Impressive for a Robot: Home Care Chatbots Included in AI Tools Adopted by Australia's Health System

Peta Rolls grew accustomed to receiving the AI's daily check-in each morning.

A daily check-in call from an AI voice bot was not part of the service the participant expected when she signed up for St Vincent’s in-home support however when she was invited to be part of the trial several months back, the elderly lady agreed because she wished to contribute. Even though, truth be told, her hopes were low.

Even so, when she got the call, she states: “I was so overtaken by how responsive she was. It was impressive for a robot.”

“The system would inquire ‘how are you feeling today?’ and that gives you an opportunity if you feel unwell to mention your symptoms, or I might reply ‘I’m fine, thank you’.”

“The AI would then pose questions – ‘have you had a chance to step outside today?’”

Aida would also ask what the user had planned for the day and “it would reply appropriately.”

“When I mentioned I’m going shopping, it would ask are you shopping for clothes or groceries? It was quite engaging.”

Bots Easing the Workload on Healthcare Staff

The trial, which has recently concluded its first phase, is one of the ways in which progress in artificial intelligence are being taken up in healthcare.

Health tech firm the provider approached St Vincent’s about the program to utilize its generative AI technology to provide companionship, as well as an option for elderly recipients to log any medical concerns or concerns for a staff member to follow up.

Dean Jones, national director of the home care division, explains the AI check-in being trialled does not replace any face to face interactions.

“Clients continue to get a regular personal visit, but in between visits … the automated system allows a routine call, which can then escalate any possible issues to either our team or a client’s family,” the director says.

Dr Tina Campbell, the managing director of Healthily, reports there haven’t been any negative events reported from the St Vincent’s trial.

Healthily uses advanced AI “with strict safety protocols” to ensure the conversation is secure and mechanisms are established to respond to critical medical problems quickly, the director says. For example, if a patient is experiencing heart symptoms, it would be flagged to the care team and the conversation ended so the person could call emergency services.

She thinks artificial intelligence has an significant part amid staffing shortages across the healthcare sector.

“What we can do securely, with technology like this, is lessen the admin burden on the staff so trained clinicians can concentrate on performing the duties that they’re trained to do,” she says.

Artificial Intelligence Long Established as Often Believed

An expert, the founder of the national AI health alliance, explains older forms of AI have been a common feature of healthcare for a considerable period, frequently in “administrative functions” such as interpreting medical images, ECGs and pathology test results.

“Software that performs a function that involves decision making in some way is AI, irrespective of how it accomplishes it,” says the professor, who is additionally the head of the health informatics center at Macquarie University.

“When visiting the radiology unit, radiology department or pathology lab, you will find programs in equipment performing these tasks.”

In recent years, advanced versions of artificial intelligence known as “deep learning” – a neural network method that allows algorithms to learn from very large sets of data – have been used to interpret medical imaging and enhance detection, the expert says.

In November, a screening service became the nation's first population-based screening program to introduce AI analysis tools to support radiologists in reviewing a specific set of mammography images.

These represent advanced systems that continue to need a qualified physician to interpret the diagnosis they might suggest, and the responsibility for a clinical judgment sits with the healthcare provider, the professor says.

The Function of AI in Identifying Illness Early

The Murdoch Children’s Research Institute in Melbourne has been collaborating with researchers from UCL London who first developed AI methods to identify neurological lesions known as focal cortical dysplasias from MRI images.

These abnormalities trigger seizures that often cannot be controlled with medication, so surgical intervention to remove them becomes the sole option. But, the surgery can only be performed if the doctors can locate the abnormal tissue.

In research published this week in the scientific publication, a team from the institute, led by neurologist the lead researcher, showed their “neural network tool” could detect the lesions in up to 94% of instances from advanced imaging in a specific form of the malformations that have historically been overlooked in the majority of patients (60%).

The AI was developed using the scans of 54 patients and then evaluated with 17 children and 12 adults. Among the youngsters, 12 had surgery and eleven became free of seizures.

The tool uses AI algorithms comparable with the breast cancer screening – highlighting regions of abnormality, which are subsequently reviewed by experts “speeding up the process to get to the answers,” the researcher says.

She emphasises the team are still in the “early phases” of the work, with a additional research required to advance the tool toward clinical implementation.

Prof Mark Cook, a brain specialist who was not involved in the study, says MRI scans now produce such vast quantities of high-resolution data that it is challenging for a human to review it accurately. Thus for clinicians the difficulty of locating these abnormalities was like “identifying the needle in the haystack.”

“It’s a great demonstration of how artificial intelligence can support doctors in making earlier, precise identifications, and has the ability to improve operation opportunities and results for kids with treatment-resistant seizures,” the professor says.

Illness Identification in the Future

A public health expert, the vice-president of the international body's digital health and artificial intelligence section, says advanced AI systems are additionally used to monitor and predict epidemics.

Buttigieg, who spoke last month at the Public Health of Australia’s conference in the city, cited a tech firm, a company set up by medical experts and which was one of the first organisations to detect the coronavirus pandemic.

Content-creating AI is a further subset of deep learning, in which the system can produce original material using existing information. These uses in healthcare encompass tools such as the virtual assistant as well as the AI scribes clinicians are increasingly using.

Dr Michael Wright, the head of the national GP body, says GPs have been embracing AI scribes, which captures the consultation and converts it to a medical summary that can be included in the patient record.

Wright says the main benefit of the scribes is that it enhances the quality of the interaction between the physician and individual.

Dr Danielle McMullen, the president of the national doctors' group, concurs that AI note-takers are helping doctors optimise their time and says AI can also help to help doctors avoid repeated examinations and scans for their clients, if the {promised digitisation|planned digitalization

Ms. Lori Walters PhD
Ms. Lori Walters PhD

A mental health advocate and writer passionate about sharing evidence-based strategies for emotional wellness and resilience.