Automation and Robotics

Electronic health records (EHRs) have become ubiquitous in healthcare and are generated in large quantities and diverse content. With this explosion of such information in conjunction with community data and the advent of powerful artificial intelligent analyses, we are now in the perfect storm to improve healthcare by reducing morbidity, mortality and costs.This keynote talk will report several predictive modeling applications, development of natural language processing from deep neural networks, and recent field evaluation of a predictive model at the point-of-care in a large children’s hospital. We have developed predictive modeling automatically learned from large structured and unstructured EHR data such as demographics, laboratory results, medications, and narrative clinical reports, in conjunction with community data such as birth and death records. We applied the models to risk identification of infant mortality, morbidity in pediatric intensive care, 30-day hospital readmissions, and suicide attempts. In addition, we have developed deep neural networks for identification of social context from narrative clinical reports. Social context has demonstrated to be one of critical factors impacting healthcare outcomes. Most importantly, very few predictive modeling has demonstrated its effectiveness in real-time clinical practice. We demonstrated up to 43% of readmission reduction in two months of pilot study within a large children’s hospital by combining risk prediction and hospital intervention.