HIMSS25: Exploring Patient Care Beyond Disease Categories

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HIMSS25: Know Thy Patient goes beyond disease category and the social determinants

Harnessing Data for Better Health: PCCI’s Know Thy Patient Algorithm to be Unveiled at HIMSS25

Revolutionizing Patient Care Through Advanced Algorithms

In an era where healthcare delivery is becoming increasingly complex, the Parkland Center for Clinical Innovation (PCCI) is set to unveil its groundbreaking Know Thy Patient (KTP) algorithm at HIMSS25 this March. The event promises insights into how machine learning can reshape population health management, providing better care for patients with chronic conditions like diabetes and hypertension.

An Insight into PCCI’s Innovative Approach

PCCI, based in Dallas, Texas, is a leading nonprofit organization dedicated to healthcare analytics and innovation. At the HIMSS25 event scheduled for Thursday, March 6, from 2-3 p.m., experts will delve into how the KTP algorithm leverages unsupervised machine learning clustering techniques. This method classifies patients based on their healthcare usage patterns rather than merely on their disease states, according to Dr. Yusuf Tamer, principal data and applied scientist at PCCI.

Clustering for Comprehensive Understanding

The KTP algorithm focuses on Dallas County’s safety-net population, identifying clusters of patients with diabetes and hypertension by analyzing a myriad of social and clinical risk factors. By doing so, PCCI seeks to uncover vital, actionable insights into the healthcare landscape that traditional methods often overlook.

Uncovering Hidden Factors Impacting Health

Dr. Tamer highlights that the algorithm can reveal underlying risk drivers, including issues such as criminal justice involvement and immigration concerns. This is critical for comprehending the socio-demographic characteristics of these patients, which can lead to ineffective utilization of health services. Routine questionnaires often fail to capture this nuanced information, making the KTP algorithm a game-changer.

Transforming Patient Engagement Strategies

Understanding these underlying factors allows PCCI to enhance its population health strategy significantly. By tailoring interventions to meet the unique needs of diabetic and hypertensive patients, the organization can improve engagement and health outcomes. For instance, the algorithm suggests that outreach in familiar and "safe" environments may be more effective than traditional digital or office-based approaches.

Enhancing Workflow for Better Outcomes

The insights gleaned from the KTP algorithm also facilitate in-depth analyses that can identify missed opportunities for care engagement. This data can inform workflow modifications, employing both traditional EHR-based orders and innovative methods, including telehealth and mobile health units.

Beyond Disease State: A Holistic View of Health

The KTP’s approach underscores the necessity of considering a broad scope of factors—beyond just clinical diagnoses—in guiding healthcare policy and clinical practice. Dr. Tamer emphasizes the importance of recognizing demographics, digital engagement, payer class, and other social determinants of health in effectively assisting vulnerable populations.

Cohort Analysis: Creating Targeted Interventions

By clustering patients with similar characteristics, PCCI can start to craft targeted clinical programs that effectively address the diverse challenges faced by different cohorts. Understanding medical and social barriers is crucial for improving access to quality healthcare and fostering better health outcomes, according to Tamer.

Scalability for National Implementation

The methodology behind the KTP algorithm is not only innovative but also scalable and replicable across various vulnerable populations throughout the United States. This adaptability means that PCCI’s breakthroughs in healthcare analytics could serve as a blueprint for similar efforts nationwide.

Expert Insights to be Shared at HIMSS25

The presentation of "Know Thy Patient: AI/ML-Driven Clustering of Diabetes/Hypertension Populations" at HIMSS25 will feature insights from a panel of experts, including Dr. Yolande Pengetnze, Michael Lane, and Teresita Oaks. These specialists will discuss how the KTP can inform population health strategies and drive positive change within the healthcare system.

A New Era in Data-Driven Healthcare

As healthcare systems continuously strive for efficiency and effectiveness, algorithms like PCCI’s KTP offer a promising pathway for impactful change. By aligning interventions with the specific needs of patients, organizations can allocate resources more effectively and facilitate a more personalized approach to care.

The Future of Healthcare Analytics

With the POWER of machine learning and advanced data analytics, the future of healthcare looks promising. The developments showcased at HIMSS25 not only highlight the potential of technology to revolutionize patient care but also pave the way for other healthcare systems to adopt similar methodologies.

Join the Conversation in Las Vegas

Healthcare professionals, data scientists, and innovators are encouraged to attend the KTP session and engage with the ideas presented. This is an excellent opportunity for learning about implementing advanced analytics in improving health outcomes for chronic disease populations.

Conclusion: The Path Forward in Healthcare

PCCI’s Know Thy Patient algorithm represents a significant step forward in understanding the complexities of patient care. By focusing on clustering and analyzing social and clinical determinants, healthcare providers can significantly enhance their strategies, leading to better health outcomes for vulnerable populations. As we continue to leverage technology in healthcare, the potential for improving lives is boundless.


For more information or to connect with the writer, email SMorse@himss.org.

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