MACHINE LEARNING AND HEALTH CARE
Rama Bhagwat, Student, Bachelor in Computer Application1, Sonia Vijaykumar, Student, Bachelor in Computer Application2,
KLES’s Institute, Hubballi
Abstract:
Healthcare informatics, a multi-disciplinary field has become synonymous with the technological advancements and big data challenges. With the need to reduce healthcare costs and the movement towards personalized healthcare, the healthcare industry faces changes in three core areas namely, electronic record management, data integration, and computer aided diagnoses. Machine learning a complex field in itself offers a wide range of tools, techniques, and frameworks that can be exploited to address these challenges
Introduction:
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Machine learning provides a way to find patterns and reason about data, which enables healthcare professionals to move to personalized care known as precision medicine. There are many possibilities for how machine learning can be used in healthcare, and all of them depend on having sufficient data and permission to use it. Previously, alerts and recommendations for a medical practice have been developed based on external studies, and hard-coded into their software. However, that can limit the accuracy of that data because it might come from different populations and environments. Machine learning, on the other hand, can be refined using data that is available in that particular environment (e.g., anonymized patient information from a hospital and the area it serves). An example of how healthcare providers can take advantage of machine learning is offering the ability to predict hospital readmission for chronically ill patients. Identifying those patients most at risk of being readmitted makes it possible for providers to offer better post-discharge support. By lowering the rate of readmission, it not only improves the lives of those most at risk, it also helps save precious healthcare dollars, which can be used for wellness and prevention …show more content…
Predicting the risk of readmission following a hospital stay is just one example of how machine learning can be applied to solve some of the most pressing issues in healthcare delivery. Other examples include: • Finding combinations of drugs that should not be taken together • Classifying imagery, such as mole scans, to identify disease • Assisting with decisions about what condition a patient might have, or what treatment might be the best.
This is an exciting field that seeks to assist healthcare providers—whether practicing in the hospital or in the
Community—in creating better health outcomes for their patients. We have only just begun to explore the
Highly motivated to impact patient safety and quality of care. Experience with project management within Bellin’s refill pilot team, involving one-one training with orientation, competency assessment completions, evaluation of knowledge and understanding, in addition to implementation of evidenced-based practice involvement with protocol utilization. Achieved bachelor’s degree in nursing from Marian University May 2013. Part-time nursing master’s student at Marian University graduation anticipation December 2019. Licensure/Certification: WI Nursing License (File Number: 198659-30), CPR/AED Certified, NIH Stroke Scale Certification (2015), Pain Management Course Completion.
Computer-based algorithms provide patient-specific assistance. An early warning system that provides timely alerts designed to ensure that appropriate actions are initiated as soon as problems begin to develop. Four key applications have been developed to achieve these goals.
Health care is a term that describes a broad range of services. Members of a health care team range from family members to neurosurgeons, but each member of a patient’s health care team plays a critical role in optimizing patient care. Therefore, it is important to recognize and appreciate all the players in the medical field and their contributions to health care. I was drawn to the medical field because of my love of science and endless curiosity. However, it was not until high school that I narrowed my science passion down to human science.
And with the best data available, medical professionals will be able to compare data better, advance research initiatives, make more informed decisions, identify public health issues, and process claims
How Electronic Medical Records are Changing the Game Electronic medical records, along with health information systems and other technologies, are revolutionizing how patients access and receive health care services. Below introduces four ways that electronic medical records are changing the health care experience. Better Quality of Care Electronic medical records (EMRs) are one of the best ways to increase the quality of patient care. Digital EMRs mean that physicians can make better clinical decisions because they have instant access to complete medical histories. In addition to this, physicians can also access different medical documentation, such as x-rays, lab results and the prescription history.
Health care personnel and quality improvement professionals are focusing their attention on identifying factors that are causing high rates of readmissions. This focus is being driven by the Hospital Readmissions Reduction Program which was implemented as part of the Affordable Care Act. “Effective October 1, 2012, organizations with high 30-day readmission rates for acute myocardial infarction, heart failure, and pneumonia could see their annual hospital Medicare payments reduced by 1%, according to a final rule from the Centers for Medicare and Medicaid Services (CMS)”. (Clancey, 2013) Hospital readmissions are an increasing problem in hospitals across the country.
