David Rosenthal: belief

Transcript context

…This is awesome. They’ve realized, okay, there is data on patients that is owned by patients and hospitals, not by us. That lives on a bunch of different servers. Some are on-prem at hospitals, some are in our cloud, some are on AWS, some are on Azure. But either way, there’s all this interesting structured patient data stored in EpicCare instances. Can we anonymize that and get it all in an Epic-hosted instance of something very queryable and very useful for a bunch of activities? They did it. It’s called Cosmos. Cosmos has 295 million patients worth of data in it, all anonymized. I think that across those 295 million patients, there’s data from 15 billion individual patient encounters. So structured data from a doctor encounter 15 billion times with patients. It’s crazy. We were asking the question earlier, do EMRs or EHRs really benefit patients? There are some arguments that aside from how awesome it is to just access your records at home, there are a bunch of stats around, yes, it benefits patients. It’s patient safety, it’s patient ease. There are studies that say 45% of patients reported improved quality of care with EHRs while only 6% notice decline. Epic has a stat in 2023, its system prevented 66 million potential adverse drug interactions and 250,000 potential surgical errors. All of this seems very plausible. If you’re tracking all this stuff digitally, you can do intelligent things that improve care. But on top of that, more interestingly, what if all of the data was actually in one place and you could do stuff with it? What is the value of having something digital versus paper?…

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