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HIMSS conference attendees walk the exhibition floor

Source: HIMSS

Debates over artificial intelligence and its role in health care took center stage at the HIMSS Global Health Conference in Chicago this week, where more than 35,000 physicians, other health-care workers, executives and engineers convened to discuss the latest advancements in health and technology. 

Companies such as Microsoft, Google and Amazon prominently advertised new health applications for AI on booths across a sprawling exhibition floor, and panels of experts answered questions about how the technology can be used to address industrywide challenges such as staffing shortages and physician burnout.

Many health-care organizations and companies have been using AI in various capacities for years, but a subset known as generative AI exploded into public consciousness late last year when Microsoft-backed OpenAI launched its viral new chatbot called ChatGPT. Generative AI refers to programs that can use fairly complicated prompts from end users to generate text or images.

Just as generative AI has captured the attention of the general public, it has also captivated the medical community.

AI was the focus of the HIMSS conference’s opening keynote, and HIMSS CEO Hal Wolf prefaced the discussion by revealing that he had asked ChatGPT how to solve global health-care challenges. The Healthcare Information and Management Systems Society, or HIMSS, holds the conference each year. 

Wolf posed the question to ChatGPT in jest, but David Rhew, global chief medical officer at Microsoft, told CNBC in an interview that generative AI could really be “transformative” for solving big problems in the health-care industry. 

“The opportunity to apply these large language models and the artificial intelligence in clinical workflows is tremendous, and we have to do it responsibly,” he said. 

For Rhew, that means starting with “high-impact, low-risk” uses for the technology, such as streamlining administrative tasks.

Developing diagnostic or directly patient-facing generative AI applications are higher risk since they pose significant regulatory questions for companies, academics and federal agencies such as the Food and Drug Administration to work through. Rhew said to think of AI as if the health-care industry has just been introduced to a car, while none of the stop signs, traffic lights or roads have been created yet.

“We still have to figure out how to do this together,” he said. 

HIMSS CEO Hal Wolf speaks at the HIMSS conference

Source: HIMSS

But in the meantime, administrative or “back office” tasks require less regulatory oversight, and there is a real need for efficient solutions, since clerical work is often burdensome for clinicians.

A study funded by the American Medical Association in 2016 found that for every hour a physician spent with a patient, they spent an additional two hours on administrative work. The study said that physicians also tend to spend an additional one to two hours doing clerical work outside of working hours. 

Similarly, in 2017, the Journal of the Association of American Medical Colleges published a survey where respondents said around 24% of their working hours are spent on administrative tasks. More than two-thirds of the physicians surveyed reported that administrative responsibilities “negatively affect their ability to deliver high-quality care.”  

HIMSS attendees told CNBC they believe generative AI can help with these tasks.

Letting AI do the clerical work

On Monday, Microsoft announced an expanded partnership with Epic Systems, a health-care software company that helps hospitals and other health systems store, share and access electronic health records. More than 160 million people use Epic’s MyChart software, which provides patients with direct access to their health information and care team. 

Epic’s first application of the AI technology automatically generates draft responses to the messages that physicians receive from patients through MyChart. The physicians don’t have to use the suggested draft at all, but it saves them time if they choose to edit or send it. 

Seth Hain, senior vice president of R&D at Epic, told CNBC in an interview that AI could serve as an impactful hypothesis generation tool for physicians in the future. He said they will be able to ask patient-specific questions such as: What do you think I should look at next in regard to this problem?

Peter Lee, corporate vice president of research and incubations at Microsoft, told CNBC that an early look at Epic’s AI developments brought tears to his eyes. 

“It just blew me away,” he said. 

Microsoft’s speech recognition subsidiary Nuance Communications also announced a clinical notes application called DAX Express ahead of HIMSS in March. DAX Express aims to help reduce clinicians’ administrative burdens by automatically drafting a clinical note within seconds after a patient visit. 

In a live demo at HIMSS, Nuance previewed future projects and showcased DAX Express’ capabilities, which were met with gasps and joyful exclamations from some of the physicians, nurses and health-care workers in the room. 

More than 35,000 people attended the HIMSS conference in 2023

Source: HIMSS

Other companies are also working to use generative AI to reduce administrative burdens.

Amazon Web Services on Monday announced an expanded partnership with Philips, a Netherlands-based health technology company. AWS has already been supporting many of Philips’ existing cloud-based and AI initiatives, such as those that help radiologists analyze scans and medical images more quickly — even from their homes.  

But Monday’s announcement means Philips will also use AWS’ generative AI technology to simplify its clinical workflows and advance its imaging capabilities even further. 

“What’s most exciting is the fact that we are approaching a precipice where we have this tipping point, where we make the right thing the easy thing,” Shez Partovi, Philips’ chief innovation and strategy officer, told CNBC in an interview. “And right now, in most technology, the right thing is a lot of clicks away.” 

