HEALTHTECH SECURITY, AI
Truveta | April 13, 2023
Truveta introduces the Truveta Language Model a large-language, multi-modal AI model for transforming electronic health record (EHR) data into billions of clean and accurate data points for health research on any drug, disease, or device. TLM’s healthcare expertise is trained on the largest collection of complete medical records representing the full diversity of the United States. It is the first large-language model specifically designed to empower researchers to study all patient care and outcomes.
As healthcare considers the potential of AI and real-world data, the opportunities and potential consequences are real. General large language models understand language but are inaccurate within the medical domain due to being trained on the public internet, which contains no real medical records. In contrast, TLM combines pre-trained open large language models with additional training on the most complete and representative clinical data set to achieve above 90% accuracy on diagnoses, medications, lab results, lab values, clinical observations, and more.
While claims data are the standard of data used in health research today, they are created by normalizing electronic health record (EHR) data to maximize revenue reimbursement for encounters, medications, and labs, resulting in commercial bias in all claims data-based health research. Instead, TLM normalizes EHR data to maximize clinical accuracy and is trained without commercial bias, helping ensure research is conducted with data focused on clinical outcomes, not billing.
With TLM, Truveta’s community of healthcare and life science customers are currently studying concepts previously inaccessible in messy clinician notes but now structured for analytics, such as seizure frequency, changes in treatment regimen, and adverse reactions to medication.
“Other industries are benefiting from the advancement of AI, but the private, fragmented, and unstructured nature of healthcare data has made applying AI to patient data extremely challenging to this point,” said Jay Nanduri, chief technology officer, Truveta. “Accurate AI requires the most advanced technology matched with an incredible volume of data trained by the best expertise. By using clinical expert-led AI to unlock the power of rich healthcare data, researchers can now ask and answer complex medical questions of a real-time, fully transparent view of U.S. health.”
Delivering the cleanest healthcare data
Healthcare data is recorded in heterogeneous systems with millions of different ways clinicians, hospitals, and health systems express observations, diagnoses, medication plans, and more. Clinicians use different terms based on their location, training, and expertise. “Acute COVID-19,” “COVID,” “COVID-19,” “COVID infection,” and “COVID19 _ acute infection” all refer to COVID-19, and “600mg Ibuprofen” and “Ibuprofen 600mg” are the same thing. To analyze healthcare data, this diverse medical language, including misspellings or abbreviations, must be normalized to medical information ontologies.
AI models are only as good as the data they are trained upon. TLM is trained upon data from Truveta’s health system members currently representing more than 80 million patient journeys, including 5.5 billion diagnoses, 3.1 billion encounters, and 2.4 billion medication orders. Updated daily, Truveta Data combines this EHR data with insurance claims, mortality, and social drivers of health data, for unmatched breadth and depth of data for research. Using this unprecedented data, Truveta’s clinical expert annotation team labels tens of thousands of raw clinical terms to train TLM to normalize healthcare data for clinical accuracy, and then checks the results of the model as it runs.
“Truveta Language Model has been trained to understand medical terminology and concepts,” said Cezary Marcjan, vice president of AI technology at Truveta. “Our approach removes commercial bias in today’s claims data normalization. The system is solving billions of normalization problems, mapping millions of medical concepts every day with high confidence.”
Unlocking the depth of information within clinician notes
Clinician notes hold critical information about the patient journey, such as disease stages, adverse events, medication change rationales, and disease symptoms not found in claims data sets, nor found in most structured EHR analytics data. For example, a structured dataset might include a medication and later a diagnosis of a rash, but the clinician note is the only place where those two concepts are connected, showing the rash as an adverse reaction to the medication.
TLM combines general large language models that understand English with rich medical expertise to structure these concepts from clinician notes. Truveta Data today include more than 2.5 billion notes and growing every day. TLM can identify and normalize clinical concepts identified within a clinician note, as well as detect negation and map relationships between detected concepts to increase the accuracy of the structured concepts. TLM applies reason over the entire medical record, accounting for changes over time, to ensure the most accurate and complete information is structured. With TLM, a researcher studying cancer would be able to see when a therapy is no longer working or when updated images indicate new disease progression that requires a change in treatment.
