Artificial intelligence a critical factor in improving healthcare, booming life sciences industry see more
HCA Healthcare and Google Cloud are partnering to use data analytics and artificial intelligence along with patient information in a move they say will transform health care delivery and improve outcomes.
It’s the latest step in the evolution of the fusion between health care and data.
Prisma Health recently announced a partnership with Siemens Healthineers. And the Medical University of South Carolina has been working with Siemens Healthineers for years as well as Microsoft.
Proponents say these arrangements benefit patients and providers alike. But they also raise concerns about the security of patient information.
“What they’re doing is harnessing the power of big data to drive informed change and informed decision making,” said Dr. Christine Carr, an emergency physician and senior clinical advisor with the South Carolina Hospital Association.
“Instead of a clinician on the floor saying, ‘I think this is the best way we should do our physician schedules or manage heart failure,’ we have so much data and analytic power now,” she told Integrated Media, publisher of Greenville Business Magazine, Columbia Business Monthly and Charleston Business Magazine. “It’s kind of like your iPhone, knowing where you’re going when you get in the car. We realize we have to get ahead of the disease.”
If a patient has shortness of breath, for example, providers can use data tools to predict if he has a pulmonary embolism without doing any testing, Carr said. And if he does, other tools can help determine whether he should be admitted to the hospital or sent home on medication, she said.
“The real power of using big data in health care is that it helps us deliver more efficient, high-quality care with fewer disparities,” adds Caroline Brown, chief of external affairs for MUSC and the Medical University Hospital Authority.
“There is tremendous value in marrying disparate data that lives in different places to transform the way we deliver care. There are huge benefits for patients for this data to come together,” she said. “We can practice in a more preventive way than a reactive way.”
But how accurate are these tools? Carr says they’re validated to a high degree of certainty so the clinician knows the risks.
“They are extremely accurate,” she said, adding that doctors are still the ones making the decisions.
“It delivers information but you as a human have to ultimately decide what to do,” she said. “And any unique person is a unique person. Sometimes, I just override it. And sometimes I’m right. There are still humans, for now, at the end.”
Another benefit of predictive analytics is lowering costs, Carr said.
For instance, by analyzing a patient’s information, a doctor may determine that she only needs a mammogram every three years instead of annually, she said. And it can predict the risk of hospital readmissions too, she added, “which is a big financial driver for hospitals.”
Carr speculates that all large health systems are getting into the predictive analytics space, adding that insurance companies have been using it for years to predict population health based on ZIP code, health history and socioeconomic factors.
Founded in 1968, Nashville-based HCA Healthcare is a for-profit system with some 2,000 care locations - including 186 hospitals - in 20 states and the United Kingdom.
Google Cloud, which “aims to accelerate companies’ digital transformation,” says it has business customers in more than 200 countries.
A spokesman for HCA said the company would have no comment beyond a press release and a Google spokeswoman did not return calls.
But in that release, HCA CEO Sam Hazen said that “next-generation care demands data science-informed decision support so we can more sharply focus on safe, efficient and effective patient care.”
And Google Cloud CEO Thomas Kurian said, “The cloud can be an accelerant for innovation in health, particularly in driving data interoperability, which is critical in streamlining operations and providing better quality of care to improve patient outcomes.”
Meanwhile, Adam Landau, vice president of marketing and corporate affairs for HCA’s South Atlantic Division, said in an email that it’s too early to know what the partnership will mean for its South Carolina hospitals - Colleton Medical Center in Walterboro, Grand Strand Medical Center in Myrtle Beach and Trident Health, which consists of Trident Medical Center in Charleston and Summerville Medical Center in Summerville.
“I can tell you that we’re proud to be a part of HCA Healthcare,” he said. “In combination with significant investments in mobility to support clinical care … this partnership accelerates the work of HCA Healthcare clinicians, data scientists and developers by providing highly scalable technology from Google Cloud.”
For example, he said, technology has been developed using predictive analytics that helps detect sepsis early, potentially saving lives. Another application uses clinical observations and ventilator-streamed data to reduce the length of stay for patients with acute respiratory distress syndrome (ARDS) and increase survival rates of Covid patients by 28 percent, he said.
Brown said that health care is behind other consumer-driven industries in delivering on 21st century data technology.
“One thing the … industry has been behind on is this whole consumer experience and digitalization of that over the last years,” she said. “Customers are expecting and demanding easier access to health care, they want to do so virtually from home, and in other formats that previously weren’t commonplace.”
MUSC is using data analytics to help identify gaps in care, to map workflow so the system is more efficient, and to reduce wait times for patients, among other things, she said.
