Is AI Able To Help The IVF Patients byBilianaNecheva PDF
Is AI Able To Help The IVF Patients byBilianaNecheva PDF
Is AI Able To Help The IVF Patients byBilianaNecheva PDF
com
september 2018 by biliana necheva
1st edition
Is AI
able to help
the IVF
patients?
ivfai.brandnewflow.com
/brandnewflow
@bnfLab
2 Is AI able to help the IVF patients? ivfai.brandnewflow.com
Content
03 introduction
What is a digital assistant? ...................................................... 04
The technology ............................................................................... 04
Applications ....................................................................................... 04
Some good practices in Healthcare ................................ 05
24 Conclusion
25 references
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hello
Hello and thank you for your interest in downloading this Biliana Necheva,
e-book. I’ve made this research with the intent to explore the
CEO, Brand New Flow
many possible applications and benefits that a Digital [email protected]
AI Assistant can have for a fertility clinic and its patients.
Enjoy reading!
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Put simply, now we can make our websites, mobile apps, software and any external de-
vices able to talk with us like human-to-human. That’s why, along with the Voice assis-
tants like Amazon Alexa, Google Assistant, Siri and Cortana, they form the part of the AI,
called Conversational AI Interfaces. This technology provides a totally new experience,
which enables users to shift from passive online readers into active participants who can
reach what they need online through a voice command or by chatting.
The technology
The Digital Assistants (DAs) are two types - 1) rule-based and 2) able to talk in contexts.
Digital Assistants that are rule-based rely on a set of rules to determine how to under-
stand queries and use scripts to respond to them. The second ones are less limited by
pre-designed conversational flows and use machine learning to recognize and respond
in contexts. Both types of Assistants are developed with Natural Language Processing
technology and can be sophisticated and smart depending on the effort and skills that
a DA developer puts inside.
The Digital Assistants can speak different languages and can be easily integrated with
third-party software. They can handle the user input and are able to memorize and pro-
cess the input data for self-learning.
Platforms like IBM Watson Assistant and Google Dialogflow provide open access to NLP
tools and technologies and made it possible for every business to design and train its
own Digital Assistant. Thanks to that they are now able to achieve better visitors engage-
ment, which for the Healthcare sector means a better patient care. The platforms also
helped enormously for the adoption of the technology and its evolution and is a warrant
for its future development and prosperity.
Applications
Today, the most popular applications of the Digital Assistants are in the customer sup-
port sector, in the conversational marketing and in the e-commerce, They can answer
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frequently asked questions; suggest products and take orders, handle payments, handle
meetings and reminders. The main benefit is that they provide personalisation of the
experience by narrowing down the all possible choices to the ones, only relative to the
person they are talking to.
With the greatest adoption, the applications of DAs become wider and today they also hit
market segments, which were previously unimaginable, such as healthcare.
Along with all other AI technologies, such as visual diagnostics and prevention based on
big data analysis, the Digital Health Assistants offer a tremendous opportunity to improve
the patients’ experiences and empower them to be proactive about their health. They are
valuable assets for delivering high-quality, cost-effective care.
The Digital Health Assistants are of use for both patients and healthcare professionals.
They are used to educate the patients and help them learn more about their health issues
and all possible treatments. They allow them to organize quickly their time by arranging
appointments on their behalf, by providing reminders for pills and medical procedures.
They can also deliver lab, test or procedure outcomes and analysis and recommend next
steps.
The Digital assistants are finding great applications in providing emotional support to
patients. Some are very specialized - an app called Karim counsels Syrian refugee chil-
dren; Emma helps Dutch speakers with mild anxiety, and MindBloom allows users to
support and motivate each other.[2]
Another one, Woebot.io[3], uses the principles of cognitive-behavioral therapy (CBT) and
apply clinical approaches to help patients with anxiety and depression. But is it working?
The efficacy of Webot was analyzed and proved with a study conducted among 70 stu-
dents at Stanford, who self-identify as having symptoms of anxiety and depression. They
were split into two groups and directed to interact for 2 weeks with Woebot or were di-
rected to the National Institute of Mental Health ebook, “Depression in College Students”
as an information-only control group.
