sets, more efficiently, more quickly, with less computing power.

Forgetting?

A related problem is “when do we need to forget?” EHR data ages, the way clinicians record findings can change. Our understanding of diseases change. The diseases themselves change. (Delta variant, anyone?)

Will our models perform worse if we use data that is too old? Will they perform better because we gave them more history? Do our models have an “expiration date?”

The Wired.com article above talks about having to remove data that was perhaps illegally acquired, or perhaps after a lawsuit, MUST be removed from a database that powers an algorithm.

Humans need to forget. What about algorithms?

Isn’t human memory about selective attention, selective use of memory? Wouldn’t a human’s perfect memory be the enemy of efficient and effective thinking? I’ve read that recalling a memory slightly changes the memory. Why do we work this way? Is that better for us?

Is there a lesson here for what we are building in silico?

CMIO’s take? As we build predictive analytics, working toward a “thinking machine”, consider: what DON’T we know about memory and forgetting? Are we missing something fundamental in how our minds work as we build silicon images of ourselves? What are you doing in this area? Let me know.

My newest ukulele EHR parody song: Inbasket Dynamite

Has anyone ever written a K-pop anthem into an EHR parody? Is it possible to set an hyperobject to music? Regrettably, someone has tried.

CT’s at it again: doesn’t he ever learn?

It is great to be back together among our tribe of informaticists at Epic’s XGM (eXpert Group Meeting) in Verona, Wisconsin, where the best and the brightest share our work, our leadership and change management lessons, and celebrate our successes.

Inbasket Dynamite refers to the Hyperobject that is the EHR inbasket, the nerve center of communications that, like the post office, can grow to unmanageable size and could contribute to physician and provider burnout. Time to “light it up” and redesign it.

I’m on stage at the Epic Physician Advisory Council (PAC) reception, grateful to receive the 2021 PACademy Award (physician of the year) from the voting of our international physician informatics community, along with Heidi Twedt (2020 awardee) and Joel Buchanan (2022 awardee). Due to the pandemic, we have missed the last 2 years of the PAC meeting in person, so this is our catch-up. I’m honored to be in such company.

If you’re not a BTS fanatic, like we are at our house, here are a couple of videos to whet your appetite:

My son Avery covering BTS’s dance moves in Dynamite, for the pure joy of it:

And, one of the official BTS music videos on Dynamite. Many of their videos have been viewed over a billion times (ahem, a Billion):

A Woman’s guide to Toxic Trolls (wired.com)

I have lost the ability to even … #hcldr #whyinformatics #hitsm

Image from Getty, via Wired.com

https://www.wired.com/story/womans-guide-toxic-trolls-internet/

Sometimes a well-written piece allows one to step outside of one’s identity and perceive what it is like to be someone else. This is one.

This is a “wow” read, in support of my colleagues out there using social media for good, and how about 50% of our colleagues suffer through nearly unimaginable interactions in a largely unregulated space. AND one way to fight back.

Patients View their Own Radiology Images Online: first published experience (UCHealth)

What uses did they find for these images? Does UCHealth recommend this practice? Did CT Lin get fired as a result of these actions? #hcldr #whyinformatics #hitsm #hotoffthepress

From freepixel via JMIR

https://formative.jmir.org/2022/4/e29496

We surveyed patients who had access to view NOT ONLY their radiology reports BUT ALSO their radiology images (including plain film, CT, MRI, PET, etc) online via the EHR patient portal.

What did they think? Were they worried? Did they post the images online? Who did they share with? (hint, 4% shared on social media)

These questions, and more, are answered in the article. Click the link above, dear Reader, and press on.

HIMSStv: video interview about innovation and RxRevu, real-time benefits at UCHealth

We talk about EHR optimization, clinician burnout, real-time prescription cost data

https://himsstv.brightcovegallery.com/category/videos/cio-spotlight?trk=organization-update-content_share-embed-video_share-article#/overlay/6303639594001

CMIO teahouse menu

How can tea improve clinical decision support? How does it help change organizations? Are you kidding?

Links to some of these teas:

CMIO’s take? Those of you who have worked with me know that one of my favorite things is to have 1:1 meetings in my office and serve tea. Taking inspiration from my spouse who enjoys throwing cocktail parties and creating a fanciful drink menu, I recently put together a CMIO’s teahouse menu. I hope you enjoy it.

“The useful part of a pot is where there is no pot” -Audrey Tang, Digital Minister of Taiwan

Hollowed out
clay makes a pot.
Where the pot’s not
Is where its useful.

Poem 11

Thirty spokes
meet in a hub.
Where the wheel isn’t
Is where it is useful.

Hollowed out
clay makes a pot.
Where the pot’s not
Is where its useful.

Cut doors and windows
to make a room.
Where the room isn’t,
there room for you.

So the profit in what is
is in the use of what isn’t.

Taken from Ursula LeGuin’s version of the Tao Te Ching

https://www.wired.com/video/watch/wired25-2020-audrey-tang-taiwan-covid-19-pandemic

Watch this video/ read the transcript. I love this for several reasons:

  • The Taiwanese are my people
  • “Digital Minister” is the best title of all time
  • Taiwan’s national response to COVID is a model for the world (Taiwan: fewer than 1 death per 100,000 vs USA: 66 deaths per 100,000)
  • The transparency of information and the building of trust: the government published its COVID and mask data with open API’s so private industry and nonprofits could build 100’s of apps to improve healthcare and the commonwealth
  • The POETRY of Taoism!

CMIO’s take? It is worth a watch. Informatics applied effectively at the national level. And, bonus: mindful Taoist philosophy applied to transparency of information. Zowie!

Clinical Informatics Leadership Bootcamp, CHIME, Salt Lake, May 2022 (I’m teaching!)

What will CT Lin be teaching at the next Informatics Leadership Bootcamp? And, will there be ukulele?

Our discussion and workshop agenda includes:

Clinical Informatics Success Factors

1. Shaping Transformational Strategy: Role of Innovation

2. Leading Change in Dynamic Times: Monitor and Influence the Dynamics of Adaptive Change

3. Driving Consumerism & Patient Engagement: Ensure Continuous Customer Satisfaction

4. Achieving Organizational Value: Demonstrate Clinical Informatics Business Value

5. Developing High Performance Teams: Orchestrate a High Performing Organization

6. Building Networks and Community: Cultivate Collaboration for Mutual Benefit 

Come join us, or forward to a colleague!

Chimerealism

Mashing ideas together

Greg's Webvault

this is where Greg puts stuff he wants to keep

Discover WordPress

A daily selection of the best content published on WordPress, collected for you by humans who love to read.

Daring Fireball

CT Lin's CMIO Blog

ALiEM

CT Lin's CMIO Blog

HIStalk

CT Lin's CMIO Blog

the other fork in the road

navigating life via acute corners, wrong turns and dead ends