A partnership with Medtronic uses more consistent monitoring technology in hospitalized patients to reduce the number of adverse respiratory events in patients prescribed opioids, she said. Another project aims to prevent hospitalizations by catching patients with heart failure and intervening earlier.
MUSC also worked with Microsoft using artificial intelligence (AI) and machine learning to detect and address potentially deadly sepsis in hospitalized patients, she said.
Prisma said its 10-year partnership with Siemens will use AI to develop algorithms to help clinicians make more informed decisions, allowing for quicker and more precise diagnoses and treatment plans.
Some of the AI will be embedded in new imaging machines as software while other AI will be developed through the partnership. Siemens will also have health economists on site studying new technologies to see if they reduce health care costs.
But with a growing number of entities gaining access to patient information, just how secure are arrangements like these?
Nationwide, the number of health information data breaches affecting 500 or more people grew from 329 in 2016 to 648 in 2020, with hacking events growing from 78 to 230 and ransomware attacks soaring from 36 to 199 during that time frame, according to the U.S. Department of Health and Human Services.
Ransomware is a multibillion-dollar industry, said James Andrew Lewis, senior vice president and director of the Strategic Technologies Program at the Center for Strategic and International Studies.
And hospitals make good targets because attackers are purely about the money and go after what will generate the most return, he added.
“You can hack a hospital and make $4 million or hack an individual and make $4,000,” he said. “These guys like bulk business. Not onesies or twosies.”
Most hospitals pay because it’s not worth the hassle, Lewis said.
Some have insurance to cover ransomware attacks. But most attackers hone in on what they think the target can afford and go for that at the hospitals that are easier to breach, he said. And if they think the hospital can pay $4 million, they’ll start out asking for $6 million, he said.
So moving to the cloud makes sense, Lewis said, because while it’s not impossible to hack, it is much more difficult and could be more secure. A lot depends on the terms of the contract, such as where the data will be stored and how it will limit the risk to privacy, he said.
Both Google and HCA say their arrangement will protect patient privacy and data by using “layers of security controls and processes” and complying with federal privacy requirements.
“The partnership is founded on strict guiding principles around privacy and security,” Landau said. “Our contract prohibits Google Cloud from the use of patient identifiable information.”
Brown said MUSC also only uses deidentified patient data for its projects. That means information like names and addresses are removed but relevant clinical data remain, subject to privacy guide rails, she said.
“Cybersecurity is a huge issue globally across all industries, and health care is no different,” she said. “Any arrangement … has to be done with utmost scrutiny to make sure patients are kept first, and commit to making sure they are protected.”
A lot of the push for these types of relationships comes from hospitals looking to solve complex health care problems on a large scale, said MUSC chief information security officer Aaron Heath.
Machine learning is helping to do that with the use of lots of data, he said, but when those two intersect, there has to be a mechanism to share the least amount of data necessary.
At the end of the day, he said, a hospital doesn’t need to put patient privacy on the hook to solve its problems.
“If we want to solve for sepsis in the hospital - detect it often and early and respond quickly - we don’t have to share patient data,” he said. “Hospitals are … only sharing the minimum amount of data to accomplish goals.”
Nonetheless, he said, it’s not without risk and hospitals need to have contracts with digital companies that prevent data from being used for any other purpose.
“There are a lot of controls we can take,” he said, “because it’s really important.”
Prisma Health said that protecting patient privacy is critical and that it has multiple systems and checks in place to safeguard it.
“As part of our Siemens Healthineers’ intelligent insights center, we will use de-identified, blinded patient data,” spokeswoman Sandy Dees said in a statement. “Under no circumstances will specific identifiers such as names, birth dates or addresses be used.”
When it comes to ransomware, hospitals are in a tough position because they can’t stop business for an attack, said Heath. MUSC has layers of defense designed to mitigate the ransomware threat so if one is breached, another kicks in, he said.
“You may not get hit by ransomware, but I can assure you your system is being targeted by phishing emails,” he said. “We are monitoring systems at all times to look for and flag potential phishing emails and get them out of our system because it’s such a common (and easy) avenue of attack. We have seen phishing emails come in to us intended to ultimately trigger an attack, but have caught them.”
A significant problem in dealing with ransomware is that most attacks come from outside the U.S. and there’s a lack of international law enforcement to allay it, Heath said.
“It’s a real challenge to stop this activity across the globe because it can be conducted from anywhere,” he said.
So MUSC invests “quite a bit” in new technology and the staff to support it, he said. And the system is constantly monitoring security and conducting training because cybercrime is a moving target that requires frequent adjustments, he said.
