Taken from
http://www.businessweek.com/articles/2012-05-17/the-health-care-industry-turns-to-big-data:
When patients show up at a hospital, something dangerous
happens: They’re looked at by humans. Because of the hustle in busy
emergency rooms and admission wards, many patients get only a cursory
review of their health, according to Nicholas Morrissey, a surgeon at
New York-Presbyterian Hospital. Mistakes can lead to complications or
missed warning signs and may increase a patient’s chance of winding up
back in the hospital. So Morrissey is working with Microsoft to train computers to make the kind of snap judgments about new
patients’ risk factors that hurried humans often flub. “We don’t want to
take the intuition and clinical decision-making out of the process,” he
says. “We want to facilitate it.”
As hospitals digitize patient records and amass huge amounts of data, many are turning to companies such as Microsoft, SAS, Dell, IBM, and Oracle
for their data-mining expertise, which can help medical providers
perform detective work and improve care. The so-called Big Data business
has already permeated other industries and generated more than
$30 billion in revenues last year, according to research firm IDC. It’s
expected to grow to close to $34 billion this year in part because of
increased use in the health-care industry. Crunching numbers is
potentially good business for hospitals as well. By making “meaningful
use” of computer systems, they’re eligible for millions of dollars in
government funding from the Obama administration’s $14.6 billion program
launched in 2009 to encourage adoption of electronic medical records.
The
use of data-mining technology has already led to some measurable
improvements in patient care. New York-Presbyterian, which started using
Microsoft technology to scan patient records in 2010, has reduced the
rate of potentially fatal blood clots by about a third, says Morrissey.
“I wouldn’t be out there saying we’ve solved the problem, but we’re
definitely making progress. That was a significant drop,” says
Morrissey.
Seton Healthcare Family, a hospital system in central
Texas, learned from IBM software last year that a bulging jugular vein
is a strong—and easily observed—predictor that a patient admitted for
congestive heart failure is likely to wind up back in the hospital.
“We’ve gotten some really tremendous results,” says Ryan Leslie, Seton’s
vice president of analytics and health economics.
Patients don’t
usually know when their records are being analyzed in this way. Federal
law prohibits medical providers from disclosing certain health
information without patient consent, but there is an exemption for
activities that fall under “quality improvement,” says Susan McAndrew,
deputy of health information privacy at the U.S. Department of Health
and Human Services’ office for civil rights. During the analyses done at
New York-Presbyterian and Seton, for example, patients weren’t informed
their medical records were being studied by outsiders’ software.
“People
do not like to have researchers of any stripe using their electronic
health records,” says Deborah Peel, founder of Austin (Tex.)-based
Patient Privacy Rights. “As a matter of respect and autonomy and
patient-centeredness, patients want to be asked. When they are asked, by
and large they support this. It’s the not-being-asked stuff that’s
really bad.”
Deven McGraw, director of the health privacy project
with the Center for Democracy & Technology in Washington,
disagrees. Notifying patients too often can be unnecessarily confusing.
Only ask for permissions, she says, when data “is used in ways that
people might not expect,” she said.
An interest debate is presented in this article. In Seton Hospital, the use of big data has shown to have positive results in patient diagnosis using technology from Microsoft. While the use of this technology has helped patients immensely, they are not told that their ailments are being analyzed by a third party. The law, however, does state that the uses of big data in this manner are acceptable and that the patient does not need to be notified under these circumstances. The other view presented here is that, out of respect, a patient should be notified when their medical information is being seen by a third party. What do you think?
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