Population health management
Population health management involves analyzing and managing health data from diverse patient populations to improve health outcomes. This care coordination and delivery approach focuses on identifying health risks and needs, implementing tailored interventions, and coordinating care to enhance overall health while reducing healthcare costs and disparities.
Top Stories
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14 Nov 2024
How can analytics help triage behavioral health risk?
Risk stratification is an important aspect of addressing the U.S. behavioral health crisis, and analytics can help providers enhance patient triage and care delivery. Continue Reading
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04 Nov 2024
Top data analytics tools for chronic disease management
Effective chronic disease management requires healthcare stakeholders to effectively utilize data, population health management systems and predictive analytics tools. Continue Reading
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30 Oct 2024
AI chatbots show promise for HIV prevention
Artificial intelligence-based chatbots could serve as valuable tools for community-based and public health organizations to improve HIV prevention and care services. Continue Reading
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30 Sep 2024
Measuring sickle cell burden with a public health dashboard
The Indiana Sickle Cell Dashboard gives patients, providers and public health officials interactive visualizations of sickle cell disease prevalence and burden. Continue Reading
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15 Aug 2024
AI reveals mental health impact of COVID-19 vaccine rollout
A population-based deep learning analysis of CDC data shows disparities in anxiety and depression prevalence among adults during COVID-19 vaccine rollouts. Continue Reading
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17 Jul 2024
Reassessing the use of race in clinical algorithms
Race is often included as a biological construct in clinical guidance, but experts assert that its use must be reexamined to promote health equity. Continue Reading
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15 Jul 2024
NIH grant to fund depression chatbot for Black patients
Learn how an existing AI chatbot for antidepressant recommendation will be validated for use in Black patients with funding from the NIH's AIM-AHEAD program. Continue Reading
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09 Jul 2024
Advancing transparency, fairness in AI to boost health equity
Fairness in clinical algorithms is key to mitigating race-based health inequity. Are efforts driven by AI and machine learning up to the task? Continue Reading
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10 Jun 2024
South Carolina gains web-based tool for population health surveillance
Six new data dashboards will track cancer, care access and SDOH across South Carolina’s 46 counties in an effort to advance population health. Continue Reading
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15 May 2024
AI, social media help track population-based mental health patterns
Using an AI-driven, language-based mental health assessment framework, researchers could accurately assess depression and anxiety rates at the county level. Continue Reading
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01 Apr 2024
NIH funding development of AI tools for health disparity research
The “Trustworthy AI to Address Health Disparities in Under-resourced Communities,” project is set to enhance the explainability of AI-driven risk prediction models. Continue Reading
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01 Apr 2024
AI reveals race-based differences in the expression of depression
New study shows that language-based predictive models for detecting depression severity may generalize well to white Americans, but not to their Black counterparts. Continue Reading
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29 Mar 2024
Analysis highlights five preventable suicide risk profiles
Mental health, substance use, physical health and intimate partner conflicts are some of the most significant risk factors for suicide identified in a new study. Continue Reading
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28 Mar 2024
Online big data dashboard to help map enteric infectious diseases
The Planetary Child Health & Enterics Observatory dashboard aims to shed light on the global public health threat of diarrheal diseases in children. Continue Reading
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25 Mar 2024
How do population health, public health, community health differ?