“COVID-19 showed many gaps in clinical data and the grim impact they can have. Initially, COVID-19 symptoms and details weren’t put in the structured data, but often captured in the clinician notes, making it hard to detect the virus’ patterns quickly. Yet, COVID-19 isn’t the only once-rare disease or pandemic we’ll face as a society,” said Michael Lucas, principal machine learning engineer at Truveta. “Clinician notes capture missed medications, diagnoses, surgeries, symptoms, adverse events, and so much more. By adopting state of the art AI, Truveta makes critical insights available for research to find cures faster.”
Truveta was formed and governed by US health systems with a shared vision of saving lives with data. Truveta now offers the world’s first health data and analytics solution to study patient care and outcomes.
AI, HEALTHCARE ANALYTICS
Henry Schein One | March 21, 2023
Henry Schein One, a joint venture of Henry Schein Inc. and Internet Brands, has reinforced their commitment to helping dental practices harness the power of Artificial Intelligence (AI) by fully integrating AI solutions into Dentrix Ascend, the Company’s cloud-based practice management software. These solutions include Dentrix® Ascend Detect AI powered and manufactured by VideaHealth, and Dentrix Ascend Voice, powered by Bola AI.
Both Dentrix Ascend Detect AI and Dentrix Ascend Voice offer powerful tools to help dental professionals improve case acceptance and elevate patient care through accurate diagnoses. Dentrix Ascend Detect AI is an AI-enabled X-ray analysis tool that provides real-time chairside insights to dentists and hygienists, and is powered by VideaHealth’s FDA-cleared computer-assisted detection (CADe) device. With this tool embedded directly into Dentrix, and now Dentrix Ascend, oral health professionals can seamlessly use AI in dental practices within their existing workflows. The software automatically analyzes and annotates images, enabling dental professionals to more quickly evaluate x-rays and provide more effective treatment recommendations to patients. As a result, dentists and hygienists can provide greater transparency to patients, improve trust and case acceptance, and elevate patient care.
Dentrix Ascend Voice has advanced AI technology that improves speed and efficiency for dentists and hygienists when completing Perio exams and clinical notes. By letting hygienists easily record results verbally, it can improve Perio exam productivity, treatment acceptance, and patient referrals, helping to improve profitability. For dentists and hygienists, Dentrix Ascend Voice saves valuable time by simplifying their data entry.
“We at Henry Schein One are committed to bringing AI solutions to dental practices that work naturally within their current workflow, so practitioners receive the powerful benefits without adding extra steps,” said Paul Hao, Chief Product Officer, Henry Schein One. “We’re excited to now bring our AI enabled X-ray analysis and voice recognition solutions to our Dentrix Ascend customers, and we’ll continue to invest in AI solutions that can help dentists provide the best possible patient care.”
VideaHealth is the dental AI platform trusted by the world's leading DSOs and dental clinicians. Rooted in AI research conducted at Harvard and MIT, VideaHealth’s FDA-cleared dental AI technology is clinically proven to improve diagnostic accuracy and treatment plans, enabling dentists to consistently deliver better patient care. Focused on driving clinical excellence, VideaHealth has the largest and most diverse data set in the market, which strengthens clinical decision-making abilities and patient relationships. Backed by leading venture capital firms Spark Capital, Zetta Venture Partners and Pillar VC, VideaHealth is headquartered in Boston.
About Bola AI
With Bola AI, the future of speech artificial intelligence (AI) is here. By harnessing the power of advanced technologies that work seamlessly, this platform can provide efficient, fully integrated, and accurate speech solutions for Perio Charting, Clinical Notes and more. With Bola AI, practices can empower themselves to create a smarter patient experience while improving operational efficiency and driving revenue. Get ready to revolutionize the way your practice operates with Bola AI. Bola AI is headquartered in Boston, MA.
