Ex-U.S. Cyber Commander: Rethink AI in Healthcare Now

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Former U.S. Cyber Commander urges healthcare to think differently about AI

Harnessing AI for a Transformative Healthcare Future: Insights from HIMSS25

LAS VEGAS—The HIMSS25 conference witnessed a remarkable address by former U.S. National Security Agency (NSA) Director General Paul M. Nakasone, who advocated for the healthcare sector to adapt, adopt, and advance artificial intelligence (AI) technologies. His insights shed light on how recent developments in generative AI and reasoning models are shaping the future of healthcare.

A Call to Empower Healthcare with AI

During his keynote speech, Nakasone emphasized the crucial need for the healthcare industry to harness revolutionary AI capabilities, not just for innovation but also to bolster cybersecurity. He posed a pertinent question: "How do we think about today, the present, and of course, the future?" as healthcare grapples with the rising demands for efficiency, enhanced patient outcomes, and stringent security protocols.

Nakasone, who oversaw the protection of Department of Defense networks from 2018 to 2024, is now the founding director of Vanderbilt University’s Institute of National Security and serves on the OpenAI board’s safety and security committee. His diverse experience positions him as a crucial voice on integrating advanced technologies into critical sectors.

Personal Motivations Behind Nakasone’s Advocacy

Nakasone’s passion for healthcare innovation stems from personal experiences—his wife’s profession as an oncology nurse, his admiration for the Arlington Fire Department’s response during the 9/11 attacks, and the military’s “golden hour” principle, which promises timely medical intervention for wounded soldiers.

He reminded attendees that 95% of those severely injured on the battlefield can be saved within an hour of injury, underscoring the importance of prompt healthcare responses.

The AI Revolution: A ‘Sputnik’ Moment for Healthcare

Drawing parallels between today’s healthcare landscape and the Sputnik era, Nakasone argued we are at a historical juncture of technological transformation. He reflected on how tools akin to the iPhone, which dramatically reshaped communication, heralded an era of technological disruption.

"Those who recognized and embraced this transformative wave enjoyed unprecedented growth," he stated, cautioning that those who resisted change faced substantial challenges.

AI’s Multifaceted Role in Healthcare Improvements

Nakasone explained that AI holds remarkable potential to accelerate drug discovery and enhance diagnostic capabilities, including the early detection of diseases like breast cancer. He stressed that AI could streamline administrative processes and improve risk management, allowing healthcare providers to focus more on patient care.

"We need to adapt, we need to adopt, and we need to advance," he urged healthcare providers to strive for accuracy and operational efficiency driven by AI technologies.

Revolutionizing Care through Data Processing

One of the standout applications of AI lies in its ability to utilize natural language processing to interpret vast amounts of data from health records. This innovation could fundamentally alter treatment plans, improve operational efficiency, and lower costs.

While Nakasone highlighted AI’s capabilities, he also clarified that it would not replace healthcare professionals but rather enhance their skills and effectiveness.

Vision for AI Policy in Healthcare

Nakasone pointed out that we are still in the early stages of formulating policies around AI integration in healthcare. He expressed optimism regarding advancements in drug discovery and disease detection in collaboration with entities like the U.S. Food and Drug Administration, while emphasizing that continued training and education must underpin these developments.

Combating Cyber Threats in Healthcare

Transitioning to cyber threats, Nakasone recounted his experience during the COVID-19 pandemic, where he was called upon to safeguard vaccine delivery through the NSA’s resources. He played a pivotal role in Operation Warp Speed, forging partnerships with private sector firms to secure communication channels within the Department of Health and Human Services.

"AI will transform how we tackle challenges like ransomware," Nakasone asserted, advocating for radical partnerships to address urgent cybersecurity issues.

Establishing a Cybersecurity Collaboration Center

Nakasone mentioned the creation of a Cybersecurity Collaboration Center in 2020, which aimed to facilitate knowledge sharing across the defense industrial base. This proactive approach led to significant reductions in cyber intrusions, proving the effectiveness of collaboration and resource sharing.

A Strategy for Rural Healthcare Cybersecurity

Are there lessons from national cybersecurity measures that can be applied to rural healthcare? Nakasone pointed to the troubling statistics surrounding ransomware attacks on healthcare systems, which collectively suffer losses of approximately $1.9 million per day.

He challenged the audience: "Why not provide robust cybersecurity measures to all healthcare entities similar to what we offer the defense sector?" This systemic enhancement, he argued, would raise the bar against cyber threats.

Developing Technical Talent for the Future

Nakasone also highlighted the pressing need for skilled technical talent in the cybersecurity arena. As the workforce demographic shifts, with Gen Z projected to become the largest segment of the federal workforce, he stressed the importance of educational initiatives tailored to prepare new generations for challenges in national security and AI integration.

Bridging Policies and Coding Skills

To ensure a robust future, Nakasone envisions a world where policymakers possess coding knowledge, and coders understand medical practices. "Wouldn’t it be transformative to have clinicians who can code and coders who comprehend clinical challenges?" he asked.

Investment in Disruptive Technologies

In his concluding remarks, Nakasone highlighted the need for significant investments in talent development to navigate the complexities brought forth by disruptive technologies. He expressed hope for legislation akin to a National Defense Education Act that emphasizes technology education to prepare future leaders.

Conclusion: A Vision for a Safer Healthcare Future

The ongoing dialogue surrounding AI and cybersecurity in healthcare is paramount as the sector evolves in response to emerging technologies. Through proactive adoption and collaboration, as championed by leaders like Paul M. Nakasone, the healthcare landscape can become more efficient, secure, and ultimately, better equipped to serve patients. As we navigate these changes, the integration of AI promises both challenges and remarkable opportunities for the future of healthcare.

Contact: Andrea Fox, Senior Editor at Healthcare IT News.

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