H2O.ai > Case Studies > Machine Learning to Save Lives

Machine Learning to Save Lives

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Company Size
1,000+
Region
  • America
Country
  • United States
Product
  • Advanced Alert Monitoring System
Tech Stack
  • Machine Learning
  • Data Analytics
  • H2O
Implementation Scale
  • Enterprise-wide Deployment
Impact Metrics
  • Customer Satisfaction
  • Productivity Improvements
Technology Category
  • Analytics & Modeling - Machine Learning
  • Analytics & Modeling - Predictive Analytics
Applicable Industries
  • Healthcare & Hospitals
Applicable Functions
  • Quality Assurance
Use Cases
  • Predictive Maintenance
  • Remote Patient Monitoring
Services
  • Data Science Services
About The Customer
Kaiser Permanente is an integrated healthcare system, where patients receive a variety of services and treatments under one roof. With 10 million members, Kaiser Permanente has vast amounts of data, and is using innovative approaches to make this data work for the benefit of its patients and clinicians. Kaiser has always been on the forefront of using technology – as early as 1970s, the company began keeping electronic medical records. Today, Kaiser members have a variety of methods available to them to interact with their doctors and nurses – using the web, e-mail and mobile apps to get the answers they need faster. All this data is captured and can be used to solve specific problems.
The Challenge
Kaiser Permanente, an integrated healthcare system, was facing a challenge with patients who undergo an unplanned transfer to the Intensive Care Unit (ICU). These patients experienced significantly worse outcomes than those directly admitted to the ICU. They represented about a fourth of all Kaiser ICU admissions, a fifth of all deaths in the hospital, and about an eighth of all of the hospital days. The patients who experienced an unplanned transfer to the ICU experienced two to five times the mortality of patients who are directly admitted to the ICU, and they would stay in the hospital an average of 8 to 12 days more than patients who are directly admitted to the ICU. The challenge was to identify these patients ahead of time who are likely to crash and be rushed to the ICU, and intervene before the deterioration.
The Solution
Kaiser decided to use available data about a patient and build a mechanism that could identify when deterioration might occur. They developed the Advanced Alert Monitoring (AAM) System, which helps identify patients who are likely to crash, and they recognize them 12 hours before they experience the deterioration. The AAM has four components: risk analysis and the creation of the score, monitoring and warning, dissemination and communication of the scope, and finally – the intervention. They used bed history data, chemistry, vital signs, comorbidities, and demographic information to estimate either the probability of a late transferring to the ICU that is a sudden crash or mortality in the hospital. Once the data is collected and cleaned, the team worked on feature engineering and then applied a variety of training and testing datasets. The team explored each parameter and its linkage, got the clinicians involved to look at every case, and then performed a characteristics review and threshold analysis to make sure that a threshold made sense.
Operational Impact
  • Clinicians receive an alert if a threshold is exceeded to evaluate the patient and determine further course of action
  • Intervention prior to deterioration creates better outcomes for the patient
  • The results are currently available every six hours, but AAM can be configured to calculate the likelihood of critical deterioration on an hourly basis
Quantitative Benefit
  • Patients who experience an unplanned transfer to the ICU experience two to five times the mortality of patients who are directly admitted to the ICU
  • Patients who experience an unplanned transfer to the ICU would stay in the hospital an average of 8 to 12 days more than patients who are directly admitted to the ICU

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