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Artificial Intelligence in Health Care: the Hope, the Hype, the Promise, the Peril
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril Michael Matheny, Sonoo Thadaney Israni, Mahnoor Ahmed, and Danielle Whicher, Editors WASHINGTON, DC NAM.EDU PREPUBLICATION COPY - Uncorrected Proofs NATIONAL ACADEMY OF MEDICINE • 500 Fifth Street, NW • WASHINGTON, DC 20001 NOTICE: This publication has undergone peer review according to procedures established by the National Academy of Medicine (NAM). Publication by the NAM worthy of public attention, but does not constitute endorsement of conclusions and recommendationssignifies that it is the by productthe NAM. of The a carefully views presented considered in processthis publication and is a contributionare those of individual contributors and do not represent formal consensus positions of the authors’ organizations; the NAM; or the National Academies of Sciences, Engineering, and Medicine. Library of Congress Cataloging-in-Publication Data to Come Copyright 2019 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. Suggested citation: Matheny, M., S. Thadaney Israni, M. Ahmed, and D. Whicher, Editors. 2019. Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. NAM Special Publication. Washington, DC: National Academy of Medicine. PREPUBLICATION COPY - Uncorrected Proofs “Knowing is not enough; we must apply. Willing is not enough; we must do.” --GOETHE PREPUBLICATION COPY - Uncorrected Proofs ABOUT THE NATIONAL ACADEMY OF MEDICINE The National Academy of Medicine is one of three Academies constituting the Nation- al Academies of Sciences, Engineering, and Medicine (the National Academies). The Na- tional Academies provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. -
Programové Vybavení Pro Provoz Nukleární Medicíny Software
ČESKÉ VYSOKÉ UČENÍ TECHNICKÉ V PRAZE FAKULTA BIOMEDICÍNSKÉHO INŽENÝRSTVÍ Katedra biomedicínské techniky Programové vybavení pro provoz nukleární medicíny Software Systems for Nuclear Medicine Diplomová práce Studijní program: Biomedicínská a klinická technika Studijní obor: Systémová integrace procesů ve zdravotnictví Autor diplomové práce: Bc. Jana Švagriková Vedoucí diplomové práce: MUDr. Jan Bruthans, Ph.D. Kladno 2018 PROHLÁŠENÍ Prohlašuji, že jsem diplomovou práci s názvem „Programové vybavení pro provoz nukleární medicíny“ vypracovala samostatně a použila k tomu úplný výčet citací použitých pramenů, které uvádím v seznamu přiloženém k diplomové práci. Nemám závažný důvod proti užití tohoto školního díla ve smyslu § 60 Zákona č. 121/2000 Sb., o právu autorském, o právech souvisejících s právem autorským a o změně některých zákonů (autorský zákon), ve znění pozdějších předpisů. V Kladně 18.05.2018 …...….………...………………... Bc. Jana Švagriková PODĚKOVÁNÍ Na tomto místě bych ráda poděkovala svému vedoucímu diplomové práce panu MUDr. Janu Bruthansovi, Ph.D. za vedení a připomínky k mé práci, jeho rady a konzultace. Dále bych chtěla poděkovat všem osloveným společnostem za jejich informace a poskytnuté materiály. Poděkování patří také všem zúčastněným odborníkům. V neposlední řadě děkuji své rodině a přátelům. ABSTRAKT Diplomová práce s názvem „Programové vybavení pro provoz nukleární medicíny“ se zaměřuje na zhodnocení existujících softwarových produktů, zejména radiologických informačních systémů pro využití v provozu nukleární medicíny. Hlavním cílem bylo zmapování současného aktuálního stavu problematiky s důrazem na Českou republiku. Vybrané systémy byly nejprve popsány pomocí deskriptivní metody. Pomocí analýzy SWOT byly zhodnoceny možnosti jednotlivých systémů. Pro výběr ideální varianty systémů byla zvolena metoda multikriteriálního rozhodování, metoda TOPSIS. Závěrem byl vytvořen návrh na doporučení pro uživatele systémů a celkové zhodnocení formou diskuse. -
High-Confidence Medical Devices: Cyber-Physical Systems for 21St Century Health Care
