HXR 2016: Data Insights: Mining, Modeling, and Visualizations- Farid Jamshidian

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Data is useless if it fails to inform, which is precisely what data experts are furiously working on: turning raw informatics into meaningful narratives that begin to shift our standards. From the individual to the population level, data is leading both policy and better decision making in the clinical sphere.

How Empathy Drives
Data Products
Farid Jamshidian, PhD
Helping Patients Choose
Care with Confidence

Amino's mission is to connect everyone to the best health
care possible. We're committed to creating the clearest
picture of American health care so everyone can choose care
with confidence.

Quick, painless – and personal
1. Personalize your search
First, we’ll ask you a few easy questions so we can
tailor your list of matches.
2. See what’s important
You can check out detailed stats on each doctor’s
experience with your exact needs.
3. Book your appointment
We’ll play phone tag with the doctor’s office to get
you a convenient slot.

Consumer experience, powered by big data

From data to insights
• Massive volume of raw
data arriving daily from
multiple sources
• Layers of preparation
• Claims data
structuring
• Ontological
mapping
• Episode grouping
• Scalable
computation

It’s hard to find a doctor who actually has experience with
your condition or the procedure you’re planning
Problem #1

Amino’s Care Match algorithm
What is Care Match?
A ranking algorithm that matches patients
with doctors based on the number of
similar patients they have treated—
people with the same condition, same
gender, and in the same age range.
How does Care Match work?
Assesses the similarity between the
patient and the doctor’s other patients
and ranks the results

Problem #2
There’s no such thing as a board-certified “pancreas” expert.

Data mining to identify focus areas
Gastroenterologists
Irritable Bowel
Diseases
Food allergies
1. Identify the right data
Select relevant diagnoses or procedures for
grouping the doctors
2. Create clusters
Group doctors based on how often they perform
a set of procedures or diagnose a condition
3. Hand label the clusters
Label the clusters in simple understandable
terms using expert knowledge
4. Assign doctors to clusters
Determine the focus areas for each doctor
based on similarity to the clusters

How do you know what actually goes on in a doctor’s office –
the procedures, patient outcomes, quality of care?
Problem #3

Solution: Risk Adjusted Decision Factors

What is a C-section decision factor?
To help patients understand how a doctor’s C-section rate
compares to a typical doctor who delivers babies:
1. Doctors C-section rate: Measure the actual C-section rate
for the pregnant patients a doctor treats
2. Predicted C-section rate from a model: Analyze the typical
practices of all other doctors in the United States who
deliver babies using a model to predict the C-section rate for
patients like the ones who see the doctor
3. Classification: Compare the two numbers and determine
whether the doctor’s C-section rate is lower than, similar to,
or higher than predicted
Data modeling to identify outcomes

The responsibility with visualization
Accurate
Our goal with every analysis is to accurately and
responsibly present facts that help patients make
decisions about their care.
Parsimonious
Present clear and easily understandable results.
Engaging and empathetic to the patients
Always have the patients in mind.

HXR 2016: Data Insights: Mining, Modeling, and Visualizations- Farid Jamshidian

Final Thoughts
It’s all about the patients!
All of our efforts are to engage and empower
patients. Data, modeling, and visualization are
all means to helping patients make better
decisions.
Healthcare in the age of Big Data.
We live in the age of Big Data and the
possibilities are endless. Big data will bring
detailed information on all aspects of healthcare
to patients and influence their choices.