Still, Lewis said that ransomware “is not rocket science,” and that hospitals should be able to deal with it by backing up and encrypting data and spending more on IT to keep current.
“A big cloud provider makes you more secure. It’s their business,” he said. “Hospitals - their business is patient care, and (those) that invest proactively are better able to protect data.”
A federal health care cybersecurity task force established by HHS produced a report in 2017 that outlined ways to improve protection of health information, among them increasing the security and resilience of medical devices and health IT like electronic medical records; ensuring that the health care workforce prioritizes cybersecurity; and enhancing health care industry readiness through improved cybersecurity awareness and education.
“It’s sad we have to do this,” Lewis said. “But it’s the world we’re in and we have to pay more attention.”
Prisma aligns with Siemens Healthineers see more
Prisma Health is entering a 10-year partnership with German technology company Siemens to become more efficient and improve patient care, the companies announced June 22.
Prisma staff members will work with technology experts from the Siemens Healthineers division to evaluate how the company uses technology to treat patients, including the use of artificial intelligence.
Prisma Health, the state’s largest hospital system, needs to keep improving how it works as the challenges of health care, from rising costs to keeping a trained workforce, keep mounting, Prisma Health CEO Mark O’Halla said.
“We have to get better — better outcomes and cheaper,” O’Halla said.
One of the roles that technology can play is to make work more efficient for the staff, both through better systems and training, said Dave Pacitti, president for the Americas of Siemens Healthineers, the health care tech portion of the German engineering giant.
That should bring more time for clinical staff to treat patients, he said.
No financial terms of the 10-year partnership were disclosed, but Pacitti said it is his company’s largest partnership with a health care provider.
Artificial intelligence will be used to study how Prisma Health is treating patients by analyzing the collected data with no names of patients attached, O’Halla said.
AI also will be able to help care for individual patients, Pacitti said. One example: an AI system can work in the background as a doctor or other staff members examine computer images from a scan, looking to highlight areas on the image that that need more scrutiny.
The deal will include adding more modern diagnostic equipment from Siemens and making sure that the systems are deployed around the state in the most efficient way possible, O’Halla said.
For Siemens, the deal will provide direct clinical feedback on how its systems work in medical offices.
Prisma Health operates 18 hospitals, including the former Palmetto Health system in the Midlands. Headquartered in Greenville, it employs more than 30,000 staff members.
Dr. David Cole chronicled many MUSC achievements during the 2020 fiscal year see more
CHARLESTON, S.C. (Aug. 14, 2020) – Recently, the Medical University of South Carolina (MUSC) and Medical University Hospital Authority (MUHA) Board of Trustees held their regularly scheduled combined committee sessions and board meeting. With its fiscal year-end closing on June 30, MUSC administrators focused on the multilayered impacts of the novel coronavirus on the operations of all three missions of the institution – education, research and patient care – along with MUSC’s leadership role across the community and state during this pandemic. To support established social distancing guidelines in the COVID-19 era, the MUSC trustees and administrators met via teleconference.
“The ripple effects of the pandemic continue to reach every area of our institution,” said MUSC President David J. Cole, M.D., FACS. “We are committed to battling this virus at every turn and continue to find innovative ways to deliver safe, top-quality education and patient care in the face of this challenge. In addition, we are engaged in ongoing research projects, many which, in collaboration with national networks, are designed to help define how to best treat and mitigate the impact of this virus.”
“Throughout the pandemic, MUSC Health has been recognized and called upon as an essential health care resource, having performed nearly 138,000 diagnostic screening tests, primarily through mobile testing sites in communities across the state,” said Patrick J. Cawley, M.D., CEO of MUSC Health and vice president for Health Affairs, University. “In partnership with the state legislature, MUSC set up mobile screening and collection sites in rural and underserved areas in an intentional bid to reach those who are most vulnerable and too often underserved when it comes to health care. Reliable diagnostic and antibody testing remain key elements of managing this unprecedented statewide health challenge.”
Despite the hurdles posed by COVID-19, Cole chronicled many MUSC achievements during the 2020 fiscal year, including:
- The MUSC Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion opened in February.
- MUSC became the only institution in the country to house both a Digestive Disease Research Core Center and a Center for Biomedical Research Excellence in Digestive and Liver Disease.
- MUSC Health West Ashley Medical Pavilion opened as scheduled in December and served 10,418 patients in the first month, with 214 operative procedures.
- The South Carolina Clinical & Translational Research Institute, one of about 60 Clinical and Translational Science Award hubs nationwide, was awarded a $24M five-year renewal.
- Safely held a series of virtual graduation celebrations, including a drive-through diploma pick-up event for its 660 graduates.
