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How Data Science Is Transforming Cancer Treatment Scheduling | @CloudExpo #Cloud #BigData
A mathematical approach to improve infusion center wait times

How Data Science Is Transforming Cancer Treatment Scheduling
By Mohan Giridharadas, Founder & CEO, LeanTaaS iQueue

Anyone who has ever had the misfortune of dealing with a cancer diagnosis - either personally or as a caregiver to a friend or loved one - must have at some point wondered why they invariably had to wait well past their treatment appointment time, every time.

The root cause is that the healthcare scheduling system is broken. Healthcare providers are using a calculator, spreadsheets and standard electronic health record (EHR) templates to solve a math problem that demands a cluster of servers and data scientists to solve effectively.

Most EHRs use scheduling templates that have no real scheduling intelligence built in. In their efforts to be patient-centric, they typically subscribe to a first-come, first-served "hair salon" methodology. Even the best among them use gut-based rules of thumb to accommodate patient and staff needs for a particular appointment slot. The result is, in effect, the opposite of a patient-centric situation - a domino effect of longer wait times and unhappy patients and doctors.

Traditional approaches just don't hold water ...
Let's take a 35-chair infusion center that operates eight hours per day treating five types of appointments - 1 hour, 2 hours, 3-5 hours, 6-8 hours, or 9 or more hours. Four sets of patients can start their treatment at 10-minute intervals. That's 256 possible start times or "slots" per day. The number of ways those patients can be accommodated is a number with over 100 zeros behind it. By comparison, if you were to use 1-gallon milk jugs to hold all of the oceans' water, the number of jugs needed would have 40 zeros behind it. The chance of stumbling upon the most effective scheduling arrangement using the same approach as your neighborhood hair salon or oil change shop is, for practical purposes, nonexistent. Here's what the math looks like:

With those odds, it is clear that simple spreadsheets or traditional EHR approaches can never create an optimal solution for scheduling appointments.

Now, compound the scope of possible appointments with the reality of hospital variables, such as practitioner schedules, staff changes, patterns of demand, equipment maintenance, room availability, lab results and clinical trial events, and you can see why this becomes a very difficult formula to solve with simple math - and why you continue to wait, wait and wait some more. Add to that patient preference - most patients want appointments in the 10 a.m. to 2 p.m. range - and you end up with a schedule full of more holes than a block of Swiss cheese.

... But new approaches using data science can help lose the "wait"
Inspired by the likes of Toyota and just-in-time lean manufacturing practices, data science and mathematics are changing the face of healthcare scheduling and, in effect, making healthcare more accessible to more patients.

By taking a holistic review, data scientists are mining all scheduling patterns and possibilities specific to a center, as well as considering operational constraints across patient demand, practitioner and staffing schedules, and capital asset availability. From there, an algorithm is created that optimizes a schedule for the center to serve patients more uniformly throughout the day, versus the peaks and valleys of traditional scheduling systems. The end result promises more patients served, reduced cost of service, optimized equipment and facility utilization, and a whole lot less sitting in the waiting room.

This mathematical approach to infusion center scheduling is already delivering impressive results; providers like Stanford Health Care, UCHealth, NewYork-Presbyterian, Fox Chase Cancer Center, UCSF, the Huntsman Cancer Institute and many others are seeing wait times decreased by as much as 55 percent during peak hours. Put that in real-world terms: A one-hour wait becomes 27 minutes. Who wouldn't want a half-hour of waiting room time back?

As first published in MedCity News.

###

Mohan Giridharadas is an accomplished expert in lean methodologies. During his 18-year career at McKinsey & Company (where he was a senior partner/director for six years), he co-created the lean service operations practice and ran the North American lean manufacturing and service operations practices and the Asia-Pacific operations practice. He has helped numerous Fortune 500 companies drive operational efficiency with lean practices. As the founder and CEO of LeanTaaS (a lean and predictive analytics company), Mohan has worked closely with dozens of leading healthcare institutions including Stanford Health Care, UCHealth, UCSF, Wake Forest and more. Mohan holds a B.Tech from IIT Bombay, MS in Computer Science from Georgia Institute of Technology and an MBA from Stanford GSB. He is on the faculty of Continuing Education at Stanford University and UC Berkeley Haas School of Business and has been named by Becker's Hospital Review as one of the top entrepreneurs innovating in healthcare.

For more information on LeanTaaS iQueue, please visit https://iqueue.com/ and follow the company on Twitter https://twitter.com/LeanTaaS @LeanTaaS, Facebook at https://www.facebook.com/LeanTaaS and LinkedIn at https://www.linkedin.com/company/leantaas

About LeanTaaS Blog
LeanTaaS is a Silicon Valley software company whose offerings rely on advanced data science to significantly improve the operational performance of hospitals and clinics. Using LeanTaaS iQueue in conjunction with their existing EHR's, healthcare institutions are developing optimized schedules that are tailored to each site and can rapidly reduce patient wait times and operating costs while increasing patient access and satisfaction, care provider satisfaction, and asset utilization.