Partovi said all the small tasks that physicians have to complete are like “death by 1,000 cuts,” so using AI to tease out administrative challenges can make a real impact on the quality of physicians’ lives.

On Tuesday, 3M Health Information Systems also announced that it is also working with Amazon Web Services’ machine learning and generative AI to help reduce physicians’ administrative workload. 3M HIS supports a conversational AI platform used by more than 300,000 physicians, and the company said in a release that the AWS technology will make it easier for doctors to automate and complete accurate clinical notes in the electronic health record. 

Similarly, Google Cloud announced a Claims Acceleration Suite last week that uses AI to streamline health insurance claims processing and prior authorization.

According to the Centers for Medicare & Medicaid Services, the current prior authorization process takes an average of 10 days. Google’s AI will help alleviate some of that administrative burden for providers by converting the unstructured data that appears in images, PDFs or other health records into a more easily digestible, structured format. 

“They actually require a human being to go in there and to take that data and rekey it into the system for review,” Amy Waldron, director of global health plans strategy and solutions at Google Cloud, said during a media briefing with reporters at HIMSS. “Which, to me, makes absolutely no sense given that someone has to take time to put all that rich data there, and we have AI that can unlock that value.”

Generative AI has “tremendous” potential to improve administrative efficiency in health care, said Microsoft’s Rhew. But as health-care and technology companies continue to make more sophisticated advancements, industry leaders, regulators and academics in the community will have to ensure that generative AI is equitable and does not cause harm to communities. 

The technology is vulnerable to bias and discrimination if it is trained on health-care data that does not properly represent a patient population, which could ultimately lead to inadequate decision-making or treatment plans. 

As a result, Rhew said, there is a collective responsibility to figure out how to deploy AI with care. 

“It is a transformative technology,” he said, “but we have to figure out how to do it responsibly.”

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Apple’s market share slides in China as iPhone shipments decline, analyst Kuo says

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Apple's market share slides in China as iPhone shipments decline, analyst Kuo says

Jaap Arriens | Nurphoto | Getty Images

Apple is losing market share in China due to declining iPhone shipments, supply chain analyst Ming-Chi Kuo wrote in a report on Friday. The stock slid 2.4%.

“Apple has adopted a cautious stance when discussing 2025 iPhone production plans with key suppliers,” Kuo, an analyst at TF Securities, wrote in the post. He added that despite the expected launch of the new iPhone SE 4, shipments are expected to decline 6% year over year for the first half of 2025.

Kuo expects Apple’s market share to continue to slide, as two of the coming iPhones are so thin that they likely will only support eSIM, which the Chinese market currently does not promote.

“These two models could face shipping momentum challenges unless their design is modified,” he wrote.

Kuo wrote that in December, overall smartphone shipments in China were flat from a year earlier, but iPhone shipments dropped 10% to 12%.

There is also “no evidence” that Apple Intelligence, the company’s on-device artificial intelligence offering, is driving hardware upgrades or services revenue, according to Kuo. He wrote that the feature “has not boosted iPhone replacement demand,” according to a supply chain survey he conducted, and added that in his view, the feature’s appeal “has significantly declined compared to cloud-based AI services, which have advanced rapidly in subsequent months.”

Apple’s estimated iPhone shipments total about 220 million units for 2024 and between about 220 million and 225 million for this year, Kuo wrote. That is “below the market consensus of 240 million or more,” he wrote.

Apple did not immediately respond to CNBC’s request for comment.

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Amazon to halt some of its DEI programs: Internal memo

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Amazon to halt some of its DEI programs: Internal memo

Amazon said it is halting some of its diversity and inclusion initiatives, joining a growing list of major corporations that have made similar moves in the face of increasing public and legal scrutiny.

In a Dec. 16 internal note to staffers that was obtained by CNBC, Candi Castleberry, Amazon’s VP of inclusive experiences and technology, said the company was in the process of “winding down outdated programs and materials” as part of a broader review of hundreds of initiatives.

“Rather than have individual groups build programs, we are focusing on programs with proven outcomes — and we also aim to foster a more truly inclusive culture,” Castleberry wrote in the note, which was first reported by Bloomberg.

Castleberry’s memo doesn’t say which programs the company is dropping as a result of its review. The company typically releases annual data on the racial and gender makeup of its workforce, and it also operates Black, LGBTQ+, indigenous and veteran employee resource groups, among others.

In 2020, Amazon set a goal of doubling the number of Black employees in vice president and director roles. It announced the same goal in 2021 and also pledged to hire 30% more Black employees for product manager, engineer and other corporate roles.

