Physician executive Jay Anders discusses his article, "Health care's data problem: the real obstacle to AI success." Jay asserts that the transformative potential of artificial intelligence in health care is fundamentally dependent on the quality of the underlying clinical data. He explains that while tools like large language models and conversational AI show promise in synthesizing information and easing documentation, their reliability is compromised when fed with data from repositories often filled with inconsistencies, errors, and gaps. This can lead to an "increased workload paradox," where clinicians spend more time verifying and correcting AI-generated outputs, and a failure to produce the structured data vital for regulatory compliance, quality metrics, and analytics. Jay emphasizes that the "garbage in, garbage out" principle severely hampers interoperability and contributes to significant financial and clinical risks, including medical errors and inefficient workflows. To counter this, he advocates for robust data validation and normalization, enhancement of clinical terminologies, and the use of AI paired with evidence-based algorithms to rectify historical data issues, stressing that establishing trusted data sources is paramount before AI can truly revolutionize health care delivery.

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