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Presentation by David Farber, King & Spalding LLP, "Reimbursement Bootcamp- Coding, Coverage & Payment". Includes a comparison of FDA and CMS – The Important Differences. Setting Expectations and Understanding Timing. FDA Approval/Clearance vs. CMS (Medicare) Coverage. “Reasonable and Necessary” CMS coverage determination (formal or informal); Focus on health benefits; Economic data is important; Superiority endpoint often needed; Focus on Medicare beneficiaries; Public processes; Publishes proposed decisions. Information Considered by CMS. Center for Medicare & Medicaid Services. Clinical evidence (including FDA submissions) External technology assessments; Advisory committee recommendations; Position statements by relevant groups; Expert opinions; Public comments; Economic and other cost-effectiveness data; Other informal opinions. The Basics of Reimbursement • Coverage Is the item or service eligible for payment? • Coding How is the item or service identified? • Payment What are the payment methodologies and amounts? Medicare Coverage: Defined Benefit Category Not Excluded “Reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.” — Social Security Act § 1862(a)(1)(A). CMS and Its Contractors Make Medicare Coverage Decisions • National Coverage Determinations (NCDs) • Local Coverage Determinations (LCDs) • Individual Consideration National Coverage Determinations (NCD): National and binding decision by CMS Coverage and Analysis Group (CAG). May be requested by anyone (CMS or external party.) Public process that generally takes 9-12 months once initiated. May include certain conditions for coverage (including Coverage with Evidence Development (CED)). Coverage with Evidence Development (CED). Evidence-based coverage paradigm that permits CMS to develop coverage policies for treatments that are likely to show health benefits for Medicare beneficiaries but for which the evidence base is not sufficiently developed. Two kinds of CED: (1) clinical study and (2) registry. Local Coverage Determinations (LCD): Issued by local Medicare Administrative Contractors (MACs). May be requested by anyone (MAC or external party.) New formal process in 2019 to request LCDs. Limited to particular MAC jurisdiction. Medicare Administrative Contractors. Coding is the “language of reimbursement.” Coding operationally links coverage and payment. Having a code does not guarantee reimbursement! TYPE OF CODE, CODING SYSTEM, WHO SETS CODE? WHO USES CODE? Diagnosis, Procedure or Service, Products and Certain Services, Drugs. Current Procedural Terminology (CPT) Codes. Maintained by the AMA CPT Editorial Panel. Identify medical services furnished by physicians. 5-digit numeric codes with generic descriptors. Three types of CPT codes. Application process takes at least 15 months for Category I codes, with specific clinical data requirements.

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The benefits of an ePCR solution should extend to the whole EMS & NEMT organization, not just certain groups of people or certain departments. It should benefit EMS crews – making it convenient to enter data and have the tools to increase document accuracy. It should benefit the back-office by streamlining documentation and billing processes internally and with health facilities. It should benefit the entire organization by improving workflow efficiency, comply with regulations, reduce costs, and contribute to generating data-driven reports. To achieve those benefits, ePCR software must have these 5 functions.

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AI is a hot topic in recent days... We students of IPGME&R, Kolkata, India have done a study on Attitude, Readiness and Utilization of AI by medical students. Artificial Intelligence (AI): The theory and development of computer systems able to perform tasks normally requiring human intelligence, such as visual perception, speech recognition, decision-making, and translation between languages. Our study showed that: 1. Nearly half of the study participants showed a favorable attitude towards role of AI in healthcare 2. Around three-fifth of the participants could define basic concepts of data sciences and AI and were ready to choose AI based applications for healthcare; they were willing to accept AI usage despite feeling a lack of cognitive skills 3. Most of them used AI-based applications for studying (ChatGPT), however, some of them faced difficulties in using them Thank you!

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TheHistroke 340B Product Presentation_MetaBridge

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At Histroke, we specialize in automating 340B program management processes by leveraging the expertise of our subject matter specialists and collaborating with our technology and solution engineers. Our mission is clear: to build partnerships that fortify and protect the healthcare safety net. Through a combination of proprietary technology and shared perspective, we customize 340B programs to meet your unique needs. Our team is dedicated to simplifying operations for you and your partners, developing solutions to ensure compliant management and oversight of the complex 340B program. Our Product MetaBridge ensures 100% 340B audit success by offering program audits, prescription compliance, claims audit software, AI assistants, and analytics

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This presentation tells about health education for hand wash to children. Every child should know that how to keep hand clean. And maintain the good hand washing practices. Nowadays disease are easily spread through uncleaned hands.germs are habitat in their hands and then it causes different types of diseases.so, we must give the health education for hand washing to every children. And make them practice.

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Yoga Hypertension and Heart Diseases Certificate Course.ppt

