4 ms·

How does she disclose that to her patients? How many refuse?

doctoboggan 2y ago
Her legal team said they are allowed to get verbal consent. She has a sentence she says verbatim something along the lines of “ I am going to use this computer to record this visit and take notes. Is that OK?” Almost no one refuses.
- RandomBacon 2y ago
  If I heard that, I would think the person asking is going to take the notes, not feed the recording into a LLM. I do NOT want a transcription ERROR in my medical records. I bet if she says something like "AI will transcribe" then there will be more hesitation, although maybe not more refusals because most people don't know how it can make mistakes.
  - doctoboggan 2y ago
    Anecdotally, she has reported it’s _much_ better than her human scribes. And she is still ultimately responsible for the content and reads it all before signing the note.
    - maxwell 2y ago
      Are audio recordings of patients shared with third parties?
      - doctoboggan 2y ago
        I believe so, yes. This is nothing new however as "tele scribe" companies have existed for a long time. These sort of cases are exactly what HIPAA regulations were designed to enable.
- maxwell 2y ago
  That sounds like the old trick of pulling out a pen and paper and saying "I'm going to record this, okay?" with a tape recorder in your briefcase. Are they informed that their personal medical information will be shared with an unknown set of third parties / LLMs subject to manual QA / cloud services with telemetry? Honestly sounds like she's opening herself up to massive lawsuits (depending on State law). I would reach out to the legal department if any doctor pulled this kind of shit on me.
  - doctoboggan 2y ago
    If you think the clinic's lawyers haven't already reviewed this setup with a fine tooth comb then you haven't seen how medical lawyers work. This isn't a rogue PCP surreptitiously recording visits. Its a contractor that was selected and negotiated with from on high that was subsequently deployed to all clinics in her large company. Also, I guarantee you signed a paper when you first were enrolled with your PCP giving them permission to share your medical records with third parties when needed (subject to HIPAA compliance of course).
    - maxwell 2y ago
      I'm sure they have. I don't have a PCP. https://www.forbes.com/sites/daveywinder/2025/02/02/medical-records-stolen-as-1-million-patients-hit-by-healthcare-hack https://www.forbes.com/sites/daveywinder/2025/02/02/medical-... https://www.gartner.com/en/newsroom/press-releases/2025-02-17-gartner-predicts-forty-percent-of-ai-data-breaches-will-arise-from-cross-border-genai-misuse-by-2027 https://www.gartner.com/en/newsroom/press-releases/2025-02-1... https://www.usatoday.com/story/news/investigations/2024/04/09/how-to-check-health-care-data-breaches/73219266007 https://www.usatoday.com/story/news/investigations/2024/04/0...

Her legal team said they are allowed to get verbal consent. She has a sentence she says verbatim something along the lines of “ I am going to use this computer to record this visit and take notes. Is that OK?” Almost no one refuses.

RandomBacon 2y ago
If I heard that, I would think the person asking is going to take the notes, not feed the recording into a LLM. I do NOT want a transcription ERROR in my medical records. I bet if she says something like "AI will transcribe" then there will be more hesitation, although maybe not more refusals because most people don't know how it can make mistakes.
- doctoboggan 2y ago
  Anecdotally, she has reported it’s _much_ better than her human scribes. And she is still ultimately responsible for the content and reads it all before signing the note.
  - maxwell 2y ago
    Are audio recordings of patients shared with third parties?
    - doctoboggan 2y ago
      I believe so, yes. This is nothing new however as "tele scribe" companies have existed for a long time. These sort of cases are exactly what HIPAA regulations were designed to enable.
maxwell 2y ago
That sounds like the old trick of pulling out a pen and paper and saying "I'm going to record this, okay?" with a tape recorder in your briefcase. Are they informed that their personal medical information will be shared with an unknown set of third parties / LLMs subject to manual QA / cloud services with telemetry? Honestly sounds like she's opening herself up to massive lawsuits (depending on State law). I would reach out to the legal department if any doctor pulled this kind of shit on me.
- doctoboggan 2y ago
  If you think the clinic's lawyers haven't already reviewed this setup with a fine tooth comb then you haven't seen how medical lawyers work. This isn't a rogue PCP surreptitiously recording visits. Its a contractor that was selected and negotiated with from on high that was subsequently deployed to all clinics in her large company. Also, I guarantee you signed a paper when you first were enrolled with your PCP giving them permission to share your medical records with third parties when needed (subject to HIPAA compliance of course).
  - maxwell 2y ago
    I'm sure they have. I don't have a PCP. https://www.forbes.com/sites/daveywinder/2025/02/02/medical-records-stolen-as-1-million-patients-hit-by-healthcare-hack https://www.forbes.com/sites/daveywinder/2025/02/02/medical-... https://www.gartner.com/en/newsroom/press-releases/2025-02-17-gartner-predicts-forty-percent-of-ai-data-breaches-will-arise-from-cross-border-genai-misuse-by-2027 https://www.gartner.com/en/newsroom/press-releases/2025-02-1... https://www.usatoday.com/story/news/investigations/2024/04/09/how-to-check-health-care-data-breaches/73219266007 https://www.usatoday.com/story/news/investigations/2024/04/0...