The NITRD Program The Networking and Information Technology Research and Development (NITRD) Program, one of the few formal interagency R&D activities within the Federal government, comprises the Government’s main unclassified R&D investments in advanced networking, computing, software, and related information technology (IT). The NITRD Program also supports research in the socioeconomic implications of IT and in development of a highly skilled IT workforce. Now in its 18th year, NITRD provides a framework and mechanisms for active coordination among 13 Federal research agencies; many other agencies with IT interests also participate in NITRD activities. NITRD is authorized by Congress through the High-Performance Computing Act of 1991 (Public Law 102-194), the Next Generation Internet Research Act of 1998 (Public Law 105-305), and the America COMPETES Act of 2007 (Public Law 110-69). The NITRD agencies work together in eight major research areas – called Program Component Areas (PCAs). In each PCA, agency program managers participate in an Interagency Working Group (IWG) or Coordinating Group (CG) that coordinates R&D activities and preparation of the annual Supplement to the President’s Budget for the NITRD Program. The PCAs are: High End Computing Infrastructure and Applications (HEC I&A), High End Computing Research and Development (HEC R&D), Cyber Security and Information Assurance (CSIA), Human Computer Interaction and Information Management (HCI&IM), Large Scale Networking (LSN), High Confidence Software and Systems (HCSS), Social, Economic, and Workforce Implications of IT and IT Workforce Development (SEW), and Software Design and Productivity (SDP). High Confidence Software and Systems R&D NITRD’s HCSS PCA supports R&D in scientific foundations and innovative and enabling software and hardware technologies for the design, control, assurance, verification and validation, and certification of complex, networked, distributed computing systems and cyber-physical (IT-enabled) systems such as aircraft and power grids. -
Name Integration Status Market Supported Products Cerner Live
Name Integration Market Supported Products Status Cerner Live EHR Millenium (includes the Cerner HIE) product; PowerWorks product DrFirst Live EHR / E- EPCS Gold with PDMP Access Prescribing Epic Live EHR Epic EMR - versions may be customized by facility Glenwood Systems, LLC Live EHR GlaceEMR Lagniappe Pharmacy Live Pharmacy Rx1/Synercom Services (LPS) Medent Live EHR Medent EHR Medicity Live HIE Unknown PDX Live E- EPS (Enterprise); will require additional software updates based Prescribing on customer, release 2.6.06 or higher. PioneerRx Live Pharmacy PioneerRx ProComp Live EHR CATT EHR v3.5 QS/1 Live Pharmacy NRx; Primecare; SharpRx Transaction Data Live Pharmacy Rx30 (build 16217 or higher) Systems (TDS) NOTE - RX30 is Linux only and does not support Windows. 2/2/18 Allscripts In Development EHR Sunrise; Touchworks; Professional EHR; EHR Aprima Live EHR Aprima PRM (2016 Patch A and later) Amazing Charts Testing EHR Unknown AthenaHealth In Development EHR Athena Clinicals Bizmatics Live EHR PrognoCIS eClinicalWorks (eCW) Live EHR eClinicalWorks V11 e-MDs No Progress EHR e-MDs solution series 8.0 GE Health Testing EHR CPS 12.3 and newer; CEMR 9.12 and newer (customer will need to upgrade in order to have access to the functionality). Greenway Health In Review EHR Prime Suite; Intergy (largest customer-base); Success EHS Health Business Testing RxAXIS (17.8 or higher) Systems (HBS) RxGENESYS (still in development) McKesson (Pharmacy) In Development Pharmacy PharmacyRx; EnterpriseRx; Pharmaserve Netsmart Live EHR Built in OrderConnect (OE) & accessible from the following Care (Behavioral Records when they are used in an integrated fashion with OE: Health) MyAvatar, MyEvolv, TIER, MIS, MyHelper. -
Placing Customer Centricity at the Heart of Healthcare
Exerpted Articles From: Placing Customer Centricity at the Heart of Healthcare A look at how healthcare providers, pharmaceuticals, and health insurers are adapting to the changing customer landscape and evolving their patient experiences Table of Contents: An Eye on Healthcare’s Wearable Future ......................................................... 2 What the Net Neutrality Debate Means to Healthcare ................................... 17 Making Way for Consumerized Healthcare ..................................................... 5 Healthcare’s Cybersecurity Threat ................................................................. 19 Boosting Patient Outcomes with Big Data ...................................................... 7 United Healthcare Gives Behavioral Analytics a Seat at the Table ................ 