September 2020 Lecture

Building AI-Enabled Systems for Patient Care at Stanford

Artificial Intelligence (AI) has generated a large amount of excitement in healthcare, mostly driven by the emergence of increasingly accurate machine learning models. However, the promise of AI delivering scalable and sustained value for patient care in the real-world setting has yet to be realized. To bring AI safely and effectively into use in healthcare, we need to rethink how to approach not only the creation and application of AI, but also the delivery. This AI development and delivery science will require a broader set of tools, such as quality improvement, user centered design and implementation science, as well as a broader definition of what AI will look like in practice, which includes not just machine learning models and their predictions, but also the new systems for care delivery that they enable.

This talk will discuss the fundamental concepts of AI development and delivery science, how they are applied to real world projects in a health system, and paths towards future growth and scale of AI in healthcare.

Ron Li

Ron Li is a Clinical Assistant Professor of Medicine in the Division of Hospital Medicine and Center for Biomedical Informatics Research at Stanford University School of Medicine. He is also the Medical Informatics Director for Artificial Intelligence Clinical Integration at Stanford Health Care. Ron’s work is centered around the design, implementation, and evaluation of novel systems of care delivery that can be enabled by artificial intelligence. His work spans across multiple disciplines, including clinical medicine, data science, digital health, information technology, design thinking, process improvement, and implementation science. Current areas of focus include using machine learning to improve advance care planning, care of clinically deteriorating patients, and e-consults for the health system. He has consulted for various companies in the digital health and artificial intelligence space. He is a practicing hospitalist and attends on the inpatient medicine teaching service at Stanford Hospital.

He received him MD from Northwestern University Feinberg School of Medicine and completed his internal medicine residency and clinical informatics fellowship at Stanford University School of Medicine.

Margaret Smith

Margaret Smith is the Director of Operations of the Stanford Healthcare AI Applied Research Team (HEA3RT) where she works with industry partners, and clinical and operational leaders at Stanford on the application, development, and implementation of artificial intelligence technologies. Her expertise lies in healthcare quality improvement, complex problem solving, facilitating cross discipline collaboration, and design thinking. Her passion is building applying collaborative mix-method approaches developing, integrating, and studying technology solutions in healthcare that work for providers and patients rather than impede care delivery.

Previously, she held senior positions in quality improvement for many years in academic and non-academic medicine garnering extensive experience in a broad set of organizational and incentive structures.

Margaret holds a bachelor’s degree finance and risk management, a master’s in business administration with a specialization in healthcare management from the Baylor Hankamer School of Business, Robbins Institute for Health Policy and Leadership, and a Lean Six-Sigma master black belt certification.

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The Stanford Medicine Center for Improvement benefits from the diversity of its members and the richness of the experiences that they bring. Although the program continues to evolve from when it first launched in October 2019, we continue to reach out to improvers across Stanford Medicine in the School of Medicine, Stanford Health Care, Stanford Children’s Health, Stanford ValleyCare, UHA and PCHA. We welcome everyone from every discipline and recognize that we are stronger together as we value the contributions of every member of our teams.

Dr. Paul Maggio is Vice Chair of Surgery for Clinical Affairs, Associate Chief Medical Officer of Operational Effectiveness, and Associate Director of the Adult Intensive Care Unit. He trained in General Surgery at Brown University and obtained advanced training in Adult Surgical Critical Care and Trauma at the University of Michigan. He holds a Masters of Business Administration from the University of Michigan and is triple board certified in General Surgery, Critical Care, and Medical Informatics. In addition to being a clinician and surgeon, Dr. Maggio participates in the National Committee on Healthcare Engineering for the American College of Surgeons, and his research interests are focused on the delivery of high-value care.

Dr. Maggio received the SHC Board of Hospital Director’s Denise O’Leary Award for Clinical Excellence in 2013

Micah Duchesne joined Stanford Medicine in 2020 as a Principal Consultant project managing the deployment and operations of the Hospital Incident Command System (HICS) for COVID-19. He is now the Administrative Director of Performance Improvement at Stanford Health Care where he leads annual operations planning, improvement consulting, and capability development. Micah is also a Fellow at the Stanford Medicine Center for Improvement.

Before joining Stanford, Micah was an independent consultant for his company Silicon Valley Strategy Group, which partnered with Novartis and the Perelman School of Medicine at the University of Pennsylvania to commercialize cellular therapies. He led a team of clinicians from Europe, Japan, and Australia in designing a global logistics model and quality management system for Kymriah, the world's first approved CAR-T therapy, and helped create an international advisory board aimed at improving global capacity.

Prior to independent consulting, Micah was the Director of Performance Improvement at Kaiser's Santa Clara Medical Center, and he previously held improvement roles of increasing complexity within other health systems. Micah has both a Bachelor of Science in Accounting and Master of Health Services Administration from Mississippi College. He also holds certifications as a Lean Six Sigma Master Black Belt and Project Management Professional.

As a professional, Micah enjoys organizing complex stakeholder ecosystems, clarifying ambiguous goals, aligning visions, and driving high-stakes change. As a human, Micah just enjoys breaking a sweat. While he's not at work, he's at his very own gym in San Jose, CrossFit Moxie. You can find him there coaching olympic weightlifting or working out with his wife. He has a daughter in elementary school and two gym dogs.