International experiences: Clinical decision support and AI enabling diagnostics and evidence-based care
As our digital health landscape continues to mature, there is a unique opportunity to augment clinical decision making by implementing tools, rules and algorithms to achieve better patient outcomes, standardise care and reduce costs. Presented by Siemens Healthineers, this webinar features two presentations exploring how digital solutions can support, encourage and measure evidence-based decision making through a patient’s diagnostic and therapeutic journey.
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A/Prof Paul Cooper FAIDH CHIA Faculty of Health, School of Medicine, Deakin University
Paul is an independent consultant specialising in digital health and workshop and event facilitation. Building on his early career research with a PhD in Biochemistry from the Walter and Eliza Hall Institute of Medical Research, his current activities now focus on digital health. He is a co-organiser of the Melbourne meetup group AI-in-Healthcare, is Deputy Chair of Biogrid and currently elected on the AIDH Victorian Branch. He is appointed as A/Prof Health Informatics Management at Deakin University and currently sits on the Health Ethics committee of St. Vincents Healthcare. His 35-year career path includes research, government, private sector and tertiary education.
Dr Jonathan Darer Vice President, Siemens Healthineers, & Chief Medical Officer, Medicalis
Up to 26% of imaging exams are ordered incorrectly when evidence-based standards are not in place. Imaging CDS can provide corrective guidance to clinicians at the point-of-order tailored to the needs of the patient. There is ample evidence that CDS can be an important component of effective imaging utilisation improvement initiatives. It was considered by the Australian Medicare Benefits Schedule Review Taskforce as having the greatest body of evidence for its effectiveness.
Supporting clinicians to achieve the “Right Order - First Time” can reduce waste, avoid delays in care, and improve clinician-to-clinician communication. However, implementing Imaging CDS must be a clinician-led quality improvement program and respect the workflow of the ordering clinician. It must embed localised and current sources of evidence with clearly defined clinical performance goals.
Dr Darer is a general internist and the Chief Medical Officer at Siemens Healthineers – Medicalis and an expert in clinical innovation, quality improvement and value-driven care. Dr Darer has authored and co-authored 30 articles including publications on clinical decision support (CDS) in imaging and has been instrumental in establishing CDS at multiple large hospital groups throughout the United States. Dr Darer also leads the Imaging Learning Network – a collaboration of clinical guideline authors from multiple institutions and specialty societies that share practices and advance the science of imaging CDS.
Prior to joining Siemens Healthineers, Dr Darer was Chief Innovation Officer and Director of the Institute for Advanced Application’s Centre for Clinical Innovation in the Geisinger Healthcare System. Prior to Geisinger, held several clinical and leadership positions with Kaiser Permanente.
Dr Darer received a BA from Harvard in Mechanical Engineering and his MD from the University of Connecticut Medical School. He completed an internal medicine residency at the Oregon Health Sciences University (OSHU) and a fellowship in general internal medicine at Johns Hopkins where he also earned an MPH.
Echo Qing Shan Global Go-to-Market Lead for AI-Pathway Companion & Business Manager Digital Services Asia Pacific, Siemens Healthineers
Clinical pathways (CP) are tools used to guide evidence-based healthcare. Their aim is to translate clinical practice guideline recommendations into clinical processes of care within the unique culture and environment of a healthcare institution. A CP is a structured multidisciplinary care plan with the following characteristics:
As a clinical decision support system, the AI-Pathway Companion (AI-PC) facilitates patient-centric diagnosis and treatment decisions along disease-specific care pathways through the integration of digital health data, artificial intelligence, and insights from cohort analytics. The AI-Pathway Companion is designed to support the optimisation of clinical pathways by multi-disciplinary experts in driving precision medicine through the personalisation and standardisation of care. The solution comprises of multiple modules that provide context-applicable clinical insights. It harnesses the value of an EMR by supporting clinicians through disease-specific aggregation of relevant digital data, and the conversion of the collected and augmented data into actionable insights by suggesting decision steps for diagnosis, therapy and follow-up. To integrate seamlessly with clinical workflow, the AI-Pathway Companion is embedded within the EMR and vendor-agnostic by design, leveraging widely accepted and available healthcare data standards.
Echo Shan started her career as a product specialist almost 10 years ago and joined Siemens Healthcare in 2011. She has worked within the field of healthcare IT ever since and has held numerous positions as a Solution Expert, Account Executive, Business Management & Strategic Sales and Go-to-Market Lead within the range of Healthcare IT & Enterprise Imaging IT, the core digital field of business for Siemens Healthineers.
In her current role, Echo Shan is leading the Global Go-to-Market for AI-Pathway Companion -- An Artificial Intelligence powered Integrated Decision Support solution that facilitates the diagnosis and treatment decisions along clinical disease pathways, bringing actionable insights for personalised care. Apart from this, Echo Shan is also responsible for the business development and management of the Siemens Healthineers Digital Health Portfolio across the Asia Pacific Region. She works closely with our team in the country to ensure a successful engagement along the customer journey to land, retain and expand our digital footprint to further accelerate commercial growth of the digital health business. Supporting our country experts with the customers within the region to develop their digital transformation strategy to achieve their business success bringing in the best practice experiences from the global healthcare providers. She is an active participant and contributor at various congresses and events, representing Siemen Healthineers to exchange and advocate technologies and digital innovations to the healthcare community to enable better patient outcome through data and evidence driven clinical decision making.
Prior to her current role, Echo Shan was responsible for the launch, roll-out and business development of the cloud-based platform "teamplay" worldwide along with the performance management applications focusing on Dose, Usage and Protocol Management of the imaging modality fleet. In this role she supports together with the solution expert team globally to consult customers to drive continuous improvement and change management within the radiology service line through actionable insights empowered by the various digital applications to assure consistent high quality delivery of care with the growing throughput through bringing standardisation in daily operations.
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