/ en Sun, 27 Apr 2025 06:42:31 -0500 Fri, 01 Dec 23 08:22:55 -0600 /advancing-health-podcast/2023-12-01-predicting-patient-using-analytics-better-outcomes <p>The Electronic Health Record (EHR) is essential for clinical and nursing teams to make critical patient care decisions, but what if even more patient data could be accessed? Through the use of predictive analytics, a patient鈥檚 care team can predict where the patient鈥檚 condition is heading, which leads to more informed care decisions. In this conversation, Natalie Correll-Yoder, critical care clinical nurse specialist with NorthBay Health, and Nikki Rasmussen, senior clinical account manager with Spacelabs Healthcare, discuss one such predictive analytics tool, the Rothman Index, and how it made a huge impact for NorthBay Health's employees, and most importantly, its patients. This podcast is brought to you by Spacelabs Healthcare. To learn more about Spacelabs Healthcare please visit <a href="www.spacelabshealthcare.com" target="_blank">www.spacelabshealthcare.com</a>.</p> <div><a href="www.spacelabshealthcare.com" target="_blank"></a></div> <details class="transcript"><summary><a href="www.spacelabshealthcare.com" target="_blank"> </a> <h2 title="Click here to open/close the transcript."><a href="www.spacelabshealthcare.com" target="_blank"><span>View Transcript</span><br />  </a></h2> <a href="www.spacelabshealthcare.com" target="_blank"> </a></summary><a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;00;00;26 - 00;00;31;11<br /> Tom Haederle<br /> Having all patient data available on the ESR is essential for clinical and nursing teams to make critical patient care decisions. With this data, care is based on what providers can see and analyze themselves. But what if more could be done with the data? This is where predictive analytics comes in.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;00;31;14 - 00;01;05;21<br /> Tom Haederle<br /> Welcome to Advancing Health, a podcast brought to you by the 黑料正能量 Association. I'm Tom Haederle, with AHA Communications. With comprehensive, real-time, accurate patient data from predictive analytics, the patient's care team can predict and can see where a patient's condition is heading to make more informed care decisions to achieve positive outcomes. Join us to hear a discussion of how NorthBay Health reduced unplanned patient transfers to the ICU by 30% and observed mortality by 16% by using the Rothman Index in its new predictive analytics model.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;01;05;23 - 00;01;10;20<br /> Tom Haederle<br /> Today's podcast is brought to you by Spacelabs Health Care.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;01;10;22 - 00;01;42;14<br /> Marie Cleary-Fishma<br /> I'm Marie Cleary Fishman, the vice president of Clinical Quality with the 黑料正能量 Association. We know in patient safety and in the work that we do the goal of predictive analytics goes way beyond knowing the patient's current condition to providing the best assessment of where the patient's condition is actually headed in the future. The knowledge gleaned from predictive analytics offers more opportunities to mitigate risk of patient deterioration and escalation of care before it happens.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;01;42;16 - 00;02;08;16<br /> Marie Cleary-Fishma<br /> With the power of technology and data, the care team can bolster their clinical decision making and clinical actions to actually improve outcomes and patient safety. So with me today are Natalie Correll-Yoder, a critical care clinical nurse specialist with North Bay Health, and Nikki Rasmussen, senior clinical account manager with Spacelabs. Thank you both for joining me today. We really appreciate the chance to have this conversation.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;02;08;18 - 00;02;22;19<br /> Marie Cleary-Fishma<br /> Natalie, let me start with you. So predictive analytics can really be a game changer for clinicians when they're caring for patients and monitoring their conditions. How is North Bay incorporating predictive analytics into patient care?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;02;22;21 - 00;02;50;06<br /> Natalie Correll-Yoder<br /> So we utilize a artificial intelligence type software that tracks the patient through documentation into the medical record and then feeds that information back to our critical care ICU nurses that are rounding on those patients to identify any changes in status that may happen so they can get to them sooner and then intervene timely to either elevate care or prevent complication.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;02;50;09 - 00;03;14;24<br /> Marie Cleary-Fishma<br /> That's great. Well, we hear so much about artificial intelligence in AI, in the media and all kinds of things that people are talking about. But when you're really looking at transitioning to a predictive analytics model in the field, it's got to be a significant undertaking. So what steps did North Bay take to ensure awareness adoption and that sustained utilization of the technology while battling through COVID?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;03;14;24 - 00;03;24;28<br /> Marie Cleary-Fishma<br /> That was an unprecedented time for all of us. And on top of it, you were working on all of this new technology and really looking at this to help improve care.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;03;25;01 - 00;03;52;05<br /> Natalie Correll-Yoder<br /> So that is all true. And COVID challenged all of us. We had identified the Rothman Index as the tool we wanted to use prior to any kind of significant COVID breakout. And so we made a plan to roll it out throughout our health system. We are a small two hospital health system. And then as COVID came on the forefront, we decided to stage our rollout.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;03;52;05 - 00;04;25;13<br /> Natalie Correll-Yoder<br /> So we focused on our intensive care nurses who were rounding in the acute care area first. They are the subject matter experts around this work, and they have the more complex, higher functioning competencies and assessment skills. And so we trained them and we did it through webinar, which is always ideal, but it was at the beginning of that before any of our technical platform technologies became a thing and we taught them how to use the Rothman Index and then set it up for them so they could then start tracking patients.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;04;25;18 - 00;04;52;10<br /> Natalie Correll-Yoder<br /> And then as the warnings would come across from the Rothman, they would go out and see patients. And then that was right before the holidays of 2020, right? And then we then staged it department by department, nursing unit by nursing unit after that. And the rounders then became the true experts in the technology, identifying the patients, working with the physicians, and then the nursing staff, and then they continue training.