What Medical Practices Must Consider Before Adopting AI Tools

Article

In the rapidly evolving landscape of healthcare technology, Artificial Intelligence (AI) presents immense potential to revolutionize medical practice. It can enhance diagnostic accuracy, streamline operations, and support patient care. However, with these advancements come important considerations that medical practices must address before implementation. Many physicians are not familiar with the complexities of AI technology, making it essential to ask the right questions and thoroughly vet AI programs.

So, what do medical practices need to consider before adopting AI tools? 

Understanding the Different AI Tools Available to Medical Practices

Since the introduction of tools like ChatGPT, industries across various fields have been racing to adopt AI solutions tailored to their specific needs, and the medical field is no exception. Medical practices are now seeing the emergence of AI tools designed to streamline both clinical and administrative tasks, ranging from diagnostics to operational efficiency. These specialized tools are transforming how healthcare providers manage patient care and run their day-to-day operations.

AI tools in medical practices serve a variety of purposes. Diagnostic AI systems assist clinicians by analyzing imaging scans, pathology reports, and genetic data to detect disease patterns that may be missed by the human eye. Predictive analytics tools enable doctors to foresee patient outcomes and potential complications, leading to more personalized care plans. AI-powered administrative tools handle scheduling, billing, and insurance claims, reducing the burden of routine tasks on staff and improving overall practice management. While these innovations are driving significant improvements in both patient care and operational efficiency, they also introduce new risks that must be carefully considered.

Protecting Confidentiality: A Key Concern When Adopting AI

One of the most integral issues medical practices must address when considering AI adoption is the protection of patient confidentiality. Many AI tools, especially those not specifically designed for medical use, are built with mechanisms that allow data input to be utilized for further training and improvement of the AI program. This presents significant risks when dealing with sensitive medical data, as unauthorized usage or sharing of patient information can lead to serious privacy breaches under the Health Insurance Portability and Accountability Act (HIPAA).

A notable example is ChatGPT, an AI tool developed by OpenAI. If a medical practice were to input patient data into a platform like ChatGPT, there is a risk that the data could be stored and used to further train the AI model. While OpenAI has introduced solutions with stricter privacy controls, many general-use AI platforms still reserve the right to use the data entered for model refinement. This kind of data exposure poses significant risks under regulations such as HIPAA, which mandates strict protection of patient health information (PHI).

Regulatory Compliance

Before a practice remotely considers using an AI tool, there must be a thorough analysis of the tool’s HIPAA compliance and security of patient information accessed by the AI tool.

Any AI program that processes PHI must adhere to HIPAA’s strict privacy and security requirements. Under the HIPAA Privacy Rule (45 CFR §164.502), improper disclosure of PHI—such as inputting patient data into a non-HIPAA-compliant AI tool—can lead to considerable violations. If the AI system lacks proper safeguards, it could expose sensitive data to unauthorized access or misuse.

Similarly, the HIPAA Security Rule (45 CFR §164.306) mandates that covered entities implement robust administrative, physical, and technical safeguards to protect electronic PHI (ePHI). Although the Department of Health and Human Services has yet to publish any rules or regulations specifically relating to AI usage, HIPAA’s Security Rule would likely encompass ensuring that AI vendors have encryption, access controls, and secure transmission protocols in place to prevent unauthorized access to patient data. Failing to comply with these regulations can lead to hefty fines, legal repercussions, and damage to the practice’s reputation.

As AI tools continue to evolve, too will the regulatory landscape. Medical practices must be proactive in ensuring that their AI vendors are fully compliant with both current and emerging HIPAA standards. This involves thoroughly reviewing vendor agreements to confirm how data is processed, stored, and secured, ensuring it meets all HIPAA requirements.

Data Quality and Integrity

Beyond regulatory concerns, there is the practical side of AI usage. AI systems in healthcare are only as effective as the data they process. Incomplete or outdated patient records can lead to flawed diagnoses or inappropriate treatment recommendations, which could harm patients. For instance, missing data in a patient’s history could cause an AI tool to overlook important risk factors. To avoid these pitfalls, medical practices must ensure their data is clean, up-to-date, and comprehensive, as the quality of the data directly impacts the quality of AI-driven decisions.

Before rushing to adopt an AI program, a practice needs to determine if the AI program will work with the data available and accessible by the practice.

Seeking Experienced Healthcare Counsel

Lastly, as with any vendor contract, consulting experienced healthcare counsel is essential to ensure your practice makes informed decisions, particularly when adopting AI tools. Implementing AI programs can pose significant risks related to confidentiality, regulatory compliance, and data integrity. Legal guidance can ensure that your practice remains compliant and meets privacy and security standards.

How Frier Levitt Can Help

The integration of AI tools into medical practices offers exciting opportunities for enhancing patient care and operational efficiency. However, medical practices must conduct thorough due diligence when selecting and implementing AI solutions.

Frier Levitt assists medical practices in adopting AI responsibly and helping in the vendor vetting process. Our AI Task Force evaluates vendors, reviews contracts, and ensures HIPAA compliance. Contact Frier Levitt today to navigate AI adoption challenges and protect your practice’s interests.