Karuna Yoga Vidya Peetham

Yoga for Hypertension and Heart Diseases Yoga Hypertension and Heart Diseases Certificate Course Prevention and healing have been always the main purpose of yoga therapy practice. Yoga therapy is the process of empowering every individual to progress toward better health and optimal well-being through the application of the teachings and practices of Yoga therapy class. With the support of the Yoga trainer, implements a personalized and evolving Yoga therapy techniques that not only addresses the illness in a multi-dimensional manner, Pancha Kosa (Five Sheaths): Annamaya Kosha (Physical Body), Pranamaya Kosha (Energy Field), Manomaya Kosha (Mental Dimension), Vignanamaya Kosha (Psychic level of experience), Anandamaya Kosha (Bliss and Beatitude). It helps to reduce patient suffering in a progressive, non-invasive and complementary manner. Why to study yoga Hypertension and Heart Diseases course? Consequently, the demand for yoga therapist with specialized knowledge in yoga as a therapeutic tool, in different fields such as: health management organizations, hospitals and alcohol rehabilitation centers have grown rapidly. Studying yoga therapy as a tool to overcome and ease the symptoms of common illnesses has become extremely popular recently, due to the great therapeutic effects yoga practitioners experience in their body, mind and soul. What you will learn from this course? You may offer special seminars for people with similar diseases/conditions. You will learn how to use yoga to assist in healing ailments and managing conditions? You aim to be part of a positive change regarding health and lifestyle habits. You want to teach people how to prevent diseases. In group classes, you can teach your students how to become healthy. You will feel more self-confident when approached by students that come to yoga seeking for support in their healing process. Therapeutic applications of posture, movement and breathing. Pre-Requisites: This course is open to all students who wish to deepen their knowledge and application of some of the highest teachings of Participants do not need to be yoga Mastery of any yoga practice is not Only yours sincere desire for knowledge and your commitment to personal Love for Yoga is the most important eligibility factor for learning this course. Students who want to know Yoga in totality and move beyond Asana and Pranayama, Mudra & Bandha. Assessment and Certification The students are continuously assessed throughout the course at all levels. There will be a written exam at the end of the course to evaluate the understanding of the philosophy of Yoga and skills of the students. Participants should pass all different aspects of the course to be eligible for the course diploma. What do I need for the online course? Yoga mat Computer / Smartphone with camera Internet connection Yoga Blocks Pillow or Bolster or Cushion Strap Notebook and Pen Zoom Recommended Texts Asana Pranayama Mudra Bandha by Swami

KDIGO-2024-CKD-Guideline-Key-Takeaways-Slide-Set.pptx

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Online Live Personal Yoga Training at Home

Karuna Yoga Vidya Peetham

Online Live Personal Yoga Training at Home Home Yoga Change is Possible! I am ready to help you, to improve your health, reduce stress and moving towards perfect peace, happiness and joy! Show you the difference between intentional self-care and unintentional numbing out, so that you can be fully awake for all of your life Restore your natural physical alignment, because it is critical to your health and well-being Help you develop a practice of intentional surrender because it brings relief from stress and will improve every aspect of your life Show you how to take care of yourself because that is the first step toward the connection you are craving with others Restore your mind-body connection, because decision-making is so much easier when you can hear your own intuition Home yoga course contents The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga posture (asana), yogic breathing (pranayama), guided meditation and relaxation. Sometimes the cleansing practices like Vamana Dhouti (vomiting), Jala & Sutra Neti (nasal cleaning), Laghu Sankhaprakshalana (intestine cleansing), vyutkarma & sheetkarma kapalabhati (nasal cleansing), Trataka (eye cleansing) and MSRT (immune system enhancement) are also included depending on the requirement of the participant If you are looking for a secluded, silent, one-on-one yoga practice with personal care and attention and without any outside disturbances, private yoga lessons are perfect for you. In private yoga lessons, you save your time and energy from traveling to a distance yoga studio and practice yoga from the comfort of your home in a personal ambiance. In private yoga lessons, you learn properly with one-on-one attention from the yoga trainer. The yoga trainer also gets enough time to understand your requirements and customizes the yoga practices accordingly for your maximum health benefit. If you are suffering from any specific health problems, private yoga lessons are ideal for you. Yoga therapy practices cannot be done in a group, it has to be done always one-on-one basis. Because your problem is different from others. In a group yoga class, the yoga practices are not addressed according to your body conditions & requirements, some of the practices in the group might be harmful to you. Moreover, if the group yoga trainer is not a qualified yoga therapist but only a yoga instructor, he may not know the yoga practices that are useful and harmful to you. Therefore, if you are suffering from any specific health conditions, you require private yoga lessons with one-on-one attention from an experienced yoga therapist for your recovery. How many people can join in private yoga lessons? We allow one or, maximum of two people at a time in a private yoga lesson. Private yoga course contents The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga post

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Mudra and Pranayama Teacher Training Certificate Course