Meta on Friday made a similar retreat from its diversity, equity and inclusion initiatives. The social media company said it’s ending its approach of considering qualified candidates from underrepresented groups for open roles and its equity and inclusion training programs. The decision drew backlash from Meta employees, including one staffer who wrote, “If you don’t stand by your principles when things get difficult, they aren’t values. They’re hobbies.”

Other companies, including McDonald’s, Walmart and Ford, have also made changes to their DEI initiatives in recent months. Rising conservative backlash and the Supreme Court’s ruling against affirmative action in 2023 spurred many corporations to alter or discontinue their DEI programs.

Amazon, which is the nation’s second-largest private employer behind Walmart, also recently made changes to its “Our Positions” webpage, which lays out the company’s stance on a variety of policy issues. Previously, there were separate sections dedicated to “Equity for Black people,” “Diversity, equity and inclusion” and “LGBTQ+ rights,” according to records from the Internet Archive’s Wayback Machine.

The current webpage has streamlined those sections into a single paragraph. The section says that Amazon believes in creating a diverse and inclusive company and that inequitable treatment of anyone is unacceptable. The Information earlier reported the changes.

Amazon spokesperson Kelly Nantel told CNBC in a statement: “We update this page from time to time to ensure that it reflects updates we’ve made to various programs and positions.”

Read the full memo from Amazon’s Castleberry:

Team,

As we head toward the end of the year, I want to give another update on the work we’ve been doing around representation and inclusion.

As a large, global company that operates in different countries and industries, we serve hundreds of millions of customers from a range of backgrounds and globally diverse communities. To serve them effectively, we need millions of employees and partners that reflect our customers and communities. We strive to be representative of those customers and build a culture that’s inclusive for everyone.

In the last few years we took a new approach, reviewing hundreds of programs across the company, using science to evaluate their effectiveness, impact, and ROI — identifying the ones we believed should continue. Each one of these addresses a specific disparity, and is designed to end when that disparity is eliminated. In parallel, we worked to unify employee groups together under one umbrella, and build programs that are open to all. Rather than have individual groups build programs, we are focusing on programs with proven outcomes — and we also aim to foster a more truly inclusive culture. You can read more about this on our Together at Amazon page on A to Z.

This approach — where we move away from programs that were separate from our existing processes, and instead integrating our work into existing processes so they become durable — is the evolution to “built in” and “born inclusive,” instead of “bolted on.” As part of this evolution, we’ve been winding down outdated programs and materials, and we’re aiming to complete that by the end of 2024. We also know there will always be individuals or teams who continue to do well-intentioned things that don’t align with our company-wide approach, and we might not always see those right away. But we’ll keep at it.

We’ll continue to share ongoing updates, and appreciate your hard work in driving this progress. We believe this is important work, so we’ll keep investing in programs that help us reflect those audiences, help employees grow, thrive, and connect, and we remain dedicated to delivering inclusive experiences for customers, employees, and communities around the world.

#InThisTogether,

Candi

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Tesla recalling 239,000 vehicles in U.S. over rearview camera failures

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Tesla recalling 239,000 vehicles in U.S. over rearview camera failures

New Tesla Model 3 vehicles on a truck at a logistics drop zone in Seattle, Washington, on Aug. 22, 2024.

M. Scott Brauer | Bloomberg | Getty Images

Tesla is voluntarily recalling about 239,000 of its electric vehicles in the U.S. to fix an issue that can cause its rearview cameras to fail, the company disclosed in filings posted Friday to the National Highway Traffic Safety Administration’s website.

“A rearview camera that does not display an image reduces the driver’s rear view, increasing the risk of a crash,” Tesla wrote in a letter to the regulator. The recall applies to Tesla’s 2024-2025 Model 3 and Model S sedans, and to its 2023-2025 Model X and Model Y SUVs.

The company also said in the acknowledgement letter that it has already “released an over-the-air (OTA) software update, free of charge” that can fix some of the vehicles’ camera issues.

In 2024, Tesla issued 16 recalls in the U.S. that applied to 5.14 million of its EVs, according to NHTSA data. The recall remedies included a mix of over-the-air software updates and parts replacements. More than 40% of last year’s recalls pertained to issues with the newest vehicle in the company’s lineup, the Cybertruck, an angular steel pickup that Tesla began delivering to customers in late 2023.

Regarding the latest recall, the company said it had received 887 warranty claims and dozens of field reports but told the NHTSA that it was not aware of any injurious, fatal or other collisions resulting from the rearview camera failures.

Other customers with vehicles that “experienced a circuit board failure or stress that may lead to a circuit board failure,” which cause the backup camera failures, can have their vehicles’ computers replaced by Tesla, free of charge, the company said.

Tesla did not immediately respond to CNBC’s request for comment.

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