About Henry Schein One
Henry Schein One, LLC, a joint venture between Henry Schein, Inc., and Internet Brands, aims to transform dentistry by ensuring practice success, improving patient experience, and increasing access to care. The company offers the only all-in-one suite of market-leading solutions for dental practices, including Dentrix®, Dentrix Ascend®, Dentrix® Enterprise, Jarvis Analytics™, TechCentral™, Sesame Communications, Lighthouse360®, Officite, and DentalPlans.com® as well as solutions offered through international companies, including Dentally, Software of Excellence, Logiciel Julie, InfoMed, axiUm, and LabNet, among others. With Henry Schein One’s suite of software solutions, dental practices and DSOs optimize profitability, ensure market-leading security, drive scalability and enhance clinical care. Headquartered in American Fork, Utah, the company’s software is used by more than 100,000 dental locations in the US and internationally.
About Henry Schein, Inc.
Henry Schein, Inc. is a solutions company for health care professionals powered by a network of people and technology. With more than 22,000 Team Schein Members worldwide, the Company's network of trusted advisors provides more than 1 million customers globally with more than 300 valued solutions that help improve operational success and clinical outcomes. Our Business, Clinical, Technology, and Supply Chain solutions help office-based dental and medical practitioners work more efficiently so they can provide quality care more effectively. These solutions also support dental laboratories, government and institutional health care clinics, as well as other alternate care sites.
DIGITAL HEALTHCARE, MEDICAL DEVICES
Businesswire | April 12, 2023
Pria, an innovative healthcare technology company that is transforming the way chronic care management is delivered at home, announced that Pria will be using InterSystems Health Connect Cloud to deliver the integration required to accelerate Pria’s efforts to revolutionize the operating system for health at home.
With Pria, providers, patients, and family caregivers can access a suite of health management tools to help them monitor and manage all aspects of their prescribed care plans. Through cloud-based connectivity, Pria’s platform can be used to identify eligible patients, align their care plan with a Pria Wellness Plan, and integrate patient data with their electronic health records.
With guaranteed delivery, reliability, and stability, InterSystems Health Connect Cloud delivers comprehensive healthcare interoperability via a platform-as-a-service (PaaS) offering. Health Connect Cloud streamlines data integration between clinical systems and applications, while managing the entire infrastructure and providing enhanced data automation and management capabilities to help providers and application developers rapidly leverage HL7 FHIR® and other healthcare standards to connect systems and solutions. As a PaaS model, it is ideal for digital health solution developers such as Pria because it reduces infrastructure and licensing costs and ensures compliance with standards, allowing developers to focus on building their unique product offering.
According to Pria’s CEO Ainar Abdrakhmanov, “We are thrilled with the continued support and collaboration from InterSystems to advance our operating system for health at home. With InterSystems' cutting-edge technology and expertise, we will develop a platform that enables healthcare organizations to deliver health-at-home, value-based care for the Medicare population. Our innovative platform will simplify and improve the scalability of the health-at-home solutions market, thereby resolving current market pain points.”
“InterSystems is thrilled to collaborate with forward-thinking companies in pursuit of a shared goal: leveraging technology to deliver advanced data automation and intelligence solutions that improve patient outcomes,” said Paul Grabscheid, Vice President of Strategic Planning, InterSystems. “Through supporting innovative companies like Pria, we are excited to push the boundaries of what's possible in healthcare and revolutionize traditional approaches to data management and analysis.”
Pria is building the standard for health-at-home solutions by delivering a platform that streamlines workflows, improves patient outcomes, and reduces costs. The company's innovative approach has earned it a reputation as a game-changer in the healthcare industry. Pria's integration of health-at-home solutions on one platform supports healthcare organizations to lower costs while delivering a patient engagement experience through Pria's Digital Nurse.
Pria will be demonstrating their operating system for health at home and the Pria Digital Nurse at HIMSS 2023 in InterSystems booth #942.
Pria also announced an investment from InterSystems Corporation, that follows several years of technical collaboration and promises to accelerate Pria’s efforts to revolutionize the operating system for health at home.
Established in 1978, InterSystems is the leading provider of next-generation solutions for enterprise digital transformations in the healthcare, finance, manufacturing, and supply chain sectors. Its cloud-first data platforms solve interoperability, speed, and scalability problems for large organizations around the globe. InterSystems is committed to excellence through its award-winning, 24×7 support for customers and partners in more than 80 countries. Privately held and headquartered in Cambridge, Massachusetts, InterSystems has 36 offices in 25 countries worldwide.