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Lessons from Mayo Clinic’s Redesign of Stroke Care

October 19, 2018

Lessons from Mayo Clinic’s Redesign of Stroke Care

Facing escalating costs of medications and technology, health care patients and providers in the United States continue to search for opportunities to reduce overall costs while maintaining and improving health care outcomes. At the Mayo Clinic Comprehensive Stroke Center Practice, we conducted a project to design and deliver care more customized to the needs of individual patients while reducing cost and resource constraints. It is a risk-stratified approach that could be applied to treating many medical conditions.

The team saw an opportunity to reduce costs based upon how and where patients received care, while still meeting Joint Commission requirements for post-TPA care, by treating low-risk patients in a NSPCU-level bed with a specialized hybrid level of nursing care (see the table below) for the first 12 hours. This risk-stratified care model improved value by delivering equivalent care quality with a lower-cost mix of resources. In addition, the stratification process allowed for better “demand elasticity” of ICU bed utilization.

The full article can be viewed at this link.  

Name: 
Anna

Presentation: American Heart Association Precision Medicine Platform

October 16, 2018

Presentation slides by Jennifer Hall, Chief, Institute for Precision Cardiovascular Medicine, American Heart Association at the September 6, 2018 Artificial Intelligence and Machine Learning Executive Roundtable Meeting. The presentation reviewed initiatives at the AHA's Institute for Precision Cardiovascular Medicine, including their grant portfolio, One Brave Idea, Precision Medicine Platform, My Research Legacy, and Center for Accelerated Drug Discovery.

Artificial Intelligence and Machine Learning Roundtable Resources

October 15, 2018

List of links to research and articles related to September 6, 2018 Artificial Intelligence and Machine Learning Executive Roundtable.

Book by Josh Sullivan: The Mathematical Corporation: Where Machine Intelligence and Human Ingenuity Achieve the Impossible

https://www.amazon.com/kindle-dbs/entity/author/B06WRP9HPH?_encoding=UTF8&node=283155&offset=0&pageSize=12&sort=author-pages-popularity-rank&page=1#formatSelectorHeader

More about Adam and Eve

https://www.cam.ac.uk/research/news/artificially-intelligent-robot-scientist-eve-could-boost-search-for-new-drugs

Book by Pedro Domingos: The Master Algorithm: How the Quest for the Ultimate Learning Machine Will Remake our World

https://www.amazon.com/Master-Algorithm-Ultimate-Learning-Machine-ebook/dp/B012271YB2

The mPower Study, Parkinson disease mobile data collected using ResearchKit

https://www.nature.com/articles/sdata201611  

Diagnosing and treating depression with AI and Machine Learning

https://www.techemergence.com/diagnosing-and-treating-depression-with-ai-ml/

How AI could increase the risk of nuclear war

https://www.rand.org/blog/articles/2018/04/how-artificial-intelligence-could-increase-the-risk.html

AI will give us better french fries

https://www.bloomberg.com/news/articles/2018-04-26/ai-comes-to-the-rescue-of-stressed-potatoes-and-bad-french-fries

Understanding & Predicting Length of Stay (LOS) using Machine Learning

https://dexur.com/a/ml-research-los/6/

Length of Hospital Stay Prediction at the Admission Stage for Cardiology Patients Using Artificial Neural Network

https://www.hindawi.com/journals/jhe/2016/7035463/

Predicting Length of Stay among Patients Discharged from the Emergency Department—Using an Accelerated Failure Time Model

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0165756

ML #6 – Healthcare.ai for Predicting Extended Length of Stay

https://www.youtube.com/watch?v=DSMDdCUq47o

Griffin Hoopes – the developer that did the work Matt Keating was referring to.

