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Artificial Intelligence
and
Healthcare
What if...
...instead of
What if...
...instead of
What if...
...instead of
Patient Journey
Use this data
Spreadsheets
EHR/EMR
Log Files
Unstructured text
Imaging data
What is data science?
Data Visualization
Data Visualization
Data Visualization
Extract and
Interpret Data
Extracting value from data
Extraction
Secure file transfers protocol
Anonymizing P.H.I.
Gigabytes, Terabytes, &
Petabytes
The bigger the better!
Interpretation
Categorical variables:
‘male’,‘yellow’,‘jaundice’,‘IVIg’
Numerical variables:
82, 1.325, 1.024 E^31
Sparsity:
Null, NaN, 0
How many variables?
Data has Dimensions!
80%
The proportion of our time
that’s spent cleaning the
data.
Before:
(Nonsense)
After:
(Insight!)
Cleaning and
Munging
the Data
Extract and
Interpret Data
Extracting value from data
Statistical inference:
Deducing properties of an underlying
probability distribution by analysis of data.
Before:
After:
Cleaning and
Munging
the Data
Extract and
Interpret Data
Multivariate Inferential
Statistics
𝛼
Parameters
Extracting value from data
Cleaning and
Munging
the Data
Extract and
Interpret Data
Multivariate Inferential
Statistics
Machine Learning
Algorithm
s
Machine learning:
The latest field of computer science.
Giving computers the ability to learn
without being explicitly programmed
How does it work?
Algorithms iteratively and implicitly
learn the data.
The Result:
A model is developed.
Insights made go deeper, beyond
basic descriptive analysis
Extracting value from data
Pattern Recognition
Systems
Hidden Insights
Discovery
Analytics and
Visualizations
Data scientists provide...
Recommendation
Engines
Artificial Intelligence
Networks
Data science is not...
Machine Learning
How do we predict whether
something will or will not happen?
Logistic regression: Simple example
Sex Weight Diabetes
M 160 N
M 160 N
M 160 Y
M 160 ?
Logistic regression: Simple example
Sex Weight Diabetes
M 160 N
M 160 N
M 160 Y
M 160 N
Logistic regression
Logistic Regression is a way of
measuring relationships
in past data
to predict characteristics
about an individual.
Logistic regression: Unsimplified
Sex Weight Ethnic City BP Smoker Diabetes
F 142 H M 130/80 Y Y
M 178 A F 170/90 N N
F 203 C M 130/90 N Y
M 187 A P 170/90 Y Y
F 162 A P 170/90 Y N
F 120 H M 80/50 N Y
M 263 A F 80/50 Y Y
M 207 C P 130/80 N
Care coordination
Automatically assign care tasks
based upon a patient’s diagnosis
or living conditions
Disease as predictor
Predict other potential health
issues if someone has a
particular disease along with
other personal characteristics
Treatment efficacy
Predict the failure of a
particular treatment for high
risk patients or patients from
certain demographics
Patient scheduling
Predict patient no-shows given a
historical log of visits
Binary
Limit of logistic regression
How do we combine the
characteristics of similar people
to make accurate predictions
about individuals?
Collaborative filtering: simplified
Sex Weight Diabetes
M 159 Type1
M 160 Type2
M 158 Type3
M 160 ?
Collaborative filtering: simplified
Sex Weight Diabetes
M 159 Type1
M 160 Type2
M 158 Type3
M 160 Type2
Collaborative filtering
Collaborative filtering is a way
of collecting and weighing
similarities about the population to
make predictions about an
individual
Collaborative filtering: Unsimplified
Sex Weight Ethnic City BP Smoker COPD Diabetes Heart Disease GI
F 142 H M 130/80 Y 2 4 3
M 178 A F 170/90 N 5 1
F 203 C M 130/90 N 1 3 2
M 187 A P 170/90 Y 3 2
F 162 A P 170/90 Y 3 4 1
F 120 H M 80/50 N 4 2
M 263 A F 80/50 Y 2 5 2 4
M 207 C P 130/80 N 5 4 3
Collaborative filtering: Large data
Claim rejection
Determine the probability of any
particular claim being rejected
an insurance company
Medication adherence
Identify cohorts of patients
who may not adhere to their
medication plan
Identify deductibles, copays, and
patient’s share of medical costs,
even when there are a wide
variety of insurance coverage
options
Insurance coverage
Gray sheep
Limit of collaborative filtering
How do we teach a computer to
learn from examples?
