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Big data for prevention - Clinical applications in Israel

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Veröffentlicht am

Prof. Ran Balicer, Director, Health Policy Planning, Clalit Healthcare Services, Israel, 67th session of the WHO Regional Committee for Europe

Veröffentlicht in: Gesundheit & Medizin
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Big data for prevention - Clinical applications in Israel

  1. 1. Big data for prevention Clinical applications in Israel Prof. Ran Balicer MD, PhD, MPH Director, Health Policy Planning, Clalit Healthcare Services, Israel Director, Clalit Research Institute, Israel Chair, The WHO Collaborating Center on NCD Research, Prevention and Control June 2017
  2. 2. Using data to enhance prevention and care 1. Real world assessment - what works? 2. Predictive proactive prevention 3. Enhanced diagnostics for prevention
  3. 3. Clalit Health Services: Israel’s integrated Sick Fund »53% of Israelis - 4.2 million members »All services under one ‘roof’ ->1,500 community clinics, 30% of Israel hospital beds »Decades of Claims + EMR data - ID-tagged, geo-coded, cross-linked - Over 6 million lives
  4. 4. Are we providing futile care? 1 Real world study – > 70,000 cases & controls: OR = 1.00 (0.97-1.04) for admitted pneumonia OR = 0.66 (0.44-0.86 ) for invasive disease
  5. 5. 2
  6. 6. Preventing Renal Failure Preventive Nephrology 8%of patients hold 70%of future deteriorations
  7. 7. Readmission prediction – Pre-Admission
  8. 8. 2010 2011 2012 2013 2014 2015 Computerized vision ImageNet Error rates Human eye 3
  9. 9. The future of healthcare: Learning systems
  10. 10. We have so much more to do, together “It is not enough to do your best; you must know what to do, and then do your best. W. Edwards Deming

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