Fifteen systems worth building

AI in Health

Fifteen AI systems for health, described in enough detail to build. Each one sets out the problem, the method, the data it needs, the results to measure, the controls that keep it safe, and a realistic pilot. None of this is slideware. Every concept maps to a system a competent team can deliver.

I build and govern data and AI systems in the public sector and humanitarian contexts. My interest is the practical edge, where a narrow tool changes how a clinic, a ministry, or a response operation works. If one of these fits a problem you face, I am open to collaboration.

15  use cases5  build dimensions each1  principle: humans decide
01

AI Triage Assistant

Clinical intake

Sorts patients by urgency before a clinician is involved.

Health hotlines and crowded clinics share one failure point. Demand arrives faster than staff can assess it, and the order of attention often depends on who speaks loudest rather than who is sickest. A triage assistant takes the symptoms a patient reports, runs a short structured interview, and returns an urgency level with a recommended action.

How it works

A patient describes the problem in free text or speech. The system extracts the clinical signals, asks targeted follow-up questions, and scores urgency with a model trained on past triage records and their outcomes. It connects to the call-center platform or the clinic queue, so the urgency level reaches the person who acts on it. A clinician reviews every borderline case.

What good looks like

Measure time from contact to decision, agreement between the tool and senior clinicians, and the rates of over-triage and under-triage. The system earns trust when it matches expert judgment and shortens the queue without sending sick people home.

Controls

The default leans toward caution. The system never denies care on its own, it raises uncertain or high-risk cases to a person at once, and it logs every decision for audit. Bias testing checks that urgency scoring holds across age, sex, and language.

Pilot

Start on a single hotline or one clinic intake. Run the tool in parallel with current triage for several weeks, compare the two, then move to live use once the comparison holds.

02

Clinical Decision Support

Point of care

Brings the right guideline to the clinician at the moment of care.

A clinician cannot recall every protocol, interaction, and contraindication while a patient waits. Decision support closes that gap. It reads the patient record and the current presentation, then surfaces the relevant guideline, a drug interaction warning, or a screening the patient is due.

How it works

The system retrieves from an approved library of national protocols and formularies, grounded in the patient context drawn from the record. A rules layer handles hard checks such as dosing limits and interactions. A retrieval layer handles softer guidance and links each prompt to its source. The system suppresses low-value alerts so the clinician does not learn to ignore them.

What good looks like

Track guideline adherence, the share of prompts a clinician accepts, and the reduction in avoidable errors such as missed screenings or unsafe combinations. A useful system raises adherence without adding noise.

Controls

Every prompt traces to an approved source the clinician can open. The clinician can override any prompt, and the override is recorded. Updates to guidelines flow through a review process before they reach the floor.

Pilot

Begin with one specialty and a small set of high-value rules, such as drug interactions and a few common protocols. Add scope only after clinicians report the prompts as useful.

03

AI for Medical Imaging

Diagnostics

Reads scans to flag findings a specialist confirms.

Radiology shortages turn a same-day question into a multi-week wait. Imaging models reduce that wait. They detect patterns in X-rays, computed tomography, magnetic resonance, and ultrasound, then mark the studies and regions a specialist should examine first.

How it works

A trained vision model scores each study for the target finding, for example tuberculosis on a chest X-ray or a bleed on a head scan. It plugs into the imaging archive, reorders the worklist so urgent and abnormal studies rise to the top, and presents its findings to the radiologist who signs off. Normal studies can be safely de-prioritized rather than skipped.

What good looks like

Report sensitivity and specificity against radiologist reads, the area under the curve, and turnaround time for urgent findings. The system proves itself when it catches what matters and lets a small team cover more volume.

Controls

Validate on local images before any clinical use, since a model tuned on another population can read differently. Monitor for drift over time. Treat the output as decision support, with a radiologist responsible for every diagnosis.

Pilot

Run on one modality and one condition where the need is sharp, such as chest X-ray screening for tuberculosis. Read the model alongside the radiologist, measure agreement, then let it shape the worklist.