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;04;52;12 - 00;05;23;19<br /> Natalie Correll-Yoder<br /> And then for the nursing staff, we did elbow-to-elbow education because we couldn't get them in a room. We weren't allowed to have them in a room together, right? So and webinar wasn't necessarily a reasonable thing to do. So we did elbow-to-elbow education with the nursing staff, and the education team supported me in this transition and we went out to all the units and educated all the staff, spent lots of man hours, but over probably a six month period of time and then got all of our staff trained on the Rothman Index and how to utilize it.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;05;23;22 - 00;05;46;05<br /> Marie Cleary-Fishma<br /> So Natalie, just talk to us a little bit about transitioning a predictive analytics model and the significance of that undertaking. Nikki, if you could give us the perspective from Spacelabs about the support and what your role is when you're implementing, and then a little bit about what your ongoing role is in supporting this kind of technology going forward.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;05;46;08 - 00;06;08;06<br /> Nikki Rasmussen<br /> Thank you. That's a great question. You know, during the time of implementation, it's a very close knit process. And we did all of that remote with North Bay during that time. It was in the height of the pandemic. So we weren't at capable of getting out there to travel and do the one on one implementation the way that we would have done pre-pandemic.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;06;08;06 - 00;06;45;21<br /> Nikki Rasmussen<br /> So everything was done fully remotely. And the way that North Bay had organized and planned really lent itself very well to that process. And then we continue with an ongoing support. So we have a regular cadence of meetings in which we discuss data, we discuss the things that are happening at North Bay. We also have a tremendous data analytics team that pulls together some very custom data and then also some standard data reporting that we share with the executive team at North Bay, as well as with the ICU rounders that Natalie's talked about in that team.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;06;45;21 - 00;07;07;07<br /> Nikki Rasmussen<br /> So it's a great opportunity for all of us that have the clinical background to get together and share the data and the things that are happening and the opportunities for growth and advancement. And we work together very, very closely. We meet every two weeks. So it's a really great relationship of ongoing support and partnership. It really helps with engagement.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;07;07;08 - 00;07;20;06<br /> Nikki Rasmussen<br /> It really keeps everybody recognizing the importance of what they do to take care of patients and how that has an impact on the overall outcomes and goals of the organization as well.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;07;20;09 - 00;07;28;20<br /> Natalie Correll-Yoder<br /> And I think what I would add is that it's the same data that the executive team gets, the medical staff, the nursing leadership and the frontline staff.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;07;28;22 - 00;07;34;04<br /> Natalie Correll-Yoder<br /> So we're trying to be transparent about what we're doing and how the program is going.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;07;34;07 - 00;07;53;08<br /> Marie Cleary-Fishma<br /> That's really important to make sure the care team is involved across the board. So thank you for that point. So one thing I'd like to just ask for a minute. For all of our listeners, in case anyone isn't familiar, can you just describe the Rothman Index just a little bit in, you know, some brief terms so that folks can at least go look it up more if they want to see more?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;07;53;10 - 00;08;36;08<br /> Natalie Correll-Yoder<br /> Certainly. The Rothman Index is an algorithm that runs off of nursing documentation, vital signs, and then some selected labs. Dr. Rothman pioneered and developed the Rothman Index, and it is designed to look at key elements that are common to all patients. And so it doesn't cherry pick certain lab work or certain procedures. It looks at basic things that every single patient gets, and then how the nurse documents around the patient assessment and so those elements are really important in identifying subtle changes in the patient, because a lot of times that may be one assessment item or one particular element will change.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;08;36;10 - 00;09;03;10<br /> Natalie Correll-Yoder<br /> But you don't see it in the big picture of things. And so the Rothman Index allows us to trend the data and then identify which direction the patient's going. So a higher number is actually good. It's kind of inverse of many of the other algorithms that are out there. So a higher number is that the patient is healthier, a lower number is the patient is sicker, and then the algorithm will then send you a warning if there's sudden changes.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;09;03;12 - 00;09;13;07<br /> Marie Cleary-Fishma<br /> So, Nikki, we've had some description from Natalie about the Rothman Index. Is there anything from the Spacelabs perspective that you'd like to add to that?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;09;13;10 - 00;09;36;28<br /> Nikki Rasmussen<br /> Well, I think one of the most unique things about the Rothman Index is that it came out of a very personal story. Dr. Rothman himself lost his mother following a very routine procedure. And he and his brother, who are Ph.D. scientists, had taken a lot of opportunity to study in partnership with the hospital where she had passed from.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;09;37;00 - 00;10;04;18<br /> Nikki Rasmussen<br /> And look at where did we lose an opportunity, where we might have been able to catch her deterioration? Her deterioration was one of those kind of slow, steady deteriorations. And what they identified was that truly the nursing assessments are those leading indicators of change in patients. And if we think about it clinically, that makes sense. Because a lot of times we see those changes happen in patients well ahead of changes in vitals or in changes in lab values, we start to see patients become more somnolent.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;10;04;18 - 00;10;36;28<br /> Nikki Rasmussen<br /> They start to need more assistance for transfers. They change their eating habits, and we start to notice those things. And that's documented in the nursing assessments. And so they identified that the key elements in that identification of early deterioration lies within the nursing assessment. And I think that's one of the unique things that sets the Rothman Index apart is I think just a, you know, a really great story out of something that was sad became something that was really impactful and is able to save many, many lives.