Artificial Intelligence Responsive Medicine[1]

AIRMED is a reference architecture consisting of multiple sapiens and KM apps designed to transform the relationship between the healthcare provider and the client.

Sapiens may be created to serve any function where automated knowledge and the ability to understand language can save time and money while improving the service delivered and customer experience. Sapiens come in several varieties including Personal Sapiens which serve single individuals, Group Sapiens which provide services to a many clients or employees and Public Sapiens which may serve as an organizations public interface.

Problems

From a veteran nurse at a regional hospital: “When I first started working here 20 years ago I spent 80% of my time giving care to my patients and 20% doing paperwork and data entry. Now it is 50-50.”

From a patient with a long-term illness requiring 100s of doctor visits: “It used to be when a doctor entered the exam room, the first thing they would do is look at me intently, assessing my general state of health. Now they go straight to the computer. I feel lucky if they even introduce themselves first.”

Solution

The New Sapience AIRMED system provides an intelligent, automated 24/7 communication channel between a client/patient and a healthcare organization, including medical or dental practices, hospitals or continuing care retirement communities. The system consists of cloud-based HIPAA compliant servers which host a collection of connected sapiens. AIRMED is scalable and configurable to serve customers ranging from a small practice, to the largest hospitals or continuing care communities.

Each patient of the practice and each medical professional will have a Personal sapiens assigned to them. Additionally, the organization will have one or more Group Sapiens and possibly one Public sapiens to serve as the public interface.

Typical AIRMED configuration for a large medical practice

Caregiver Sapiens

(Client Companion Sapiens)

Each Caregiver will be a unique virtual entity focused on a single human, its “principal.” Sapiens are designed to be always available for voice or text conversational interaction over multiple channels such as smart phones, smart speakers in the home, or wearable interfaces.

The Caregiver will initially be provided to each patient by the practice and will be enhanced with knowledge extension designed by and for the practice.  For example, a new patient of a urology practice will be given access to their own personal sapiens which will obtain the answers to the standard new urology patient questionnaire through conversation. The patient’s Caregiver can support the patient’s relationship with multiple practices or hospitals that employ AIRMED by simply downloading that practice’s knowledge extension.

One challenge which faces people with long term illness is tracking changing symptoms between doctor visits. Though doctors may ask patients to keep logs, this is seldom practical, especially since the first impulse that a person has when experiencing a possibly painful symptom is to remedy it if possible, not document it. But with a sapiens standing by, they not only get the symptoms recorded, but get a sympathetic listener as well.

  • Patient: My headache is back.
  • Caregiver: I am so sorry, how bad is it?
  • Patient: It hurts.
  • Caregiver: On the 1 to 10 scale?
  • Patient: About a 6.
  • Caregiver: Worse than last night. You said it was around a 4 and half. Still on the right side?
  • Patient: Yes, how many Tramadol have I taken this week?
  • Caregiver: 6 so far.
  • Patient: Well, I’m taking another one.
  • Caregiver: I hope you feel better soon.

Of course, a sapiens never forgets, and once the client is in the habit of describing their symptoms and use of medication with their Caregiver, valuable detailed medical information will be captured which is now being lost.

The Caregiver will also serve as an intelligent 24/7 interface between a person, particularly those with a long-term illness or the elderly and first responders in the event of a health emergency or an accident.

Medical Receptionist Sapiens (MRS)

The MRS is a Group sapiens that will welcome patients to the doctor’s office, providing a personable and sympathetic conversational alternative to requiring the patient to fill out updated forms every time they walk in the door. The MRS will track changes in the patient’s personal data such as address, phone numbers, insurance and appointments and other administrative details through direct interface with a patient’s CCS.

  • MRS: We are so glad to have you with us today. We see that you are still having headaches.
  • Patient: Yes, they don’t seem to be getting any better, do they?
  • MRS: It doesn’t appear that you are experiencing more of them but there is an uptick in intensity. Your doctor will be discussing that with you today.
  • MRS: He has called in a refill on your Tramadol, by the way.

Automated Real-time Patient Monitoring

The sapiens ability to acquire and record a person’s subjective experiences through natural conversation will provide a valuable source of diagnostic information that is simply not available today. But the conversational ability of the New Sapience technology is due to its capability to encompass detailed knowledge models of any complexity.

New Sapience can support the practice in the development of sophisticated medical diagnostic models that communicate with the patients’ sapiens. When augmented with real-time medical sensor data from wearables, a person’s current medical state and health risk factors can be assessed continuously and in real-time. The practice will be able to proactively reach out to the patient to ameliorate risk factors or actual illness before it becomes acute – eliminating, in some cases, the need for a doctor’s visit in the first place.

[1] In Irish mythology, the goddess Airmed was associated with healing and medicine. https://en.wikipedia.org/wiki/Airmed