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

Cognitive Technologies, Thinking and Time Alvin F. Poussaint, MD Visiting Lectureship December 6 2016 M-J. Sepúlveda, MD FACP FAAP IBM Fellow

Alvin F. Poussaint, MD 2

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

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2007 Photo: Luca Bruno / AP

2013 6 M_J Sepúlveda MD

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2014 Photo: Reuters 8 IBM Confidential

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Data Tsunami, Data Quake 2.5 billion 1 Trillion 80% of the world’ s gigabytes data connected objects generated each and devices data today are day unstructured 11

Expansion of Medical Knowledge 2X 700K Journal 73 Days Medical articles published Medical information Information Q Yr . doubling Q2 Yrs. double by 2020 http://wingofzock.org/2014/12/23/medical-education-toy-airplane-or-stone-flywheel/

Medical decisions becoming more complex Facts per Decision Proteomics and other effector molecules Functional Genetics: Gene expression profiles Structural Genetics: e.g. SNPs, haplotypes Human Cognitive Capacity Decisions by Clinical Phenotype 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 Sensors & Devices Social Media You are here VoIP Enterprise Data 14

Uses for Attributes of Cognitive Systems Cognitive Systems Information Challenging:V 3 Information adept volume, variety, velocity Dynamic, adaptive Highly Integrated Uncertainty Probabalistic High Impact Potential Meaning based Favorable Cost:Benefit Highly interactive cognitivecomputingconsortium.org

Advanced Image Recognition Education Discovery Discovery Learning Cognitive Applications Expert Decision Support Training 16 IBM Research

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Cell phone Computer SW & Accessories Price and Wireless Service Computer Hardware & Services Technology SW, accessories Access Personal Computers IT, HW, services PCs, peripherals PC Volumes 18

Bicycle Video 19

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

Milestones in PC Transformation 1967 “ Medical Home” Coined 1978 Standards Child Health Care 1978-79 Alma Ata Council on Ped. Practice “Medical Home” Concept Declaration Hawaii Child Health Plan Calvin Sia MD 1987 Surg. Gen. Report 1992 Dr. Koop, MH for CSHCN 2002 Medical Home Policy Statement Future Family Medicine 2004 2006 TransforMed Adv. Medical Home 2007 Pilots Baucus 2008 MH Pilots White Paper Joint Principles NBGH Award Medical Home Obama Plan IOM on PC PPACA 2010

Children Youth (N=25,950): Free Primary Care Visits Rx Fills ED Visits Well Child Exams, Vaccinations Value Better care, same cost Primary Care Visits Specialist Visits Sepulveda et al Journal of Pediatrics. May 14 2016.

Adults (N= 35,217): Free Primary Care Visits Rx Fills ED Visits Preventive Primary Care Value Visits ( Better care, lower cost) Preventive Services Specialist Delivery Visits Sepulveda et al Submitted for Publication Dec 2016

Discovery: Creativity in Culinary Arts http://www.research.ibm.com/software/IBMResearch/multimedia/Cognitive-Cooking-Fact-Sheet.pdf

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 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 28

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