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;10;37;00 - 00;10;55;28<br /> Marie Cleary-Fishma<br /> That's a great description. Thank you for that. And based on that, then in what you've seen in your experience with rollout, what really what kind of direct impact are you seeing on the care team's ability to really care for patients using that? What have you seen in experience sort of real world kinds of activity?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;10;56;00 - 00;11;25;00<br /> Natalie Correll-Yoder<br /> Well, when we first rolled it out, it was actually very amazing. In fact, one of my intensivists told me that the Rothman Index probably saved his patient's life because she had been on the floor, had some kind of slow, subtle GI bleeding that hadn't really been identified. And the Rothman Index had a clear deterioration. The ICU rounder went out and saw the patient, got him involved in the patient, got the treatment they needed very timely and then, you know, exit at our facility in a much healthier state.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;11;25;02 - 00;11;43;27<br /> Natalie Correll-Yoder<br /> And then we've also used it to identify patients that we should maybe transition to palliative care. And so that's been another nice aspect of it, of identifying patients who are having a gradual trend and are not improving. And maybe it's time to really look at what's the best thing for them in the next stage of their life.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;11;44;00 - 00;11;55;16<br /> Marie Cleary-Fishma<br /> So tell me a little bit about what the future looks like. What's next for North Bay when it comes to patient care goals and technology and A.I. and all of the kinds of amazing things that you're doing?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;11;55;18 - 00;12;19;18<br /> Natalie Correll-Yoder<br /> I am doing a lot of work in looking at how to reduce our mortality. So since we've implemented the Rothman Index, we did initially reduce our mortality 30%, which was huge for us. We've been able to sustain right around 27 to 30% pretty consistently each quarter around looking at how we're doing and where we've been. And it's a two year rolling calendar, just to give you an idea of the timeline.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;12;19;24 - 00;12;48;26<br /> Natalie Correll-Yoder<br /> And so I'm trying to look at with my physician partners, looking at what are those patients that we can still rescue, and then what are those patients that we can identify for that transition? And what is it that we can do to best provide the care these patients need? I think as far as the technology piece is, my goal would be to transition the Rothman Index, not just on to the computer and kiosks, which the staff are using now, but onto their hospital cell phones so that the warnings come to them.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;12;48;28 - 00;12;55;04<br /> Natalie Correll-Yoder<br /> That software is available. It's not quite in our picture yet, but it's one of those things I'm advocating for That's okay.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;12;55;04 - 00;12;58;04<br /> Marie Cleary-Fishma<br /> Future vision is important, right? It helps us get there.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;12;58;04 - 00;12;59;14<br /> Natalie Correll-Yoder<br /> Yeah, absolutely.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;12;59;16 - 00;13;16;13<br /> Marie Cleary-Fishma<br /> So if you were going to tell your colleagues, other folks, hospitals across the nation, what kind of guidance or lessons learned would you share with them to help them be successful with integrating and incorporating predictive analytics and using that to improve the quality of care they provide?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;13;16;16 - 00;13;43;04<br /> Natalie Correll-Yoder<br /> I think the Rothman Index speaks for itself. And in consistently sharing the data, I've actually gotten a lot of our physician leadership involved and committed to the Rothman Index as a as a solid tool. We're looking at incorporating it into other domains of really working with the palliative care team to identify that. And then I think I want to get it more into some of our readmissions and care management work.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;13;43;07 - 00;14;07;06<br /> Natalie Correll-Yoder<br /> I think some of our lessons learned would be you cannot reinforce new technology often enough. And so with any new thing, there is a learning curve for the whole organization. And I think COVID has brought us a lot of staff turnover. Folks have transitioned out of health care for a variety of reasons. COVID was a very difficult time for many of us.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;14;07;09 - 00;14;18;21<br /> Natalie Correll-Yoder<br /> Lots of staff have suffered burnout and then we have a lot of new staff. And so that ongoing education and training and putting resources into that, you cannot underestimate the importance of that for sustainability.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;14;18;23 - 00;14;34;21<br /> Marie Cleary-Fishma<br /> So, Nikki, could you give me the perspective from Spacelabs on what guidance or lessons learned that you would share with others who are listening, listening to this now and who might be interested in pursuing some kind of predictive analytic tool in their patient care models?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;14;34;23 - 00;15;10;04<br /> Nikki Rasmussen<br /> Oh, that's a great question too. I think the important thing to think about is that there's no time like the present. You know, there's always going to be something that's going to come up that you think about, Oh, we can't do this now. Let's do it later, or Let's do it in a year or two. And I think the more that you can just figure out how to plug it into the existing circumstances with our help, certainly that's one of the things that we do as the part of the customer success team is help to identify and break down those barriers and help a client grow and adopt and find a way to make something</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;15;10;04 - 00;15;37;25<br /> Nikki Rasmussen<br /> like this successful in their organization. So I think that and to Natalie's point to talking about education, that you've got to have that sustained education plan. You know, we know in health care there's a lot of turnover. Things move very quickly. So we need to have that sustained plan in place for how we're going to continue to make sure that everyone who comes into the organization has the same education and the same knowledge base moving forward as those who've been part of the organization for a period of time.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;15;37;28 - 00;16;10;06<br /> Marie Cleary-Fishma<br /> So that makes me think of one more question I'll sneak in really quickly, and that is about workforce. You talked about the turnover and in bringing in younger, newer clinical staff and care providers. Does it help them feel more comfortable and confident to know they have this kind of a tool or resource that will help them if maybe they're not quite seeing everything right away, that they have this backup sort of something that will give them additional data to support the care decisions they're making.