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OrionVM

NAKAGAWA
Transparent Cloud Computing

SHIBATA
Transparent Cloud Computing

NATH
GE

GOKCEN
GE

STOICA
Databricks

TANKEL
Pivotal Software


Testimonials
This week I had the pleasure of delivering the opening keynote at Cloud Expo New York. It was amazing to be back in the great city of New York with thousands of cloud enthusiasts eager to learn about the next step on their journey to embracing a cloud-first worldl."
@SteveMar_Msft
General Manager of Window Azure
 
How does Cloud Expo do it every year? Another INCREDIBLE show - our heads are spinning - so fun and informative."
@SOASoftwareInc
 
Thank you @ThingsExpo for such a great event. All of the people we met over the past three days makes us confident IoT has a bright future."
Yasser Khan
CEO of @Cnnct2me
 
One of the best conferences we have attended in a while. Great job, Cloud Expo team! Keep it going."

@Peak_Ten


Who Should Attend?
Senior Technologists including CIOs, CTOs & Vps of Technology, Chief Systems Engineers, IT Directors and Managers, Network and Storage Managers, Enterprise Architects, Communications and Networking Specialists, Directors of Infrastructure.

Business Executives including CEOs, CMOs, & CIOs , Presidents & SVPs, Directors of Business Development , Directors of IT Operations, Product and Purchasing Managers, IT Managers.

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SYS-CON Media has a flourishing Media Partner program in which mutually beneficial promotion and benefits are arranged between our own leading Enterprise IT portals and events and those of our partners.

If you would like to participate, please provide us with details of your website/s and event/s or your organization and please include basic audience demographics as well as relevant metrics such as ave. page views per month.

To get involved, email Patricia Henderson at patricia@sys-con.com.

