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Advisory committee weighs AI in clinical practice; favors safeguards and more time to develop guidance
Summary
Committee members described EHR‑embedded AI note‑generation demos and raised concerns about security, consent, accuracy and record retention. Members favored safeguards—attestation, required edits to AI drafts, secure EHR integrations—and agreed to revisit the issue in December after staff summarizes survey responses about AI use.
Committee members discussed artificial intelligence and whether the BSRB should issue practice guidance across professions.
David Fye said the board asked advisory committees for input on whether guidance would be appropriate. Committee members described demonstrations of EHR‑integrated AI note generation that created session transcripts and draft notes; presenters showed controls such as required edits or attestation before a draft could be saved to the chart, and automatic deletion of recordings after a set period.
Why it matters: members raised client‑consent, data security, record retention, and supervision issues. One advisory member said she saw a demo where the EHR required a percentage of characters to be changed before a generated note could be saved; another said some vendors require a clinician attestation that they read and verified the AI draft before saving.
Committee concerns included where recordings and transcripts are stored (cloud vs. local), how long recordings are retained, how group‑session transcription would work and how consent would be obtained from clients and trainees. Several members said AI use embedded in an EHR with safeguards is less concerning than ad‑hoc use of public AI tools.
Next steps: members recommended the committee review the survey’s AI question and revisit making recommendations at the December meeting. Several members suggested any guidance should require secure EHR integration, provider attestation or required edits, and clear client consent and data‑retention policies.
Closing: no formal recommendation was sent to the board at the Sept. 11 meeting; staff will return with survey results and additional materials for the December meeting.
