Download presentation
1 -

Assistant


Leo Celi MDClinical Professor of Medicine The Harvard Clinical and Translational Science Center Internal Medicine Beth Israel Deaconess Medical Center and Massachusetts Institute of Technology Making

eliza's Recent Documents

Summary of US Department of Transportation Action Plan to Increase Wal
Summary of US Department of Transportation Action Plan to Increase Wal

A Message about Pedestrian and Bicyclist Safety Americans are increasingly walking and riding bicycles to commute run errands get exercise access public transportation and save money At the US Departm

published 0K
NATUROPATHIC MEDICINE
NATUROPATHIC MEDICINE

What is Naturopathic MedicineNaturopathic medicine is a distinct primary health care profession emphasizing prevention treatment and optimal health through the use of therapeutic methods and substance

published 0K
SOLID31WASTE31DIVERSION31PROGRESS31REPORT313031FY312928272631312928272
SOLID31WASTE31DIVERSION31PROGRESS31REPORT313031FY312928272631312928272

PREPARED31BY31THE31DEPARTMENT31OF31PUBLIC31WORKS

published 0K
533 W 2600 S Suite 140 Bountiful UT 84010  TOLL 8772773778 FAX 8012951
533 W 2600 S Suite 140 Bountiful UT 84010 TOLL 8772773778 FAX 8012951

Assessmentscom introduces new evidence-based 4TH-Generation tool for adults The STRONG Static Risk and Offender Needs Guide The new tool is a comprehensive 4th-generation risk and needs assessment a

published 0K
Measures to manage DoLS authorisations during Covid
Measures to manage DoLS authorisations during Covid

The following measures are proposed instead of face to face visits to ensure protection for those most at risk of Human Rights breaches to maximise the Councils capacity to promote and safeguard the w

published 1K
8 Agency Location Code10 Address11 Agency Location Code13 AddressDepar
8 Agency Location Code10 Address11 Agency Location Code13 AddressDepar

Use prescribed by NIH Manual 11651 NIH Agreement Number including Mod No2 Paying Agency3 Receiving Agency4 Title of the Agreement5 Summary of Substance of the Agreement include purpose resources commi

published 0K
York County Pre
York County Pre

-Diabetes / Diabetes ResourcesCounselingBlue Valley Behavioral Health722 S Lincoln AveYork NE402 362-6128http//wwwbvbhnet/Family First Counseling202 E 5thStreetYork NE402 362-5650http//wwwyorkfamilyco

published 0K
I761K5L799BB179H5459I1K95L9518789O458A71A7BB1871B155K
I761K5L799BB179H5459I1K95L9518789O458A71A7BB1871B155K

-0112314565789316778x00007651A9B7C794E8551F547GH5459I95L9518MCPQQ31456Ix000098R7K94F547Sx0000G1B71O7WZUQCR987571O7TZUQWFA70191A7569I99448BB157875678Z8B765945L7B1K996518575575F547SYFA7x0000B757a378578

published 0K
Download Section

Download - The PPT/PDF document "" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.






Document on Subject : "Assistant"— Transcript:

1 Leo Celi, M.D. Assistant Clinical Pro
Leo Celi, M.D. Assistant Clinical Professor of Medicine, The Harvard Clinical and Translati

2 onal Science Center; Internal Medicine,
onal Science Center; Internal Medicine, Beth Israel Deaconess Medical Center; and Massachusett

3 s Institute of Technology Making the Ca
s Institute of Technology Making the Case for Big Data Leo Anthony Celi MD MS MPH MIT Institu

4 te for Medical Engineering and Science B
te for Medical Engineering and Science Beth Israel Deaconess Medical Center Harvard Medical Sch

5 ool “Many people think that doctors m
ool “Many people think that doctors make their recommendations from a basis of scientific

6 certainty, that the facts are very clea
certainty, that the facts are very clear and there’s only one way to diagnose or treat an i

7 llness. In reality, that’s not always
llness. In reality, that’s not always the case. Many things are a matter of conjecture, tr

8 adition, convenience, habit.” Arnold
adition, convenience, habit.” Arnold Relman (1923 - 2014 ) Former Editor - in - Chief, New

9 England Journal of Medicine Vinod Kho
England Journal of Medicine Vinod Khosla on Healthcare Comparative Effectiveness Research P

10 harmacovigilance The Case for Big Data:
harmacovigilance The Case for Big Data: Improving Quality What is Quality? • No clear, univer

11 sally agreed upon definition of healthc
sally agreed upon definition of healthcare quality • Multiple definitions exist from differe

12 nt organizations and represent the valu
nt organizations and represent the values of the organization Elements of Quality: 1. Applica

13 tion of evidence - based interventions
tion of evidence - based interventions to individual patients every single time Elements of Q

14 uality: 2. Compassion, good patient - p
uality: 2. Compassion, good patient - provider communication and shared decision - making

15 Patients ’ perception of quality is
Patients ’ perception of quality is colored by whether or not their expectations were me

16 t. • Managing expectations goes hand
t. • Managing expectations goes hand in hand with building trust. This is where compassion

17 weighs in. Elements of Quality: 3. Tea
weighs in. Elements of Quality: 3. Teamwork and culture of quality Quality = Learning Health

18 care System • Tracks quality continu
care System • Tracks quality continuously real - time using EHR data (vs. episodic retros

19 pective quality reports) • Provides a
pective quality reports) • Provides actionable items at the point - of - care • Feeds int

20 o pragmatic QI research "EHR vendors ha
o pragmatic QI research "EHR vendors have taken patient data hostage and are not willing to r

21 elease it unless they receive a big ra
elease it unless they receive a big ransom. They typically claim that technical problems li

22 mit the interoperability of their produ
mit the interoperability of their products. This is like T - Mobile claiming that its users

23 cannot make calls to AT&T customers .
cannot make calls to AT&T customers .“ - Niam Yaraghi Brookings Institution’s Center for T

24 echnology Innovation Big Data, Bigger Pr
echnology Innovation Big Data, Bigger Problems? More Data = More Analysis = More Biases Take H

25 ome Points • The value of large amoun
ome Points • The value of large amounts of data hinges on the ability of researchers to sha

26 re data, methodologies, and findings in
re data, methodologies, and findings in an open setting. • If empirical value is to be had

27 from the analysis of retrospective data
from the analysis of retrospective data, a more continuous peer - review must be created by

28 groups working together on similar probl
groups working together on similar problems. Acknowledgements • MIT Laboratory of Computatio

29 nal Physiology • Professor Roger Mark,
nal Physiology • Professor Roger Mark, Dr. David Stone, Professor Peter Szolovits • Cours

30 e 6 students from MIT and IBME students
e 6 students from MIT and IBME students from Oxford • Residents, fellows, nurses and pharmac