It’s hard to think of a more worthwhile use for big
data than saving lives – and around the world the healthcare industry is
finding more ways to do that every day.
From predicting epidemics to curing cancer and making staying in
hospital a more pleasant experience, big data is proving invaluable to
improving outcomes.
This is very good news indeed – as the cost of caring has skyrocketed
in recent years and is expected to continue to do so as the population
ages – to the point where we could be headed for serious trouble.
I’ve spoken before about the hospital unit which found it could
detect infections in newborns 24 hours before symptoms showed, by
monitoring a live stream of heartbeats and breathing patterns.
And I’ve also mentioned Google’s (disputed but interesting) claims
that it could detect outbreaks of flu more accurately than standard
prediction methods by monitoring search activity.
But these are just the tip of the iceberg in an industry which generates mountains of data across every area of its operations.
In fact last year a survey by IDC Health Insights found that 50% of
the hospitals and healthcare insurers put increasing their analytics
capabilities as their top priority for investment over the next year.
And the body of medical literature from which further research
evolves continues to grow every day – with an estimated one million
records per year added to Medline, the online repository of scientific
studies related to medicine.
Efficiency is the great driver here – with the cost of healthcare in
the US currently standing at around 18% of GDP and forecast to rise,
payment models are changing. While traditionally providers have been
paid according to number of patients they treat, a move towards payment
based on results and quality of treatment is taking place. These more
complex metrics require more data and a different analytical skill set,
rather than simply counting the number of patients coming through the
door.
McKinsey & Company compiled a report for the Center for US Health
System Reform which identified four main sources of big data in the
healthcare industry.
They are:
Activity (claims) and cost data.
These are the basic figures showing the amount of care which has been
supplied by providers in the system, and the cost of paying for that
care. Analysis of this tells us about the spread of diseases, and the
priority that should be given to dealing with specific health threats.
The most cost-effective treatments for specific ailments can be
identified and the number of duplicate or unnecessary treatments can be
significantly reduced. In the United States, Methodist Health System has
used a tool which analyses Medicare claims data to highlight groups and
individuals who may need expensive care in the future, allowing for
less costly preventative action at an early stage.
Clinical data
These include patient medical records and images gathered during
examinations or procedures, as well as doctors’ notes. For example, the
Carilion Clinic, in Virginia, says it used natural language processing
algorithms to analyse 350,000 patient records, identifying 8,500 people
at risk of heart problems. Similarly, the American Medical Association
reported that analysis of patient records found only 26% of children who
had recorded three high blood pressure readings at separate visits to
their doctors had been diagnosed as suffering hypertension –
highlighting a significant number of failures to spot the condition.
Pharmaceutical R&D data
Over the last few years a large number of partnerships have sprung up
between pharmaceutical companies – as if they have suddenly become
aware of the huge benefits of pooling their knowledge. In the US major
firms such as Pfizer and Novartis pool their data from trials into the
clinicaltrials.gov website. And in the UK GlaxoSmithKline recently
unveiled its partnership with the SAS Institute which aims to increase
collaboration based on data from clinical trials. Suitable candidates
can be found for trials more effectively by looking into lifestyle
information. And comparison of data from multiple trials can throw up
surprising results which can lead to new breakthroughs. For example the
antidepressant desipramine is being trialled for its potential to
destroy cancer cells in patients with small cell lung cancer.
Patient behaviour and sentiment data
This is data from over-the-counter drug sales combined with the
latest “wearables” which monitor your activity and heart rates, patient
experience and customer satisfaction surveys as well as the vast amount
of unstructured information about our lifestyles broadcast every day
over social media. At the moment wearable devices are mainly used for
personal fitness, but this is set to change – spending on bringing this
information from smart watches, wrist bands, running shoes and other
wearables is expected to reach $52 million by 2019, according to a study
by ABI Research. Services such as ginger.io already allow care
providers to monitor their patients through sensor-based applications on
their smartphones. And Proteus manufacture an “ingestible” scanner the
size of a grain of sand, which can be used to track when and how
patients are taking their medication. This gives providers information
about “compliance rates” – how often patients follow their doctor’s
orders – and can even alert a family member to remind them.
Of course with medical matters patient privacy is always high
priority, and big data brings big challenges in this respect. How
insurance companies will act on the vast increase in information about
our lives that they are able to glean is a concern – will we see
individuals turned down for cover because their running shoes have
snitched that they are lazy?
It is plain to see that there are huge benefits to be had from
analyzing the data about our health that is out there. The mantra of
“prevention is better than cure” has led to a focus on predicting
problems in the early stages when they are easier to treat, and
outbreaks can be more easily contained.
For example, Global Viral monitors data sources including a network
of “listening posts” across Africa and Asia, as well as social media
chatter, to detect the spread of disease from wildlife to humans –
considered to be the source of 75% of diseases which are harmful to
human health.
In the future we are likely to recover more quickly from illness and
injury, and we will live longer. New drugs will come into existence and
our hospitals and surgeries will operate more efficiently – all thanks
to big data
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