Artificial intelligence was supposed to transform health care. It hasn’t.

Curated on Posted on by Stefaan Verhulst

Article by Ben Leonard and Ruth Reader: “Artificial intelligence is spreading into health care, often as software or a computer program capable of learning from large amounts of data and making predictions to guide care or help patients. | Seth Wenig/AP Photo

Investors see health care’s future as inextricably linked with artificial intelligence. That’s obvious from the cash pouring into AI-enabled digital health startups, including more than $3 billion in the first half of 2022 alone and nearly $10 billion in 2021, according to a Rock Health investment analysis commissioned by POLITICO.

And no wonder, considering the bold predictions technologists have made. At a conference in 2016, Geoffrey Hinton, British cognitive psychologist and “godfather” of AI, said radiologists would soon go the way of typesetters and bank tellers: “People should stop training radiologists now. It’s just completely obvious that, within five years, deep learning is going to do better.”

But more than five years since Hinton’s forecast, radiologists are still training to read image scans. Instead of replacing doctors, health system administrators now see AI as a tool clinicians will use to improve everything from their diagnoses to billing practices. AI hasn’t lived up to the hype, medical experts said, because health systems’ infrastructure isn’t ready for it yet. And the government is just beginning to grapple with its regulatory role.

“Companies come in promising the world and often don’t deliver,” said Bob Wachter, head of the department of medicine at the University of California, San Francisco. “When I look for examples of … true AI and machine learning that’s really making a difference, they’re pretty few and far between. It’s pretty underwhelming.”

Administrators say algorithms — the software that processes data — from outside companies don’t always work as advertised because each health system has its own technological framework. So hospitals are building out engineering teams and developing artificial intelligence and other technology tailored to their own needs.

But it’s slow going. Research based on job postings shows health care behind every industry except construction in adopting AI…(More)”.

Architectures of Participation

Curated on Posted on by Stefaan Verhulst

Essay by Jay Lloyd and Annalee Saxenian: “Silicon Valley’s dynamism during the final three decades of the twentieth century highlighted the singular importance of social and professional networks to innovation. Since that time, contemporary and historical case studies have corroborated the link between networks and the pace of technological change. These studies have shown that networks of networks, or ecosystems, that are characterized by a mix of collaboration and competition, can accelerate learning and problem-solving.

However, these insights about networks, collaboration, and ecosystems remain surprisingly absent from public debates about science and technology policy. Since the end of World War II, innovation policy has targeted economic inputs such as funding for basic scientific research and a highly skilled workforce (via education, training, and/or immigration), as well as support for commercialization of technology, investments in information technology, and free trade. Work on national systems of innovation, by contrast, seeks to define the optimal ensembles of institutions and policies. Alternatively, policy attention is focused on achieving efficiencies and scale by gaining control over value chains, especially in critical industries such as semiconductors. Antitrust advocates have attributed stalled technological innovation to monopolistic concentration among large firms, arguing that divestiture or regulation is necessary to reinvigorate competition and speed gains for society. These approaches ignore the lessons of network research, potentially threatening the very ecosystems that could unlock competitive advantages. For example, attempts to strengthen value chains risk cutting producers off from global networks, leaving them vulnerable to shifting markets and technology and weakening the wider ecosystem. Breaking up large platform firms may likewise undermine less visible internal interdependencies that support innovation, while doing nothing to encourage external collaboration. 

Networks of networks, or ecosystems, that are characterized by a mix of collaboration and competition, can accelerate learning and problem-solving.

How might the public sector promote and strengthen important network connections in a world of continuous flux? This essay reexamines innovation policy through the lens of the current era of cloud computing, arguing that the public sector has a regulatory role as well as a nurturing one to play in fostering innovation ecosystems…(More)”.

Culver City, Calif., Uses AR to Showcase Stormwater Project

Curated on Posted on by Stefaan Verhulst

Article by Julia Edinger: “Culver City, Calif., and Trigger XR have teamed up to enhance a stormwater project by adding an interactive augmented reality experience.

Government agencies have been seeing the value of augmented and virtual reality for improved training and accessibility in recent years. Now, governments are launching innovative projects to help educate and engage residents — from a project in Charlotte, N.C., that revives razed Black neighborhoods to efforts to animate parks in Buffalo, N.Y., and Fairfax, Va.

