A Dec. 14 White House statement lists 28 providers and payers that have pledged to advance ethical and responsible use of artificial intelligence technology in healthcare.
The White House said that these voluntary commitments build on ongoing work by the Department of Health and Human Services (HHS), the AI Executive Order, and earlier commitments that the White House received from 15 leading AI companies to develop models responsibly.
The health systems and payers are Allina Health, Bassett Healthcare Network, Boston Children’s Hospital, Curai Health, CVS Health, Devoted Health, Duke Health, Emory Healthcare, Endeavor Health, Fairview Health Systems, Geisinger, Hackensack Meridian, HealthFirst (Florida), Houston Methodist, John Muir Health, Keck Medicine, Main Line Health, Mass General Brigham, Medical University of South Carolina Health, Oscar, OSF HealthCare, Premera Blue Cross, Rush University System for Health, Sanford Health, Tufts Medicine, UC San Diego Health, UC Davis Health, and WellSpan Health.
The commitments received today will serve to align industry action on AI around the “FAVES” principles—that AI should lead to healthcare outcomes that are Fair, Appropriate, Valid, Effective, and Safe. Under these principles, the companies commit to inform users whenever they receive content that is largely AI-generated and not reviewed or edited by people. They will adhere to a risk management framework for using applications powered by foundation models—one by which they will monitor and address harms that applications might cause.
They also pledge to investigating and developing valuable uses of AI responsibly, including developing solutions that advance health equity, expand access to care, make care affordable, coordinate care to improve outcomes, reduce clinician burnout, and otherwise improve the experience of patients.
“AI presents unequalled potential for advancing health with new scientific discoveries, improved diagnoses and treatment of diseases and better systems that free our workers to dedicate their expertise to patient care rather than administrative chores,” said Craig T. Albanese, M.D., chief executive officer of Duke University Health System, in a statement. “But we recognize that AI also has the potential to be misused,” he said. “By signing this pledge, we are publicly stating our commitment to work toward the better good.”
Mary Klotman, M.D., executive vice president for health affairs at Duke University and dean of Duke University School of Medicine, said establishing Duke’s role as a leader in trustworthy AI has been an institutional priority for years and is foundational to advancing better health.
“This pledge actually reflects many years of work that Duke Health has already undertaken to establish the infrastructures we need to pursue AI with integrity,” Klotman said in a statement. “It puts us on record with our commitment.”
In addition to signing the pledge, Duke Health has been a founding member of the Coalition for Health AI (CHAI), established to develop guidelines and guardrails for fair and credible applications of AI in healthcare.
Duke Health has also built a framework for the governance and evaluation of clinical algorithms used throughout the organization.
