Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Role of Medical Intelligence in Augmenting The Virtual Health Care Delivery
Similar to Role of Medical Intelligence in Augmenting The Virtual Health Care Delivery (20)
More from JAI NAHAR, MD MBA
More from JAI NAHAR, MD MBA (17)
Recently uploaded
Recently uploaded (20)
Role of Medical Intelligence in Augmenting The Virtual Health Care Delivery
- 1. Role of Medical Intelligence In Augmenting The Virtual Health Care Delivery JAI NAHAR, MD, MBA Associate Professor of Pediatrics George Washington University School of Medicine Attending, Division of Cardiology Children’s National Hospital, Washington DC Medical Intelligence Society Virtual Summit MIS 2020 July 31, 2020
- 3. 1. Challenges and Opportunities 2. Medical Intelligence & Virtual Care Delivery 3. Innovation in Care Delivery: Connected Care Model 4. Value Pyramid: Intelligent Care Delivery System Agenda
- 4. Health care delivery: Why Talk about Medical Intelligence? • Fourth Industrial Revolution • Digitized World • Health Care Delivery Challenges Inadequate Resources Access Care Gaps Friction Deferred care
- 5. Challenge: Making the Invisible, Visible Known/Clinically Apparent Unknown/Invisible? At Risk/Subclinical
- 6. Challenge: How do we achieve Health Care 3600 ? Center Based Care Remote Care Hybrid Care Episodic Comprehensive/Continuous Care Digital Health Technologies
- 7. Opportunity: Targeting Non-Consumption The Health Care Benefits of Combining Wearables and AI Harvard Business Review by Moni Miyashita and Michael Brady May 28, 2019 “Non-Consumption” These are opportunity areas where consumers have a job to be done that isn’t currently addressed by an affordable or convenient solution.
- 8. Opportunity: Prediction, Early Warning Systems Wellness Subclinical/ Risk Factors Disease/Adverse Event Manifestations Disease Progression Critical Event/Death Window of Opportunity: • Digital Biomarkers • Risk Prediction • Outreach • Targeted Early Intervention
- 9. Intelligence Based Targeted Intervention Strategy Segment Target Position Create Value Disease Phenomapping Risk Low Medium High
- 10. Virtual Care: Leveraging the power of AI AI Virtual Assistant/Coach Intelligent Devices/Sensors Real Time Analytic Processing Risk Stratification/ Deep Phenotyping
- 11. Putting Them Together Medical Intelligence Health Care Delivery
- 12. Innovation in Care Delivery: Connected Care Model DigitalGateway Comprehension Execution/ Personal Assistance Perception/ Integration • Intent recognition • Context Understanding • Learning Health Care Institution • Applications • Providers AI Engine On-Device, Edge, Cloud, AI • Devices • Sensors • Natural Interaction (Voice) • Proactive • Personalized & actionable insights • Behavior Modification • Positive reinforcement • Voice/Language • Biological Digital Signals (Digital biomarkers) • Physician • Nurse • MA • Care Manager • Social Worker Patient Voice Virtual Assistant Real Time Analytic Processing Actionable Insights Ancillary data
- 13. Intelligent Virtual Care Delivery System Risk Stratification Early Intervention Digital Therapeutics Chronic Care Management & Wellness Value & Impact • Digital Connection • Remote Monitoring • Risk stratification • Prediction (Digital Biomarkers) • Engagement • Adherence • Behavior modification • Personalized Prescription • Promotion of wellness Value Pyramid • Targeted outreach • Optimization of medical treatment
- 14. Conclusion Key Takeaways Establish Care Continuum Multi Stakeholder Benefit Promote Population Health Offer Competitive Advantage 1 3 2 4 Medical Intelligence based Hybrid Care Delivery
Editor's Notes
- Thanks to MIS Summit Organizing team for the invitation and honor to speak This talk would focus on how Medical intelligence (using ML) gained from virtual health care delivery ecosystem (digital home monitoring devices, sensors, apps, virtual assistants) can facilitate real time actionable insights, promoting prompt risk prediction, mitigation, and personalized prescription for the patient.
