Impressive for a Robot: In-Home Care AI Assistants Among Artificial Intelligence Solutions Adopted by the Australian Healthcare Sector

Peta Rolls grew accustomed to getting Aida's regular check-in each morning.

A routine morning call by an automated voice assistant was not part of the service Rolls envisioned when she enrolled for St Vincent’s home care but when they asked to be part of the trial four months ago, the elderly lady agreed because she wished to contribute. Even though, to be honest, her hopes weren't high.

Even so, when the call came through, she says: “I was so overtaken by how interactive the AI was. It was remarkable for a machine.”

“She’d always ask ‘how are you feeling today?’ and that provides a chance if you’re feeling sick to mention your symptoms, or I just say ‘I'm well, thanks’.”

“The AI would then pose questions – ‘have you had a chance to step outside today?’”

Aida would also inquire about what the user had planned for the day and “it would reply appropriately.”

“When I mentioned I plan to go shopping, it would ask are you shopping for clothes or groceries? I found it entertaining.”

AI Reducing the Workload on Healthcare Professionals

This pilot, which has recently concluded its first phase, is an example in which progress in artificial intelligence are being integrated in healthcare.

Health tech firm Healthily partnered with the care organization about the program to use its generative AI technology to offer companionship, along with an opportunity for elderly recipients to log any health issues or issues for a caregiver to follow up.

Dean Jones, national director of the home care division, explains the AI check-in being trialled does not replace any face to face interactions.

“Recipients continue to get a weekly personal visit, but in between visits … the automated system enables a daily check-in, which can then flag any possible issues to either our team or a client’s family,” Jones notes.

Dr Tina Campbell, the managing director of the company, reports there haven’t been any negative events reported from the St Vincent’s trial.

The company employs advanced AI “with strict safety protocols” to guarantee the interaction is safe and procedures are established to respond to critical medical problems promptly, Campbell states. As an instance, if a client is reporting heart symptoms, it would be flagged to the medical staff and the conversation terminated so the individual could dial triple zero.

Campbell believes AI has an significant part given staffing shortages throughout the healthcare sector.

“The benefit very safely, with technology like this, is lessen the admin burden on the workforce so trained clinicians can concentrate on doing the job that they specialize in,” she says.

Artificial Intelligence Long Established as Often Believed

Prof Enrico Coiera, the co-founder of the Australian Alliance for Artificial Intelligence in Healthcare, explains established types of AI have been a standard part of medicine for a long time, often in “back office services” such as analyzing scans, ECGs and pathology test results.

“Any computer program that performs a task that requires judgment in some way is AI, regardless of how it achieves that,” states Coiera, who is additionally the director of the Centre for Health Informatics at a leading university.

“When visiting the radiology unit, medical imaging center or pathology lab, you’ll see programs in equipment performing these tasks.”

Over the past decade, advanced versions of AI known as “machine learning” – an algorithmic approach that allows algorithms to analyze very large sets of data – have been used to interpret diagnostic scans and enhance detection, Coiera notes.

Recently, BreastScreen NSW became the nation's pioneering public health initiative to adopt machine reading technology to support specialists in interpreting a specific set of breast scans.

These represent advanced systems that continue to need a qualified physician to interpret the findings they might suggest, and the responsibility for a clinical judgment sits with the medical practitioner, the professor says.

The Function of AI in Early Disease Detection

A research center in Melbourne has been working alongside researchers from UCL London who first developed artificial intelligence techniques to detect neurological lesions called focal cortical dysplasias from brain scans.

These lesions cause epileptic episodes that often are resistant with medication, so surgery to excise the tissue becomes the sole option. However, the procedure can proceed if the doctors can pinpoint the affected area.

In research recently released in the journal Epilepsia, a team from the research body, headed by specialist Emma Macdonald-Laurs, showed their “neural network tool” could detect the abnormalities in nearly all of instances from advanced imaging in a subtype of the lesions that have traditionally been overlooked in the majority of patients (60%).

The system was trained on the images of a group of individuals and then evaluated with 17 children and 12 adults. Among the youngsters, twelve underwent operations and eleven became free of seizures.

This technology uses AI algorithms comparable with the mammography analysis – highlighting suspicious areas, which are still checked by experts “but it makes it a lot quicker to get to the answers,” the researcher explains.

She emphasises the team are still in the “early phases” of the project, with a further study required to get the technology toward clinical implementation.

Prof Mark Cook, a brain specialist who was independent from the research, notes modern imaging now produce such vast quantities of high-resolution data that it is challenging for a human to go through it thoroughly. So for doctors the difficulty of locating these abnormalities was like “identifying the needle in the haystack.”

“This illustrates of how artificial intelligence can assist clinicians in making earlier, precise identifications, and has the potential to enhance operation opportunities and outcomes for children with otherwise intractable epilepsy,” the professor says.

Disease Detection in the Future

A public health expert, the deputy head of the European Public Health Association’s AI health division, says advanced AI systems are also helping to track and forecast epidemics.

The expert, who spoke recently at the Public Health of Australia’s conference in the city, cited a tech firm, a company established by medical experts and which was one of the first organisations to detect the Covid-19 outbreak.

Content-creating AI is a further subset of deep learning, in which the technology can produce original material using existing information. These uses in medicine encompass tools such as Healthily’s AI voice bot along with the AI scribes clinicians are increasingly using.

Dr Michael Wright, the president of the national GP body, says GPs have been embracing digital assistants, which records the consultation and turns into a medical summary that can be added to the patient record.

The president says the main benefit of the tools is that it enhances the quality of the interaction between the doctor and patient.

Dr Danielle McMullen, the chair of the Australian Medical Association, concurs that scribes are helping doctors optimise their time and says AI can also help to help doctors avoid duplication of tests and scans for their clients, if the {promised digitisation|planned digitalization

Samantha Taylor
Samantha Taylor

A passionate horticulturist with over a decade of experience in urban farming and sustainable agriculture.

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