Last October, Intel hosted the "SOLVE: Healthcare—Building Better Solutions With Technologies That Matter" event at the Connected Health Conference (CHC) in Boston. SOLVE was all about bringing together and highlighting leaders who are driving transformational progress in healthcare using new forms of technology in real clinical practice.
SOLVE focused on two discussion areas:
- Transforming three different points of care where technology is playing a significant role: Bedside, home, and specialty care.
- How we engage patients through the cross-section of AI, IoT, and VR.
Following is a brief recap of Intel’s three SOLVE panels at CHC. If you missed the October event, you’ll have another chance to experience SOLVE at the 2019 HIMSS Global Conference & Exhibition, happening February 11-15 in Orlando, Florida. Come see us at the conference to discover more about how SOLVE is helping to shape healthcare with technology.
Real-Time Monitoring and Analytics
Real-time monitoring and analytics are transforming the hospital bedside. They’re enabling early detection of common complications that contribute the most to additional hospital costs and lengths of stay.
At CHC, we discussed how doctors and nurses now have real-time access to vital point-of-care information and analytics-based alerts for these costly conditions, allowing them to spend more time with patients. Moderator Wendy Bohner presided over a panel of experts who discussed different ways of building patient care.
Panelist Raajen Patel, Director of Data Science from Medical Informatics (MIC), wants to support caregivers with data. The company’s primary goal is capturing data that’s usually lost. Hospital beds, cardiac monitors, dopplers, ventilators, and other pieces of equipment can all offer valuable patient data. MIC's products are able to collect that data and turn it into something meaningful for healthcare providers. Transforming data into something that’s both reliable and useful yields real results in a hospital.
"A 20-bed ICU generates about 65,000 data points on a daily basis," said Dr. Drew Flaada, CTO of Ambient Clinical Analytics, who noted that an abundance of information can also result in an abundance of errors. "One in four patients going through an ICU in the U.S. is going to have some kind of a major preventable medical error occur." Flaada cited a Johns Hopkins study looking at autopsy results of thousands of patients who died in the ICU in the U.S. "In 28% of the cases, the person wasn't being treated for the thing that killed them," he said.
Because of all the information hitting caregivers, it can be difficult to isolate and treat problems. Flaada emphasized that Ambient's AWARE tool accounted for a "50% reduction in the cognitive errors that occur by trying to dig through that data and trying to correlate pieces against each other."
Data is also used to circumvent potential problems. Dr. John Zaleski, Chief Analytics Officer of Bernoulli Health, told attendees that the company collects high-frequency data with a focus on surveillance and identifying patients that are transpiring toward adverse events. The Bernoulli platform created a number of analytic models for identifying cardiopulmonary patients who could be trending toward decline. This is literally vital information, as some patients can handle the heavy drugs given after major surgeries, while others decline and go into cardiac arrest.
AI in Healthcare
AI is transforming specialty care areas like neurosurgery and radiology. Diagnostic speed, accuracy, and confidence—as well as patient and physician satisfaction—are all ripe for technological acceleration. Intel moderator and Director of Strategic Business Development, Hema Chamraj, talked to her panel about how new solutions and a changing reimbursement environment are coming together to improve outcomes, lower costs, and empower patients.
AI needs data in order to be effective. Pathology is moving from an analog, qualitative field to a digital, quantitative field. "There is a lot of information on a slide that right now is not being captured," said panelist Dr. Michael Misialek, Associate Chair of Pathology at Newton-Wellesley Hospital. Pathology is dependent on slides and other analog media, so it hasn’t gone digital yet. By digitizing pathology, caregivers could get opinions from off-site experts about a slide in real time. Algorithms, deep learning, and machine learning could help make diagnostics more accurate and timely.
AI company MaxQ worked with Intel to develop a system that analyzes CT scans for head trauma and stroke victims. CEO Gene Saragnese drove home the fact that "within healthcare, speed is remarkably important, and accuracy is remarkably important." MaxQ’s AI-enabled clinical tools can empower physicians around the world to quickly make the right decisions during these and other critical moments. "As a part of our collaboration with Intel," Saragnese notes, "we’ve been able to optimize a hardware platform, and also optimize a software platform that’s allowed us to bring more functionality on board, and the processing time has actually dropped."
Transforming Care Delivery
AI is also transforming the way patients are engaged and is shifting from reactive, facility-based care to preventive, home-based remote care. Moderator David Ryan presided over a panel about improving lives, reducing human error, and saving money.
One of the most direct ways to transform care delivery is to give patients a better understanding of the healthcare they’re about to receive. Surgical Theater allows patients to put on VR glasses and see a virtual model of their body. This enables doctors to explain things more precisely and improves patients' comfort levels. Citing a Stanford study of patient experience, Surgical Theater CEO and co-founder Moty Avisar said, "patients are 40% more likely to stay with the surgeon that consulted with them using virtual reality."
Predictive analytics, meanwhile, can help head off the most acute healthcare problems. Chile’s AccuHealth focuses on fighting chronic conditions with AI. Through a predictive approach, algorithms can identify actionable data and help patients get to the hospital sooner to address chronic problems before they become prohibitively serious or expensive. AccuHealth CEO Dr. Xavier Urtubey talked about how this empowers patients to seek out the right coverage at the right time, and allows caregivers to target problems before they become serious, thus preventing expensive long-term hospital stays.
In the same vein, Care Innovations' mission is to make healthcare more accessible. The company uses a technology platform that allows it to deliver multiple remote care models. The company currently has a partnership with the state of Mississippi, which ranks fiftieth in the U.S. in overall health and faces many challenges such as obesity, childhood poverty, and high rates of cardiovascular death. Diabetes is also a huge issue in the state, so Care Innovations put together a project to see how remote patient management could improve local outcomes. According to panelist and Care Innovations’ VP of Sales and Biz Dev Brian Greene, in the first year, the company saw "a reduction of A1C of 1.7% per patient on average, zero hospitalizations, 96% adherence rate for medication, 83% daily adherence rate for health sessions, and significant cost savings—close to $4,000 per patient."