21 Healthcare Accountability: Sizing Up the Metrics for Meet Healthcare’s Newest Players ................................................................ 22 Delivering Value-Based Care ......................................................................... 10 Taking the Pulse of Customer Service ........................................................... 25 The Top Healthcare Tech Trends to Watch in 2015 ....................................... 12 A Prescription for Patient-Centric Healthcare ................................................ 28 Balancing Act: How Population Health Impacts Individuals ......................... 15 Cigna Personalizes Its Approach to Healthcare Customer Service .............. 31 Healthcare An Eye on -
1 HFN 0912 COVER.Indd
B:10.875” T:10.625” FEATURED ADVERTISERS ------------------------ ------------------------ ------------------------ $375,000,000 $86,000,000 $173,000,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Joint Lead Arranger and Joint Lead Arranger and Joint Lead Arranger Joint Bookrunner Syndication Agent Administrative Agent July 2012 May 2012 May 2012 Florida Gulf-to-Bay ANESTHESIOLOGY ------------------------ ------------------------ ------------------------ $39,000,000 $37,500,000 $135,000,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Sole Lead Arranger Joint Lead Arranger and Syndication Agent Co-Lead Arranger Administrative Agent April 2012 April 2012 February 2012 B:14.125” T:13.875” ------------------------ ------------------------ ------------------------ $50,000,000 $55,000,000 $65,800,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Joint Lead Arranger Sole Lead Arranger Joint Lead Arranger, Joint Bookrunner and Administrative Agent Administrative Agent Administrative Agent December 2011 November 2011 June 2011 Financial expertise when and where you need it. At Regions, we understand that the healthcare industry has a unique set of financial needs. Our relationship managers have the specialized industry expertise and the commitment to help your company achieve its financial goals. Our bankers provide a single point of contact, streamlining each and every transaction, whether it’s arranging flexible financing solutions, comprehensive cash management or access to capital markets. Find out what other healthcare companies already know: Banking with Regions means banking with more financial control. Brooks Hubbard | Head of Healthcare Banking | 615.770.4242 regions.com/healthcare Lending | Insurance* | Treasury Management © 2012 Regions Bank. Deposit accounts subject to the terms and conditions of the Regions Deposit Agreement. -
A Cloud Based Patient-Centered Ehealth Record
International Journal on Advances in Life Sciences, vol 7 no 1 & 2, year 2015, http://www.iariajournals.org/life_sciences/ 30 A Cloud Based Patient-Centered eHealth Record Konstantinos Koumaditis, Leonidas Katelaris, and Marinos Themistocleous Department of Digital Systems University of Piraeus Piraeus, Greece e-mail: (konkoum,lkatelaris,mthemist)@unipi.gr Abstract - This research focuses on the Patient-Centered integrated view of citizens health status. The latter is reflected e-Health (PCEH) concept by introducing its importance in EHRs and Personal Health Records (PHRs), which are and demonstrating a multidisciplinary project that being enriched and exploited by different actors and combines advanced technologies. The project links stakeholders (i.e., health and care professionals, citizens, several aspects of PCEH functionality, such as: (a) nutrition experts, hospitals, etc.) in the health ecosystem. homecare telemedicine technologies, (b) e-prescribing, e- Three general PHR models have been proposed [7]: a) the referral, e-learning and (c) state-of-the-art technologies stand-alone model, b) Electronic Health Record (EHR) like cloud computing and Service Oriented Architecture system, and c) the integrated one, which is an interoperable (SOA), will lead to an innovative integrated e-health system providing linkage with a variety of patient platform that delivers many benefits to the society, the information sources, such as EHRs, home diagnostics, economy, the industry and the research community. This insurance claims etc. The main types of health information paper provides insights of the PCEH concept and the supported by PHRs are problem lists, procedures, major current stages of the project. In doing so, we aim to illnesses, provider lists, allergy data, home-monitored data, increase the awareness of this significant work and family history, social history and lifestyle, immunizations, disseminate the knowledge gained so far through our medications and laboratory tests [8, 9]. -