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;16;10;08 - 00;16;12;11<br /> Marie Cleary-Fishma<br /> How does that look?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;16;12;14 - 00;16;33;19<br /> Natalie Correll-Yoder<br /> Yeah, I think that the the more senior staff value that and utilize it for that purpose. We do a daily safety call with the organization and many of the managers will report on the call that they're monitoring two or three patients on their unit that have either warnings or trends that they need to pay attention to. So I think that's really helpful.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;16;33;21 - 00;17;01;12<br /> Natalie Correll-Yoder<br /> I think the number of new staff because we're hiring a lot of new grads or people new to acute care from nursing homes, that there's a challenge there and trying to get them up to speed and learn the role that in there. If you look at, you know, business model of competency and development and where people are in that learning, I think the new staff are still learning how to use the tool. But they do rely on the rounder and they go to the rounder for that information.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;01;18 - 00;17;07;11<br /> Natalie Correll-Yoder<br /> So the rounder will get those questions and then they're doing a lot of mentoring with a lot of our newer staff.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;07;12 - 00;17;15;13<br /> Marie Cleary-Fishma<br /> That's great. Yeah. So it's that combination of technology and the personnel knowledge and knowing they have somebody as a resource to go to.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;15;14 - 00;17;16;00<br /> Natalie Correll-Yoder<br /> Absolutely.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;16;00 - 00;17;36;00<br /> Marie Cleary-Fishma<br /> That's great. That's wonderful. You've highlighted a quite a few patient safety best practices today as we've had this conversation. So congratulations for all of that and the data you shared and the trends you're seeing in your reduction of mortality. Really, really well done. So we've heard a little bit from Natalie about the future for North Bay health.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;36;03 - 00;17;41;05<br /> Marie Cleary-Fishma<br /> Nikki, what can you tell us about the future for Spacelabs health care?</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;17;41;07 - 00;18;03;07<br /> Nikki Rasmussen<br /> Oh, that's so exciting. There's so much happening. I feel like things are moving at the speed of sound over here, which I guess it kind of makes sense given our given our name of Spacelabs. But we are really moving forward into how to integrate the Rothman Index tool in with some existing other Spacelabs tools, some other software and patient monitoring</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;18;03;07 - 00;18;20;28<br /> Nikki Rasmussen<br /> that's happening over here. There's a lot of work right now in the data and really what the data can tell us and how we can continue to build tools that have that predictive capability and are able to identify risk in patients before things get too late.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a> <p><a href="www.spacelabshealthcare.com" target="_blank">00;18;21;01 - 00;18;37;20<br /> Marie Cleary-Fishma<br /> It's all about the data and the patients and what we can do to help them. So Natalie and Nikki, thank you so much for joining us today and for sharing all of your insights and thoughts and the great work that you've been doing. If you'd like to learn more about Spacelab's health care, please visit www.spacelabshealthcare.com.</a></p> <a href="www.spacelabshealthcare.com" target="_blank"> </a></details> Fri, 01 Dec 2023 08:22:55 -0600 Predictive Data Modeling /aha-center-health-innovation-market-scan/2022-06-28-how-some-hospitals-are-grappling-workforce <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="How Some Hospitals Are Grappling with the Workforce Shortage. A group of eight clinicians with five shown completely and three appearing only in an outline representing unfilled positions within a hospital." data-entity-type="file" data-entity-uuid="4c23fb93-39fa-4c9f-a3ef-ccac7cb527d8" src="/sites/default/files/inline-images/How-Some-Hospitals-Are-Grappling-with-the-Workforce-Shortage.jpg" width="620" height="381"></p> <p>In April, leaders at Sanford Health, a rural system in Fargo, North Dakota, began rolling out an augmented intelligence software tool the organization co-developed with the tech firm Flexwise Health to begin scheduling its 10,000-plus nurses more effectively.</p> <p>The <a href="https://news.sanfordhealth.org/innovations/unique-ai-tool-helps-sanford-health-schedule-nurses/" target="_blank" title="Sanford Health: Unique AI tool helps Sanford Health schedule nurses">platform</a> uses predictive analytics and artificial intelligence to schedule the right number of people at the right time as long as 18 months in advance with far greater accuracy than prior scheduling methods. An early pilot showed that the system worked with almost 90% accuracy compared with 60% with Sanford鈥檚 previous scheduling process.</p> <p>The overriding goal is to improve quality, but the platform also is designed to make more efficient use of the health system鈥檚 nursing workforce. Health system leaders believe the program, called LAMP (Leveraging Analytics to Mobilize and Prepare our workforce for the future), will lead to increased workplace satisfaction, resulting in higher levels of employee retention and greater patient satisfaction.</p> <h2><span>Techy Solutions to Address Staffing Needs</span></h2> <p>Sanford Health isn鈥檛 alone in exploring ways to use technology and other approaches to address the field鈥檚 workforce shortage. Henry Ford Health (HFH) system, facing its own challenges to retain nurses due to the Great Resignation and other market factors, has developed a 鈥渢elesitting鈥� program.</p> <p>With the use of cameras and bedside speakers, telesitters can observe and communicate with patients and report any safety issues to on-site nurses. This helps to reduce stress on bedside nurses, Eric Wallis, chief nursing officer at HFH, recently told <a href="https://www.modernhealthcare.com/technology/worker-shortages-remaining-hospitals-turn-technology-fill-gaps" target="_blank" title="Modern Healthcare: Hospitals are suffering from worker shortages. Can technology fill the gaps?">Modern Healthcare</a>.</p> <p>Telesitting is just one of many ways HFH hopes to use cameras and technology to assist nurses virtually. The program could be an attractive way for some nurses who no longer want to work a 12-hour shift to perform remote monitoring of patients with dementia or mental health issues, Wallis said.</p> <h2><span>Creating Apprentice Pathways To Careers</span></h2> <p>Livonia, Michigan-based Trinity Health is busy expanding an apprentice program it began in 2016 to more of its 88 hospitals. The program was created in response to a shortage of medical assistants that caused some facilities to reduce practice hours.