- My Talk today will briefly cover: Challenges and Opportunities Medical Intelligence & Virtual care delivery Innovation in Care Delivery: Connected Care Model Value Pyramid: Intelligent care delivery system
- A big challenge in current Medical World is how to make the Invisible, visible. As shown in this slide the tip of iceberg represents the visible clinical phenotype of the disease. The challenge then is How can we dive deeper to uncover and tackle the hidden part of this iceberg representing the subclinical and invisible disease? This is where MI comes into action.
- Another challenge is how to achieve Health care 360: Comprehensive and continuous care. How do we complement the current episodic center based care with optimal remote care and leverage digital health technologies to achieve a hybrid care model: which enables Comprehensive and continuous care.
- After challenges now Let us look at the opportunities. Important opportunity in health care delivery is Targeting the Non-Consumption. In this slide I have referenced a great article form HBR. Harvard Business School Professor and Innosight co-founder Clay Christensen mentioned about “non-consumption.” These are opportunity areas where consumers have a job to be done that isn’t currently addressed by an affordable or convenient solution. In context of health care delivery the job which needs to be done is providing comprehensive care to patients where and when it is needed the most.
- Another area of opportunity is designing optimal early warning systems for ambulatory care. Considering the time line of disease progression (as shown in this slide) there is window of opportunity between the subclinical and clinical presentation of disease. During this window of opportunity we can use digital biomarkers, risk prediction models and provide outreach with targeted early intervention for the patients to prevent the disease progression.
- Phenomapping: Use of unsupervised machine learning in Phenotypic classification of a heterogeneous clinical syndrome into discrete phenogroups We can Institute Intelligence based Targeted Intervention Strategy. By utilizing various tools such as disease phenomapping, deep phenotyping, and risk stratification models, patients can be segmented into low medium and high risk. Second step is to target the medium and high risk patients and position appropriate outreach and intervention measures, preventing morbidity and mortality ultimately creating value for three important stakeholders (patients, providers and payors).
- How can we leverage power of AI to optimize the virtual care? As illustrated in the slide, there are 4 important ways AI can be utilized. First is use of patient facing personalized and Intelligent Virtual assistants and smart coaches Second is using Intelligent Devices and sensors for remote care Third and fourth are RTAP of this diverse patient data, deep phenotyping and risk stratification to gain medical intelligence which can then facilitate personalized prescription for the patient.
- How do we integrate medical Intelligence in Health care Delivery?
- This slide illustrates an innovative virtual care delivery model which I have labelled as: Connected care model. This is a good example of man-machine intelligence synergy and leverages technology such as remote monitoring devices, voice, virtual assistants, AI to connect patient to the care providers, augmenting care delivery at home. This has 3 important interconnected components. First is remotely monitored patient, and voice enabled virtual assistant, second is the AI engine and third is the multidisciplinary care delivery team. Patient’s voice commands and digital remote monitoring signals are transmitted via the virtual voice assistant (gateway) to the AI engine and as needed to Care delivery team. The AI Engine enables RTAP of this input and in conjunction with care provider team, provides personalized and actionable health promoting insights, delivered back to the patient via voice enabled virtual assistant.
- This slide illustrates the Value pyramid and Functional Spectrum of Intelligent Virtual Care Delivery System There are 3 important components: First is Risk Stratification Second is Early Intervention and use of Digital Therapeutics Third is Chronic care management and promotion of wellness specially important for high risk and high cost incurring patients such as CAD, CHF, arrhythmia, HTN, diabetes
- Medical Intelligence based Hybrid Care Delivery has great potential to Establish Care Continuum Provide Multi stakeholder benefit Promote Population Health Offer Competitive Advantage to health care systems Medical Intelligence augmented Virtual care is an emerging frontier in health care sector and has great potential to transform the health care delivery in POST COVID-19 world.