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Machine Learning for the
Healthcare Industry
Daniel B. Neill
H.J. Heinz III College
Carnegie Mellon University
E-mail: neill@cs.cmu.edu
We gratefully acknowledge funding support from the National
Science Foundation, grants IIS-0916345, IIS-0911032, and IIS-
0953330, and the UPMC Technology Development Center.
Daniel B. Neill (neill@cs.cmu.edu)
Associate Professor of Information Systems, Heinz College, CMU
Director, Event and Pattern Detection Laboratory
Courtesy Associate Professor of Machine Learning and Robotics
My research is focused at the intersection of two fields,
machine learning and public policy, with two main goals:
1) Develop new machine learning methods for better (more scalable and accurate)
detection and prediction of events and other patterns in massive datasets.
2) Apply these methods to improve the quality of public health, safety, and security.
Patient Care
(today’s talk)
Disease Surveillance:
Very early and
accurate detection of
emerging outbreaks.
Law Enforcement:
Detection, prediction,
and prevention of “hot-
spots” of violent crime.
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
We have developed new methods for chronic
disease risk prediction and visualization that give
clinicians a comprehensive view of their patient
population, risk levels, and risk factors, along with
the estimated effects of potential interventions.
Increased
risk
of
heart
attack

Link to paper
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
Optimize hospital
processes such as
resource allocation
and patient flow.
By early and accurate prediction of each patient’s
Diagnosis Related Group (DRG), we can better
predict demand and allocate scarce hospital
resources such as beds and operating rooms.
Link to paper
Optimize hospital
processes such as
resource allocation
and patient flow.
By early and accurate prediction of each patient’s
Diagnosis Related Group (DRG), we can better
predict demand and allocate scarce hospital
resources such as beds and operating rooms.
Better prediction of patients’ future
diagnoses, risks, and care needs can
enable more effective and efficient
treatment and preventive care.
Link to paper
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
Automate detection
of relevant findings
in pathology,
radiology, etc.
Our pattern detection approaches have been
successfully applied to detect regions of
interest in digital pathology slides, and work
surprisingly well to detect prostate cancer.
Key advance 1: Very efficient, accurate
search over subareas of an image.
Key advance 2: Use hierarchy to search
at multiple resolutions (coarse to fine).
Link to paper
Automate detection
of relevant findings
in pathology,
radiology, etc.
Our pattern detection approaches have been
successfully applied to detect regions of
interest in digital pathology slides, and work
surprisingly well to detect prostate cancer.
Key advance 1: Very efficient, accurate
search over subareas of an image.
Key advance 2: Use hierarchy to search
at multiple resolutions (coarse to fine).
Automatic detection of
anomalies and patterns is
especially valuable when the key
to diagnosis is a tiny piece of the
patient’s health data.
Link to paper
Automate detection
of relevant findings
in pathology,
radiology, etc.
Our pattern detection approaches have been
successfully applied to detect regions of
interest in digital pathology slides, and work
surprisingly well to detect prostate cancer.
Key advance 1: Very efficient, accurate
search over subareas of an image.
Key advance 2: Use hierarchy to search
at multiple resolutions (coarse to fine).
Detection is also valuable when
key patterns of interest are
discovered by integrating
information across many
patients, and might not be visible
from a single patient’s data.
Link to paper
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
Discover new
medical knowledge
(clinical guidelines,
best practices).
We are currently working to analyze massive
quantities of patient care data (EHR and health
insurance claims) to discover anomalous patterns
of care (APC) which significantly impact outcomes.
Claims data: ~125K
patients with diseases of
the circulatory system
APC-Scan
Most significant detected pattern:
Glucocorticoids are associated with dramatically
increased hospitalizations and length of stay in the
subpopulation of ~2K overweight, hypertensive
males with endocrine secondary diagnoses.
Regression on separate, held-out patient dataset:
51% increase in hospitalizations for this
subpopulation; vs. 11% for entire patient population.
Glucocorticoids
Yes No
Number of Patients 264 1713
Mean Number of
Hospitalizations
0.606
(0.069)
0.280
(0.016)
Link to paper
What can
machine learning
do for the
healthcare
industry?
Improve accuracy
of diagnosis,
prognosis, and
risk prediction.
Optimize hospital
processes such as
resource allocation
and patient flow.
Identify patient
subgroups for
personalized and
precision medicine.
Improve quality of care and
population health outcomes,
while reducing healthcare costs.
Reduce
medication errors
and adverse
events.
Discover new
medical knowledge
(clinical guidelines,
best practices).
Model and
prevent spread of
hospital acquired
infections.
Automate detection
of relevant findings
in pathology,
radiology, etc.
2016 Carnegie Mellon University
Questions?
More details on EPD Lab website:
http://epdlab.heinz.cmu.edu
Or e-mail me at:
neill@cs.cmu.edu

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AI_health.ppt

  • 1. Machine Learning for the Healthcare Industry Daniel B. Neill H.J. Heinz III College Carnegie Mellon University E-mail: neill@cs.cmu.edu We gratefully acknowledge funding support from the National Science Foundation, grants IIS-0916345, IIS-0911032, and IIS- 0953330, and the UPMC Technology Development Center.
  • 2. Daniel B. Neill (neill@cs.cmu.edu) Associate Professor of Information Systems, Heinz College, CMU Director, Event and Pattern Detection Laboratory Courtesy Associate Professor of Machine Learning and Robotics My research is focused at the intersection of two fields, machine learning and public policy, with two main goals: 1) Develop new machine learning methods for better (more scalable and accurate) detection and prediction of events and other patterns in massive datasets. 2) Apply these methods to improve the quality of public health, safety, and security. Patient Care (today’s talk) Disease Surveillance: Very early and accurate detection of emerging outbreaks. Law Enforcement: Detection, prediction, and prevention of “hot- spots” of violent crime.
  • 3. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 4. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 5. Improve accuracy of diagnosis, prognosis, and risk prediction. We have developed new methods for chronic disease risk prediction and visualization that give clinicians a comprehensive view of their patient population, risk levels, and risk factors, along with the estimated effects of potential interventions. Increased risk of heart attack  Link to paper
  • 6. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 7. Optimize hospital processes such as resource allocation and patient flow. By early and accurate prediction of each patient’s Diagnosis Related Group (DRG), we can better predict demand and allocate scarce hospital resources such as beds and operating rooms. Link to paper
  • 8. Optimize hospital processes such as resource allocation and patient flow. By early and accurate prediction of each patient’s Diagnosis Related Group (DRG), we can better predict demand and allocate scarce hospital resources such as beds and operating rooms. Better prediction of patients’ future diagnoses, risks, and care needs can enable more effective and efficient treatment and preventive care. Link to paper
  • 9. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 10. Automate detection of relevant findings in pathology, radiology, etc. Our pattern detection approaches have been successfully applied to detect regions of interest in digital pathology slides, and work surprisingly well to detect prostate cancer. Key advance 1: Very efficient, accurate search over subareas of an image. Key advance 2: Use hierarchy to search at multiple resolutions (coarse to fine). Link to paper
  • 11. Automate detection of relevant findings in pathology, radiology, etc. Our pattern detection approaches have been successfully applied to detect regions of interest in digital pathology slides, and work surprisingly well to detect prostate cancer. Key advance 1: Very efficient, accurate search over subareas of an image. Key advance 2: Use hierarchy to search at multiple resolutions (coarse to fine). Automatic detection of anomalies and patterns is especially valuable when the key to diagnosis is a tiny piece of the patient’s health data. Link to paper
  • 12. Automate detection of relevant findings in pathology, radiology, etc. Our pattern detection approaches have been successfully applied to detect regions of interest in digital pathology slides, and work surprisingly well to detect prostate cancer. Key advance 1: Very efficient, accurate search over subareas of an image. Key advance 2: Use hierarchy to search at multiple resolutions (coarse to fine). Detection is also valuable when key patterns of interest are discovered by integrating information across many patients, and might not be visible from a single patient’s data. Link to paper
  • 13. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 14. Discover new medical knowledge (clinical guidelines, best practices). We are currently working to analyze massive quantities of patient care data (EHR and health insurance claims) to discover anomalous patterns of care (APC) which significantly impact outcomes. Claims data: ~125K patients with diseases of the circulatory system APC-Scan Most significant detected pattern: Glucocorticoids are associated with dramatically increased hospitalizations and length of stay in the subpopulation of ~2K overweight, hypertensive males with endocrine secondary diagnoses. Regression on separate, held-out patient dataset: 51% increase in hospitalizations for this subpopulation; vs. 11% for entire patient population. Glucocorticoids Yes No Number of Patients 264 1713 Mean Number of Hospitalizations 0.606 (0.069) 0.280 (0.016) Link to paper
  • 15. What can machine learning do for the healthcare industry? Improve accuracy of diagnosis, prognosis, and risk prediction. Optimize hospital processes such as resource allocation and patient flow. Identify patient subgroups for personalized and precision medicine. Improve quality of care and population health outcomes, while reducing healthcare costs. Reduce medication errors and adverse events. Discover new medical knowledge (clinical guidelines, best practices). Model and prevent spread of hospital acquired infections. Automate detection of relevant findings in pathology, radiology, etc.
  • 16. 2016 Carnegie Mellon University Questions? More details on EPD Lab website: http://epdlab.heinz.cmu.edu Or e-mail me at: neill@cs.cmu.edu