Machine learning will help EHRs fulfill precision medicine’s promise




Electronic well being information are superb at being repositories for beneficial affected person knowledge. But they want help on the subject of placing that knowledge to work for extra modern care supply. The ever-expanding quantity and number of scientific and social-determinant elements will require extra superior applied sciences to be optimally harnessed for precision medication.

Enter AI and machine learning, which “will play a growing role in healthcare, under two main categories – generating knowledge and processing data,” mentioned Auckland, New Zealand-based Kevin Ross, who will communicate subsequent month at HIMSS19.

Ross is common supervisor at Precision Driven Health, launched as a partnership between Orion Health (the place he’s director of analysis) and authorities businesses and educational organizations in New Zealand to discover and promote precision medication. He sees machine learning as a key enabler within the years forward as well being techniques look to unlock the info and of their EHRs and put it to work for extra customized care.

“Health records have been electronic – and therefore accessible for analysis – for a relatively short period of time, but we are now seeing huge volumes of data being generated from different sources,” he explains. “We’ve had insufficient computational power to process the volume of data in a genome, let alone a microbiome, etc. until fairly recently.”

The introduction of AI and machine learning opens new avenues for healthcare knowledge to be accrued. Medical analysis has historically come by “targeted studies on narrow subsets of the population,” he mentioned, “now we can analyze over large populations in relative real time, because the data is being collected digitally. New knowledge will come about by applying machine learning to these increased data sets to uncover patterns that are occurring today without being noticed.”

In Orlando, Ross will clarify how he and different researchers are benefiting from some distinctive elements of New Zealand’s healthcare panorama – related digital healthcare knowledge throughout the inhabitants, modern analysis organizations – to allow the event of recent applied sciences and knowledge methods for precision medication.

“New Zealand has some unique benefits, including a long history of digital health records with well managed health ID numbers, so it is a lot easier to link different data sets together,” he explains. Add to that :

  • Linked knowledge between social providers (well being, schooling, justice, welfare, tax) out there for analysis functions;
  • A single payer system whereby the motivation of affected person, supplier, and system are usually properly aligned (e.g. early intervention advantages all)
  • Willing collaboration between industrial and public supplier organizations in addition to between scientific and knowledge science researchers
  • A singular ethnic range (74 % European, 15 % Maori, 12 % Asian, 7 % Pacific Islander – together with these figuring out a number of)
  • A robust knowledge science analysis neighborhood
  • A inhabitants comparatively snug with know-how and with broad entry

All that, plus the truth that New Zealand has a smallish inhabitants (fewer than 5 million individuals) signifies that “research is more likely to be population wide rather than highly specialized,” mentioned Ross.

From that distant nook of the globe to different well being techniques worldwide, he sees a giant future forward for AI-enabled EHRs – enabling a quick evolution for precision medication.

“Machine learning can be used to aid intensive tasks such as processing large data sets for genomics, image processing or network analysis, as well as finding anomalies – such as for diagnosis or fraud detection – and identifying cohorts,” he mentioned. “There are interesting applications in maintaining records such as matching data from different systems, inferring missing data elements.”

And because the evolutions proceed apace, what ought to well being techniques who’ve already begun AI implementations be doing to make sure they’re making greatest use of machine learning of their workflows?

“Design systems with a view to interoperability and data sharing,” mentioned Ross. “Use standards, build tagging into systems. And make it easy for patients to control the use and sharing of their data, and see the benefits from it.”

In addition, he suggested well being techniques to take advantage of all the info they’ve available: “Even ‘dirty’ data can have incredible predictive value,” he mentioned. “Don’t wait for perfect data to start using it.”

Ross’ presentation, “Machine Learning Over Our Growing Electronic Health Records,” is scheduled for Wednesday, February 13, from 2:30-3:30 p.m. in room W308A.

Twitter: @MikeMiliardHITN
Email the author: mike.miliard@himssmedia.com

Healthcare IT News is a publication of HIMSS Media.




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