This document discusses using collective intelligence algorithms to improve clinical decision making. It argues that current practices lead to inconsistent diagnoses and treatments for the same symptoms. Applying collective intelligence to clinical data could help identify best practices, influential clinicians, and inconsistencies. This would move medicine towards being more evidence-based. However, electronic health records need to be standardized and have high quality data first for collective intelligence to provide reliable insights. Overall, the document advocates for using collective intelligence with clinical data to help make medicine more scientific and consistent.
Welcome to the age of cognitive computing: where intelligent machines have
moved from the realms of science fiction to the present day. This groundbreaking
technology is driving advanced discoveries and allowing improved decision-making –
resulting in better patient care
Welcome to the age of cognitive computing: where intelligent machines have
moved from the realms of science fiction to the present day. This groundbreaking
technology is driving advanced discoveries and allowing improved decision-making –
resulting in better patient care
This document includes three blog posts recently featured in PharmaVOICE.
The blogs focus on how enhanced access to in-depth health data is impacting an understanding of personhood, the environment around us, and the pharma operating model.
BLOG 1 (Pages 2-7)
Waves of Real Life Data Are Inundating Pharma...Can They Keep Up?
BLOG 2 (Pages 8-13)
Better understanding where and how we live will vastly improve remote patient
monitoring approaches
BLOG 3 (Pages 14-18)
5 Ways Pharma Can Be More Patient-Centered & Usher in Digital Transformation
Send me a note with your comments and feedback. Thanks for reading!
TOPIC 2AnthonyThe movie that I watched for this week, Cons.docxturveycharlyn
TOPIC 2:
Anthony:
The movie that I watched for this week, Constantine, would almost certainly have been censored. This movie explores some of things in religion that most God fearing individuals would rather not. The idea that an evil would threaten the very existence of mankind. Not to mention the way some of the demons and victims were killed or eliminated. The Motion Picture Production Code of 1930 or The Hays Code, established guidelines for movie producers. The following is a short explanation of his code:
The Code was based on three general principles: No picture shall be produced that will lower the moral standards of those who see it. Hence the sympathy of the audience should never be thrown to the side of crime, wrongdoing, evil or sin. Correct standards of life, subject only to the requirements of drama and entertainment, shall be presented. Law, natural or human, shall not be ridiculed, nor shall sympathy be created for its violation. These were developed in a series of rules grouped under the self-explanatory headings Crimes Against The Law, Sex, Vulgarity, Obscenity, Profanity, Costume, Dances (i.e. suggestive movements), Religion, Locations (i.e. the bedroom), National Feelings, Titles and "Repellent Subjects" (extremely graphic violence) (BFI. n.d.)
Constantine (2005) http://www.imdb.com/title/tt0360486/
BFI Screenonline: The Hays Code. (n.d.). Retrieved January 24, 2017, from http://www.screenonline.org.uk/film/id/592022/
Robert:
I'm pretty sure that "The Evil Dead" would have received an "X" rating upon release had it come out 50 years ago since "The Excorcist" had that rating upon its release. There is a parallel between the two since in both cases audiences became more likely to laugh at the scarier scenes than to be frightened by them. Both also had religious imagery that would be offensive to alot of people. Times have really changed since the late 1960s concerning the ratings system; films like "Midnight Cowboy" and "A Clockwork Orange" that had X ratings at one point would be very comfortably in the "R" category today.
· Write a four to five (4-5) page paper in which you:
1. Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response.
2. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples.
3. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response.
4. Suggest a key action that senior health care leadership could take in the community in which you live to push the b ...
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
EMR Design as Socio-Technical Mosaic: A Multi-Lens Approach to Emergency Depa...juliahaines
The purpose of this paper is to draw focus to how HIT systems design, and particularly systems for the emergency department (ED) can benefit from socio-technical thinking.
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
DISEASE INFERENCE FROM HEALTH-RELATED QUESTIONS VIA SPARSE DEEP LEARNINGvishnuRajan20
At Softroniics we provide job oriented training for freshers in IT sector. We are providing IEEE project guidance and Final year project guidance. We are Pioneers in all leading technologies like Android, Java, .NET, PHP, Python, Embedded Systems, Matlab, NS2, VLSI, Modelsim, Tanner, Xilinx etc. We are specializiling in technologies like Big Data, Cloud Computing, Internet Of Things (iOT), Data Mining, Networking, Information Security, Image Processing and many other. We are providing long term and short term internship also. We are also providing IEEE project support at Calicut, Thrissur and Palakkad. For more details contact 9037291113, 7907435072
Disease inference from health-related uestions vissparse deep learningvishnuRajan20
At Softroniics we provide job oriented training for freshers in IT sector. We are providing IEEE project guidance and Final year project guidance. We are Pioneers in all leading technologies like Android, Java, .NET, PHP, Python, Embedded Systems, Matlab, NS2, VLSI, Modelsim, Tanner, Xilinx etc. We are specializiling in technologies like Big Data, Cloud Computing, Internet Of Things (iOT), Data Mining, Networking, Information Security, Image Processing and many other. We are providing long term and short term internship also. We are also providing IEEE project support at Calicut, Thrissur and Palakkad. For more details contact 9037291113, 7907435072
An AI-based Decision Platform built using unified data model, incorporating systems biology topics for unit analysis using semi-supervised learning models
This document includes three blog posts recently featured in PharmaVOICE.
The blogs focus on how enhanced access to in-depth health data is impacting an understanding of personhood, the environment around us, and the pharma operating model.
BLOG 1 (Pages 2-7)
Waves of Real Life Data Are Inundating Pharma...Can They Keep Up?
BLOG 2 (Pages 8-13)
Better understanding where and how we live will vastly improve remote patient
monitoring approaches
BLOG 3 (Pages 14-18)
5 Ways Pharma Can Be More Patient-Centered & Usher in Digital Transformation
Send me a note with your comments and feedback. Thanks for reading!
TOPIC 2AnthonyThe movie that I watched for this week, Cons.docxturveycharlyn
TOPIC 2:
Anthony:
The movie that I watched for this week, Constantine, would almost certainly have been censored. This movie explores some of things in religion that most God fearing individuals would rather not. The idea that an evil would threaten the very existence of mankind. Not to mention the way some of the demons and victims were killed or eliminated. The Motion Picture Production Code of 1930 or The Hays Code, established guidelines for movie producers. The following is a short explanation of his code:
The Code was based on three general principles: No picture shall be produced that will lower the moral standards of those who see it. Hence the sympathy of the audience should never be thrown to the side of crime, wrongdoing, evil or sin. Correct standards of life, subject only to the requirements of drama and entertainment, shall be presented. Law, natural or human, shall not be ridiculed, nor shall sympathy be created for its violation. These were developed in a series of rules grouped under the self-explanatory headings Crimes Against The Law, Sex, Vulgarity, Obscenity, Profanity, Costume, Dances (i.e. suggestive movements), Religion, Locations (i.e. the bedroom), National Feelings, Titles and "Repellent Subjects" (extremely graphic violence) (BFI. n.d.)
Constantine (2005) http://www.imdb.com/title/tt0360486/
BFI Screenonline: The Hays Code. (n.d.). Retrieved January 24, 2017, from http://www.screenonline.org.uk/film/id/592022/
Robert:
I'm pretty sure that "The Evil Dead" would have received an "X" rating upon release had it come out 50 years ago since "The Excorcist" had that rating upon its release. There is a parallel between the two since in both cases audiences became more likely to laugh at the scarier scenes than to be frightened by them. Both also had religious imagery that would be offensive to alot of people. Times have really changed since the late 1960s concerning the ratings system; films like "Midnight Cowboy" and "A Clockwork Orange" that had X ratings at one point would be very comfortably in the "R" category today.
· Write a four to five (4-5) page paper in which you:
1. Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response.
2. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples.
3. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response.
4. Suggest a key action that senior health care leadership could take in the community in which you live to push the b ...
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
EMR Design as Socio-Technical Mosaic: A Multi-Lens Approach to Emergency Depa...juliahaines
The purpose of this paper is to draw focus to how HIT systems design, and particularly systems for the emergency department (ED) can benefit from socio-technical thinking.
The Communiqué is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible. ABC is happy to provide The Communiqué electronically as well as hard-copy versions. The Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Tony Mira, President & CEO, explains, “The Fall 2014 issue features several experts in anesthesia practice management providing helpful advice, starting with Danielle Reicher, MD, an Anesthesiologist from San Diego, CA. Dr. Reicher describes a specific and very important application of EHR technology in Making Meaningful Use More Meaningful: communicating with patients." Dr. Reicher states, “While we may not be a daily fixture in the medical lives of our patients, our role is critical and the information we gather can be extremely vital to the electronic medical record. Let’s make Meaningful Use even more meaningful!”
Another author we are proud to feature is Steven Dale Boggs, MD, MBA, Director of the OR and Chief of the Anesthesia Service at the James J. Peters VA Medical Center in Bronx, NY as well as Associate Professor of Anesthesiology at The Icahn School of Medicine at Mount Sinai in Manhattan, NY. One of Dr. Boggs’s areas of particular interest is GI sedation. For the past several years, Dr. Boggs has been working closely with endoscopists at Mount Sinai in New York and elsewhere, evaluating turnover time and safety metrics. He will be presenting at The ANESTHESIOLOGY™ 2014 annual meeting in New Orleans with a Point-Counterpoint session on Monday, October 13th and on a panel Tuesday, October 14th, and he gives us a detailed preview of his arguments in Computer-Assisted Personalized Sedation (CAPS): Will It Change the Way Moderate Sedation is Administered? ABC was pleased to have the opportunity to provide Dr. Boggs with claims data showing that the cost of anesthesia and anesthesia providers may be quite competitive with cost of CAPS.
For these and past Communiqué articles, please log on to ABC’s web site at www.anesthesiallc.com and click the link to view the electronic version of The Communiqué online. To be put on the automated email notification list, please send your email address to info@anesthesiallc.com. We look forward to providing you with compliance, coding and practice management news through The Communiqué.
DISEASE INFERENCE FROM HEALTH-RELATED QUESTIONS VIA SPARSE DEEP LEARNINGvishnuRajan20
At Softroniics we provide job oriented training for freshers in IT sector. We are providing IEEE project guidance and Final year project guidance. We are Pioneers in all leading technologies like Android, Java, .NET, PHP, Python, Embedded Systems, Matlab, NS2, VLSI, Modelsim, Tanner, Xilinx etc. We are specializiling in technologies like Big Data, Cloud Computing, Internet Of Things (iOT), Data Mining, Networking, Information Security, Image Processing and many other. We are providing long term and short term internship also. We are also providing IEEE project support at Calicut, Thrissur and Palakkad. For more details contact 9037291113, 7907435072
Disease inference from health-related uestions vissparse deep learningvishnuRajan20
At Softroniics we provide job oriented training for freshers in IT sector. We are providing IEEE project guidance and Final year project guidance. We are Pioneers in all leading technologies like Android, Java, .NET, PHP, Python, Embedded Systems, Matlab, NS2, VLSI, Modelsim, Tanner, Xilinx etc. We are specializiling in technologies like Big Data, Cloud Computing, Internet Of Things (iOT), Data Mining, Networking, Information Security, Image Processing and many other. We are providing long term and short term internship also. We are also providing IEEE project support at Calicut, Thrissur and Palakkad. For more details contact 9037291113, 7907435072
An AI-based Decision Platform built using unified data model, incorporating systems biology topics for unit analysis using semi-supervised learning models
Similar to The use of colective intelligence algorithms in clinical data mining (20)
Why can you achieve Interoperability through deployment of a SOA corporative strategy. Andalusian Healthcare Service, a case of use.
Achieve a viable pathway to the evolution of systems existing in autonomic environments of wingspan to a business model based on the paradigm SOA. Determine the current state of the habitual environment itself; cases of legacy systems, projects underway, State of the master data and define the necessary lines of work carried out achieve SOA model: architecture, tools and resources, and governance.
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
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- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
Accelerate your Kubernetes clusters with Varnish CachingThijs Feryn
A presentation about the usage and availability of Varnish on Kubernetes. This talk explores the capabilities of Varnish caching and shows how to use the Varnish Helm chart to deploy it to Kubernetes.
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Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
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Transcript: Selling digital books in 2024: Insights from industry leaders - T...BookNet Canada
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The use of colective intelligence algorithms in clinical data mining
1. Firmado digitalmente por NOMBRE FERNANDEZ ENGO JOSE - NIF
NOMBRE FERNANDEZ 31254607E
Nombre de reconocimiento (DN): cn=NOMBRE FERNANDEZ ENGO JOSE -
NIF 31254607E, c=es, o=FNMT, ou=fnmt clase 2 ca
ENGO JOSE - NIF 31254607E Motivo: Autor
Fecha: 2012.04.24 12:17:40 +02'00'
The use of colective intelligence algorithms in clinical data mining. A way to a non-intrusive
clinical support decision system. The idea.
Abstract: Nowadays, modern Healthcare IT Systems try to have access to timely and accurate
patient medical information. However, in our Clinical System based in Primary Attention
Pratitioners and Hospitals Specialists, every clininician has his own diagnosis and treatment
from the same symptoms, that is to say the same original data. That’s no scientific foundation
to goal a qualified medicine. A collective intelligence system aplied on clinical decisions can
face clinicians againts their usual endogamic way of see their profession.
Keywords: collective intelligence, decision support systems, medicine based on evidence
No sustainable Healthcare System
Different diagnosis from the same symptoms, different treatments for the same diagnosis over
the same patient profile, a system where the third leading cause of death are medical errors
(surgical errors, mistaken diagnostics, incorrect prescribing, inadequate cares, etc.) reveals a
clearly unsustainable healthcare system. Not only because its economic perspective, indeed in
a public supported healthcare system these numbers are unassumable, but (and mainly) it´s a
science.
The Doctor’s Syndrom: scientific egocentrism
“My patient’s medical record is mine, at least the part I’ve written.” “Yah, well, you’ve already
a radiology report from your shoulder but I need another one I trust”… these are very typical
sentences we can hear when we’re patients as well as we’re IT consultants. And the famous
“It’s my instinct”. There is no space for methodologies, learning process… With this attitude is
very difficult to achieve an efficient way to apply all the power in information management
that IT systems can offer. I would like to say that there are evidences of a slow change in these
positions; we’ve clinical therapies development by interdisciplinary groups leading by phisics,
engineers, and so on. For example researches of cancer therapies based on the physic of
interphases model, researches of new ways of drug administration throught nanotechnologies
dispositives, etc. Of course, very effective interdisciplinary groups leading by clinicians. But the
daily job of a Doctor remains a very local decision, if not individual, system.
Of course, clinicians need to see an advantage in the use of IT systems, in a correct way of
recording, etc. and one of the missions of IT professional is to make it easy but neither doctors
nor the systems have the necessary level of mature. Perhaps we must make a critical change.
An on evidence-based model based on extended clinical decisions… and collective
intelligence treatment
We introduce here our differential point of view. Usually, the collective intelligence has a social
and unexpertise focus. These powerfull algorithms are only applied to social networks and
from a patient point of view.
And, in the other way, we have a collective that has no regular systems to give an answer to
the same problems with the same boundary variables. So, I think we can apply the same tools
2. than in a normal social network with a little change in the focus. We’re going to inspect a
professional knowledge background. And we’ve a very interesting collective from the CI point
of view because this is a very large collective and they register many times every day with the
necessary variability.
Although some of these algorithms are likely to apply in every decision support system
(recommendations, grouping, etc.) but in this kind of environment we can apply the wide
range of utilities: filtering documents to detect the most influential opinions (diagnosis from a
concrete group of symptoms , create tree decision models based in the evaluation of the
clinician and his tendency to a concrete group of decisions, create a “priced” model to
diagnosis, find independent characteristics to detect tendencies or external influences in
prescriptions (for example), find experts with an optimal ratio in the liability of their diagnosis,
etc.
Electronical Health Record: the ground level
Obviously, we need a complete and solid EHR system to achieve a solid and general clinical
support decision system.
- First we need a solid relationship between symptoms and diagnosis so we need an EHR
with a good level of codification in both sides. In this way we can use ontological
systems to treat the clinician’s natural language.
- Second we need to contrast the statistical validation of every decision against the
results of analize these relationships with collective intelligence algorithms. I think
that’s going to be a surprise on the revelation of so many disfunctions.
And, of course, we need to obtain a solid and interoperable EHR model to apply our tools. In
this way we need a Reference Model implemented as well as a Clinical Information Model to
evolve our system without ballast. This system must be:
- federated to integrate all the views of the bussines inside the organisation
- with a solid Governance Model to keep a sustainable grown in horizontal way as well
as in a vertical way and
- with a solid trusteeing system to guarantee the contribution from systems outside the
organisation. That’s a normal way in anglosaxon countries but in our Public Model is
not so usual.
In this point we can already apply every Collective Intelligence tool, especially in a wide
Healthcare Public System (like the Andalusian, Swedish or the Obama’s Project). We need a
little amount of use to a correct implementation of these tools but this is only a question of
time and education. Time is a very relative variable in a wide system. For example, the
Andalusian appointment system has 400M appoinments recorded. But the education has more
difficult solution because nowadays it‘s depending from the Doctor’s mind. And the quality of
registered data in an EHR system is a sine qua non condition to a statistical treatment.
Toward an integrated system
3. Usually, to engage the level for CI application we must walk through two previous levels:
Expert Systems and Group Decision Support Systems. This is a normal evolution in this kind of
systems. However I think that in a Clinical Wide Environment we can try to apply the three
levels in only one step growing over business domains and not over the scope of the system.
This point of view has a very strong relationship with my vision to apply a SOA model to a
Public Healthcare System (the cornerstone of my speech in the Master).
Conclusions
Altought the motivations reflected in “Doctor’s Simdrom…” are obviously an overstatement,
the ground of the reflection is in order. Today, medicine is not a logical science in the wide
sense of the term. A Medicine based on evidence has yet many enemies, especially among
Primary Care Doctors. So the medical knowledge system is yet like an opinion based system
with a short susbtrate of logical thought but not a solid data based system. And first records in
wide EHR systems have not the necessary quality to apply statistical tools with a good level of
reliability. Perhaps we can plain to change the entire framework with a correct orientation of
the feedback to the clinicians.
References
- Toby Segaran “Collective Intelligence” (2008) – O’Really
- “Integrating Decision Support Systems: Expert, Group and Collective Inteligence”
Stephen Diasio, Nuria Agell – ESADE Bussines School