- Transitioned more than 3,000 students to online education in response to the novel coronavirus within 24 hours’ notice.
- MUSC was first in the nation to combine drive-through testing with a virtual screening platform for potential COVID-19 patients.
- MUSC and Clemson collaborated to launch the Healthy Me – Healthy SC program to increase health access and fight health disparities statewide. The program began expanding in early 2020 after successful pilots in Anderson, Barnwell and Williamsburg counties.
- MUSC, Clemson and Siemens Healthineers co-hosted a summit in Columbia about artificial intelligence (AI) to bring together faculty, clinicians and engineers. They shared information about current work, new opportunities and discussed the future of AI in health care. The pilot effort funded three joint AI projects with Clemson.
- U.S. News & World Report named MUSC the state’s best hospital for the fifth consecutive year.
- The inaugural 2019 Lowvelo Bike Ride for Cancer Research engaged more than 709 cyclists and 300 volunteers, raising some $650,000 to support MUSC Hollings Cancer Center.
- The U.S. Patent Office granted the MUSC Foundation for Research Development 18 patents.
- MUSC received $25 million from the General Assembly to partner with the South Carolina Department of Health and Environmental Control and the South Carolina Hospital Association to develop and deploy a statewide testing plan. The focus of the plan is on rural and underserved areas of the state. More than 200 testing events/sites have been implemented.
- MUSC Health continues to support the reopening plan and testing strategy for the University of SC, College of Charleston, The Citadel and Clemson University.
The 16-member MUSC/MUHA board voted unanimously to elect James Lemon, DMD, as chairman and Charles W. Schulze, CPA, as vice chairman. Each will serve a two-year term. Lemon is an oral and maxillofacial surgeon by training. A native of Barnwell, he has lived in Columbia for more than three decades. Elected to the MUSC board in 2014, he serves as the medical professional representative from the 2nd Congressional District. Schulze, a Greenwood native, began his first term as an MUSC trustee in 2002 as the lay representative from the 3rd Congressional District. A retired shareholder of a regional accounting and consulting firm, Schulze currently practices and is an expert in financial forensics.
In other business, the board voted to approve:
- The fiscal year 2021 budgets for MUSC (University), the MUSC Health system and MUSC Physicians.
- Moving the spring commencement and graduation date from its originally scheduled date of May 22 to May 15, 2021.
- A seven-year lease to provide new clinical care space for the MUSC Neuro Rehabilitation Institute in Charleston.
- A supplemental HVAC system for the MUSC Hollings Cancer Center Compounding Pharmacy.
- A lease renewal to provide 140 parking spaces at the intersection of Line Street and Hagood Avenue.
The MUSC/MUHA Board of Trustees serves as separate bodies to govern the university and hospital, normally holding two days of committee and board meetings six times a year. For more information about the MUSC Board of Trustees, visit http://academicdepartments.musc.edu/leadership/board/index.html.
About The Medical University of South Carolina
Founded in 1824 in Charleston, MUSC is the oldest medical school in the South as well as the state’s only integrated academic health sciences center with a unique charge to serve the state through education, research and patient care. Each year, MUSC educates and trains more than 3,000 students and nearly 800 residents in six colleges: Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing and Pharmacy. The state’s leader in obtaining biomedical research funds, in fiscal year 2019, MUSC set a new high, bringing in more than $284 million. For information on academic programs, visit musc.edu.
As the clinical health system of the Medical University of South Carolina, MUSC Health is dedicated to delivering the highest quality patient care available, while training generations of competent, compassionate health care providers to serve the people of South Carolina and beyond. Comprising some 1,600 beds, more than 100 outreach sites, the MUSC College of Medicine, the physicians’ practice plan, and nearly 275 telehealth locations, MUSC Health owns and operates eight hospitals situated in Charleston, Chester, Florence, Lancaster and Marion counties. In 2020, for the sixth consecutive year, U.S. News & World Report named MUSC Health the No. 1 hospital in South Carolina. To learn more about clinical patient services, visit muschealth.org.
MUSC and its affiliates have collective annual budgets of $3.2 billion. The more than 17,000 MUSC team members include world-class faculty, physicians, specialty providers and scientists who deliver groundbreaking education, research, technology and patient care.
MUSC and Siemens Healthineers Form Strategic Partnership to Disrupt and Reshape Health Care DeliveryMUSC, Siemens Healthineers craft extraordinary agreement to advance healthcare see more
The Medical University of South Carolina and Siemens Healthineers have formed a first-of-its-kind strategic partnership with the mutual goal of advancing the quality of health care in South Carolina. The partnership will capitalize on the coupling of MUSC’s clinical care, research and education expertise with Siemens Healthineers’ engineering innovations and workflow-improvement capabilities.