For Culver City, an infrastructure project’s signage will bring the project to life with an augmented reality experience that educates the public on both the project itself and the city’s history…

…as is the case with many infrastructure projects, a big portion of the action would happen out of sight, motivating the project team to include “interpretive signage” that explains the purpose of the project through an interactive, virtual experience, Sean Singletary, the city’s senior civil engineer, explained in a written response…

The AR experience will soon be available for visitors, who will be able to learn about the project by reading the information on the signs — printed in both Spanish and English — or by scanning the QR code to get deeper.

There are six different “experiences” in augmented reality that users can participate in. In one experience, users can visualize the stormwater project that exists beneath their feet or watch images of the city’s history float past them as if they were walking through a museum. Another features a turtle that is native to Ballona Creek, which will swim around users as informational text boxes about the turtle’s history and keeping the creek clean pop up to enhance the experience…(More)”.

Forest data governance as a reflection of forest governance: Institutional change and endurance in Finland and Canada

Curated on Posted on by Stefaan Verhulst

Paper by Salla Rantala, Brent Swallow, Anu Lähteenmäki-Uutela and Riikka Paloniemi: “The rapid development of new digital technologies for natural resource management has created a need to design and update governance regimes for effective and transparent generation, sharing and use of digital natural resource data. In this paper, we contribute to this novel area of investigation from the perspective of institutional change. We develop a conceptual framework to analyze how emerging natural resource data governance is shaped by related natural resource governance; complex, multilevel systems of actors, institutions and their interplay. We apply this framework to study forest data governance and its roots in forest governance in Finland and Canada. In Finland, an emphasis on open forest data and the associated legal reform represents the instutionalization of a mixed open data-bioeconomy discourse, pushed by higher-level institutional requirements towards greater openness and shaped by changing actor dynamics in relation to diverse forest values. In Canada, a strong institutional lock-in around public-private partnerships in forest management has engendered an approach that is based on voluntary data sharing agreements and fragmented data management, conforming with the entrenched interests of autonomous sub-national actors and thus extending the path-dependence of forest governance to forest data governance. We conclude by proposing how the framework could be further developed and tested to help explain which factors condition the formation of natural resource data institutions and subsequently the (re-)distribution of benefits they govern. Transparent and efficient data approaches can be enabled only if the analysis of data institutions is given equal attention to the technological development of data solutions…(More)”.

The Rise of the Worker Productivity Score

Curated on Posted on by Stefaan Verhulst

Jodi Kantor and Arya Sundaram in The New York Times: “Across industries and incomes, more employees are being tracked, recorded and ranked. What is gained, companies say, is efficiency and accountability. What is lost?…

In lower-paying jobs, the monitoring is already ubiquitous: not just at Amazon, where the second-by-second measurements became notorious, but also for Kroger cashiers, UPS drivers and millions of others. Eight of the 10 largest private U.S. employers track the productivity metrics of individual workers, many in real time, according to an examination by The New York Times.

Now digital productivity monitoring is also spreading among white-collar jobs and roles that require graduate degrees. Many employees, whether working remotely or in person, are subject to trackers, scores, “idle” buttons, or just quiet, constantly accumulating records. Pauses can lead to penalties, from lost pay to lost jobs.

Some radiologists see scoreboards showing their “inactivity” time and how their productivity stacks up against their colleagues’. At companies including J.P. Morgan, tracking how employees spend their days, from making phone calls to composing emails, has become routine practice. In Britain, Barclays Bank scrapped prodding messages to workers, like “Not enough time in the Zone yesterday,” after they caused an uproar. At UnitedHealth Group, low keyboard activity can affect compensation and sap bonuses. Public servants are tracked, too: In June, New York’s Metropolitan Transportation Authority told engineers and other employees they could work remotely one day a week if they agreed to full-time productivity monitoring.

Architects, academic administrators, doctors, nursing home workers and lawyers described growing electronic surveillance over every minute of their workday. They echoed complaints that employees in many lower-paid positions have voiced for years: that their jobs are relentless, that they don’t have control — and in some cases, that they don’t even have enough time to use the bathroom. In interviews and in hundreds of written submissions to The Times, white-collar workers described being tracked as “demoralizing,” “humiliating” and “toxic.” Micromanagement is becoming standard, they said.

But the most urgent complaint, spanning industries and incomes, is that the working world’s new clocks are just wrong: inept at capturing offline activity, unreliable at assessing hard-to-quantify tasks and prone to undermining the work itself…(More)”.