04

Patient Risk Prediction

Population health

Flags patients likely to deteriorate, return, or fall out of care.

Risk is usually visible in the record before it becomes an emergency. Prediction makes that risk legible. It ranks which patients are most likely to be readmitted, to miss an appointment, or to decline, so the care team acts before the event.

How it works

The model draws features from the record, laboratory results, demographics, and where available the social factors that drive outcomes. It produces a ranked list and a short explanation of the main drivers for each patient. Care teams work the top of the list with a call, a visit, or an earlier appointment.

What good looks like

Track the precision of the highest-risk group, the area under the curve, and the fall in readmissions or no-shows once teams act on the list. The signal is only useful if it changes what the team does.

Controls

The output prompts outreach, never denial of care. A fairness audit confirms the model does not under-serve any group. The explanation lets a clinician judge whether the flag makes sense.

Pilot

Choose one outcome, such as thirty-day readmission for a single condition. Generate the list, give it to a care team, and measure whether early action moves the rate.

05

AI Health Chatbot

Access

Answers common questions and routes people to the right service.

A large share of contacts repeat the same questions about hours, eligibility, medication, and where to go. A chatbot absorbs that load. It handles general information, appointment guidance, reminders, and referral steps, which returns staff time to the cases that need a person.

How it works

A language model answers within tight boundaries, grounded in approved content rather than open generation. It runs on the channels people already use, including web, WhatsApp, and text message. Red-flag phrases trigger an immediate handoff to a human. Every conversation is logged and sampled for review.

What good looks like

Measure the share of questions resolved without a person, the accuracy of escalation, whether users understood the answer, and the rate of unsafe responses, which should sit at zero. A good assistant deflects routine load and escalates real risk cleanly.

Controls

The system does not diagnose. Clinicians write and approve the content, and a fixed review cycle keeps it current. Regular red-team testing probes for unsafe answers before users find them.

Pilot

Start with one service line and a defined set of questions. Expand the scope only after the escalation logic proves reliable in live use.

06

Voice AI for Low-Literacy Users

Access

Lets patients speak rather than read or type.

Text excludes people who do not read well and people whose language a system does not print. Voice removes that barrier. A patient speaks, and the system replies in speech, in a language the patient understands.

How it works

Speech recognition converts the patient's words to text, the system processes the request, and speech synthesis returns the answer. It runs over a phone line or an app, which suits places with basic devices and patchy data. Use cases include maternal health follow-up, medication reminders, and appointment guidance for people who cannot work a text interface.

What good looks like

Track recognition accuracy by language and dialect, call completion, and whether patients acted on the guidance. The system works when it understands real speech, not only clean studio speech.

Controls

Cover the languages and dialects your population actually speaks, and plan for accents from the start. Protect voice recordings as sensitive data. Keep a route to a human for anything the system cannot handle.

Pilot

Begin with one language and one workflow, such as antenatal reminders. Prove recognition and completion in the field before adding languages.

07

AI for Outbreak Surveillance

Public health

Detects unusual disease trends early.

An outbreak signals itself in small movements before anyone names it. Surveillance reads those movements. It watches case counts, laboratory results, pharmacy sales, and symptom patterns, then alerts public health teams when activity moves outside the expected range.

How it works

Anomaly detection compares current activity against historical baselines, adjusted for season and location. Spatial and temporal analysis groups cases into emerging clusters. The system connects to health information and laboratory systems so the signal arrives in time. Each alert reaches a public health team for investigation.

What good looks like

Measure lead time against traditional detection, the false-alert rate, and whether real events were caught. The value is the days bought before an outbreak spreads.

Controls

An alert triggers an investigation, not an automatic response. Field confirmation decides what is real. Protect the privacy of the people behind the data, and check that surveillance covers all communities, not only the well-connected ones.

Pilot

Track one syndrome or one disease across a defined set of facilities. Tune the alerting against past data, then run it live with a clear investigation protocol.

08

Claims and Fraud Detection

Financing

Reviews billing and claims for abnormal patterns.