“We are leveraging a longstanding relationship to reshape what we can both deliver in health care,” said David J. Cole, M.D., MUSC president. “Our nation is demanding that we address our fractured, costly and inefficient health care delivery systems. As the leading academic health sciences center in this state, MUSC’s purpose must be to drive the highest quality care for our patients at the lowest cost through commitment and partnerships. In discussions with the Siemens Healthineers team, we discovered a high degree of alignment with these concepts, and we are very excited to have them move forward with us. Our mutual goal is to not merely provide the best care possible for just our patients; we will define the new gold standard for others to follow.”
Specifically, this new agreement will focus on driving performance excellence at MUSC and generating significant clinical and value-driven innovations in focused target areas including pediatrics, cardiovascular care, radiology, and neurosciences.
“Ultimately, our goal is to enable health care providers to get better outcomes at lower cost. We will achieve that by empowering MUSC clinicians on this journey through four specific areas of focus – expanding precision medicine, transforming care delivery, improving the patient experience, and digitalizing health care,” said Dave Pacitti, president of North America for Siemens Healthineers. “These four core values of Siemens Healthineers are representative of the goals of our strategic relationship with MUSC, and we hope that the spirit of this flagship partnership will initiate a trend in value based care within the industry.”
University of South Carolina Opens Innovation Think Tank Lab in Partnership with Siemens HealthineersSiemens Healthineers and USC have forged a new partnership see more
The University of South Carolina has opened its Innovation Think Tank (ITT) Lab in downtown Columbia in collaboration with Siemens Healthineers. The space will be an innovation hub where participants including researchers, faculty members, and students can think outside the box to solve issues in healthcare, artificial intelligence, robotics, and information technology. The ITT Lab at South Carolina is the first Innovation Think Tank Lab affiliated with a U.S. university, as part of Siemens Healthineers' global network of Innovation Think Tank Labs led by adjunct professor Sultan Haider.
"Centers like this are so important because they bring technology and use it to create something new and do things differently," said Elizabeth Regan, the chair of Integrated Information Technology at the College of Engineering and Computing. "That involves opening your mind, moving yourself out of your comfort zone, innovative thinking, and collaborating."
Computer science professor Neset Hikmet, who oversaw the lab's creation, said his vision for the lab is to host workshops with participants from diverse academic backgrounds and to provide them with mentorship and resources to solve pressing issues in healthcare and beyond. "These are all opportunities that have participants getting out of their boundaries, meeting different people, and experiencing different cultures and ways of doing things," Hikmet said.
Hossein Haj-Hariri, dean of the College of Engineering and Computing, noted the importance of the university's growing partnership with Siemens. "The focus of Siemens Healthineers is very much aligned with that of modern curricula, which stress design thinking in addition to coverage of the fundamentals," Haj-Hariri said. "Furthermore, the innovation process underpinning Healthineers and ITT provides a natural platform for imparting to the participants the soft skills necessary for success in the 21st century."
Dilek Akgun, director of operations at the ITT Lab, said that this new facility will promote creative thinking in the future. "The ITT Lab will allow us to bring people together from a variety of disciplines to share their unique perspectives, which will stimulate innovation and help great ideas become reality," Akgun said.
Thanks to the UofSC ITT Lab's affiliation with Siemens Healthineers' global ITT infrastructure worldwide, the participants will be able to share knowhow with other ITT members and participate at its various locations in Germany, the U.K., China, Turkey, India, and the U.S. This global network will allow participants to collaborate with other innovators worldwide.
Siemens Healthineers' ITT Lab founder and director Haider, who is also now affiliated with the College of Engineering and Computing as an adjunct professor to help with the successful implementation of the lab, heads Siemens Healthineers' ITT global organization from Germany. Haider noted the benefits that students will see from this new partnership. "In addition to many new learning possibilities, the UofSC ITT lab's top participants will have the potential for receiving a variety of fellowships and internships with the Siemens Healthineers ITT lab global network," Haider said.
In conjunction with the opening of the ITT Lab, 20 participants from academic institutions such as South Carolina, Georgia Tech, Benedict College, and the University of Florida participated in a two-day "Interdisciplinary Innovations in Healthcare Workshop." There, the participants were challenged to identify a problem in the healthcare industry and then develop and present a real-world solution to that problem.
In just two days' time, these participants' ideas showed the possibilities of this new lab organized around innovation. Their ideas included an app for stroke detection and monitoring in real-time, an implant that holds patients' medical history, and a smart pill that treats obesity.