AI-powered cameras to enforce bus lanes

Curated on Posted on by Stefaan Verhulst

Article by Chris Teale: “New York’s Metropolitan Transportation Authority will use an automated camera system to ensure bus lanes in New York City are free from illegally parked vehicles.

The MTA is partnering with Hayden AI to deploy Automated Bus Lane Enforcement camera systems to 300 buses, which will be mounted on the interior of the windshield and powered by artificial intelligence. The agency has the option to add the cameras to 200 more buses if it chooses.

Chris Carson, Hayden AI’s CEO and co-founder, said when the cameras detect an encroachment on a bus lane, they use real-time automated license plate recognition and edge computing to compile a packet of evidence that includes the time, date and location of the offense, as well as a brief video that shows the violator’s license plate. 

That information is encrypted and sent securely to the cloud, where MTA officials can access and analyze it for violations. If there is no encroachment on a bus lane, the cameras do not record anything…

An MTA spokesperson said the agency will also use data from the system to identify locations that have the highest instances of vehicles blocking bus lanes. New York City has 140 miles of bus lanes and has plans to build 150 more miles in the next four years, but congestion and lane violations from other road users slows the speed of the buses. The city already uses cameras and police patrols to attempt to enforce proper bus lane use…(More)”.

How social media has undermined our constitutional architecture

Curated on Posted on by Stefaan Verhulst

Article by Danielle Allen: “Our politics are awful. On this we all agree. Often we feel there is nothing we can do. Yet there are steps to take. Before we can decide what to do, though, we have to face squarely the nature of the problem we are solving.

We face a crisis of representation. And — put bluntly — Facebook is the cause.

By crisis of representation, I do not mean that the other side’s representatives drive us all crazy. Of course, they do. I do not even mean that the incredibly negative nature of our political discourse is ruining the mental health of all of us. Of course, it is. What I mean is that the fundamental structural mechanism of our constitutional democracy is representation, and one of the pillars of the original design for that system has been knocked out from under us. As a result, the whole system no longer functions effectively.

Imagine that a truck has crashed into a supporting wall for your building. Your building is now structurally unsound and shifting dangerously in the wind. That’s the kind of situation I’m talking about.

In that abstract metaphor the building is our constitutional system, and social media is the truck. But explaining what I mean requires going back to the early design of our Constitution.

Ours is not the first era brought to its knees by polarization. After the Revolution, the nation was grinding to a halt under the Articles of Confederation. Congress couldn’t get a quorum. It couldn’t secure the revenue needed to pay war debts. Polarization — or as they called it — “faction” brought paralysis.

The whole point of writing the Constitution was to fix this aspect. James Madison made the case that the design of the Constitution would dampen factionalism. He argued this in the Federalist Papers,the famous op-eds that he, John Jay and Alexander Hamilton wrote advocating for the Constitution…

Madison couldn’t anticipate Facebook, and Facebook — with its historically unprecedented power to bind factions over great distances — knocked this pillar out from under us. In this sense, Facebook and the equally powerful social media platforms that followed it broke our democracy. They didn’t mean to. It’s like when your kid plays with a beach ball in the house and breaks your favorite lamp. But break it they did.

Now, the rest of us have to fix it.

Representation as designed cannot work under current conditions. We have no choice but to undertake a significant project of democracy renovation. We need an alternative to that original supporting wall to restore structural soundness to our institutions.

In coming columns, I will make the case for the recommendations that I consider most fundamental for a 21st-century system of representation that can address our needs. The goal should be responsive representation, which means representation that is inclusive of our extraordinary diversity and, of course, simultaneously effective. Our representatives get stuff done.

Increasing the size of the House of Representatives is one recommendation from a bipartisan commission on democracy renovation that I recently co-chaired. The report we produced is called Our Common Purpose. …(More)”

Who Is Falling for Fake News?

Curated on Posted on by Stefaan Verhulst

Article by Angie Basiouny: “People who read fake news online aren’t doomed to fall into a deep echo chamber where the only sound they hear is their own ideology, according to a revealing new study from Wharton.

Surprisingly, readers who regularly browse fake news stories served up by social media algorithms are more likely to diversify their news diet by seeking out mainstream sources. These well-rounded news junkies make up more than 97% of online readers, compared with the scant 2.8% who consume online fake news exclusively.

