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© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
Alex Ermolaev, Director of AI, Change Healthcare
OCTOBER 2019
FROM IDEA TO IMPLEMENTATION:
LAUNCHING AI INITIATIVES
SUCCESSFULLY
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
2
Agenda
• The Next Industrial Revolution: An Introduction to Artificial Intelligence
• The Journey to Artificial Intelligence Adoption
• From Adoption to Selection: Choosing “Right Fit” Projects
• Optimization Through Successful Project Build & Management
• A Capable Organization: Transforming for Artificial Intelligence
• Learning Through Healthcare Examples
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
3
The Change Healthcare Intelligent Healthcare Network™
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
4
The Next Industrial Revolution:
Introducing Artificial Intelligence (AI)
Section 1.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
5
The Next Industrial Revolution: The Intelligence Age
Metallurgy
Railroads
Ships
Steel
Machinery
Chemistry
Automobiles
Planes
Electronics
Computing
Telecom
A.I.
Biotech
NanotechTextiles
Intelligence
Age
Information
Age
Manufacturing
Steam
Electrical
Internal
Combustion
2015+1971+1771+ 1829+ 1875+ 1908+
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
6
AI: Fiction vs. Science
Artificial General Intelligence
x intelligent robots
Artificial Narrow Intelligence
✓ pattern matching technology
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
7
AI Accuracy Skyrockets After 2012
60%
65%
70%
75%
80%
85%
90%
95%
100%
1990 1992 1995 1997 2000 2002 2005 2007 2010 2012 2015 2017
Source: Microsoft Corp Speech Recognition Accuracy
Human-Level Accuracy
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
8
The Journey to Artificial
Intelligence Adoption
Section 2.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
9
AI Adoption as of 2018
1 in 20
companies has incorporated
AI extensively in offering or processes
94%
of companies believe AI is
key to competitive advantage
78%
of AI projects stall before
deployment
96%
of AI projects experience
data-quality issues
Majority
of AI POCs never become
full AI projects
Source: Paul Taylor, IBM Fellow, ODSC West 2018, https://www.businesswire.com/news/home/20190523005183/en/Survey-96-Enterprises-Encounter-Training-Data-Quality
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
10
McKinsey Study
Companies adopting AI create significant
economic benefits and world impact.
AI has the potential to deliver an estimated $13
trillion in additional global economic activity by
2030, or about 16% higher cumulative GDP,
compared with today.
Source: McKinsey Global Institute https://www.mckinsey.com/featured-insights/artificial-intelligence/notes-from-the-ai-frontier-modeling-the-impact-of-ai-on-the-world-economy
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
11
The AI Adoption Journey
Getting Started
• Experiment!!!
• Understand your data
• Few hires/consultants
Selecting and
Managing projects
• Choosing projects
• Project pipeline
• AI development cycle
Building AI-capable
organization
• CEO/Board
commitment
• Central AI team
• Educating your
organization
Scaling
• One-click train
• One-click deploy
• Conveyor model
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
12
From Adoption to Selection:
Choosing “Right Fit” Projects
Section 3.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
13
Not All AI Projects are Viable Today
Technically
Feasible
Economically
Feasible
Budget
Deadline
Source: An Empirical Model of Large-Batch Training, https://arxiv.org/pdf/1812.06162.pdf
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
14
Key Considerations for Selecting AI Projects
Problem Pattern Data
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
15
Make Sure the Problem Is…
Big Core Expensive
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
16
AI Needs a Pattern That Is…
Existing Strong Complex
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
17
Is Your Data…?
Big Clean Labeled
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
18
Optimization Through Successful
Project Build & Management
Section 4.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
19
Before You Get Started With Your AI Project…
Centralize all
necessary data
Develop metrics for
your current
performance
Define your goal.
What does success
look like?