</p> <p>After examining turnover and forecasting data, Trinity leaders decided to try an apprenticeship program modeled after approaches used in manufacturing and construction. The 12-month program, developed with Grand Rapids Community College and Michigan Works! Association, lifted Trinity Health鈥檚 medical assistant-retention rate to 76% one year after graduation. The health system has trained 129 medical assistants since the program鈥檚 inception.</p> <p>Trinity pays students to participate in the classroom three days a week and in the hospital two days a week 鈥� a departure from many medical or nursing assistant programs that typically are six months in duration with students paying for their own education.</p> <p>The health system is exploring ways to offer the apprenticeship program in other areas where there are workforce gaps.</p> <h2><span>Delivering Standout Succession Planning</span></h2> <p>Developing homegrown talent can be among the most rewarding and efficient ways to address workforce gaps and ensure organizational stability. Indiana University (IU) Health鈥檚 focus on succession planning has helped to fill critical positions.</p> <p>Currently, about two-thirds of IU Health鈥檚 promotions go to internal candidates, Christina Chapman, vice president and chief learning officer, recently told <a href="https://www.healthleadersmedia.com/nursing/stop-workforce-shortages-3-ways" target="_blank" title="HealthLeaders: Stop Workforce Shortages: 3 Ways">HealthLeaders</a>.</p> <p>Critical to this effort is the health system鈥檚 talent review process. Team members are asked to update their talent profiles, which provide to the organization each individual鈥檚 long- and short-term career aspirations, their dreams and whether they would be open to relocation. That profile information is shared with the employee鈥檚 leader, who then completes the talent assessment.</p> <p>Senior leaders convene to assess the potential of candidates for senior-level positions as well as director and manager opportunities.</p> <hr> <h3><span>Learn More</span></h3> <p><em>Visit the <a href="/workforce-home">AHA Workforce webpage</a> for a wealth of resources to help your organization better retain, recruit and manage your staff. A new AHA resource, <a href="/system/files/media/file/2022/06/strengthening-the-health-care-workforce-Supporting-the-Team.pdf#page=7">Supporting the Team</a> addresses staff well-being and more. A recent American Organization for Nursing Leadership Executive Insights Report provides examples of how hospitals and health systems are using AI to improve patient care and staff efficiency.</em></p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 28 Jun 2022 06:15:00 -0500 Predictive Data Modeling /aha-center-health-innovation-market-scan/2022-05-17-weigh-social-factors-along-clinical-conditions <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="Weigh In Social Factors Along with Clinical Conditions When Predicting Sepsis Risks. A scan of a patient's chest showing inflamed lungs with a close up image of a bacterial infection." data-entity-type="file" data-entity-uuid="74fd74d3-0cf3-4ebb-adfb-ebc10e70453c" src="/sites/default/files/inline-images/Weigh-In-Social-Factors-Along-with-Clinical-Conditions.jpg" width="620" height="381"></p> <p>It鈥檚 no secret that social factors influencing health can lead to higher readmission rates and poorer outcomes. But a <a href="https://academic.oup.com/jamia/advance-article-abstract/doi/10.1093/jamia/ocac060/6576837" target="_blank" title="JAMIA: Inclusion of social determinants of health improves sepsis readmission prediction models">new study</a> indicates that these social factors when built into sepsis readmission models can help predict which patients are at risk of an unplanned readmission within 30 days.</p> <p>The study, conducted by <a href="https://www.nematilab.info/" target="_blank" title="The Nemati Lab @UC San Diego homepage">researchers at the University of California San Diego</a>, highlights the importance of identifying which patients may benefit from additional resources around the time of discharge or post-discharge, to prevent readmissions within 30 days.</p> <p>The report also underscores the importance of considering social factors of health alongside clinical conditions when developing predictive analytics for patients most likely to be readmitted for sepsis.</p> <p>The research team used a data set and patient-level survey information from the <a href="https://allofus.nih.gov/" target="_blank" title="National Institutes of Health All of Us Research Program homepage">National Institutes of Health All of Us program</a> for the study. These data included information from more than 265,000 individuals from 35 hospitals.</p> <p>Identifying which patients are most at risk is no simple task. Many hospitals use risk models and scores not specifically designed for sepsis patients to identify those most likely to be readmitted, the researchers explain.</p> <p>In this study, however, <a href="https://www.nematilab.info/projects.html#ML_CC" target="_blank" title="The Nemati Lab: Machine Learning in Critical Care">researchers identified potentially actionable factors</a> such as poor transportation to access care, lack of insurance or money to pay for care that are associated with 30-day readmissions. The study also identified other factors that may contribute to higher 30-day sepsis readmissions, including:</p> <ul> <li>Being male.</li> <li>Identifying as Black or Asian.</li> <li>Experiencing housing instability.</li> <li>Having a high school diploma, GED or less.</li> </ul> <p>Future studies will be needed to prospectively validate the research findings and further explore the relationship among social factors influencing health, readmissions and patient-centered outcomes, the researchers said.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 17 May 2022 06:00:00 -0500 Predictive Data Modeling /aha-center-health-innovation-market-scan/2021-12-14-cvs-health-looks-microsoft-help-build-out <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="CVS Health Looks to Microsoft to Help Build Out Personalized Care Strategy. Microsoft Azure logo on blue and white clouds held in a hand." data-entity-type="file" data-entity-uuid="bfc13360-6b63-4fdc-bee1-61a51d2601e8" src="/sites/default/files/inline-images/ms_121421_item2_Microsoft_CVS_190%5B1%5D_2090940.jpg" width="190" height="127" class="align-left">The early weather report notes that there will be a high UV index today. A short time later, consumers known to have a high risk for melanoma receive a mobile alert from the pharmacy reminding them to use sunscreen or to get a skin cancer screening.