As a result, those in the Woebot group significantly reduced their symptoms of depres-
sion over the study period as measured by the web-based versions of the 9-item Patient
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Health Questionnaire, while those in the information control group did not. The conclusion
of the researchers is clear: Conversational agents appear to be a feasible, engaging,
and effective way to deliver cognitive-behavioral therapy.[4]
Receptionists
Another great application of the Digital Assistants in Healthcare is as digital reception-
ists. Such good example is DoctoBot - the AI receptionist of the biggest online hopsital
in Australia Docto[5]. DoctoBot provides answers to frequently asked questions (FAQ) re-
lated to the medical services of the hospital and helps patients to register and connect
with the Duty Doctor, or to book an appointment with a specialist.
Virtual Nurse
An example of a virtual nurse is Florence[8] who reminds patients to take their pills. They
only have to write the name of the medicine, the number of times a day they must take it
and at what time. Then, Florence sends a message as a chat every time the patient must
take the pill.
With all this many applications, it is not a surprise that 63% of healthcare executives
worldwide already actively invest in AI technologies, and 74% say they are planning
to do so.[9]
There are a number of reasons why your fertility clinic should implement a Digital Assis-
tant and why if you catch this trend early enough you will be able to profit immensely and
have a competitive advantage.
»» Reason 1. The Digital Assistants are available 24/7. They don’t go home after 6
pm, and they don’t arrive late. They could even handle the challenging communica-
tion when your patients are calling from abroad and there is a time difference. Giv-
ing your potential and existing patients the opportunity to get the information they
want when they want it, will immediately transfer into more trust in your practice.
»» Reason 2. People are often intimidated by calls. Today people are so used to tex-
ting that it comes more natural than picking up the phone. Also, it fights the innate
fear that on the phone you might be misunderstood, mislead, or you can forget to
ask something important. If there is a DA, your patients can always get back to it if
they have any additional questions. Also, it will be a great relief that the Digital As-
sistant will not judge them.
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»» Reason 4. You have full control over what is communicated to your visitors and
patients. A Digital Assistant will always provide answers according to a script so
your online visitors and patients will be always addressed with understanding and
politeness. Also, you will always have the correctly spelled name, phone number, or
booking date. If you integrate the DA with your internal software you can automati-
cally record, store and use this data for further purposes.
»» Reason 5. The Digital Assistants encourage people to inquire. “Hi, how can I help
you today?” is a simple invitation which can make miracles with engagement and
time spent on your website. Sometimes people give up just because they cannot
find something straight away. Having someone who instantly provides answers is
the dream of any digital age user.
»» Reason 6. It inevitably saves you money. Spending money for paid advertising can
be an expensive exercise. Once you get traffic to your website, a friendly Digital As-
sistant can engage more visitors and help you convert them into patients.
»» Reason 7. The Digital Assistants can show empathy. Your DA can have its own
Personality with a specific tone of voice and compassionate vocabulary. You can
include a specific phrases and words that provide emotional support and under-
standing of your patients’ situation. Actually, it is another way to add personality to
your brand.
»» Reason 8. The Digital Assistants already have proven to show immediate ROI for
businesses. For some, the ROI is 400%.[12]
»» Reason 10. You have a chance to be an early adopter. Using DA increases loyalty
and attracts the attention of technology loving people. The first clinics which start
using them are likely to get most out of them. In the following year DAs will be-
come as mainstream as apps and business pages for social media.
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patient 3.0
The couples who are looking for a fertility consultation, a treatment, or Donor program,
are usually in the age from 20 to 50 y.o., but mainly in their 30s. This means that the visitors
are mainly part of the generation, known as the Millennials (today age 41-24) and some
part of the Generation X (over 42). In 5 years, the main IVF patients will be only repre-
sentatives of the Millennials, so we need to understand how they choose and make
decisions; what are their online needs and behavior in order to attract their attention with
adequate and smart services.
First of all, Millennials are technically savvy and totally addicted to their smartphones.
They use them as the main tool to connect and to research for information. Ironically, less
and fewer people are using their phones to make calls. Instead of losing time to sit on
the phone and wait on the line to receive an answer to a simple question (if it’s an option),
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77% of the users prefer to text instead of calling.[13] And it’s not a wonder - we value our
time, and we’re always looking for ways to save more of it.
People love communicating with messaging because it’s fast, frictionless, and actually
feels like a conversation. So it’s not surprising that 90% of consumers (according to a
recent survey from Twilio) want to use it to communicate with businesses (and the
majority prefer it over email).[14]
Millennials prefer to conduct their own research online until they have a clear idea of
what kind of solution, or a service they want and need. And they expect to be able to
find the information they’re looking for online quickly and easily. When they can’t, they
get frustrated and could end up turning to competitors who are providing the type of
online experience they’re looking for.
They also spend a lot of time on social media and online forums where they can easily
be biased with unprofessional opinions, advice, etc. But Digital Assistants aren’t just for
Millennials. This is a technology that has the potential to improve online experiences for
all consumers, regardless of age.
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69% of the users see Digital Assistants as being able to provide that real-time, on-
demand experience that they’ve been craving. However, that doesn’t mean Digital As-
sistants are poised to replace humans. Because when it comes to getting expert an-
swers, answers to detailed questions and overall friendliness/approachability, humans
can continue to shine.[13]
The survey included 12,000 people across 12 countries. Looking at the results by coun-
try, there is a surprisingly high willingness among all respondents to engage with AI and
robots, regardless of country, gender or age. From 94% of respondents in Nigeria and
85% in Turkey to 41% in Germany and 39% in the UK,
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54% of the consumers are willing to engage with AI and robotics for their healthcare
needs, 27% like having their own healthcare specialist available any time and on any de-
vice.
The main results showed that the public is ready and willing to substitute AI and robotics
for humans.
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There are two types of factors that influence a patient’s decision – rational ones and
emotional ones. They both could be equally strong but the emotional ones act on a
more subconscious level and may have an even bigger impact.
Rational factors
»» Location: how far away is your clinic - within the same neighborhood; same city,
within the country, on the continent, or overseas;
»» Waiting time: is there a waiting list, or the couple could start the treatment/consul-
tation/ procedure immediately;
»» Services – if the couple needs donor eggs or sperm, does the clinic provide them
and what is the legislation;
»» Team reputation/ success rates – how long is the clinic operating, what is the edu-
cational and professional background of the specialists; what are the official statis-
tics for success rates;
»» Prices – although important, sometimes the price is not the leading decision mak-
ing factor because there are cases when people are willing to pay more if they feel
that they are making the right choice and if they find most of the priorities on their
list covered.
Emotional factors
Patients are influenced by the Is the website designed in contem- How long it takes for the visitors
opinion of others. They read dif- porary style, is it user-friendly; how to request a first-time consulta-
ferent reviews and stories of other long it takes for the prospects to tion? Is it free? How soon will they
patients in the online community find the information they need; Is it be contacted back? Do they wait
forums and this shared experi- optimized for mobile phones. too much on the phone?
ence become an important part
of their own personal opinion.
During this “online research”, the
most important question they
ask themselves is “Are the people
they “meet” happy patients, or
not?”
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Most of the time, the IVF clinic doesn’t have control over the rational factors. You may
offer lower prices, but if you are located in another country or state, the patients will
have additional expenses for travel and accommodation and will need to arrange their
time. Or, your team may have an excellent reputation and success rates, but you are so
overbooked that you cannot take so many patients at once and you have a waiting list
for a consultation.
How you communicate with your patients both online and offline? Are you accessible all
the time? Do your patients feel calm and taken care off? Do your patients have received
answers to all their questions? Can they call during the night if they have a simple ques-
tion? Do you provide confidence and emotional support? Can you help them overcome
the social stigma and taboos?
A Digital Assistant can help your fertility clinic to influence the emotional decision pro-
cess by adding a new level of user experience. With its special personal attention and
support, it can help your clinic grow by attracting more new patients, and by providing
your existing ones with the needed support and understanding. Moreover, it can help
your team with the work overload; will free them from the pressure and will provide them
with more time for other useful activities.