Population, public, and community health are key in promoting wellness and improving outcomes, but understanding their nuances is critical. Continue Reading
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20 Feb 2024
How Data-Informed Risk Stratification Can Support Suicide Prevention
Provider organizations play a key role in suicide prevention, and one health system shows how effective risk stratification can drive these efforts. Continue Reading
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22 Jan 2024
Using Analytics Tools to Drive Care Coordination for Wildfire Victims
Analytics-driven population health management strategies may help healthcare organizations tackle the persistent care challenges posed by wildfires. Continue Reading
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27 Nov 2023
Exploring a Framework for Pediatric Data Use in Health AI Research
The ACCEPT-AI framework provides recommendations for the safe inclusion of pediatric health data in AI and ML research. Continue Reading
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22 Nov 2023
Patient-Reported Symptom Data May Hinder Telehealth-Based Flu Diagnosis
The accuracy of existing clinical decision rules for flu in a telehealth setting can be negatively impacted by using only patient-reported symptom data. Continue Reading
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26 Oct 2023
NYC Health Dept. Launches Center for Population Health Data Science
The new center aims to bolster New York City’s population health surveillance and improve outcomes by linking healthcare, public health, and social service data. Continue Reading
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25 Oct 2023
Cedars-Sinai Deep Learning Tool Accurately Predicts Atrial Fibrillation
New AI model uses routinely acquired outpatient 12-lead electrocardiograms to help clinicians identify abnormal heart rhythms in patients not yet showing symptoms. Continue Reading
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08 Sep 2023
Explaining the Basics of Patient Risk Scores in Healthcare
Patient risk scores and stratification can bolster care management initiatives, but stakeholders must understand the use cases and limitations. Continue Reading
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07 Sep 2023
Patient Triage Artificial Intelligence May Boost Future Outbreak Response
A patient triage AI model can accurately predict disease severity and length of hospitalization during a viral outbreak using clinical and metabolomics data. Continue Reading
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21 Jul 2023
Research Identifies Link Between Genetic Makeup and Disease Risk
UCLA Health researchers analyzed a diverse patient population to determine the effect of genes on disease risk, potentially leading to custom treatment. Continue Reading
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13 Jul 2023
Models Classify Osteoarthritis Subgroups Based on Pain, Disease Severity
Researchers have developed algorithms to identify osteoarthritis patient subgroups that experience more comorbidities and lower quality of life than their peers. Continue Reading
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11 Jul 2023
Phone Data in Public Health Efforts May Magnify Health Inequities
Phone data used for public health initiatives may underrepresent vulnerable populations due to disparities in mobile phone ownership and biases in the data. Continue Reading
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05 Jul 2023
Risk Prediction Model Accurately Identifies Women Vulnerable to HIV
New model flags recent pregnancy, recent hepatitis C diagnosis, and substance use among risk factors that can identify women most at risk for HIV infection. Continue Reading
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19 Jun 2023
Omitting Race, Ethnicity from Risk Models May Lead to Health Disparities
New research suggests that using clinical risk prediction models that omit race and ethnicity may worsen predictive accuracy and exacerbate health disparities. Continue Reading
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14 Jun 2023
How NorthShore Uses AI, NLP to Tackle SDOH in the Emergency Department
NorthShore – Edward-Elmhurst Health is using natural language processing in the emergency department to minimize care disparities and improve health equity. Continue Reading
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30 May 2023
Federal Grant to Bolster Neonatal Research Consortium
The University of New Mexico Health Sciences will use federal grant funding to participate in the Neonatal Research Network and improve newborn care. Continue Reading
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30 May 2023
CT Scans Outperform Polygenic Risk Prediction Methods for Heart Disease
Researchers from Northwestern University have found that CT scans are better than genetics at predicting a middle-aged person’s risk for heart disease. Continue Reading
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23 May 2023
Potential Racial Bias Found in Type 2 Diabetes Risk Prediction Models
New research shows that type 2 diabetes prediction models may contain biases that contribute to over- or under-estimations of risk based on a patient’s race. Continue Reading
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10 May 2023
ML Highlights Population Differences in Long COVID Risk, Symptoms
Weill Cornell Medicine researchers leveraged machine learning to uncover how long COVID symptoms and risk vary across populations. Continue Reading
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10 May 2023
How Risk Stratification Can Help Combat Preterm Birth Disparities
Parkland Center for Clinical Innovation is identifying at-risk pregnancies and addressing premature birth disparities through analytics-based risk stratification. Continue Reading
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09 May 2023
New Research to Measure the Impact of Overdose Prevention Centers
Researchers from NYU and Brown University will study how well overdose prevention centers help combat drug overdose and improve outcomes. Continue Reading
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04 May 2023
Missing Data May Contribute to Health Disparities in Children with Lupus
Missing clinical, demographic, and socioeconomic data may negatively impact health equity for children with lupus, a new study finds. Continue Reading
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24 Apr 2023
WHO Launches Global Health Inequality, Population Health Data Repository
The World Health Organization has launched its Health Inequality Data Repository, the largest global collection of data on population health and health disparities. Continue Reading
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21 Apr 2023
University of Virginia Unveils Center for Health Equity, Precision Medicine
UVA School of Medicine has launched its Center for Health Equity and Precision Public Health to tackle major public health issues and improve patient wellbeing. Continue Reading
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28 Mar 2023
SDOH Associated with Increased Risk of Suicide Among US Veterans
Researchers found a significant association between nine social determinants of health extracted from veterans’ EHRs using natural language processing and the risk of suicide. Continue Reading
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24 Mar 2023
AI Predicts Community-Based Opioid Deaths Using Social Media Posts
A new artificial intelligence algorithm can predict opioid death rates more accurately than traditional methods by incorporating social media posts. Continue Reading
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17 Mar 2023
Socioeconomic Data Analysis Reveals Health Equity Barriers
Utica University researchers used demographic and family structure data to identify neighborhoods that could benefit from additional healthcare interventions. Continue Reading
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14 Mar 2023
UPMC Explores Machine Learning's Potential to Personalize HIV Testing
A UPMC expert outlines how machine-learning software may help improve laboratory workflows and enhance care for those undergoing HIV testing. Continue Reading
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13 Mar 2023
NJ Population Health Data Initiative Approves Pilot Projects
A New Jersey-wide population health project approved pilot funding for four research proposals tackling COVID-19, the opioid epidemic, mental health, and birth outcomes. Continue Reading
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10 Mar 2023
Researchers Develop Health Equity Data Dashboard for Medicare Plans
Researchers have developed a dashboard that shows how equitably Medicare Advantage plans are serving their enrollees in an effort to advance health equity. Continue Reading
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08 Mar 2023
How a Digital ‘Baseball Card’ Supports Care Management
Medical Home Network’s ‘baseball card’ technology aims to support care management and population health by bolstering interoperability among providers. Continue Reading
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06 Mar 2023
Predictive Analytics Deployment to Forecast Infectious Disease, Care Needs
Highmark Health hopes to predict staffing needs, bed capacity, and healthcare utilization using Kinsa’s AI-based illness forecast tool. Continue Reading
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02 Mar 2023
Hospital Initiative to Combat Chronic Kidney Disease Disparities
Dignity Health St. Joseph’s Hospital and Medical Center launched an initiative to address race-based algorithms for early chronic kidney disease diagnosis. Continue Reading
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22 Feb 2023
Cleveland Clinic to Leverage Digital Twins for Health Disparity Research
Cleveland Clinic and MetroHealth will use a $3.14 million NIH grant to develop digital twin technology and tackle health disparities. Continue Reading
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21 Feb 2023
Survey Finds Most Healthcare Orgs Struggle to Collect, Use SDOH Data
AHIMA revealed that eight in 10 healthcare organizations currently collect social determinants of health data but face challenges related to its collection, coding, and use. Continue Reading
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17 Feb 2023
ML Model Predicts Prematurity Complications in Newborns Using EMR Data
Stanford researchers have developed a machine-learning algorithm that uses mothers’ and babies’ medical records to predict newborn health risks. Continue Reading
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13 Feb 2023