Health financing leaks through duplicate claims, inflated charges, and irregular provider behavior. Detection narrows the leak. It reviews claims at volume and surfaces the ones that do not fit normal patterns for a human auditor to examine.

How it works

Anomaly detection finds outliers in claim amounts, frequencies, and provider profiles. Supervised models learn from confirmed cases to recognize known schemes such as duplicates and upcoding. The system ranks claims by risk and routes the highest-risk ones to auditors with the reasons attached.

What good looks like

Track recovered funds, the precision of the flags, and the auditor time saved per case. A good system finds real abuse without burying auditors in false positives.

Controls

A flag is a question, not a verdict. A trained reviewer decides, and providers keep a clear route to appeal. The model must not penalize legitimate high-cost care, which a fairness review checks.

Pilot

Start with one claim type and the most common schemes. Measure recovery and precision before widening the net.

09

Hospital Operations AI

Operations

Predicts demand on beds, staff, and supplies.

A hospital runs on timing, and poor timing shows up as crowded corridors, overworked staff, and empty shelves. Operations forecasting restores control. It predicts census, emergency arrivals, theatre demand, and stockouts, which lets managers plan rather than react.

How it works

Time-series models forecast demand across wards and services using historical patterns, day of week, season, and known events. An optimization layer can suggest staffing and bed allocation within the limits managers set. The system reads from the health information and inventory systems already in place.

What good looks like

Track forecast error, the reduction in stockouts, shorter waits, and lower overtime. The system earns its place when planning improves and waste falls.

Controls

Managers make the decisions, with the forecast as an input. Sensible bounds keep recommendations within reach. Forecasts carry a confidence range so planners know when to trust them.

Pilot

Pick one pressure point, such as emergency arrivals or bed occupancy. Forecast it, compare against what happened, and fold it into planning once accuracy holds.

10

AI Medical Summarization

Clinical ops

Turns long records into a clear, checkable summary.

Clinicians lose time piecing together scattered notes, results, and discharge papers. Summarization returns that time. It pulls the key facts into a short, structured account a clinician can read at a glance.

How it works

A language model produces a summary anchored to the source record, leaning on extraction rather than free generation to limit error. It outputs structured fields such as active problems, medications, and allergies, with each line linked back to its origin in the record. It handles patient data under strict security.

What good looks like

Measure factual accuracy against the record, the time a clinician saves, and the error rate in the summary. The system is only acceptable when it is accurate, since a missed allergy or medication carries real harm.

Controls

A clinician confirms the summary before acting on it. Source links let the clinician verify any claim quickly. The system never invents a fact that is not in the record.

Pilot

Begin with referral summaries or discharge summaries in one department. Have clinicians grade accuracy and time saved before wider use.

11

Personalized Care Plans

Clinical

Proposes care pathways suited to the individual.

A single care template ignores the patient in front of it. Personalized planning corrects that. It proposes a pathway shaped by the patient's history, risk, language, and circumstances, which raises the chance the patient follows it.

How it works

The system combines approved guidelines with the patient's record and adherence history to suggest a pathway and the supports that fit the patient's life. It presents the plan to the clinician, who adjusts and owns it. The patient receives the plan in plain language with the reason for each step.

What good looks like

Track adherence, the relevant clinical outcomes, and whether patients accept the plan. The measure of success is a plan patients can actually keep.

Controls

The clinician owns the plan, not the system. Recommendations are explainable and grounded in guidelines. A bias review confirms recommendations do not differ unfairly across groups.

Pilot

Start with one long-term condition where adherence drives the outcome. Compare adherence and outcomes against standard plans.

12

AI for Supply Chain

Operations

Forecasts demand for medicines, vaccines, and equipment.

Stockouts and waste both trace back to weak forecasting. Better forecasting reduces both. It predicts demand across facilities so procurement orders the right quantity at the right time.

How it works

Demand models use consumption history, stock on hand, and supplier lead times to set reorder points and flag expiry risk. The system works across a network of facilities, so central procurement sees the whole picture. It reads from the logistics and inventory systems in use.