</p> <p>The opt-in digital messaging is tied to an individual鈥檚 conditions and can provide reminders about medication adherence or other points to discuss with their pharmacist, or health products and services to consider. A new partnership between <a href="https://cvshealth.com/news-and-insights/press-releases/cvs-health-and-microsoft-announce-new-strategic-alliance-to" target="_blank" title="CVS Health and Microsoft announce new strategic alliance to reimagine personalized care and accelerate digital transformation">CVS Health and Microsoft</a> is designed to facilitate this kind of personalized service leveraging CVS鈥� massive data from its base of roughly 100 million customers and health plan enrollees.</p> <p>Speaking at the recent Forbes Healthcare Summit, CVS Health CEO Karen Lynch and Microsoft CEO Satya Nadella provided a broad outline of the five-year partnership designed to make care more personalized and affordable. CVS will tap into Microsoft鈥檚 Azure cloud computing, artificial intelligence and other technologies to speed its digital-first strategy. CVS will migrate 1,500 new and existing business applications onto Azure and work with Microsoft to build more consumer-facing health tools.</p> <p>CVS already has used Azure to automate such tasks as deploying computer vision and text analytics to help digitize intake for specialty pharmacy when prescriptions arrive by paper or fax, making it more efficient and quicker to fill orders. CVS will work with Microsoft to find more ways to streamline processes. CVS will use Microsoft products like Teams for videoconferencing and Microsoft Office.</p> <p>The partnership also supports CVS鈥� rapidly evolving health care strategy. The company last month said it plans to close 900 stores over the next three years as it reevaluates its in-person retail strategy as more consumers make digital purchases. Meanwhile, CVS鈥� retail health clinics have been gaining traction, reporting a 600% surge between 2019 and 2020 via telehealth and a sharp rise in home prescription delivery.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 14 Dec 2021 08:31:23 -0600 Predictive Data Modeling /education-events/using-ai-automation-drive-action-command-centers-front-line-0 <div class="webreplay"> .webreplay{ border: solid 2px #777; padding: 15px 5px; margin: 0 0 10px 15px; } @media (min-width:360px){ .webreplay{ min-width: 290px; float: right; } } <h2><small>On-demand Webinar</small></h2> MktoForms2.loadForm("//sponsors.aha.org", "710-ZLL-651", 1762); </div> <h2>How Saint Luke鈥檚 Health System Extended their EHR with New Predictive Capabilities</h2> <p>As health systems face pressure to integrate health care delivery and drive operational efficiency system-wide, many leaders are pursuing command center strategies. But too often these projects are unsuccessful due to EHR limitations and a high reliance on manual efforts.</p> <p>In this webinar, discover how Saint Luke鈥檚 Health System has taken a new, cutting-edge approach using AI to automatically predict issues and orchestrate resolution 鈥� from the command center to the front line. By augmenting their EHR with new predictive capabilities, Saint Luke鈥檚 has streamlined care progression processes, improved load-balancing of capacity, and optimized post-acute placement across the system. As a result, they have eliminated thousands of excess hospital stay days and created a significant amount of new bed capacity.</p> <h3><small>You Will Learn How to:</small></h3> <ul> <li>Complement your EHR with AI, machine learning and behavioral science</li> <li>Decrease excess days by 50-90% using real-time automation</li> <li>Reduce manual burden and support your front-line teams</li> <li>Hardwire and connect care processes at the patient, facility, and system level</li> <li>Optimize throughput across your system</li> </ul> <h3><small>Speakers:</small></h3> <p>Deborah Gash<br /> <em>SVP Chief Digital Officer</em><br /> <strong>Saint Luke鈥檚 Health System</strong><br /> Kansas City, Mo.</p> <p>Anthony Fangman, MD, MBA<br /> <em>Division Chair, Hospital Medicine</em><br /> <strong>Saint Luke鈥檚 Health System</strong><br /> Kansas City, Mo.</p> <p>Mudit Garg<br /> <em>Co-founder & CEO</em><br /> <strong>Qventus</strong><br /> Mountain View, Calif.</p> Mon, 04 Oct 2021 12:11:11 -0500 Predictive Data Modeling /aha-center-health-innovation-market-scan/2021-04-20-study-finds-new-commercial-ai-devices-often <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="Study Finds New Commercial AI Devices Often Lack Key Performance Data" data-entity-type="file" data-entity-uuid="88d736cb-61f4-4e9f-9c7a-9016f2636f63" src="/sites/default/files/inline-images/ms_042021_item1_AI_620_1885315.jpg" width="620" height="381"></p> <p>Enthusiasm for and adoption of commercial artificial intelligence (AI) tools to aid clinical decision-making and patient care have been accelerating at a rapid pace. A new study, though, cautions that critical information often is missing from the Food and Drug Administration (FDA) clearance process that could measure how these devices actually work in patient care.</p> <p>The study, published in the research journal <a href="https://www.nature.com/articles/s41591-021-01312-x.epdf?sharing_token=8BNOnt1UUOf0iPsJ9yU0J9RgN0jAjWel9jnR3ZoTv0M6PlZXWQqbgCrdZtSbNOnPDQlhZJ-fPz8LJ4JqCoxGYshqBh62049hIhMSEfJaE7pKaceG00AD1FUBHLZ5YShokEBQWoF6kBbZitEELPDqWu-9esaFE8DcbdQ1QAgRChw%3D&utm_source=STAT+Newsletters&utm_campaign=fdec4d0d0d-health_tech_4-6-21_COPY_01&utm_medium=email&utm_term=0_8cab1d7961-fdec4d0d0d-152708089" target="_blank">Nature Medicine</a>, notes that while the academic community has started to develop reporting guidelines for AI clinical trials, there are no established best practices for evaluating commercially available algorithms to ensure their reliability and safety.</p> <p>And while the FDA is working on regulations for how commercial AI devices should be evaluated, provider organizations will have to analyze these tools based on limited data. What concerns authors of the Nature Medicine article is whether the information submitted by manufacturers is sufficient to evaluate device reliability.</p> <p>Most of the cleared AI tools are designed to work as triage devices or to support clinician decision-making. In their review of 130 FDA-cleared AI devices, the researchers found that 126 were based on retrospective data, i.e., data collected from clinical sites before evaluation. And none of the 54 high-risk devices were evaluated by prospective studies. This is significant because prospective studies are needed to show how devices actually work with physicians鈥� and hospitals鈥� data systems.</p> <p><img alt="In reviewing 130 FDA-cleared AI devices, researchers found that 126 were based on retrospective data. Source: Nature Medicine, Vol. 27: 576-584, April 2021." data-entity-type="file" data-entity-uuid="06d05679-47ed-47a4-ab63-91c797db6ef9" src="/sites/default/files/inline-images/ms_042021_item1_AI_quote_390_1885317.jpg" width="309" height="436" class="align-right">鈥淎 prospective randomized study may reveal that clinicians are misusing this tool for primary diagnosis and that outcomes are different from what would be expected if the tool were used for decision support,鈥� the study notes.