Researchers Identify Social Predictors of Premature Death Risk for Seniors
Leveraging machine-learning approaches, new research identified eight social factors that predict premature death for older adults, including feeling isolated and not working for pay. Continue Reading
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26 Jan 2023
Value-Based Care Platform to Bolster Population Health Partnership
The University of Maryland Medical System and CareFirst will leverage a risk adjustment platform to support the shift to value-based care and reduce care costs. Continue Reading
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25 Jan 2023
New Tool Provides Population Health Insights in US Congressional Districts
The Congressional District Health Dashboard is designed to provide policymakers and the public with actionable and nonpartisan health data at the congressional district level. Continue Reading
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23 Jan 2023
Cloud Partnership to Improve Care Quality for Kidney Disease Patients
Evergreen Nephrology will leverage the Innovaccer Health Cloud to optimize value-based care delivery for patients living with kidney disease. Continue Reading
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20 Jan 2023
Partnership to Improve Specialty Care for Heart Failure Patients
Intermountain Healthcare will leverage Story Health’s AI-integrated platform to help improve the specialty care experience for heart failure patients and their loved ones. Continue Reading
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18 Jan 2023
Deep-Learning Tool Can Predict Lung Cancer Risk Within Six Years
The tool accurately predicts the risk of lung cancer for individuals with or without a significant smoking history. Continue Reading
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06 Jan 2023
New Machine-Learning Model Identifies Long COVID Subtypes
A newly developed machine-learning tool uses EHR data to find common symptoms among people with long COVID and identify condition subtypes. Continue Reading
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05 Jan 2023
Machine-Learning Model Estimates Risk of Adverse Prescription Opioid Outcomes
A machine-learning model trained on administrative data can estimate adverse outcome risk within 30 days of opioid dispensation. Continue Reading
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04 Jan 2023
Deep-Learning Model Identifies Lung Cancer Risk Using Chest X-rays
A deep-learning model may help identify individuals who could benefit from lung cancer screening, including those missed by Medicare screening eligibility criteria. Continue Reading
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19 Dec 2022
Leveraging Location Analytics to Address the Opioid Epidemic
The Stark County Health Department has launched an initiative to coordinate its opioid epidemic outreach using a geographic information system and location analytics. Continue Reading
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09 Dec 2022
Wastewater Monitoring Tool Tracks COVID-19 Trends, Public Health Threats
Researchers have leveraged a wastewater-based epidemiology tool to track opioid use and serve as an early warning system for COVID-19 surges. Continue Reading
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06 Dec 2022
NY Health Center Launches Population Health Management Partnership
Morris Heights Health Center and the Garage have joined forces to leverage a population health management platform to improve community care. Continue Reading
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09 Nov 2022
AI System to Leverage Social Media to Predict, Prevent Future Pandemics
Researchers at the University of California have received a $1 million grant to develop an AI-based early warning system that will examine social media posts to help predict future pandemics. Continue Reading
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04 Nov 2022
Researchers Develop Machine-Learning System to Detect Public Health Threats
Researchers have developed an automated machine-learning system that can provide 'pre-syndromic' public health surveillance to identify new or rare disease clusters. Continue Reading
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20 Oct 2022
NYC Health Dept. Leverages Health Equity Framework to Combat Disparities
The New York City Health Department is applying The Healing ARC framework to its initiatives aimed at confronting racism in medicine and improving health equity. Continue Reading
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19 Oct 2022
NIH Award to Support Informatics-Driven Population Health Research
Mount Sinai will leverage a $55.5 million NIH grant to use informatics and data science to accelerate research into new treatments and population health approaches. Continue Reading
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12 Oct 2022
Population Health Management Tool Improves Primary Care Outcomes in VBC Model
A new study shows that population health management and analytics enhanced care quality and efficiency in primary care practices enrolled in the now-defunct CMS Comprehensive Primary Care Plus program. Continue Reading
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03 Oct 2022
Using Self-Reported Patient Data to Advance Lung Disease Care
