1. 1 Data-driven Approaches to Augment Clinical Decision in EMR Era Health Data Initiative Forum III The Health Datapalooza Ketan Mane Renaissance Computing Institute (RENCI) University of North Carolina, Chapel Hill, NC, USA kmane@renci.org

2. 2 ~42% ~5% ~3% http://www.naturodoc.com/library/public_health/doctors_cause_death.htm Ref: Starfield B. Is US health really the best in the world?. JAMA. 2000;284(4):483-485. ~50%

3. 3 Electronic Medical Record Systems Information Overload demands need for external aid to process information Patient Data Time

4. 4 Challenge to use EMR in Clinical Care? Information overload Decision making Targeted Approach/ Personalized Medicine Real-time use EMR data Patient Diagnosis + Treatment + Outcomes Target Patient

5. 55 Data Driven Approach with Visual Analytics as External Aid Alternate Treatment Options EMR data Patient Diagnosis + Treatment + Outcomes Target Patient Actionable Data Actionable Data for Use in clinical care Raw Data EMR Raw Data Visual Analytics Layer Predictive Insight Patient-Centric Options

6. Who is my target patient How has my patient responded to treatments in past What Rx have been prescribed? Was there any overlap in Rx What alternate Rx options are available for treatment Selected Rx projected response based on outcome of similar patients. Demographics Patient Longitudinal Data Comparative Population Data as Evidence

7. The approach shows – how EMR population data can be used at the point of care to offer - 7 Thank you Ketan Mane, RENCI www.renci.org/~kmane kmane@renci.org Summarize Patient-Centric Solution Alternate Treatment Options Predictive Insight In addition to showing patient longitudinal data

8. What is my patient demographics How has my patient responded to treatment in past What Rx have been prescribed? Was there any overlap in Rx What alternate Rx options are available for treatment Selected Rx projected response based on outcome of similar patients. 1 2 3 4 5