</p> <h2>Lack of Data on Effectiveness by Demographics, Sites</h2> <p>Most disclosures did not include the number of sites used to evaluate the AI devices nor whether the tools had been tested to see how they perform in patients of different races, genders or locations. This shortcoming in the current review system can make a significant difference in how AI tools perform, the study notes. Also, it wasn鈥檛 clear how many patients were involved in the testing of an algorithm. Of the 71 devices in which this information was shared, companies had evaluated the AI tools in a median of 300 patients. Having more thorough public disclosures would be beneficial to provider organizations who need to identify potential vulnerabilities in how a model performs across different patient populations.</p> <h2>How the FDA Is Responding</h2> <p>In January, the FDA released its first <a href="https://www.fda.gov/media/145022/download" target="_blank">AI and machine learning (ML) action plan</a>, a multistep approach to further the agency鈥檚 management of advanced medical software. The plan outlines the FDA鈥檚 next steps toward advance oversight for AI-ML-based software as a medical device and will further develop the proposed regulatory framework.</p> <p>The agency acknowledges that AI-ML-based devices have unique considerations that require a proactive, patient-centered approach to their development and utilization that takes into account such issues as usability, equity, trust and accountability. The FDA is addressing these issues by promoting the transparency of the devices to users, and to patients more broadly. Comments from the health care field identified the need for manufacturers to clearly describe the data that were used to train the algorithm, the relevance of its inputs, the logic it employs (when possible), the role intended to be served by its output, and the evidence of the device鈥檚 performance.</p> <h2>3 Tools to Navigate AI Decision-Making</h2> <p>These AHA Market Insights reports can help leaders navigate the AI landscape:</p> <ul> <li><a href="/center/emerging-issues/market-insights/ai/tips-and-tricks-selecting-right-ai-vendor-partner">鈥淪electing the Right AI Vendor Partner,鈥�</a> an AHA member-only resource, provides key questions to ask vendors, whether organizations are working on a homegrown AI project or outsourcing AI projects.</li> <li><a href="/system/files/media/file/2019/11/Market_Insights_AI_Care_Delivery.pdf">鈥淎I and Care Delivery鈥�</a> helps leaders successfully integrate AI-powered technologies to improve outcomes and lower costs at each stage of care.</li> <li><a href="/center/emerging-issues/market-insights/ai/17-questions-leadership-teams">鈥�17 Questions for Leadership Teams,鈥�</a> another AHA member-only tool, provides strategic questions leaders should consider when integrating AI technologies into care delivery.</li> </ul> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 20 Apr 2021 06:30:00 -0500 Predictive Data Modeling /aha-center-health-innovation-market-scan/2021-03-16-preparing-behavioral-healths-future <div class="container row"> <div class="row"> <div class="col-md-8"> <p><img alt="Preparing For Behavioral Health鈥檚 Future. A black and white image of two hands linked together. " data-entity-type="file" data-entity-uuid="480a1d3b-aa35-450f-bc8b-dfa4f9e481af" src="/sites/default/files/inline-images/ms_031621_item1_Behavioral_Health_620_1851048.jpg" width="620" height="381"></p> <p>COVID-19 and the economic woes that followed have combined to put an enormous strain on society鈥檚 behavioral health. Indeed, the global pandemic has accentuated the need for more behavioral health services across all socio-economic sectors.</p> <p>The pandemic also brought massive disruption to the field. Hospitals and health systems rapidly scaled remote care platforms to increase access to care. Employers increasingly reached out to educate and encourage employees to seek help when needed, and both public and private insurers changed reimbursement policies for remote care. So what does the future hold?</p> <p><img alt="Disruption Factors Driving Change. Cultural and behavioral change: Societies shift to promote well-being. Scientific and technological progress: Breakthroughs will happen at an exponential pace. Scaled data sharing: Strong participation in data sharing across health systems. Interoperable data: Data architecture and analysis are transformed. Increased access: Access is made available to everyone. Empowered consumers: Consumers demand seamless control to improve their lives. Source: Deloitte Consulting, 2020." data-entity-type="file" data-entity-uuid="a1c8d83e-38a3-41f1-a44d-adf9d2090e64" src="/sites/default/files/inline-images/ms_031621_item1_Behavioral_Health_chart_620_rev1_1851284.jpg" width="620" height="302"></p> <p>In its recent <a href="https://www2.deloitte.com/us/en/insights/industry/health-care/future-of-behavioral-health.html" target="_blank">鈥淔uture of Behavioral Health鈥�</a> report, Deloitte notes that six disruption factors will drive behavioral health鈥檚 future:</p> <ul> <li>Cultural changes will lessen the stigma associated with behavioral health and, instead, promote well-being.</li> <li>Scaled data sharing across health systems will allow for proactive identification and treatment of behavioral health conditions.</li> <li>Scientific breakthroughs and technology advances will increase the number of effective treatments.</li> <li>Interoperable data will support the sharing of diverse data types to tailor treatments thanks to a better understanding of each individual鈥檚 behavioral health situation.</li> <li>Empowered consumers will demand seamless control of their care to improve their lives.</li> <li>In combination, these factors should provide increased access for all patients.</li> </ul> <h2>Leaning Heavily on Analytics</h2> <p>Providers have the opportunity to build on these disruption factors to deliver personalized care, Deloitte notes.</p> <p>Providers will have to access consumer behavioral health data and have the ability to apply advanced analytics and artificial intelligence to enable preventive interventions, predict early onset of behavioral disorders, recommend interventions to improve behavioral health outcomes and tailor solutions for complex behavioral health conditions.</p> <p>Emerging technologies 鈥� from self-guided, gamified treatment to virtual assistants and artificial intelligence 鈥� could be used throughout the care process. Enhanced digital triage processes, augmented and virtual reality treatments, and computational psychiatry also could complement traditional care delivery, Deloitte argues.</p> <p>As providers sift through technologies to supplement care delivery, <a href="/center/aha-digital-pulse">AHA鈥檚 Behavioral Digital Pulse</a> can help hospitals and health systems learn where existing capabilities can support scaling digital transformation. With this member benefit, participants can benchmark their digital capabilities against other leaders in the field and learn which tools are fueling success.</p> <h2>Building Workforce Capacity</h2> <p>Potential high-tech solutions only go so far, however. Providers will need to augment workforce capacity through community and in-home care to ensure that patients receive treatment in the right place and time. Physicians of all specialties will simultaneously need to integrate preventive behavioral treatment into care models. Integrating primary care and behavioral health is another critical step toward treating the whole patient, as conveyed in an <a href="/center/emerging-issues/market-insights/behavioral-health-integration">AHA Market Insights report</a>.