The recent release of large-scale healthcare datasets has greatly propelled the research of data-driven deep learning models for healthcare applications. However, due to the nature of such deep black-boxed models, concerns about interpretability, fairness, and biases in healthcare scenarios where human lives are at stake call for a careful and thorough examination of both datasets and models. In this work, we focus on MIMIC-IV (Medical Information Mart for Intensive Care, version IV), the largest publicly available healthcare dataset, and conduct comprehensive analyses of interpretability as well as dataset representation bias and prediction fairness of deep learning models for in-hospital mortality prediction. First, we analyze the interpretability of deep learning mortality prediction models and observe that (1) the best-performing interpretability method successfully identifies critical features for mortality prediction on various prediction models as well as recognizing new important features that domain knowledge does not consider; (2) prediction models rely on demographic features, raising concerns in fairness. Therefore, we then evaluate the fairness of models and do observe the unfairness: (1) there exists disparate treatment in prescribing mechanical ventilation among patient groups across ethnicity, gender and age; (2) models often rely on racial attributes unequally across subgroups to generate their predictions. We further draw concrete connections between interpretability methods and fairness metrics by showing how feature importance from interpretability methods can be beneficial in quantifying potential disparities in mortality predictors. Our analysis demonstrates that the prediction performance is not the only factor to consider when evaluating models for healthcare applications, since high prediction performance might be the result of unfair utilization of demographic features. Our findings suggest that future research in AI models for healthcare applications can benefit from utilizing the analysis workflow of interpretability and fairness as well as verifying if models achieve superior performance at the cost of introducing bias.

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Causal analysis for time series data, in particular estimating individualized treatment effect (ITE), is a key task in many real world applications, such as finance, retail, healthcare, etc. Real world time series, i.e., large-scale irregular or sparse and intermittent time series, raise significant challenges to existing work attempting to estimate treatment effects. Specifically, the existence of hidden confounders can lead to biased treatment estimates and complicate the causal inference process. In particular, anomaly hidden confounders which exceed the typical range can lead to high variance estimates. Moreover, in continuous time settings with irregular samples, it is challenging to directly handle the dynamics of causality. In this paper, we leverage recent advances in Lipschitz regularization and neural controlled differential equations (CDE) to develop an effective and scalable solution, namely LipCDE, to address the above challenges. LipCDE can directly model the dynamic causal relationships between historical data and outcomes with irregular samples by considering the boundary of hidden confounders given by Lipschitz constrained neural networks. Furthermore, we conduct extensive experiments on both synthetic and real world datasets to demonstrate the effectiveness and scalability of LipCDE.