unpacking ai for healthcare
TRANSCRIPT
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#healthpredicted
Unpacking AI for Healthcare@ashdamle
Image from http://bryanchristiedesign.com/
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We have very little control over health and care. From doctors to insurers to patients – we are all struggling with making sense of health.
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our health is complex37+ Trillion Cells
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Image from http://bryanchristiedesign.com/
We have have no control, and very little visibility into how health evolves
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As a result, care management and coordination is broken & imprecise, leading to:
higher and higher costs of care with little improvement in health outcomes.
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We have an opportunity.
High quality data and analytics can drive precision into healthcare, reducing costs of medical care while improving health outcomes.
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The challenge: Healthcare has one of the most complex data sets in existence.
High volume. High dimensionality . Heterogeneous. Varied formats. Multi-faceted relationships. Noisy.
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And yet, we are still using 19th century solutions for a 21st
century problem!
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Why not healthcare?
voice recognition, image recognition, natural language processing, deep learning & machine learning
AI has helped many other industries achieve unprecedented levels of efficiency in overcoming data complexity
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$6B $2B
The AI market in healthcare will hit $6 billion by 2020 (Frost and Sullivan)
$2 billion can be saved annually with a tech-enabled processes (Accenture)
AI is best positioned to solve the health data challenge
AI surfaces the signal from the noise in health dataallowing us to understand what to do, for whom, when, and why
+
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giving everyone more control and precision over health and care
Automated information processing
45% of routine, manual tasks that can cost up to $90 million can be automated by adapting current AI technologies (McKinsey).
1
Precise disease management
Machine learning could increase patient outcomes at by 50% at about half the cost (Indiana University).
2
Efficient provider-patient
encounters
Virtual health apps can save physicians 5 mins per patient encounter (Accenture)
3
Social robots for patient
engagement
Robots like PARO have been found to reduce patient stress and interaction with caregivers(World Economic Forum)
4
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What if we could use AI to predict future health with precision, timeliness and speed?Could we significantly reduce costs of care while creating more improving outcomes: less complex, real-time feedback loops, more personalized?
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How do we get there?
We need real-time machine-based systems that leverage data to predict health with precision, timeliness and confidence, so we can deliver high-value personalized care at scale.
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It requires…
1.Deep domain expertise in medicine to build robust, clinically-relevant models
Data science expertise to handle complexity of health data and apply advanced machine learning techniques
Access to large data sets for supervised and unsupervised training of models
Infrastructure that can prepare terabytes of data for analysis with speed
Industry collaboration to build solutions that can be seamlessly applied into clinical workflows
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Introducing Lumiata:an example of Medical AI
that handles the complexity of health data
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We want to radically transform the way health data is put to work.1. Power data-driven precision in predicting health to
reduce costs and improve health outcomes2. Bring clarity, control and confidence to all health actors
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Lumiata leverages Medical AI to precisely predict and manage risk at the individual level. We drive the personalization and automation needed to make health predictable.
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Data Scientists
Utilize the latest in AI & deep learning to evolve Lumiata’s
Medical Graph
Design & deploy new models for targeted use cases
Clinical Scientists
Adjudicate ongoing clinical inputs into Lumiata’s Medical
Graph
Ensure clinical relevance of predictive analytics & rationale
DS CS
To build Lumiata, we combine deep domain expertise
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330M+ data points describing the relationships between…
• Hundreds of protocols & guidelines• 40K+ Symptoms & Signs• 4K Diagnoses• 3K Labs, Imaging, Tests• 3K Therapeutic Procedures• 7K Medications
across age, gender, durations, lifestyle
Our AI is powered by a learning probabilistic Medical Graph & Deep Learning
3TB+unstructured
data
175M+patient record
years
39K+physician curation hours
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that predicts individual health risks, and helps embed personalization and automation in risk
management operations.
Input(Data)
Analyses(FHIR+AI)
Output(Insights)
Delivery(API)
ImpactAction
Risk Matrix + Clinical RationaleRISK MATRIX& CLINICAL RATIONALE
MEDICAL GRAPH
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It augments our ability to identify and capture value in data
by bringing clinical precision, giving everyone
the confidence to act with precise health
predictions
by automating labor-intensive risk
management operations to reduce costs
(data gathering + data synthesis + analysis + planning + messaging +
decision + fulfill)
&
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symptoms diagnoses labs Images
therapyprocedures
meds
environ. factors,
seasonality
lifestyle + demo. profile
geography
past medical history
genetics
family history
vitalscomplaints
∫(age, gender, duration, ethnicity, …)
∫(age, gender, sensitivity, specificity, …)
Generating per patient models of health, making healthcare delivery predictable and personalized.
Our Medical Graph maps multi-dimensional relationships to handle the complexities of health data
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and by mapping out the relationships of health data, the Medical Graph address many of the data complexities
in systematic, scalable way
Demographics
Lumiata Medical Graph
Procedures
Physical Exam & Tests
Medical & Social Hx
Sensors & Wearables
Genomics
High volumeHigh dimensionality
HeterogeneousVaried formats
Multi-faceted relationshipsNoisy
Multiple Coding SystemsGraphs not Trees/DAGs
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PUBMED ReferencesPUBMED References
Lumiata Risk MatrixCondition 1 2 3 4 5 6 7 8 …
0-‐1 Year Y N N Y Y N N N …
1-‐2 Years Y N N Y Y Y N N …
2+ Years Y N N Y Y Y N Y …
Clinical Rationale
Clinical Rationale
Past Med History
Diagnoses
Abnormal Labs
Procedures
Medications
where each prediction is supported with medical evidence, bringing confidence, control and clarity to health operations
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36,000+Physician
Curation Hours
Clinical Integration Engine Clinical Analytics Engine API & Web Platform
Real-Time Data Clinical
FinancialSocial
Environmental
DescriptiveIntrospective
PredictivePrescriptive
Discovery
Operationalize Data
Data Unification
Insight & Action Generation
Data & Action Distribution
and transforms data to insight to action
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Fast-tracking healthcare toward value-based care
Automated risk stratification to drive population health management
Precise & personalized care management interventions
Clinical alignment and agreement between payers and providers
Reduced costs by removing labor-intensive, redundant tasks
+
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True Clinical State & Risk EvolutionDifferential Diagnosis and Triage
Missing DiagnosisData Driven GuidelinesClinically Right Coding (ICD, HCC)
Risk AdjustmentQuality MaximizationPredict High Cost Claimants Utilization PredictionCare Coordination
with clear practical use cases available via an API or web app
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Through AI, we are giving everyone the confidence to act on data in a way that improves care, automates processes and reduces costs.Health plans become more cost-effective and collaborative.Caregivers deliver more precise and timely care. Patients get personalized treatment plans.
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Image from http://bryanchristiedesign.com/
powering clear, predictable health outcomes
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#healthpredicted
Unpacking AI for Healthcare@ashdamle