@CloudExpo Blogs
SYS-CON Events announced today that Synametrics Technologies will exhibit at SYS-CON's 22nd International Cloud Expo®, which will take place on June 5-7, 2018, at the Javits Center in New York, NY. Synametrics Technologies is a privately held company based in Plainsboro, New Jersey that has been providing solutions for the developer community since 1997. Based on the success of its initial product offerings such as WinSQL, Xeams, SynaMan and Syncrify, Synametrics continues to create and hone innovative products that help customers get more from their computer applications, databases and infras...
Cloud Expo | DXWorld Expo have announced the conference tracks for Cloud Expo 2018. Cloud Expo will be held June 5-7, 2018, at the Javits Center in New York City, and November 6-8, 2018, at the Santa Clara Convention Center, Santa Clara, CA. Digital Transformation (DX) is a major focus with the introduction of DX Expo within the program. Successful transformation requires a laser focus on being data-driven and on using all the tools available that enable transformation if they plan to survive over the long term. A total of 88% of Fortune 500 companies from a generation ago are now out of busin...
A strange thing is happening along the way to the Internet of Things, namely far too many devices to work with and manage. It has become clear that we'll need much higher efficiency user experiences that can allow us to more easily and scalably work with the thousands of devices that will soon be in each of our lives. Enter the conversational interface revolution, combining bots we can literally talk with, gesture to, and even direct with our thoughts, with embedded artificial intelligence, which can process our conversational commands and orchestrate the outcomes we request across our persona...
To get the most out of their data, successful companies are not focusing on queries and data lakes, they are actively integrating analytics into their operations with a data-first application development approach. Real-time adjustments to improve revenues, reduce costs, or mitigate risk rely on applications that minimize latency on a variety of data sources. In his session at @BigDataExpo, Jack Norris, Senior Vice President, Data and Applications at MapR Technologies, reviewed best practices to show how companies develop, deploy, and dynamically update these applications and how this data-firs...
Our work, both with clients and with tools, has lead us to wonder how it is that organizations are handling compliance issues in the cloud. The big cloud vendors offer compliance for their infrastructure, but the shared responsibility model requires that you take certain steps to meet compliance requirements. Which lead us to start poking around a little more. We wanted to get a picture of what was available, and how it was being used. There is a lot of fluidity in this space, as in all things cloud. The fact that DevOps Security plays into the cloud compliance model – particularly in dynamic ...
The “Internet of Things” is an exciting area of tech, one in which industry experts estimate there will be more than 30 billion connected IoT devices by 2020. IoT is the inter-networking and instrumentation of physical devices – everything from streets, cars, factories, power grids, ice caps, satellites, and clothing to phones, microwaves, milk containers, planets, human bodies, etc. IoT creates an opportunity to measure, collect and analyze an ever-increasing variety of behavioral statistics. That being said, data, and more importantly insight into the data, is key for enhanced business val...
Gaining visibility in today’s sprawling cloud infrastructure is complex and laborious, involving drilling down into tools offered by various cloud services providers. Enterprise IT organizations need smarter and effective tools at their disposal in order to address this pertinent problem. Gaining a 360 - degree view of the cloud costs requires collection and analysis of the cost data across all cloud infrastructures used inside an enterprise.
The goal of Microservices is to improve software delivery speed and increase system safety as scale increases. Microservices being modular these are faster to change and enables an evolutionary architecture where systems can change, as the business needs change. Microservices can scale elastically and by being service oriented can enable APIs natively. Microservices also reduce implementation and release cycle time and enables continuous delivery. This paper provides a logical overview of the Microservices Reference Architecture that highlights various sub systems needed to support Microservic...
The notion of improving operational efficiency is conspicuously absent from the healthcare debate - neither Obamacare nor the newly proposed GOP plan discusses the impact that a step-function improvement in efficiency could have on access to healthcare (through more capacity), quality of healthcare services (through reduced wait times for patients) or cost (through better utilization of scarce, expensive assets).
In a recent post, titled “10 Surprising Facts About Cloud Computing and What It Really Is”, Zac Johnson highlighted some interesting facts about cloud computing in the SMB marketplace: Cloud Computing is up to 40 times more cost-effective for an SMB, compared to running its own IT system. 94% of SMBs have experienced security benefits in the cloud that they didn’t have with their on-premises service
"Evatronix provides design services to companies that need to integrate the IoT technology in their products but they don't necessarily have the expertise, knowledge and design team to do so," explained Adam Morawiec, VP of Business Development at Evatronix, in this SYS-CON.tv interview at @ThingsExpo, held Oct 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA.
The 22nd International Cloud Expo | 1st DXWorld Expo has announced that its Call for Papers is open. Cloud Expo | DXWorld Expo, to be held June 5-7, 2018, at the Javits Center in New York, NY, brings together Cloud Computing, Digital Transformation, Big Data, Internet of Things, DevOps, Machine Learning and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportunity. Submit your speaking proposal today!
The high barrier to entry prevents many companies from tapping into the full potential of machine learning. But what if you could make it more accessible? We’re in the midst of a data explosion, with today’s enterprises amassing goldmines of information (25 quintillion bytes of data every day, according to some reports). But what exactly are they doing with this data? Considering the volume of data being collected is quickly becoming unmanageable, now is a good time to shift from manual machine learning to a cognitive approach. This enables businesses to better capitalize on their data and fa...
Blockchain offers impeccable security with its cryptography-based decentralized system as well as the plethora of possible uses retailers could exploit in the near future. In a world of increasing cyberattacks, internet fraud and online hacking, blockchain comes as a breath of fresh air. With its encrypted data and decentralized network system, it's a thorn in every hacker's side. Generally being associated with the finance sector, blockchain is now taking retail by storm. It's on a course that will change the retail industry as we know it. But how exactly is it going to achieve such a feat?
In an attempt to put the patient first in healthcare, Congress and President Obama in 2015 approved a bipartisan bill for United States healthcare reform. The bill is known as “Medicare Access and CHIP Reauthorization Act of 2015,” or MACRA. Among the major provisions of MACRA is the Quality Payment Program. Under the Quality Payment Program, physicians and nurses receive positive, neutral or negative Medicare payment adjustments based upon a “Patient Satisfaction Score,” that is, patient satisfaction scores have a direct impact on how physicians, physician assistants, nurses, and hospital’s g...
While Artificial Intelligence (AI) may not be a new concept, its contribution to automation may just change the face of business. AI's conception dates as far back as 1950, when Alan Turing proposed the Turing test in order to evaluate a machine's ability to exhibit intelligent behavior. Fast-forward a couple of decades and research led to the creation of well-known theoretical tools such as Fuzzy Logic, Bayesian Networks, Markov Models and Neural Networks. Concurrently, new types of programming languages such as Prolog, LISP and Smalltalk set the scene for most of the modern interpreted langu...
Most of us understand that artificial intelligence (AI) offers opportunities for productivity improvements in the form of speed, automation, standardized actions and responses, plus the opportunity for continuous improvements via machine learning. These opportunities are enabled by data inputs that are analyzed and processed through AI algorithms that execute a desired decision and action. For all of the great capabilities and benefits that AI can provide, there is also a potential dark side. AI solutions can easily codify our prejudices, bias, gender stereotypes and promote injustices intenti...
Gone are the days when application development was the daunting task of the highly skilled developers backed with strong IT skills, low code application development has democratized app development and empowered a new generation of citizen developers. There was a time when app development was in the domain of people with complex coding and technical skills. We called these people by various names like programmers, coders, techies, and they usually worked in a world oblivious of the everyday priorities of the business world. However, with the passage of time, this scenario is much more democr...
It’s conference season and, as you might expect, Jason and I have been on the road covering a bunch of them. It’s always great to see what the disruptive players in the market are doing — and this year did not disappoint. But there is one thing that repeatedly happens that just gets under my skin: transformation-washing. As Jason explained in a Forbes article over a year ago, ‘washing’ is when a vendor (or pundit) applies a buzzword loosely in an overt attempt to attach themselves to its buzz. And transformation-washing is rampant.
Networks have become large, complex entities that are increasingly difficult to manage and control. Security, audit, risk and compliance professionals know that their organizations rely on them for effective risk management, control and governance processes that are essential to the safety of their network environment. Yet compliance and security are more challenging than ever before as additional layers are added to this environment. One of the challenges lies in the fact that there is an ongoing, huge access gap in network security and compliance – and it has been residing within the enviro...