Be willing to
tolerate new
probabilistic
technology
Be willing to
change/break
existing business
processes
Verify business and
technical viability
Complete
legal/compliance
review, if necessary
Assemble the
dream team with
right skill/
experience mix
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
20
Typical Project Development Process
Data
Preprocessing
AI Model
Development
Model
Productization
Data Engineers Data Scientists Application Engineers
Learn and
Adjust
Project
Selection
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
21
The Best AI Project Team…
Is
Centralized
Has Strong
Lead(s)
Has a Mix of
Skills
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
22
Build Infrastructure That Is…
Scalable Centralized Efficient
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
23
A Capable Organization:
Transforming for Artificial
Intelligence
Section 5.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
24
Andrew Ng’s “AI Transformation Playbook”
Execute pilots to
gain momentum
1 2 3 4 5
Build an in-house
AI team
Provide broad
AI training
Develop an
AI strategy
Develop internal
and external
communication
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
25
Broad AI Training – Change Healthcare Example
AI training available to all
Change Healthcare employees:
• Lvl 1 – introduction (5 min)
• Lvl 2 – eLearning class (1 hour)
• Lvl 3 – seminar (1 day)
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
26
PwC’s Global Artificial Intelligence Study: Sizing the Prize
37%
Ready to go
Medical insurance and
smarter scheduling
(e.g., appointments
and operations)
23%
Medium-term potential
Data-driven diagnostics
and virtual-drug
development
40%
Longer-term potential
Robot doctors carrying
out diagnosis and
treatment
Source: https://www.pwc.com/gx/en/issues/data-and-analytics/publications/artificial-intelligence-study.html
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
27
Build? Buy? Partner?
• Is this core to your business?
Someone else’s core business?
• Who has the largest
amount of data?
• Who has the capabilities
to get the job done?
• Other considerations: scale,
reputation, trust, etc.
You Partner Someone
else
? ? ?
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
28
Learning Through
Healthcare Examples
Section 6.0
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
29
AI in Healthcare
Early Diagnosis Health Monitoring Medical Imaging
Medical
Intelligence
Precision Medicine Personalized Treatment Plans Clinical Trials
Personalization
Smart Electronic
Health Records
Payment Accuracy
Patient Identification
and Retention
Optimized
Healthcare
System
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
30
AI in Healthcare Challenges
Embrace
Variety
Respect
Data
Understand
Workflow
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.
31
“In order to understand trust in the relationship between humans and
automation, we have to explore trust in two dimensions: trust in the
technology and trust in the innovating firm.”
Harvard Business Review
https://hbr.org/2017/04/to-get-consumers-to-trust-ai-show-them-its-benefits
© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.

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Implementing AI Successfully

  • 1. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. Alex Ermolaev, Director of AI, Change Healthcare OCTOBER 2019 FROM IDEA TO IMPLEMENTATION: LAUNCHING AI INITIATIVES SUCCESSFULLY
  • 2. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 2 Agenda • The Next Industrial Revolution: An Introduction to Artificial Intelligence • The Journey to Artificial Intelligence Adoption • From Adoption to Selection: Choosing “Right Fit” Projects • Optimization Through Successful Project Build & Management • A Capable Organization: Transforming for Artificial Intelligence • Learning Through Healthcare Examples
  • 3. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 3 The Change Healthcare Intelligent Healthcare Network™
  • 4. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 4 The Next Industrial Revolution: Introducing Artificial Intelligence (AI) Section 1.0
  • 5. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 5 The Next Industrial Revolution: The Intelligence Age Metallurgy Railroads Ships Steel Machinery Chemistry Automobiles Planes Electronics Computing Telecom A.I. Biotech NanotechTextiles Intelligence Age Information Age Manufacturing Steam Electrical Internal Combustion 2015+1971+1771+ 1829+ 1875+ 1908+
  • 6. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 6 AI: Fiction vs. Science Artificial General Intelligence x intelligent robots Artificial Narrow Intelligence ✓ pattern matching technology
  • 7. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 7 AI Accuracy Skyrockets After 2012 60% 65% 70% 75% 80% 85% 90% 95% 100% 1990 1992 1995 1997 2000 2002 2005 2007 2010 2012 2015 2017 Source: Microsoft Corp Speech Recognition Accuracy Human-Level Accuracy
  • 8. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 8 The Journey to Artificial Intelligence Adoption Section 2.0
  • 9. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 9 AI Adoption as of 2018 1 in 20 companies has incorporated AI extensively in offering or processes 94% of companies believe AI is key to competitive advantage 78% of AI projects stall before deployment 96% of AI projects experience data-quality issues Majority of AI POCs never become full AI projects Source: Paul Taylor, IBM Fellow, ODSC West 2018, https://www.businesswire.com/news/home/20190523005183/en/Survey-96-Enterprises-Encounter-Training-Data-Quality
