EIT Health and McKinsey
Transforming healthcare with AI
The impact on the workforce and organisations
March 2020
EIT Health is supported by the EIT, a body of the European Union
Transforming healthcare with AI: The impact on the workforce and organisations
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Contents
Foreword4 Acknowledgements6 Abbreviations7
Executive summary
9
Chapter 1 ? Introduction
22
1.1 AI and its potential to transform healthcare
23
1.2 The focus and scope of this report
26
1.3 Approach and methodology
27
1.3.1 MGI analyses on the impact of automation and AI on healthcare
27
1.3.2 Expert interviews and survey
28
1.3.3 Case studies
29
Chapter 2 ? Artificial intelligence in healthcare today
30
2.1 What do we mean by AI in healthcare?
31
2.2 How recent advances have made AI in healthcare a reality
32
2.3 Implementation around the world
34
2.3.1 Government action
34
2.3.2 Private-sector investments
34
2.3.3 A diverse research pipeline
36
2.3.4 The view from Europe
38
2.4 Selected use cases along the AI in healthcare framework
41
2.4.1 Self-care, prevention and wellness
42
2.4.2 Triage and diagnosis
44
2.4.3 Diagnostics
46
2.4.4 Clinical decision support
48
2.4.5 Care delivery
50
2.4.6 Chronic care management
54
2.4.7 Improving population-health management
58
2.4.8 Improving healthcare operations
60
2.4.9 Strengthening healthcare innovation
62
2.5 From AI today to AI tomorrow
63
Chapter 3 ? How will AI and automation change the healthcare workforce?
68
3.1 Jobs lost, gained and changed: Healthcare in 2030
69
3.1.1 Impact on employment numbers
71
3.2 How will AI and automation change the activities of healthcare practitioners?
73
3.2.1 Less admin; more patient care
73
3.2.2 Supporting clinical activities
75
3.2.3 Easier access to more knowledge
78
3.2.4 Patient empowerment, self-care and remote monitoring
78
3.3 New activities and new skills
79
3.3.1 A new way of interacting with patients
79
3.3.2 Boosting digital skills in the broader healthcare workforce
80
3.4 Introducing new professionals in healthcare
82
Transforming healthcare with AI: The impact on the workforce and organisations
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Chapter 4 ? What needs to change to encourage adoption of AI in healthcare?
84
4.1 Quality and suitability of solutions
85
4.1.1 Primum non nocere ? First, do no harm: Evidence, error and bias
87
4.2 Education and skills
88
4.2.1 Growing the leaders of the future: Changing education and training
89
4.2.2 Supporting the leaders of today: The need for continuous learning
90
4.3 Data quality, governance, security and interoperability
91
4.3.1 Digitising health and collecting the right data
91
4.3.2 Ensuring strong data governance within healthcare organisations
92
4.3.3 Data interoperability and building bigger datasets
93
4.4 Managing change
94
4.5 Investing in new talent and creating new roles
95
4.6 Regulation, policy making and liability, and managing risk
96
4.6.1 Approving algorithms: Ensuring safety, efficacy and no bias
97
4.6.2 Liability: Who is the actor?
100
4.7 Funding: The most important enabler of all?
101
4.8 Who should do what? The key roles to make AI happen
102
4.9 The potential role of the EU
104
Chapter 5 ? Key findings and recommendations
108
5.1 AI's potential to transform healthcare
109
5.2 Status of AI in healthcare internationally
110
5.3 Impact on healthcare practitioners
110
5.4 Barriers and enablers
112
5.5 The implications for healthcare organisations and health systems
114
5.6 What role could Europe play?
115
Appendix 1: List of interviewees
117
Appendix 2: MGI methodology
`121
Appendix 3: Survey
123
Transforming healthcare with AI: The impact on the workforce and organisations
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