Software & Services
SOFTWARE & SERVICES Recognizing the software and service organizations that excelled in helping providers deliver better patient care PHYSICIAN PRACTICE SOLUTIONS BEST IN KLAS AMBULATORY EMR (1–10 PHYSICIANS) HOW DO VENDOR SOLUTIONS COMPARE? WHO IS KONFIDENCE SCORE TREND LEVEL 1. Cerner PowerChart Ambulatory BEST IN KLAS? 84.3 +13% üü 2. Amazing Charts 83.3 +4% üüü 3. SRSsoft EHR 81.0 -11% üü 4. athenahealth athenaClinicals 80.9 -7% üüü 5. Greenway PrimeSUITE Chart 79.1 -2% üüü HOW DO THEY SCORE? 6. Aprima EHR IN FIVE KEY PERFORMANCE CATEGORIES 78.2 -1% üüü 100 92.4 7. ADP AdvancedMD EHR +3% üüü 90 84.9 78.0 80.6 81.7 81.2 80 8. e-MDs Chart -13% üüü 70 74.0 60 AVG. SEGMENT MKT. 9. GE Healthcare Centricity Practice Solution EMR +1% üü PHYSICIAN PRACTICE PHYSICIAN 50 73.8 40 T10. eClinicalWorks EHR 73.4 -7% üüü 30 20 T10. Henry Schein MicroMD EMR 73.4 +4% üü 10 12. NextGen Healthcare EHR 0 65.1 -3% üüü SALES & FUNCTIONALITY GENERAL CONTRACTING & UPGRADES 13. Allscripts Professional EHR 64.7 -6% üüü SERVICE & IMPLEMENTATION SUPPORT 14. McKesson Practice Partner -14% & TRAINING 48.0 üü 0 10 20 30 40 50 60 70 80 90 100 SEE HOW OTHER VENDOR SOLUTIONS SCORE AT KLASRESEARCH.COM HOW DO THE TOP THREE SOLUTIONS TREND? SOLUTIONS NOT RANKED PRELIMINARY DATA PRODUCTS CompuGroup Medical Enterprise EHR (HEHR)*..................71.0 MIE WebChart EMR* ............................................................75.7 MTBC EMR* .........................................................................82.1 Optum Physician EMR* ........................................................79.6 -
2010–2011 Our Mission
ANNUAL REPORT 2010–2011 OUR MISSION The Indianapolis Museum of Art serves the creative interests of its communities by fostering exploration of art, design, and the natural environment. The IMA promotes these interests through the collection, presentation, interpretation, and conservation of its artistic, historic, and environmental assets. FROM THE CHAIRMAN 02 FROM THE MELVIN & BREN SIMON DIRECTOR AND CEO 04 THE YEAR IN REVIEW 08 EXHIBITIONS 18 AUDIENCE ENGAGEMENT 22 PUBLIC PROGRAMS 24 ART ACQUISITIONS 30 LOANS FROM THE COLLECTION 44 DONORS 46 IMA BOARD OF GOVERNORS 56 AFFILIATE GROUP LEADERSHIP 58 IMA STAFF 59 FINANCIAL REPORT 66 Note: This report is for fiscal year July 2010 through June 2011. COVER Thornton Dial, American, b. 1928, Don’t Matter How Raggly the Flag, It Still Got to Tie Us Together (detail), 2003, mattress coils, chicken wire, clothing, can lids, found metal, plastic twine, wire, Splash Zone compound, enamel, spray paint, on canvas on wood, 71 x 114 x 8 in. James E. Roberts Fund, Deaccession Sculpture Fund, Xenia and Irwin Miller Fund, Alice and Kirk McKinney Fund, Anonymous IV Art Fund, Henry F. and Katherine DeBoest Memorial Fund, Martha Delzell Memorial Fund, Mary V. Black Art Endowment Fund, Elizabeth S. Lawton Fine Art Fund, Emma Harter Sweetser Fund, General Endowed Art Fund, Delavan Smith Fund, General Memorial Art Fund, Deaccessioned Contemporary Art Fund, General Art Fund, Frank Curtis Springer & Irving Moxley Springer Purchase Fund, and the Mrs. Pierre F. Goodrich Endowed Art Fund 2008.182 BACK COVER Miller House and Garden LEFT The Wood Pavilion at the IMA 4 | FROM THE CHAIRMAN FROM THE CHAIRMAN | 5 RESEARCH LEADERSHIP From the In addition to opening the new state-of-the-art Conservation Science Laboratory this past March, the IMA has fulfilled the challenge grant from the Andrew W. -
Fidelity® Total Market Index Fund