The three main strategic goals Digital Assistants can help you achieve are:
the potential of
ai-powered digital
assistants for IVF
Imagine this possible scenario: Mary (34 y.o.) is researching the IVF clinics in town N on
her mobile, while she is traveling to work. She and her partner are trying to get pregnant
for a year and now she is wondering if they have a problem, or it’s too early to consult with
a specialist. From the google’s list with clinics, she opens the websites one by one. On
every page, she sees a lot of brand new for her information and feels a little bit confused
and overwhelmed. She is looking for an FAQ section, or to find instant answers to her
questions but cannot find some. There is a phone number, but she doesn’t want to call,
because she doesn’t want to be overheard by the people around her. On almost every
site she sees an online form for a first-time appointment as an alternative to the phone
call, but she is still not sure which clinic to choose. Suddenly, when she opens the next
website, she is welcomed with a big “Hello, how can I help you?”. “Oh, great, maybe I can
talk to someone here about my situation!”, Mary thought, and send a quick reply: “I’m TTC
but I wonder if something is wrong!” Than the dialog continue as following:
Sure
34
female
Yes
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No
No
Yes
No
Sure
Dr. Z
19 Is AI able to help the IVF patients? ivfai.brandnewflow.com
Mary
sure, 098876654321
thanks
bye-bye
Mary will no longer browse for other clinics. She already found the one that addressed
her needs - to receive instant advice and support and to book a consultation with a spe-
cialist.
An experience like that is able to create a special bond with your practice right from the
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first visit and interaction with your website. A Digital Assistant can make your visitors feel
special. The DA can provide a real-time, one-to-one conversation, designed to address
every individual need. By helping visitors to find easily the information they are looking
for, you can win their trust and sympathy.
Here is a list of different functions that the Digital Assistant can perform in order to sup-
port and attract your new patients:
1 2
3 4
5 6
On the different stages of the treatment, the questions are different. For example, in the
beginning, it’s important to know the different diagnostic medical tests. Later, with the
start of the medical protocols and the IVF treatment other questions pop up: “What are
the side effects of this medicine?”. “How long before the anesthesia you don’t have to
drink water?”, “Is it normal to be in pain after the egg collection procedure?”, etc. A DA can
be designed to answer different kind of FAQs according to the stage of the treatment.
If you keep Electronic Health Records (EHR) for your patients the DA can have an access
to that data and can provide your patients with test results, schedules, and reminders on
demand. This service will reduce the number of the unnecessary calls and interactions
with your team and will help your patients stay focused and organized..
On the other hand, along with the technical questions during the treatment, the cou-
ples often need emotional support, or someone to talk to in private about their situation.
Someone who will not judge them. To turn to your psychologist is sometimes not afforda-
ble for everyone. Usually, during this period of time, the patients are more active in online
community forums. But if you can provide a professional support with a Digital Assistant,
able to talk with your patients, like the Woebot do for the people struggling with anxiety
and depression (see p.5), you will win their trust and loyalty, so they will become your
ambassadors among the online community.
A paper[16], discussed during the American Society for Reproductive Medicine (ASRM)
event, reveals that only 29.4% of 499 surveyed agreed their nurse mentioned resources
for emotional support. Which is truly disturbing given the level of distress the couples are
going through.
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Less research has been done on men’s reactions to infertility, but they tend to report
experiencing less distress than women. However, one study found that men’s reactions
may depend on whether they or their partners are diagnosed with infertility. When the
problem is diagnosed in their wives or partners, men do not report being as distressed as
the women do. But when men learn that they are the ones who are infertile, they experi-
ence the same levels of low self-esteem, stigma, and depression as infertile women do.[17]
A Digital Assistant can be of great assistance for the couples and can assist the IVF clinic
in the attempts of supporting and retaining its patients by:
1 2
3 4
5 6
Be an Advisor in case of a
negative result of the IVF
cycle (suggest next steps)
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With a Digital Assistant in place, there will be a drastic reduction in incoming calls or
inquiries making things easier for your receptionists, patients, and the medical staff. By
automating low-touch interactions with a Digital Assistant, you can ensure that your
high-skilled employees can invest their time where it truly matters.