The Pulmonary Fibrosis Foundation is leveraging self-reported patient data to support clinical care and research for pulmonary fibrosis and interstitial lung diseases. Continue Reading
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22 Sep 2022
How AI Can Help Alleviate Black Maternal Health Disparities
Artificial intelligence tools are creating many new opportunities and improvements in maternal health, but SDOH data collection must be improved to address inequities within Black communities. Continue Reading
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19 Sep 2022
Microsoft, NYU, Novartis Launch AI-Driven Heart Health Equity Network
The Novartis Foundation has developed the AI4HealthyCities Network in collaboration with Microsoft AI for Health and the NYU School of Global Public Health. Continue Reading
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09 Sep 2022
CDC Awards $9M for Development of Long COVID Surveillance System
Indiana University and the Regenstrief Institute have partnered to develop one of the first population-based surveillance systems for long COVID using a $9 million CDC grant. Continue Reading
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07 Sep 2022
Prediction Model Forecasts Quality of Life Among Childhood Cancer Survivors
Researchers have developed and validated a model that can accurately predict quality of life among adult survivors of childhood cancer. Continue Reading
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30 Aug 2022
PA Health Systems Launch Big Data-Driven Kidney Disease Collaboration
Children’s Hospital of Philadelphia and Penn Medicine have joined forces to launch the Penn-CHOP Kidney Innovation Center to improve quality of life for kidney disease patients. Continue Reading
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29 Aug 2022
FL Health System Adopts Cloud to Enhance Population Health Analytics
Baptist Health South Florida is implementing Innovaccer’s cloud platform to help optimize its population health analytics efforts. Continue Reading
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29 Aug 2022
AI Model Improves Colorectal Cancer Recurrence Prediction
Mayo Clinic research shows that a deep-learning algorithm may improve predictions of colorectal cancer recurrence and survival. Continue Reading
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23 Aug 2022
Most Drug Overdose Patients Not Tested for Fentanyl, Synthetic Opioids
New research suggests that only 5 percent of US drug overdose patients are tested for synthetic opioids, the leading killer of adults under 45, in the emergency room. Continue Reading
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23 Aug 2022
Social Determinants of Health Impact Pediatric EMS Transport
A new analysis shows that social determinants of health (SDOH) have a significant impact on EMS pediatric transport decisions and prehospital encounters. Continue Reading
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16 Aug 2022
AI Tool Predicts Pre-Diabetes, Diabetes in High-Risk Patients
Researchers have found that an artificial intelligence-based tool can predict pre-diabetes and type 2 diabetes in populations at high risk for the conditions. Continue Reading
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15 Aug 2022
AI Pain Care Tool May Increase Access, Reduce Costs for Chronic Pain Patients
A cognitive behavioral therapy intervention for chronic pain, personalized for patients using artificial intelligence, achieved similar results as standard therapies. Continue Reading
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12 Aug 2022
NC Medical School Develops Digital Health Platform to Improve Stroke Care
Researchers at NC-based Wake Forest University School of Medicine have developed a platform to help improve remote monitoring and care coordination to support stroke patients. Continue Reading
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12 Aug 2022
Mount Sinai Launches Data-Driven Medical-Legal Program to Address Patient Needs
Mount Sinai has created a program that will provide free legal services for patients in underserved areas, which may significantly improve health outcomes. Continue Reading
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08 Aug 2022
Stanford Strikes Analytics Partnership to Evaluate COVID-19 Health Outcomes
Stanford Medicine researchers will utilize Komodo Health’s data analytics application to study the short- and long-term health impacts of COVID-19. Continue Reading
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05 Aug 2022
NJ Hospital to Implement Colonoscopy AI Tech in Underserved Communities
Hackensack University Medical Center has been awarded funding to implement artificial intelligence-assisted colonoscopy technology in low-income and underserved areas. Continue Reading
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02 Aug 2022
Researchers Propose Framework to Ensure Equitable Healthcare Algorithms
Rand Corp. researchers argue that including race and ethnicity information, rather than removing it, is key to eliminating algorithmic bias. Continue Reading
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01 Aug 2022
Hawaii Health System Launches Population Health Analytics Collaboration
Hawaii Health Network and COPE Health Solutions have launched a population health partnership focused on providing value-based payment analytics and performance insights. Continue Reading
