A groundbreaking initiative in North Carolina, supported by a substantial $4.4 million, three-year grant from The Duke Endowment, is set to enhance access to advanced healthcare technology in rural areas. This program, known as the North Carolina Collaborative Health AI Network (NC CHAIN), seeks to empower rural healthcare facilities to safely and efficiently integrate artificial intelligence (AI) tools aimed at improving patient outcomes and strengthening financial stability.
Healthcare and educational leadership across the state are joining forces in this effort to bridge the AI divide, ensuring that all North Carolinians can benefit from high-quality healthcare services. Lee H. Roberts, chancellor of the University of North Carolina at Chapel Hill, emphasized the importance of such collaborations, stating that this initiative reflects Carolina's commitment to extending its mission across the state and maximizing the potential of AI in healthcare.
NC CHAIN stands as a testament to UNC’s dedication to fostering responsible AI usage through collaboration, research, and shared expertise. Saif Khairat, PhD, MPH, the chief artificial intelligence officer and vice provost for AI at UNC-Chapel Hill, noted that adopting AI responsibly necessitates a blend of expertise and shared learning, which NC CHAIN aims to provide, particularly to rural clinics and hospitals. This support will come by sharing resources and knowledge from larger healthcare institutions, tailored to meet the unique needs of local providers and their communities.
David McSwain, MD, MPH, the principal investigator of NC CHAIN and Chief Medical Informatics Officer at UNC Health, highlighted the risks posed by the widening digital divide due to AI's rapid growth in healthcare. The grant from The Duke Endowment will enable the establishment of a statewide infrastructure designed to leverage the digital health expertise of North Carolina's healthcare professionals, supporting various health systems, community clinics, and critical access hospitals.
Armando Bedoya, MD MMCi, co-investigator for NC CHAIN and Chief Data and Analytics Officer at Duke Health, pointed out that larger health systems like Duke and UNC possess teams of specialists who can effectively assess and oversee the use of AI tools, a resource often lacking in smaller, rural practices. NC CHAIN aims to adapt existing AI frameworks to cater specifically to the needs of these underserved facilities, ensuring equitable access to technological advancements.
The collaborative nature of NC CHAIN involves a broad array of partners, including prestigious institutions like Duke University and the Cecil G. Sheps Center for Health Services Research. Brian Cass, Deputy Director for Data Analytics and Information Technology at the Sheps Center, expressed that the initiative is designed to grow and incorporate additional partners, with aspirations to establish a model that could be replicated in other states.
Through this collaborative effort, NC CHAIN seeks not to dictate how AI tools should be utilized, but rather to equip healthcare organizations across North Carolina with the resources and knowledge needed to tailor these technologies to their specific contexts. This unprecedented initiative is poised to set a national standard for collaboration in healthcare technology integration.
UNC Health, alongside its extensive network of medical facilities and a commitment to enhancing the health and well-being of North Carolinians, stands at the forefront of this crucial development in healthcare innovation.