What good looks like

Track stockout days avoided, wastage reduced, forecast accuracy, and the fill rate for essential items. Patients feel the result as reliable access.

Controls

Forecasts depend on clean stock data, so the data foundation comes first. Procurement teams approve the orders. The system flags low-confidence forecasts rather than hiding them.

Pilot

Forecast a defined basket of essential items across a set of facilities. Measure stockouts and wastage against the prior period before scaling.

13

Mental Health Support

ClinicalHighest sensitivity

Screens for distress and routes people to care.

Mental health need far outstrips the number of professionals. Screening widens the first door. It identifies signs of distress, offers first-line guidance, and routes higher-risk people to a trained person.

How it works

The system digitizes validated screening instruments, stratifies risk, and directs each person to the right level of support. Crisis language triggers an immediate connection to a human. The tool extends the point of contact. It does not provide therapy.

What good looks like

Track detection of high-risk cases, the time from screening to human contact, and the false-negative rate, which must stay as low as possible. The system works when at-risk people reach help faster.

Controls

This carries the highest sensitivity on the list. Govern it tightly, escalate any sign of crisis to a person at once, and protect every record. Clinical oversight sits over the whole service.

Pilot

Begin with screening and routing in one setting, such as a primary care clinic or a helpline. Keep a clinician in the loop throughout.

14

AI Governance for Health

Governance

Sets the rules that keep every other system safe and accountable.

Health AI without governance puts patients and institutions at risk. Governance removes that exposure. It defines what each system may and may not do, who is accountable, how bias is tested, how data is protected, and when a human must decide.

How it works

The program keeps an inventory of every model, classifies each by risk, and applies controls in proportion. It runs bias testing on a defined protocol, completes a data protection assessment before deployment, sets the thresholds where human oversight is mandatory, and logs decisions for audit. An incident process handles failures when they occur.

What good looks like

Measure coverage of the model inventory, the share of systems with a completed risk and privacy review, and the time to respond to an incident. Good governance shows itself in the absence of surprises.

Controls

Governance is itself the control layer. It aligns with the ethics, safety, privacy, and human-rights principles that the World Health Organization sets for health AI, and with emerging national rules. The rules are written before the first deployment, not after the first incident.

Pilot

Stand up the inventory and the risk classification first, then apply the full review process to one or two systems as the template for the rest.

15

Small AI for Low-Resource Settings

Foundations

Narrow tools that solve one problem well.

Large ambition fails where infrastructure is thin. A narrow tool succeeds. The practical path in a low-resource setting is one model aimed at one problem, such as no-show prediction or medicine demand forecasting.

How it works

The design favors simple models that run on modest hardware, work offline or with intermittent connectivity, and demand little compute. The tool targets a single, well-defined decision. Local staff can run and maintain it without a specialist on call.

What good looks like

Measure the value delivered on that one problem, the cost to run it, and whether it keeps running after the launch team leaves. A focused tool that survives is worth more than an ambitious one that stalls.

Controls

Match the design to what the setting can support. Build for maintainability and local ownership from the start. Keep the human in control of the decision the tool informs.

Pilot

Pick one problem with clear value and available data. Deliver it end to end, prove it works, and let that success make the case for the next tool.

Where to start

For a government or agency, begin with low-risk administrative and public health uses before clinical diagnosis. No-show prediction, supply forecasting, and record summarization carry less risk and show value within a single quarter.

Keep any clinical use under medical oversight, with audit logs, bias testing, a privacy review, and clear escalation rules. Build the governance layer alongside the first system, not after it.

Collaboration

I design, build, and govern data and AI systems for public-sector and humanitarian settings. Several of these concepts exist as working prototypes, and for those I can share reference code and a starter implementation with serious collaborators. If one of these solves a problem you face, or you want to co-build a pilot, reach out.

Related reading: Last-Mile AI, AI governance in the United Nations, and AI in the humanitarian sector.