Deep learning: Simple example
Deep learning: Simple example
Deep learning
Deep learning is inspired by how our brain
works and is based on learned, rather than
programmed, parameters which can be in the
order of few thousands to 100+ million
Deep learning
High Level
Deep learning
High Level Low Level
Deep learning
Deep learning
Treatment ranking
Automate the search for evidence-
based, patient-centric treatment
options
Clinical support
Assist doctors in identifying
disease in images and
reduce diagnosis error rate
Disease identification
Using EHR data, identify
and predict patients with
high risk of heart failure
Blackbox
Limit of deep learning
Challenges of doing data science
Data scientists are in demand
By 2018, the gap in the supply of data scientists
versus the demand will be 50%
Data scientists are scarce
Data scientists are expensive
Just 2% of all data
scientists work in
healthcare
Data scientists and healthcare
Early warning of sepsis
Impact today
Predict insurance claim rejections
Impact today
Radiomics
Impact today
Importance of data + you
Listening to the data is important… but so is
experience and intuition. After all, what is intuition
at its best but large amounts of data of all kinds
filtered through a human brain rather than a math
model? – Steve Lohr
Thank you!
If you are reading this, there is a
99% chance you are not looking at
your phone right now.
some guy
Future of Healthcare Forum (Digital Health 2017) - Andrew Satz
Future of Healthcare Forum (Digital Health 2017) - Andrew Satz
Future of Healthcare Forum (Digital Health 2017) - Andrew Satz
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Future of Healthcare Forum (Digital Health 2017) - Andrew Satz

Editor's Notes

  1. What if could quickly generate a list of evidence based treatment options tailored for each patient, and provide them the best care while optimizing costs? Instead of having to manually search and evaluate the lastet data for hours.
  2. What if you could know the costs and insurance coverage of every patient before they walk in the door? Instead of spending hours coordinating with carriers and giving patients surprise bills.
  3. What if you could coordinate the care and individual support that each of your patients need by harnessing the data you already have about them? Instead of having to manually create and assign tasks to nurses, doctors, home health aids, social services, and transportation companies?
  4. When will the path from sickness to health become clear?
  5. How do you bring together the disparate data points that sit in your organization together to help your doctors, caregivers, administrators, and most importantly the patients. [use the data pictures]
  6. Spreadsheets
  7. EHR data
  8. Log files
  9. Unstructured corpus of text
  10. You are each uniquely positioned to remove barriers and increase access to care, driven by your human expertise and the tools of data science.
  11. Data science can allow you to turn what you’ve done to what you do. It helps you to create value from data by identifying hidden, valuable and actionable insights. Allowing you to answer questions before they’re asked. Now some of you have probably heard this before
  12. And you hear words like AI
  13. Big Data
  14. And start knowing what they mean for you and your business so you can start taking your business from the present of healthcare to the future.
  15. Questionable cause logical fallacy!
  16. Computers have not achieved the *singularity*. Computers are not self-aware
  17. Computers cannot predict with 100% accuracy what tomorrow holds.
  18. Computers cannot make innovative, creative solutions
  19. Computers struggle with the underlying context.
  20. Data Science cannot solve ‘complex systems’ problems (i.e. give solution to economic depression)
  21. Data Science cannot solve ill-defined problems
  22. Automate care coordination by assigning patient-specific tasks
  23. Is apnoea predictive of hypertension, allowing for age, sex and body mass index?
  24. Determine potential efficacy of treatment
  25. optimize scheduling
  26. Limited Outcome Variables Logistic regression could not be used to determine how high an influenza patient's fever will rise, because the scale of measurement -- temperature -- is continuous. Researchers could attempt to convert the measurement of temperature into discrete categories like "high fever" or "low fever," but doing so would sacrifice the precision of the data set.
  27. Reduce the costs of having to adjudicate claims and accelerate approval and speed up the revenue cycle
  28. Efficiently allocate resources to ensure patients medication compliance, consider drug costs, increase medication compliance, and reduce repeat visits or rehospitilization
  29. Certify that procedures are covered and that the correct revenue is being collected and prevent sticker shock for the patient
  30. Quickly generate a list of ranked potential and non-recommended treatment options for oncologists
  31. Image recognition supports the dermatologist’s efforts; as well as radiologists, oncologists, cardiologists
  32. -Reduced nurse staff and manual screening by close to 70 percent; being used at hospitals across the southeast
  33. Prioritize and streamline claim submissions; change processes to prevent rejections; being used at hospitals all over the U.S.
  34. field of medical study that aims to extract large amount of quantitative features from medical images, uncover disease characteristics that fail to be appreciated by the naked eye. Prediction of clinical outcomes; Prediction risk of distant metastasis; it’s being used at Memorial Sloan Kettering
  35. field of medical study that aims to extract large amount of quantitative features from medical images, uncover disease characteristics that fail to be appreciated by the naked eye. Prediction of clinical outcomes; Prediction risk of distant metastasis
  36. field of medical study that aims to extract large amount of quantitative features from medical images, uncover disease characteristics that fail to be appreciated by the naked eye. Prediction of clinical outcomes; Prediction risk of distant metastasis
  37. field of medical study that aims to extract large amount of quantitative features from medical images, uncover disease characteristics that fail to be appreciated by the naked eye. Prediction of clinical outcomes; Prediction risk of distant metastasis