Thanks to the Digital Assistant you will be able to collect new kind of data about the
online behavior of your patients and website visitors. You will be able to monitor every
interaction and to make an analysis of general tendencies. This can help you to improve
your services and to grow in accordance with the needs of the market.
Conclusions
The Beryl Institute defines patient experience as
Digital assistant alone cannot elevate the patient care at your facility although it could
play a valuable part in it. Your team and your service should be also performing very well
in order to win the trust of the existing and the potential patients.
To keep patients who are undergoing fertility treatment happy is not an easy job. What
can make them truly happy is to see the two lines on the pregnancy test, to hear the
beating heart on the monitor, and to finally cuddle their new baby or babies.
It’s not an easy job to make them happy when the test results are negative, or when the
chances become less and less. But what you can do, is to make them feel taken care
of, make them feel safe and sure that they are doing their best they can to reach their
dream to become parents.
And a Digital Assistant can help your clinic achieve that goal in a fast and smart way.
So, if you don’t expect the Digital Assistant to act like a real
human but rather as an artificially intelligent agent that
provides instant, smart and empathic responses, you will not
be disappointed!
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References
1. Daniel Faggella, “What is Machine Learning?” - https://www.techemergence.com/what-is-machine-learning/
2. Nick Romeo, The New Yorker - “The Chatbot Will See You Now” - https://www.newyorker.com/tech/elements/the-
chatbot-will-see-you-now
3. Woebot - http://woebot.io
4. “Delivering Cognitive Behavior Therapy to Young Adults With Symptoms of Depression and Anxiety Using a Fully
Automated Conversational Agent (Woebot): A Randomized Controlled Trial”, JMIR Ment Health 2017;4(2):e19 - https://
mental.jmir.org/2017/2/e19/
6. Dr A.I. - https://medium.com/@HealthTap/dr-a-i-80b4cf06be30
7. Your.MD - https://www.your.md/
8. Florence - https://www.florence.chat/
9. Brian Williams, Next in Tech of PwC - “Enabling better healthcare with artificial intelligence” - http://usblogs.pwc.com/
emerging-technology/ai-in-healthcare/
11. “Artificial Intelligence - Healthcare’s new nervous system, 2017” report by Accenture - https://www.accenture.com/
t20171215T032059Z__w__/us-en/_acnmedia/PDF-49/Accenture-Health-Artificial-Intelligence.pdf
12. Murray Newlands, Forbes, “ManyChat’s Chatbots Are Getting 400% ROI: Here’s How You Can Too” - https://www.
forbes.com/sites/mnewlands/2017/07/29/manychats-chatbots-are-getting-400-roi-heres-how-you-can-
too/#3b9147597583
13. “State of the chatbots report 2018”, collaboration between Drift, SurveyMonkey, Audience, Salesforce, and myclever -
https://www.drift.com/wp-content/uploads/2018/01/2018-state-of-chatbots-report.pdf
14. Frederic Lardinois, TechCrunch - “Twilio study: most consumers now want to use messaging to interact with businesses”
https://techcrunch.com/2016/09/12/twilio-study-most-consumers-now-want-to-use-messaging-to-interact-with-
businesses/
16. Pamela M Tsigdinos, Healthcare in America, “The Cash Cow in ‘Fertility’ Medicine” - https://healthcareinamerica.us/
the-cash-cow-in-fertility-medicine-37ed0b2c7d76
17. Harvard Mental Health Letter - “The psychological impact of infertility and its treatment” - https://www.health.harvard.
edu/newsletter_article/The-psychological-impact-of-infertility-and-its-treatment
about
Brand New Flow
Brand New Flow is a conversational AI developing agency, specialized in the building of
Healthcare digital assistants for worldwide clinics.
We use the latest Conversational { NLP, NLU, AI } and Machine Learning { ML } technolo-
gies of Google { Dialogflow } and IBM { Watson } to connect brands with people through
digital AI assistants in a meaningful, impactful and intelligent way.
Whether you want it from scratch, or already have one that needs additional training and
fixing in order to improve the interactions with your brand and make it more outstanding,
we are here to help.
brandnewflow.com