Quarterly Holdings Report for Fidelity® Total Market Index Fund May 31, 2021 STI-QTLY-0721 1.816022.116 Schedule of Investments May 31, 2021 (Unaudited) Showing Percentage of Net Assets Common Stocks – 99.3% Shares Value Shares Value COMMUNICATION SERVICES – 10.1% World Wrestling Entertainment, Inc. Class A (b) 76,178 $ 4,253,780 Diversified Telecommunication Services – 1.1% Zynga, Inc. (a) 1,573,367 17,055,298 Alaska Communication Systems Group, Inc. 95,774 $ 317,970 1,211,987,366 Anterix, Inc. (a) (b) 16,962 838,941 Interactive Media & Services – 5.6% AT&T, Inc. 11,060,871 325,521,434 Alphabet, Inc.: ATN International, Inc. 17,036 805,292 Class A (a) 466,301 1,099,001,512 Bandwidth, Inc. (a) (b) 34,033 4,025,764 Class C (a) 446,972 1,077,899,796 Cincinnati Bell, Inc. (a) 84,225 1,297,065 ANGI Homeservices, Inc. Class A (a) 120,975 1,715,426 Cogent Communications Group, Inc. (b) 66,520 5,028,912 Autoweb, Inc. (a) (b) 6,653 19,028 Consolidated Communications Holdings, Inc. (a) 110,609 1,035,300 Bumble, Inc. 77,109 3,679,641 Globalstar, Inc. (a) (b) 1,067,098 1,707,357 CarGurus, Inc. Class A (a) 136,717 3,858,154 IDT Corp. Class B (a) (b) 31,682 914,343 Cars.com, Inc. (a) 110,752 1,618,087 Iridium Communications, Inc. (a) 186,035 7,108,397 DHI Group, Inc. (a) (b) 99,689 319,005 Liberty Global PLC: Eventbrite, Inc. (a) 114,588 2,326,136 Class A (a) 196,087 5,355,136 EverQuote, Inc. -
Letter from the P Resident
LETTER FROM THE PRESIDENT TABLE OF CONTENTS Teaching and life go along hand in hand. No singing birds, no Letter from the President .......... 1 language, no science, no society without teaching. Here in Erice, Letters to the Editor .................. 2 where I’m writing this letter, the older generations teach advanced Editorial ................................... 4 crystallography to the younger ones - in formal sessions but, per- Recent Articles in IUCr Journals . 6 haps more importantly, also informally and by example. The other day David Sayre recalled a little movie I showed in IUCr Commission News ............. 8 the ‘participant slide show’ of the meeting in 1978: three-year-old IUCr Congress Reports ............ 11 kids learning to ice skate by example. Falling hundreds of times and Crystallographic World ............ 14 Henk Schenk standing up again, supported by parents. The kids take all that Feature Article ........................ 18 trouble just because they want to skate like the other people. By Meeting Reports ..................... 21 working hard, watching and copying they make very rapid progress. David told another nice story: his wife Anne observed from the window of her workroom how swans learn to Crystallographers in the News . 22 fly. One day the parents decide it’s time for the kids to fly. So father leads them to the Notices, Awards, Elections....... 24 starting line and shows them how to do it: he moves his wings up and down whilst run- Books .................................... 25 ning on the surface of the water - and off he goes. Then the kids try. But in the beginning Milestones .............................. 27 they just end up under the water, comforted by mother swan. -
Healthcare Industry Highlight: Revenue Cycle Management
Industry Highlight: Revenue Cycle Management Q1 2019 RCM Overview Intelligent, Automated Workflow Patient Access Claims Management RCM intelligently automates the complex tasks of the front and back office, optimizing: Case Management ✓ Patient encounters and consolidation of REVENUE records Charges & CYCLE ✓ Participation in value-based programs to Reimbursement generate maximum revenue ✓ Claims management, accounts receivable and claim resubmission Clinical ✓ Medical practice workflow, reducing Documentation redundant staff effort Medical Coding Increasing complexity in medical coding and rising healthcare costs make RCM an essential tool to maintain cash flow and stay solvent 1 RCM Market Size and Outlook The global RCM market is projected to grow to $65.2BN by 2025 from $23.6BN in 2016, a nine-year CAGR of 12.0% Value of Global RCM Market ($USD in BN) $80 Facing tight margins, time-consuming 60 regulation and enormous waste in the healthcare system, medical practices 40 are looking for adaptable solutions to streamline workflow, generating 20 significant drive in the RCM market 0 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 $23.6BN $16.5BN 40% Value of global RCM market in Estimated hospital spend on Percentage of RCM end-user market 2016 external RCM by 2020 constituted by physicians’ offices 12.0% $6.7BN 3-5% CAGR through 2025 Annual provider spend on Hospitals’ lost revenues due RCM to RCM errors 2 Source: CMS NHE Projections , Grandview Research, MicroMarketMonitor, HFMA Inefficiencies RCM Can Help Solve Key Industry Trends: