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Big data for prevention
Clinical applications in Israel
Prof. Ran Balicer MD, PhD, MPH
Director, Health Policy Planning, Clalit Healthcare Services, Israel
Director, Clalit Research Institute, Israel
Chair, The WHO Collaborating Center on NCD Research, Prevention and Control
June 2017
Using data to enhance prevention and care
1. Real world assessment - what works?
2. Predictive proactive prevention
3. Enhanced diagnostics for prevention
Clalit Health Services:
Israel’s integrated Sick Fund
»53% of Israelis - 4.2 million members
»All services under one ‘roof’
->1,500 community clinics, 30% of Israel hospital beds
»Decades of Claims + EMR data
- ID-tagged, geo-coded, cross-linked
- Over 6 million lives
Are we providing futile care? 1
Real world study – > 70,000 cases & controls:
OR = 1.00 (0.97-1.04) for admitted pneumonia
OR = 0.66 (0.44-0.86 ) for invasive disease
2
Preventing Renal Failure
Preventive Nephrology
8%of patients hold
70%of future deteriorations
Readmission prediction – Pre-Admission
2010 2011 2012 2013 2014 2015
Computerized vision
ImageNet Error rates
Human eye
3
The future of healthcare: Learning systems
We have so much more to do, together
“It is not enough to do your best;
you must know what to do, and
then do your best.
W. Edwards Deming

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Big data for prevention - Clinical applications in Israel

  • 1. Big data for prevention Clinical applications in Israel Prof. Ran Balicer MD, PhD, MPH Director, Health Policy Planning, Clalit Healthcare Services, Israel Director, Clalit Research Institute, Israel Chair, The WHO Collaborating Center on NCD Research, Prevention and Control June 2017
  • 2. Using data to enhance prevention and care 1. Real world assessment - what works? 2. Predictive proactive prevention 3. Enhanced diagnostics for prevention
  • 3. Clalit Health Services: Israel’s integrated Sick Fund »53% of Israelis - 4.2 million members »All services under one ‘roof’ ->1,500 community clinics, 30% of Israel hospital beds »Decades of Claims + EMR data - ID-tagged, geo-coded, cross-linked - Over 6 million lives
  • 4. Are we providing futile care? 1 Real world study – > 70,000 cases & controls: OR = 1.00 (0.97-1.04) for admitted pneumonia OR = 0.66 (0.44-0.86 ) for invasive disease
  • 5. 2
  • 6. Preventing Renal Failure Preventive Nephrology 8%of patients hold 70%of future deteriorations
  • 8. 2010 2011 2012 2013 2014 2015 Computerized vision ImageNet Error rates Human eye 3
  • 9. The future of healthcare: Learning systems
  • 10. We have so much more to do, together “It is not enough to do your best; you must know what to do, and then do your best. W. Edwards Deming

Editor's Notes

  1. Annual capitation income: 950 € per capita