PIPages
Labs

Sherri Rose

Stanford University, CA·Mathematics & Statistics

Computer algorithms now help decide who gets which health care, yet few are checked for their effects on patients once they are in use. Some have already caused harm.

Fields

Mathematics & Statistics

Public Health & Epidemiology

Computer Science

Topics

health care algorithms

machine learning

artificial intelligence

Grants
2 known grants, through Jul 2027

What they work on

  1. Develop microsimulation models of the health care system's cause-and-effect network to estimate how an algorithm would affect access, quality and costs before deployment, using billing claims, primary care records and qualitative data.
  2. Build simpler causal network models and Markov cohort models, which track patient groups between health states, as comparison benchmarks for the pre-deployment impact framework.
  3. Develop and test data intervention methods that use microsimulations to generate counterfactual outcomes, meaning what results would look like under a desired state of primary care.
  4. Create penalized regression estimators, prediction methods that use penalties to enforce chosen constraints, and compare them with existing estimators in comprehensive simulation studies.
  5. Test the combined framework on chronic kidney disease quality of care using national primary care registry data, and release open-source tools, tutorials and a synthetic dataset.

More about the research

The two projects here ask how algorithms can be tested before they are deployed, and how to build better ones for primary care, where most tools trained on hospital data do not fit well.

Why it matters

Algorithms already shape care for millions of people. A way to test their effects on access, quality and cost before deployment could help health systems avoid tools that harm patients, and could inform future standards for health AI. Primary care tools tested on chronic kidney disease care could improve care quality for patients with this common condition, and open software could let other clinics adapt the methods.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

A Framework for the Impact of Algorithms in Health Care

NIH · Sep 2022 – Jul 2027

Novel Algorithmic Tools for Improving Health Outcomes in Primary Care

NIH · Aug 2022 – May 2027

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The school

Stanford University: 87 labs on PI Pages, $1.6B a year on research, 739 research doctorates a year.

More about Stanford University

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