Cognitive Technologies, Thinking and Time Alvin F. Poussaint, MD - - PowerPoint PPT Presentation

M-J. Sepúlveda, MD FACP FAAP IBM Fellow

Cognitive Technologies, Thinking and Time

Alvin F. Poussaint, MD Visiting Lectureship

December 6 2016

Alvin F. Poussaint, MD

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Disclaimer

Purpose: stimulate your thinking Discussion threads – time – thinking –cognitive computing

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2007

M_J Sepúlveda MD 6

2013

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2008

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IBM Confidential

2014

1990

2010

Data Tsunami, Data Quake

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2.5 billion

gigabytes data generated each day

80%

• f the world’s

data today are unstructured

1 Trillion

connected objects and devices

Expansion of Medical Knowledge

http://wingofzock.org/2014/12/23/medical-education-toy-airplane-or-stone-flywheel/

2X

Medical information doubling Q2 Yrs.

73 Days

Medical Information double by 2020

700K Journal

articles published Q Yr.

Medical decisions becoming more complex

Proteomics and other effector molecules Decisions by Clinical Phenotype Structural Genetics: e.g. SNPs, haplotypes Functional Genetics: Gene expression profiles

Facts per Decision

Human Cognitive Capacity 1990 2000 2010 2020

• IOM. 2007. Evidence-Based Medicine and the Changing Nature of Healthcare

Cognitive Systems reason, learn and

interact naturally with people to extend what humans or machines could do on their own.

Cognitive Systems Era

Programmable Systems Era Tabulating Systems Era

You are here

Sensors & Devices VoIP Enterprise Data Social Media

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Attributes of Cognitive Systems

cognitivecomputingconsortium.org Information adept Probabalistic Meaning based Dynamic, adaptive Highly Integrated Highly interactive Uncertainty Information Challenging:V3 volume, variety, velocity Favorable Cost:Benefit High Impact Potential

Uses for

Cognitive Systems

Learning Discovery Training 16 Education IBM Research

Advanced Image Recognition

Cognitive Applications

Discovery Expert Decision Support

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Price and Technology Access

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PC Volumes

Wireless Service SW, accessories IT, HW, services PCs, peripherals

Cell phone Computer SW & Accessories Computer Hardware & Services Personal Computers

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Bicycle Video

M-J. Sepúlveda, MD FACP IBM Fellow & Vice President

Primary Care

Milestones in PC Transformation

Baucus White Paper 1978 Alma Ata Declaration

• Adv. Medical Home

2007 Joint Principles Medical Home 2006 MH Pilots 2002 TransforMed 2008 Obama Plan PPACA 2010 NBGH Award

1967

“Medical Home” Coined

Standards Child Health Care Council on Ped. Practice IOM on PC 1978-79 “Medical Home” Concept Hawaii Child Health Plan Calvin Sia MD

1987

• Surg. Gen. Report
• Dr. Koop, MH for CSHCN

Future Family Medicine

1992

Medical Home Policy Statement 2004 Pilots

Sepulveda et al Journal of Pediatrics. May 14 2016.

Specialist

Visits

Well Child Exams, Vaccinations Rx Fills

ED Visits

Primary Care Visits Value Better care, same cost

Children Youth (N=25,950): Free Primary Care Visits

Sepulveda et al Submitted for Publication Dec 2016

Specialist Visits Preventive Primary Care Visits Rx Fills ED Visits Preventive Services Delivery Value

(Better care,

lower cost)

Adults (N= 35,217): Free Primary Care Visits

Discovery: Creativity in Culinary Arts

http://www.research.ibm.com/software/IBMResearch/multimedia/Cognitive-Cooking-Fact-Sheet.pdf

IBM Research: Mobile, Solutions, and Mathematical Sciences 26

Recommended

• Time: high velocity affects apertures of opportunity
• Thinking: wear multiple lenses, try believing to see as well
• Cognitive computing:
• systems of engagement
• stay tuned, monitor closely

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Cognitive Computing Enablers

IoT