Karuna Yoga Vidya Peetham

Mudra & Pranayama Certificate Course Online/Offline 12 Hrs – Mudra & Pranayama Certificate Course 12 hours – Mudra and Pranayama Certificate Course What is Yoga Continuing Education Courses (YACEP) We offer various training programs to deepen knowledge and improve teaching skills through various yoga teacher training courses. Continuing education is a post-learning, formal learning program for yoga practitioners that can have credit courses as well as non-credit courses. These courses are intended to allow an individual to extend their insight and develop their abilities in a particular field. Numerous callings even expect individuals to take up Continuing Education to have the option to recharge their permit and seek after their training. Continuing education in yoga mainly serves two purposes To deepen your existing knowledge and skills. To teach you new skills and techniques related to teaching yoga. Yoga Alliance Registered Continuing Education Provider, Courses Open to Everyone. This course is eligible for Continued Education (CE) credits with Yoga Alliance. It is accredited by Yoga Alliance and it can be used as a continuing education course (YACEP) for Register Yoga Teachers with Yoga Alliance Deepen your practice and your knowledge Are you are yoga professional or a curious practitioner and wish to deepen your yoga knowledge and techniques? Then a continuing education course may be something for you! You will learn selected specialized yoga topics that will allow you to expand your horizons when it comes to your personal practice or that of your students. With the knowledge you will acquire, you will gain a deeper understanding of the functioning of anatomical and energetic body layers, and develop a more complete insight into yoga. International Certification Upon successful completion of the course, you will receive a certificate of completion of the Mudra and Pranayama Certificate Course, which you can count towards your continuing education. Our yoga teacher training courses are accredited by Yoga Alliance USA. About the course facilitator Dr. S. Karuna Murthy, M.Sc., Ph.D., E-RYT 500, YACEP Dr. S. Karuna Murthy is one of the most experienced Yogi practicing the ancient and the greatest Yoga tradition since he was 18 years of age. Following in the footsteps of his inspiration Swami Sivananda who was also the founder of Divine Life Society, has mastered the ancient Yoga traditions that only a few in this world are familiar with. He completed M. Sc from Swami Vivekananda Yoga Anusandhana Samasthana University and Ph. D from Bharathidasan University. Besides, Dr. S. Karuna Murthy has also completed TTC and ATTC and is registered E-RYT-500 with American Yoga Alliance. Those qualifications depict his expertise in the context of Yoga and mastering Yoga Teaching methodology. With the immense interest to serve the people with the ancient Yoga techniques, he also served as a Yoga therapist at S-VYASA, Bangalore. He has also served as a Yoga

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1. How Empathy Drives Data Products Farid Jamshidian, PhD Helping Patients Choose Care with Confidence

2. Amino's mission is to connect everyone to the best health care possible. We're committed to creating the clearest picture of American health care so everyone can choose care with confidence.

3. Quick, painless – and personal 1. Personalize your search First, we’ll ask you a few easy questions so we can tailor your list of matches. 2. See what’s important You can check out detailed stats on each doctor’s experience with your exact needs. 3. Book your appointment We’ll play phone tag with the doctor’s office to get you a convenient slot.

4. Consumer experience, powered by big data

5. From data to insights • Massive volume of raw data arriving daily from multiple sources • Layers of preparation • Claims data structuring • Ontological mapping • Episode grouping • Scalable computation

6. It’s hard to find a doctor who actually has experience with your condition or the procedure you’re planning Problem #1

7. Solution: Care Match

8. Amino’s Care Match algorithm What is Care Match? A ranking algorithm that matches patients with doctors based on the number of similar patients they have treated— people with the same condition, same gender, and in the same age range. How does Care Match work? Assesses the similarity between the patient and the doctor’s other patients and ranks the results

9. Problem #2 There’s no such thing as a board-certified “pancreas” expert.

10. Solution: Focus Areas

11. Data mining to identify focus areas Gastroenterologists Irritable Bowel Diseases Food allergies 1. Identify the right data Select relevant diagnoses or procedures for grouping the doctors 2. Create clusters Group doctors based on how often they perform a set of procedures or diagnose a condition 3. Hand label the clusters Label the clusters in simple understandable terms using expert knowledge 4. Assign doctors to clusters Determine the focus areas for each doctor based on similarity to the clusters

12. Focus areas in practice

13. How do you know what actually goes on in a doctor’s office – the procedures, patient outcomes, quality of care? Problem #3

14. Solution: Risk Adjusted Decision Factors

15. What is a C-section decision factor? To help patients understand how a doctor’s C-section rate compares to a typical doctor who delivers babies: 1. Doctors C-section rate: Measure the actual C-section rate for the pregnant patients a doctor treats 2. Predicted C-section rate from a model: Analyze the typical practices of all other doctors in the United States who deliver babies using a model to predict the C-section rate for patients like the ones who see the doctor 3. Classification: Compare the two numbers and determine whether the doctor’s C-section rate is lower than, similar to, or higher than predicted Data modeling to identify outcomes

16. The responsibility with visualization Accurate Our goal with every analysis is to accurately and responsibly present facts that help patients make decisions about their care. Parsimonious Present clear and easily understandable results. Engaging and empathetic to the patients Always have the patients in mind.

18. Final Thoughts It’s all about the patients! All of our efforts are to engage and empower patients. Data, modeling, and visualization are all means to helping patients make better decisions. Healthcare in the age of Big Data. We live in the age of Big Data and the possibilities are endless. Big data will bring detailed information on all aspects of healthcare to patients and influence their choices.

19. Choose care with confidence.

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