A hospital’s primary goal should be to provide quality medical care to the patients so that they can be as healthy as possible. A possible way to be able to measure the quality of care a hospital is giving would be to look at their readmission numbers. If a patient is readmitted into a hospital in a short period of time after being discharged, then it is very likely that the hospital did not fully address the patients’ health needs during the initial stay. In an effort to improve the quality of service that hospitals are giving, the Medicare 30-day readmission rule was established to help by incentivizing hospitals to provide better quality care for its patients or be financially penalized.
We must filter and customize that downloaded data for the health conditions that we primarily try to improve. Once data is customized and filtered properly, it gives us “care gaps”. Those care gaps can be easily closed out by accessing patient’s EMR or by referral. This updated data then gets uploaded back to the healthcare insurance company data set for reporting purpose. Data analytics helps health profession close the care gaps and improv care coordination between
Three general strategies are currently used to transfer bedside monitoring data into the hospital’s EHR. The first is the simplest: nurses observe data presented on the monitor screen and manually “key-in” the observations into an integrated EHR. As simple as this may be to implement, such manual data collection strategy is inefficient and does not collect representative data gathered by the bedside monitor. (Gardner, Clemmer, Evans, Mark, 2014) The second strategy used by ICU information systems, such as CareVue (Philips Healthcare) or MetaVision (iMDSoft), is to acquire vital sign data directly from the bedside monitoring system’s network by using an HL7 feed.
Hospital Readmission has a high burden to both healthcare systems and patients. Most readmission is thought to be related to the quality of healthcare system. In the US, nearly 20 percent of Medicare patients are readmitted within 30 days after discharge and related with an estimated annual cost of 17 billion (1). Hospital readmission for patients early after an inpatient stay can be a traumatic experience (2).
INTRODUCTION The patient-practitioner relationship has undergone several changes in the past decades. It has moved from a paternalistic relationship, in which the practitioner acted as a guardian and made the decisions on behalf of the patient, to a deliberative relationship in which the patient is more autonomous, informed, empowered and involved in decisions regarding his healthcare. [1] Recently, there has been an increasing interest and research in shared decision making (SDM), which is one of the pillars of patient-centred care. [2] Research suggests that engaging patients in healthcare decisions makes a significant and permanent difference to healthcare outcomes.
Healthcare organizations are facing many challenges as they strive to deliver high-quality care to patients. Healthcare has become complex with increasing regulation demands and increasing cost that make providing quality, safe care, difficult, time-consuming and prone to errors. The goal of healthcare is to provide faster, better and cost effective care while producing better patient outcomes. According to Carr, “Seeking convenience, speed, and efficiency, we rush to off-load work to computers, without reflecting on what we might be sacrificing as a result”. The sacrifice is reducing the human interaction.
Furthermore, there is an increasing need for the management of various forms of health care data. It is the HIM professional that has the unique skill set to gather, manage, protect and analyze the copious amounts of health care data in today’s technological world. The
The possibility of monitoring chronic illnesses leads to a more organized, structured and predictive way to approach patients, decreasing the need for treatment at general hospitals and cutting adverse drug events. Analyzing big data on healthcare, hospitals and clinics can predict and prevent crises, expand their preventive care offerings, optimizing the admissions and cutting the costs connected to them. Analysis of disease patterns and tracking of disease outbreaks and transmission are fundamental to improve public health surveillance, to have a faster response, to avoid predictable chronic situations reducing the need of hospitals admissions and to cut the costs related to waste of time and
By delivering analysis from multiple sources at once, BI enables organizations to track large amounts of information stemming from clinical activities and identify the most efficient practices. BI helps providers identify trends and anomalies, and analyze risk in clinical care. With a lot of stakeholders involved like doctors, diagnostic centers, pharmacy etc all of them cant function as independent silos. With BI, all constituents can work from the same data over a secure extranet with information personalized based on security credentials. BI’s unique centralized administration and role-based security assures that healthcare providers have security measures at every layer of the architecture.