“We find that these echo chambers that people worry about are very shallow. This idea that the internet is creating an echo chamber is just not holding out to be true,” said Senthil Veeraraghavan, a Wharton professor of operations, information and decisions.

Veeraraghavan is co-author of the paper, “Does Fake News Create Echo Chambers?” It was also written by Ken Moon, Wharton professor of operations, information and decisions, and Jiding Zhang, an assistant operations management professor at New York University Shanghai who earned her doctorate at Wharton.

The study, which examined the browsing activity of nearly 31,000 households during 2017, offers empirical evidence that goes against popular beliefs about echo chambers. While echo chambers certainly are dark and dangerous places, they aren’t metaphorical black holes that suck in every person who reads an article about, say, Obama birtherism theory or conspiracies about COVID-19 vaccines. The study found that households exposed to fake news actually increase their exposure to mainstream news by 9.1%.

“We were surprised, although we were very aware going in that there was much that we did not know,” Moon said. “One thing we wanted to see is how much fake news is out there. How do we figure out what’s fake and what’s not, and who is producing the fake news and why? The economic structure of that matters from a business perspective.”…(More)”

Meet the new GDP prototype that tracks inequality

Curated on Posted on by Stefaan Verhulst

Article by Greg Rosalsky: “…Nearly a century after Kuznets pioneered the use of GDP, economists Thomas Blanchet, Emmanuel Saez, and Gabriel Zucman are trying to revolutionize it. In a new paper titled “Real-Time Inequality,” the economists imagine a new kind of GDP, one that isn’t merely a single number telling us about total economic growth, but a collection of numbers telling us where the gains from this growth are flowing. They already have a working prototype that they’ve published online, and it can provide some important insights about our economy right now…

Gabriel Zucman is an economist at UC Berkeley and the director of the James M. and Cathleen D. Stone Center on Wealth and Income Inequality. He has been working to transform government economic statistics — also called “national accounts” — for almost a decade. He says the national accounts offer the public valuable insights about economic growth. However, Zucman says, “The big problem is these data do not tell you who is benefiting from economic growth.”

America, of course, already has tons of data on inequality. The problem, Zucman says, is it usually takes a year or two for this data to be updated. “It’s not enough to come in two years after the policy battle, and say, ‘Look, this is what happened to inequality,'” Zucman says. “That’s too late.”

Their new project is an effort to fix this. Cobbling together data from a variety of official sources, Zucman and his colleagues have pioneered a method to compute in a more timely fashion how different income groups — like the working class and the middle class — are doing economically. They hope this prototype will inspire the federal government to follow suit and soon “produce numbers about how income is growing for each social group at the exact time when the Bureau of Economic Analysis releases its official GDP growth numbers.”

Zucman envisions a future where this data could inform and shape policy decisions. When considering policies like sending stimulus checks or providing tax relief, Zucman says, policymakers and voters need to know things like “which groups need more support, or whether the government may be actually overshooting, which might lead to inflation.”…(More)”.

Use of Data in Public Sector Human Resources and Workforce Management: Solutions and Challenges

Curated on Posted on by Stefaan Verhulst

White Paper by Katherine Barrett and Richard Greene: “Across the U.S., a growing number of cities, counties, and states are using data across agencies to improve management and make decisions—and HR and payroll professionals in particular stand to gain much from this data to help drive staffing and other strategic decisions. In this white paper, industry experts Katherine Barrett and Richard Greene take a deep dive into both the benefits and challenges of using data with real-life examples of how data has been instrumental in building a resilient HR apparatus.

Data can be used for positive change that includes shorter new-hire onboarding, fairer overtime distribution, and even improved employee safety. However, obstacles to using data in an optimal way to improve HR management, such as insufficient funding, lack of training, and lack of software access, can keep government organizations from making the most of all it can offer.

Despite barriers, many organizations are moving toward creating a culture that is conducive to the use of the data their computers can create. Examples of how data and data analysis can transform workforce management practices include:

  • Studying existing hiring and onboarding data to facilitate more effective and efficient administration
  • Tracking turnover data to document employee departures and reveal information about those most at risk of sudden departure
  • Reducing overtime by using the data to ensure fairer distribution of overtime
  • Uncovering equity issues by assessing and comparing the demographic makeup of a workforce to see how closely it matches their population…(More)”