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Nov 14 2024
Cloud

How Can Healthcare Organizations Prepare Their Cloud to Safely Implement AI?

Data governance is a key concern when it comes to using artificial intelligence in healthcare. Here’s what organizations need to know.

Many healthcare organizations that operate in the cloud have different technology needs than they had when they made their initial investments. As organizations re-evaluate and optimize their cloud environments, they should consider the technologies they’re using now as well as the tools they plan to adopt and implement in the future.

One such solution proliferating in tech portfolios is artificial intelligence. A McKinsey Global Survey found that the percentage of organizations using an AI tool for at least one business function jumped to 72% this year, up from 55% in 2023. Generative AI use nearly doubled in the same time frame: 33% of organizations used it in 2023, compared with 65% in 2024.

“We work a lot with hospitals where we have doctors using AI to write summaries of their notes. They don’t want to expose any of the patient information, but they want to get better notes faster,” says Roger Haney, chief architect for software-defined infrastructure at CDW.

The amount of data collected by healthcare organizations is increasing exponentially, and it’s crucial that IT teams have solid data governance and strategies for data storage to be able to use that data in conjunction with AI initiatives.

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“In hospitals, you are talking about a huge amount of storage. They’re doing so much more with video today and using AI to understand the video stream,” says Haney. “Did the patient get up out of bed? Are they a fall risk? Should I rush somebody over there? These types of video solutions are throughout the hospital.”

To accommodate this dynamic technology, healthcare organizations must make plans for its use and growth. One of the most important components to consider is the data users are feeding it and the governance of that data.

The Risk of Sharing Sensitive Data with Public AI Platforms

As clinicians and administrators embrace generative AI platforms, IT professionals must find ways to ensure that sensitive data isn’t being shared publicly. Users need ways to explore large language models without disclosing any of their data.

“First, we do a data governance check. What kind of data are you going to be using? What are the controls around that data? Then we can design a solution that allows you to keep your data in-house and not expose any of it,” says Haney.

Data governance is key for organizations looking to prepare their infrastructure and users for AI and LLMs.

“We have a workshop called Mastering Operational AI Transformation, or MOAT,” Haney says. “You’re drawing a circle around the data that we don’t want to get out. We want it to be internally useful, but we don’t want it to get out.”

To ensure data security, partners such as CDW can help organizations set up or build cloud solutions that don’t rely on public LLMs. This gives them the benefits of generative AI without the risk.

“We can set up your cloud in such a way that we’re able to use a prompt to a make copy of an LLM,” Haney explains. “We build private enclaves containing a chat resource to an LLM that people can use without a public LLM learning the data they’re putting in.”

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When to Host AI Databases in the Cloud

Healthcare organizations’ plans for generative AI will determine how they should prepare their infrastructure for the future of this technology. Haney says most users want to communicate with their data for retrieval or analytical purposes.

“Chatting with your data doesn’t require a new data store. You don’t have to build a huge data lake or warehouse,” he says. “If you have patient data, then we add another model that can create the query in SQL, do the query and pull the data back. Then you can ask it questions, using that data as part of your prompt, and you can ‘talk’ with your data.”

Partners such as CDW can give healthcare organizations this functionality quickly and inexpensively by creating a retrieval-augmented generation database for health systems. When asked a simple question, it can return two or three top answers. Often, these solutions don’t require the cloud.

“If you’re going to do 20 queries per second, for example, you probably could do that on-premises,” Haney says. “If you’re going to do 200 queries or, if you’re a company the size of CDW and you’re building an HR bot, 500 queries per second, you want to do that with resources that are scalable. That’s where the cloud comes in.”

The size of the organization and the types of AI use cases it plans to implement will determine whether a health system should consider hosting a database on-premises or use cloud-based resources.

DIVE DEEPER: When is the cloud right for organizations deploying artificial intelligence?

“With a fine-tuned model, you need heavy GPU resources because now you’re embedding that information into the model itself,” Haney says. “We do most of that work in in the cloud, where we’re able to rent a GPU or a TPU [tensor processing unit], and it’s a lot less expensive.”

“We’re also working with a lot with hospitals on the manual processes they do today. You can simply walk into the room, attach to all the automatic blood pressure cuffs and these types of things, and produce a diagnosis right there on the doctor’s device,” adds Haney. “What does your past 12 or 24 hours look like? The thing to think about with AI, especially generative AI, is that it’s another tool. But chaining a lot of these tools together — your databases, your queries and lookups, a lot of the video — provides you with a really intelligent solution.”

So, when it comes to determining how you’ll prepare your cloud infrastructure for AI, think first about how you want to use AI, how you want to use your data and what that will require in your organization. Working with an experienced partner can help you answer these questions and more to prepare your healthcare organization’s digital infrastructure for whatever comes next.

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