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28 Jul 2022
Ohio Children’s Hospital Strikes Data-Driven Population Health Partnership
Ohio-based Akron Children’s Hospital has entered into a strategic collaboration to advance pediatric population health through data analytics. Continue Reading
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22 Jul 2022
Prediction Model Can Forecast Post-Operative Outpatient Opioid Use
Researchers have developed and validated a model to predict outpatient opioid use following gynecological surgical procedures, and they further plan to validate the model in other populations. Continue Reading
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14 Jul 2022
Public, Population Health Informatics Program Nabs $2.5M to Expand Training
The Indiana Training Program in Public and Population Health Informatics has received a five-year continuation of funding from the National Institutes of Health. Continue Reading
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12 Jul 2022
Medical School Launches New Department to Enhance Patient Care Through AI
The University of Colorado School of Medicine is introducing a department to enhance clinical care through integrated computational technology, laboratory investigations, and artificial intelligence. Continue Reading
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12 Jul 2022
Limited Racial Data Curbs Diagnosis, Treatment of Genetic Conditions
New research from Johns Hopkins Medicine shows that limited data on race can skew the diagnosis and treatment of rare genetic conditions. Continue Reading
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11 Jul 2022
NY Health Consortium Receives $8M to Expand Patient Data Network
A Weill Cornell Medicine-led health consortium has been awarded $8 million in renewed funding to expand its population health database and research. Continue Reading
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07 Jul 2022
SDOH Improves Performance of Heart Failure Mortality Predictive Model
Researchers have found that machine-learning models that incorporate social determinants of health data perform better than traditional methods of predicting heart failure deaths among Black patients. Continue Reading
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01 Jul 2022
TX Health System Launches Population Health, Genomics Initiative
Texas-based Memorial Hermann Health System and Helix have announced a new collaboration to launch a population genomics program in an effort to personalize patient care. Continue Reading
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29 Jun 2022
Vanderbilt University Launches Study on LGBTQ+ Aging, Health Disparities
Researchers have launched a four-year longitudinal study of older LGBTQ+ people in the South to better understand aging and health disparities in the community. Continue Reading
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27 Jun 2022
NJ Launches Statewide Population Health Data Project
Rutgers Center for State Health Policy in New Jersey has launched a new initiative to address some of the state’s most pressing population health concerns, including the opioid epidemic. Continue Reading
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27 Jun 2022
“All of Us” Program Expands COVID-19, SDOH Data Available to Researchers
The All of Us Research Program has expanded its dataset to help researchers investigate long COVID, social determinants of health, and health disparities. Continue Reading
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23 Jun 2022
Suicide Death Rates Spiked Over Decade, Especially Among People of Color
A new analysis, released as the US prepares to launch a new three-digit mental crisis hotline, shows that suicide death rates sharply increased from 2010 to 2020, especially among people of color. Continue Reading
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21 Jun 2022
Racial Gaps Remain Despite Overall Jump in Life Expectancy
Although average life expectancy in the US grew 2.3 years between 2000 and 2019, racial gaps persisted, according to new data. Continue Reading
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08 Jun 2022
Experts Call for Real-Time, Comprehensive Data to Address Opioid Crisis
Public health researchers have called for a comprehensive, timely data strategy, like the approach taken during the COVID-19 pandemic, to help address the opioid epidemic at the local level. Continue Reading
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03 Jun 2022
Natural Language Processing Helps Shed Light on Youth Mental Health Crisis
The Crisis Text Line used natural language processing to highlight trends in youth mental health, finding that millions are experiencing anxiety and grief. Continue Reading
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01 Jun 2022
Machine Learning May Help Predict Opioid Overdoses in Medicaid Patients
A new study shows that a machine-learning model using state Medicaid data may accurately predict opioid overdose in beneficiaries. Continue Reading
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31 May 2022
New Data Science Training Program to Focus on Health Equity
The Medical University of South Carolina and Clemson University have been awarded $1.2 million to establish a new training program that focuses on harnessing big data to address health inequities. Continue Reading