  • 10. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 10 McKinsey Study Companies adopting AI create significant economic benefits and world impact. AI has the potential to deliver an estimated $13 trillion in additional global economic activity by 2030, or about 16% higher cumulative GDP, compared with today. Source: McKinsey Global Institute https://www.mckinsey.com/featured-insights/artificial-intelligence/notes-from-the-ai-frontier-modeling-the-impact-of-ai-on-the-world-economy
  • 11. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 11 The AI Adoption Journey Getting Started • Experiment!!! • Understand your data • Few hires/consultants Selecting and Managing projects • Choosing projects • Project pipeline • AI development cycle Building AI-capable organization • CEO/Board commitment • Central AI team • Educating your organization Scaling • One-click train • One-click deploy • Conveyor model
  • 12. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 12 From Adoption to Selection: Choosing “Right Fit” Projects Section 3.0
  • 13. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 13 Not All AI Projects are Viable Today Technically Feasible Economically Feasible Budget Deadline Source: An Empirical Model of Large-Batch Training, https://arxiv.org/pdf/1812.06162.pdf
  • 14. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 14 Key Considerations for Selecting AI Projects Problem Pattern Data
  • 15. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 15 Make Sure the Problem Is… Big Core Expensive
  • 16. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 16 AI Needs a Pattern That Is… Existing Strong Complex
  • 17. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 17 Is Your Data…? Big Clean Labeled
  • 18. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 18 Optimization Through Successful Project Build & Management Section 4.0
  • 19. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 19 Before You Get Started With Your AI Project… Centralize all necessary data Develop metrics for your current performance Define your goal. What does success look like? Be willing to tolerate new probabilistic technology Be willing to change/break existing business processes Verify business and technical viability Complete legal/compliance review, if necessary Assemble the dream team with right skill/ experience mix
  • 20. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 20 Typical Project Development Process Data Preprocessing AI Model Development Model Productization Data Engineers Data Scientists Application Engineers Learn and Adjust Project Selection
  • 21. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 21 The Best AI Project Team… Is Centralized Has Strong Lead(s) Has a Mix of Skills
  • 22. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 22 Build Infrastructure That Is… Scalable Centralized Efficient
  • 23. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 23 A Capable Organization: Transforming for Artificial Intelligence Section 5.0
  • 24. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 24 Andrew Ng’s “AI Transformation Playbook” Execute pilots to gain momentum 1 2 3 4 5 Build an in-house AI team Provide broad AI training Develop an AI strategy Develop internal and external communication
  • 25. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 25 Broad AI Training – Change Healthcare Example AI training available to all Change Healthcare employees: • Lvl 1 – introduction (5 min) • Lvl 2 – eLearning class (1 hour) • Lvl 3 – seminar (1 day)
  • 26. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 26 PwC’s Global Artificial Intelligence Study: Sizing the Prize 37% Ready to go Medical insurance and smarter scheduling (e.g., appointments and operations) 23% Medium-term potential Data-driven diagnostics and virtual-drug development 40% Longer-term potential Robot doctors carrying out diagnosis and treatment Source: https://www.pwc.com/gx/en/issues/data-and-analytics/publications/artificial-intelligence-study.html
  • 27. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 27 Build? Buy? Partner? • Is this core to your business? Someone else’s core business? • Who has the largest amount of data? • Who has the capabilities to get the job done? • Other considerations: scale, reputation, trust, etc. You Partner Someone else ? ? ?
  • 28. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.© 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 28 Learning Through Healthcare Examples Section 6.0
  • 29. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 29 AI in Healthcare Early Diagnosis Health Monitoring Medical Imaging Medical Intelligence Precision Medicine Personalized Treatment Plans Clinical Trials Personalization Smart Electronic Health Records Payment Accuracy Patient Identification and Retention Optimized Healthcare System
  • 30. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 30 AI in Healthcare Challenges Embrace Variety Respect Data Understand Workflow
  • 31. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. 31 “In order to understand trust in the relationship between humans and automation, we have to explore trust in two dimensions: trust in the technology and trust in the innovating firm.” Harvard Business Review https://hbr.org/2017/04/to-get-consumers-to-trust-ai-show-them-its-benefits
  • 32. © 2019 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved.