UX STRAT Online 2021 Presentation by Dr. Jofish Kaye, Anthem

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These slides are for the following session presented at the UX STRAT Online 2021 Conference: "Strategy & Organization for AI & UX in Healthcare" Dr. Jofish Kaye Anthem: Senior Director of Interaction Design & AI

Design

Strategy &
Organization
for AI & UX
in Healthcare
Bridging AI & UX
DePaul Showcase
6 November 2021
Jofish Kaye, Ph.D
Senior Director of IxD & AI
Anthem Health Platforms

Nokia Research Center
B.S Brain & Cognitive Science MIT
M.S. Media Arts & Science, Media Lab
Ph.D Information Science
Cornell
Consulting Assistant
Professor
Stanford d.School, CS
Yahoo Labs & Flickr Mozilla Anthem Health Platforms
Co-Chair, CHI 2016
A quick introduction

Strategic Recommendations for
AI/UX in Health
Health
UX
AI

4
What’s the role of UX in AI
& Strategy?
(or: where are we going?)
Recommendations in UX, AI, Health
Case study: UX of AI
Recommendations in Health
1. Show Context
2. Show your work
3. Respect expertise
4. Predict and forecast
Ways of knowing in UX, AI, & Health

5
What’s the role of UX in AI
& Strategy?
(or: where are we going?)
Recommendations in UX, AI, Health
Case study: UX of AI
Recommendations in Health
1. Show Context
2. Show your work
3. Respect expertise
4. Predict and forecast
Ways of knowing in UX, AI, & Health

7
Jakob
Nielsen’s
Ten
Usability
Heuristics

9
TRIPOD
Checklist:
Prediction
Model and
Validation

11
Sperl-Hillen et al (2010): Outpatient EHR-Based Diabetes Clinical Decision Support That Works: Lessons Learned From Implementing Diabetes Wizard. Diabetes
Spectrum 2010 Jul; 23(3): 150-154. https://doi.org/10.2337/diaspect.23.3.150

12
What’s the role of UX in AI
& Strategy?
(or: where are we going?)
Recommendations in UX, AI, Health
Case study: UX of AI
Recommendations in Health
1. Show Context
2. Show your work
3. Respect expertise
4. Predict and forecast
Ways of knowing in UX, AI, & Health

Case study: deep learning for diabetes
13
Health
UX
AI

A few facts about diabetes
• 34M Americans have diabetes, ~95% T2D, similar levels globally
• 1/4 of all healthcare spend in the US
• Diabetes is measured by a blood test, HbA1c
Non-diabetic <5.6%
Prediabetic 5.6%-6.5%
Diabetic >6.5%
• People with diabetes are at higher risk for blindness, kidney failure, heart
disease, stroke, amputation and premature death.
14
https://www.cdc.gov/diabetes/basics/type2.html

Deep learning for diabetes
15
Paper under review; preprint available

16
“Figure S2. Forest plot results of
NMA for clinical subgroup 1
Average treatment effect of
medication combinations for
insulin naïve, under 65 and CCI<=2
stratum. Treatment cohort size is
annotated (sz).”

17
“Figure S2. Forest plot results of
NMA for clinical subgroup 1
Average treatment effect of
medication combinations for
insulin naïve, under 65 and CCI<=2
stratum. Treatment cohort size is
annotated (sz).”

Recommendations for AI / UX in Health
18
Health
UX
AI

2. Show your work
20
Factors influencing the probability of hospital admission. Baseline is 12%; this patient has a 29% likelihood.

3. Respect Expertise
21
X% of doctors prescribed a
beta blocker for patients
like this. Learn more
Data on Y0,000 patients like
this suggests ACE inhibitors
work Z% better than beta
blockers on similar patients.
Learn More
✓
✓
High blood pressure:
Recommend beta blocker.
X
Chart: https://www.myhealth.va.gov/mhv-portal-
web/ss20190822-track-health-blood-pressure.
Recommendations are entirely faked. This is not medical
advice. Not that kinda doctor.

4. Predict and forecast
22
Note: This example does show uncertainty in
predictions, but inaccurately shows the relative
probabilities, only the span of possibilities.
0
50
100
150
200
250
300
1-Jun-16
1-Sep-16
1-Dec-16
1-Mar-17
1-Jun-17
1-Sep-17
1-Dec-17
1-Mar-18
1-Jun-18
1-Sep-18
1-Dec-18
1-Mar-19
1-Jun-19
1-Sep-19
1-Dec-19
1-Mar-20
1-Jun-20
1-Sep-20
1-Dec-20
1-Mar-21
1-Jun-21
1-Sep-21
1-Dec-21
Blood Lipids
Rosuvastatin 5mg Total Serum HDL LDL Triglycerides
Note: This example shows predictions, but only the highest probability.

23
So what does that mean
strategically and
organizationally?
1. Show Context
2. Show your work
3. Respect expertise
4. Predict and forecast

Epistemology: Ways of knowing
24
Health
UX
AI

Ways of knowing in health
27
Health
UX
AI

UX Strategy: Ways of knowing
28
Health
UX
AI

Thank you!
Jofish Kaye, Ph.D
Anthem Health Platforms
@jofish linkedin.com/in/jofish

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UX STRAT Online 2021 Presentation by Dr. Jofish Kaye, Anthem

1. Strategy & Organization for AI & UX in Healthcare Bridging AI & UX DePaul Showcase 6 November 2021 Jofish Kaye, Ph.D Senior Director of IxD & AI Anthem Health Platforms

2. Nokia Research Center B.S Brain & Cognitive Science MIT M.S. Media Arts & Science, Media Lab Ph.D Information Science Cornell Consulting Assistant Professor Stanford d.School, CS Yahoo Labs & Flickr Mozilla Anthem Health Platforms Co-Chair, CHI 2016 A quick introduction

3. Strategic Recommendations for AI/UX in Health Health UX AI

4. 4 What’s the role of UX in AI & Strategy? (or: where are we going?) Recommendations in UX, AI, Health Case study: UX of AI Recommendations in Health 1. Show Context 2. Show your work 3. Respect expertise 4. Predict and forecast Ways of knowing in UX, AI, & Health

5. 5 What’s the role of UX in AI & Strategy? (or: where are we going?) Recommendations in UX, AI, Health Case study: UX of AI Recommendations in Health 1. Show Context 2. Show your work 3. Respect expertise 4. Predict and forecast Ways of knowing in UX, AI, & Health

6. UX Recommendations 6 Health UX AI

7. 7 Jakob Nielsen’s Ten Usability Heuristics

8. AI recommendations 8 Health UX AI

9. 9 TRIPOD Checklist: Prediction Model and Validation

10. Health recommendations 10 Health UX AI

11. 11 Sperl-Hillen et al (2010): Outpatient EHR-Based Diabetes Clinical Decision Support That Works: Lessons Learned From Implementing Diabetes Wizard. Diabetes Spectrum 2010 Jul; 23(3): 150-154. https://doi.org/10.2337/diaspect.23.3.150

12. 12 What’s the role of UX in AI & Strategy? (or: where are we going?) Recommendations in UX, AI, Health Case study: UX of AI Recommendations in Health 1. Show Context 2. Show your work 3. Respect expertise 4. Predict and forecast Ways of knowing in UX, AI, & Health

13. Case study: deep learning for diabetes 13 Health UX AI

14. A few facts about diabetes • 34M Americans have diabetes, ~95% T2D, similar levels globally • 1/4 of all healthcare spend in the US • Diabetes is measured by a blood test, HbA1c Non-diabetic <5.6% Prediabetic 5.6%-6.5% Diabetic >6.5% • People with diabetes are at higher risk for blindness, kidney failure, heart disease, stroke, amputation and premature death. 14 https://www.cdc.gov/diabetes/basics/type2.html

15. Deep learning for diabetes 15 Paper under review; preprint available

16. 16 “Figure S2. Forest plot results of NMA for clinical subgroup 1 Average treatment effect of medication combinations for insulin naïve, under 65 and CCI<=2 stratum. Treatment cohort size is annotated (sz).”

17. 17 “Figure S2. Forest plot results of NMA for clinical subgroup 1 Average treatment effect of medication combinations for insulin naïve, under 65 and CCI<=2 stratum. Treatment cohort size is annotated (sz).”

18. Recommendations for AI / UX in Health 18 Health UX AI

19. 1. Show Context 19 ✓ X

20. 2. Show your work 20 Factors influencing the probability of hospital admission. Baseline is 12%; this patient has a 29% likelihood.

21. 3. Respect Expertise 21 X% of doctors prescribed a beta blocker for patients like this. Learn more Data on Y0,000 patients like this suggests ACE inhibitors work Z% better than beta blockers on similar patients. Learn More ✓ ✓ High blood pressure: Recommend beta blocker. X Chart: https://www.myhealth.va.gov/mhv-portal- web/ss20190822-track-health-blood-pressure. Recommendations are entirely faked. This is not medical advice. Not that kinda doctor.

22. 4. Predict and forecast 22 Note: This example does show uncertainty in predictions, but inaccurately shows the relative probabilities, only the span of possibilities. 0 50 100 150 200 250 300 1-Jun-16 1-Sep-16 1-Dec-16 1-Mar-17 1-Jun-17 1-Sep-17 1-Dec-17 1-Mar-18 1-Jun-18 1-Sep-18 1-Dec-18 1-Mar-19 1-Jun-19 1-Sep-19 1-Dec-19 1-Mar-20 1-Jun-20 1-Sep-20 1-Dec-20 1-Mar-21 1-Jun-21 1-Sep-21 1-Dec-21 Blood Lipids Rosuvastatin 5mg Total Serum HDL LDL Triglycerides Note: This example shows predictions, but only the highest probability.

23. 23 So what does that mean strategically and organizationally? 1. Show Context 2. Show your work 3. Respect expertise 4. Predict and forecast

24. Epistemology: Ways of knowing 24 Health UX AI

25. Ways of knowing in UX 25 Health UX AI

26. Ways of knowing in AI 26 Health UX AI

27. Ways of knowing in health 27 Health UX AI

28. UX Strategy: Ways of knowing 28 Health UX AI

29. Thank you! Jofish Kaye, Ph.D Anthem Health Platforms @jofish linkedin.com/in/jofish

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