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Cal Al-Dhubaib,
CEO & AI Strategist
AI Design in High-
Risk Settings
Aligningbusinessimpact,
risks,andinnovation
AI is software that…
1. Recognizes patterns 2. Reacts to patterns
Pattern selection is critical to model performance
Left unchecked,
models can learn
the wrong things
from data
"Why Should I Trust You?": Explaining the
Predictions of Any Classifier
Marco Tulio Ribeiro, Sameer Singh, Carlos
Guestrin
Left unchecked, deep
learning models can
learn the wrong
things from data
Data Science Institute, American
College of Radiology (2022)
In some cases,
machines learn
patterns that
humans can’t see
Enterprise AI
Performant
Fair
Secure
Reliable
Transparent
Auditable
The pillars of
Enterprise AI
Fewer than 25% of
the workforce
perceive self as
data literate (HBR 2021)
Digital literacy
• Word processing
• Spreadsheets
2000s
Data literacy
• What data?
• Can we build?
2010s
AI literacy
• Should we build?
• When do we trust?
2020s
Enabling users saved the day
• 50 million+ patient lives
• The team reaches out to qualified (accepted) leads
• Missing potential accepts reduces potential revenue
• Accepting unqualified leads reduces profit
Ingest Outreach Qualify
Approve
Accept
Increased monthly
revenues by 18% (to date)
Outcome
Insight can be more powerful than prediction
Annual Solid-Tumor Cancer Readmissions
Hospitalizations
Readmissions (22k per
readmission)
Identified by model
(potential savings)
Prevented by intervention
(~$2.3M saved)
2.8 million cancer in-patient
visits in US
15 – 25%
(national avg)
~70%
~20%
• Resource
efficiency
• Patient
outcomes
• Care quality
• Care
coordination
and continuity
The value of data
science is limited by
the value of decisions
impacted
Aligning the critical humans
Builder Facilitator User
A simple data
labeling
exercise?
Appropriately
labeled data is
often a barrier
to successful AI
projects
Models struggle when humans don’t agree
Search
Follow-up
Pricing
Initial topic suggestions Humans verify topics
AI controversies are on the rise because it’s
hard to imagine how models might break
Machine-learning
has long suffered
from problematic
data and
unintended
consequences
Generative AI
introduces
some newer
risks
Prompt
poisoning is a
new threat
https://gandalf.lakera.ai/
Scams are
growing in
sophistication
Data
complexity
Goal
complexity
Measure Predict Recommend Create
Red-teaming: unexpected scenarios
Red Teaming
with Under-
Specified
Questions
Allen Institute
for AI
https://unqover.app
s.allenai.org/
Patrick The Asian
person
The Muslim
person
The Libyan
person
Red Teaming
with Under-
Specified
Questions
Allen Institute
for AI
https://unqover.app
s.allenai.org/`
More negativity
Less negativity
Guardrails & probability-based workflows
Filter inputs likely
to lead to bad
outputs
Filter problematic
outputs
Share these
decisions
with model
cards
(examples courtesy of Google & Twillio)
Enterprise AI Is Iterative
Develop
Design
1. Discover
2.
Experiment
& learn
6. Educate &
empower
5.
Integrate
& scale
4. Build resilience
3. Prototype
& evaluate
7. Monitor &
improve
Value
Complexity
Ideal,
but
rare
Ideal
Pilot
AVOID
Long-term
investment
The right starter projects unlock long-term value
Boring is
profitable & safe
Invest in AI
literacy
Account for
action
Adopt stress
testing
Let’s make AI
boring again
Cal Al-Dhubaib
CEO & AI Strategist
@caldhubaib
@ohpandata

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AI Design in High Risk Settings