</p> <p>These efforts will require creative workforce planning and tailored education. Providers also need to continue focusing on value-based financing models that compensate providers for integrated physical and behavioral health care that is quality driven. This shift should allow providers to invest in the preventive care required for behavioral health, mitigating any downstream financial consequences for earlier intervention.</p> <p>Make no mistake, enormous challenges will come with efforts to implement a new culture that aligns workforce incentives with organizational goals, the report concludes. Nurturing collaborative relationships with insurers and aligning goals to address behavioral health will be vital to success.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 16 Mar 2021 06:15:00 -0500 Predictive Data Modeling /aha-center-health-innovation-market-scan/2021-03-09-predictive-modeling-could-create-better <div class="container row"> <div class="row"> <div class="col-md-8"> <p><img alt="Predictive Modeling Could Create Better Sightlines to Forecast Finances. An graph going up to the right with the arm in a suit jacked holding a magnifying glass over the upper ward pointing arrowhead at the top of the graph." data-entity-type="file" data-entity-uuid="7e12e5a1-b43a-49c4-9cd2-e9975fd76a37" src="/sites/default/files/inline-images/ms_030921_item2_Predictive_Modeling_190_1844131.jpg" width="190" height="127" class="align-right">Predictive modeling has helped hospitals and health systems project clinical outcomes, enhance workflows and identify patient preferences, but this tool may also give leaders better intelligence to forecast finances amid this year鈥檚 economic uncertainties.</p> <p>Some provider organizations use predictive modeling to prepare for shifts in the insurance market, the economy, utilization, consumer behavior and future waves of infection disease, notes a recent <a href="https://www.pwc.com/us/en/industries/health-industries/top-health-industry-issues.html" target="_blank">PwC forecast</a>. And data from a PwC survey conducted last fall found that 74% of health care executives planned to invest more in predictive modeling this year.</p> <p>To make smarter decisions in real time and develop a more resilient business model, health care leaders need to better understand supply and demand 鈥� something that predictive modeling can help achieve, Gurpreet Singh, health services sector leader at PwC, told <a href="https://medcitynews.com/2021/03/providers-look-to-predictive-modeling-to-help-rebuild-finances-in-2021/" target="_blank">MedCity News</a>.</p> <p>Predictive modeling applications can also benefit other areas of provider organization operations.</p> <p>Customer relationship management tools, for example, can help predict demand and suggest the optimal channel for virtual or in-person care. Analytics platforms that can identify at-risk patient groups for targeted care are another type of predictive modeling technology. Data from these systems can help hospitals and health systems provide more personalized wellness care to potentially reduce hospitalizations.</p> <p>Newer-generation predictive modeling platforms use more data elements than earlier systems to deliver more accurate predictions, some experts note, and also link predictions from the analytics to interventions.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 09 Mar 2021 17:58:08 -0600 Predictive Data Modeling /aha-center-health-innovation-market-scan/2021-03-02-14-health-systems-join-forces-share-and-analyze <div class="container row"> <div class="row"> <div class="col-md-8"> <p><img alt="14 Health Systems Join Forces to Share and Analyze Patient Data to Improve Care. A graphic of two heads exchanging data through openings in the top of the heads." data-entity-type="file" data-entity-uuid="de741ce2-006a-47d6-a647-703a5dd832c7" src="/sites/default/files/inline-images/ms_030221_item2_AI_data_190_1837923.jpg" width="190" height="127" class="align-right">Providence and 13 other health systems have formed a startup to pool patient information in an effort to streamline anonymous data to improve care, find cures faster and promote more equitable treatment of underrepresented groups.</p> <p>The Seattle-based startup <a href="https://truveta.com/" target="_blank">Truveta</a> will gather and sell data from AdventHealth, Advocate Aurora Health, Bon Secours Mercy Health, Memorial Hermann Health System, Northwell Health and other health system investors to create the platform. Using artificial intelligence and machine learning (MI), the platform will develop insights to enable personalized medicine and give providers additional insights on treating patients.</p> <p>Led by former Microsoft executive Terry Myerson, Truveta will combine records representing about 13% of U.S. hospitals, which will be anonymized to protect patient confidentiality, Rod Hochman, AHA board chair and Providence CEO, told <a href="https://www.bloomberg.com/news/articles/2021-02-11/startup-truveta-links-u-s-health-systems-to-share-patient-data" target="_blank">Bloomberg</a>.</p> <p>Researchers and health systems that invested in Truveta will run analyses and use MI to draw insights from the data pool the systems generate. This will be valuable because researchers at each institution often face a shortage of examples in their own data sets when looking for patterns.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 02 Mar 2021 06:15:00 -0600 Predictive Data Modeling /news/chairpersons-file/2021-02-16-chair-file-how-covid-19-will-reshape-health-care-10-predictions <p>As we forge ahead in 2021 facing a lot of uncertainty, there鈥檚 one thing we recognize: The COVID-19 pandemic will have a lasting effect on the health and well-being of our nation.</p> <p>Our hospitals and health systems are already rising to the challenge and will continue to transform health care for the better. I see creativity from so many people in the field even though we face intense pressures with the hard work of getting the pandemic behind us and helping communities heal.</p> <p>As I mentioned on the Feb. 5 AHA call for all members, the Providence team joined me in assembling a list of 10 鈥減redictions鈥� for health care this year. Our list includes harnessing the power of big data to prepare for the next pandemic, making cybersecurity a top priority, addressing racial disparities in health care with greater urgency, among other areas.</p> <p>You can read the <a href="https://blog.rodhochmanmd.org/our-annual-predictions-how-covid-19-will-reshape-healthcare" target="_blank">10 predictions here</a>.</p> <p>Any vision for the future of health is tied to an understanding of the importance of all of us working together to get through more challenging days ahead. The crisis has 鈥� and will 鈥� bring out the best in us.</p> <p>Rod Hochman, M.D.<br /> AHA Chair</p> Tue, 16 Feb 2021 13:52:06 -0600 Predictive Data Modeling