https://www.linkedin.com/in/griffinhoopes/

Artificial Intelligence in Cardiology

http://www.onlinejacc.org/content/71/23/2668 from the ACC

On the Prospects for a (Deep) Learning Health Care System

https://jamanetwork.com/journals/jama/fullarticle/2701667 - JAMA​

Deep Learning—A Technology With the Potential to Transform Health Care

https://jamanetwork.com/journals/jama/fullarticle/2701666  - JAMA​

Artificial intelligence in healthcare: past, present and future

https://svn.bmj.com/content/early/2017/09/11/svn-2017-000101

AMA Passes First Policy Recommendations on Augmented Intelligence

https://www.ama-assn.org/ama-passes-first-policy-recommendations-augmented-intelligence

Artificial Intelligence and the Augmentation of Health Care Decision-Making

https://catalyst.nejm.org/ai-technologies-augmentation-healthcare-decisions/ 

HHS Data Sharing Report:

https://www.hhs.gov/idealab/data-insights/

Cerner Smart Viewer

            https://www.youtube.com/watch?v=_WLQuQYPz6o&feature=youtu.be

                                                        

 

Implementing Blockchains for Efficient Healthcare: A Systematic Review

October 13, 2018

Implementing Blockchains for Efficient Healthcare: A Systematic Review

The scattered nature of sensitive health information can bring about situations where timely information is unavailable, worsening health outcomes. Furthermore, as patient involvement in healthcare increases, there is a growing need for patients to access and control their data. Blockchain is a secure decentralised online ledger that could be used to manage electronic health records efficiently, and so improve health outcomes by enabling interoperability.

The full article can be downloaded below.  

Name: 
Anna

From second to hundredth opinion in medicine: A global consultation platform for physicians

October 13, 2018

From second to hundredth opinion in medicine: A global consultation platform for physicians

Serious medical diagnostic errors lead to adverse patient outcomes and increased healthcare costs. The use of virtual online consultation platforms may lead to better-informed physicians and reduce the incidence of diagnostic errors. Our aim was to assess the usage characteristics of an online, physician-to-physician, no-cost, medical consultation platform, Medscape Consult, from November 2015 through October 2017. Physicians creating original content were noted as “presenters” and those following up as “responders”. During the study period, 37,706 physician users generated a combined 117,346 presentations and responses. The physicians had an average age of 56 years and were from 171 countries on every continent. Over 90% of all presentations received responses with the median time to first response of 1.5 h. Overall, computer- and device-based medical consultation has the capacity to rapidly reach a global medical community and may play a role in the reduction of diagnostic errors.

The full article can be downloaded below.  

Name: 
Anna

Pharmacists Want to Play a Bigger Part in Patient Care Yet Are Hamstrung by Poor Access to Patient Data

October 13, 2018

Pharmacists Want to Play a Bigger Part in Patient Care Yet Are Hamstrung by Poor Access to Patient Data

Pharmacists don’t just fill prescriptions. They’re a vital part of a patient’s care team. Even so, less than a third of pharmacists say they are satisfied with their ability to access the information they need to manage a patient’s pharmacotherapy.

In partnership with ORC International, Surescripts surveyed pharmacists about access to critical patient data. The results show that pharmacists want and need more clinical and medical history about their patients, but often find it hard or frustrating to obtain.

The full Surescripts article can be viewed at this link.  In addition, the Surescripts data brief can be downloaded below.  

Name: 
Anna

How Penn Medicine is redesigning its EHR for a new era of care

October 12, 2018

How Penn Medicine is redesigning its EHR for a new era of care

Penn Medicine is pursuing a new initiative it says will innovate electronic health records for 21st Century medicine. The goal, officials say, is to make the technology more interactive and responsive to clinicians – nudging the EHR into a new era where it's not just a documentation system but a crucial tool for care delivery.

The full article can be viewed at this link.  

Name: 
Anna

Prior Auth Workshop Presentation: Smart Prior Authorization

October 11, 2018

Slides from September 26, 2018 eHealth Initiative Prior Authorization Workshop by Mark Thompson, Executive Director, Medical Society of Delaware.

Presentation reviews a new approach to prior authorization - The Smart Prior Authorization (SPA) Solution developed in partnership of the Delaware Health Information Network (DHIN) and is partnering with HIEs across the country.