Thursday, June 5, 2014
Is Data
the Modern Rosetta Stone?
A stone
found in 1799, bearing parallel descriptions in Greek, Egyptian hieroglyphics,
and demotic characters, making possible decipherment of ancient Egyptian
hieroglyphics.
Rosetta
Stone
Is big data the modern Rosetta Stone that will unlock the hieroglyphic connections between clinical treatments and future outcomes?
It depends upon whom you ask, and it depends on who enters
the data and the validity of the data being entered, in other words, on "facts in, facts out, " or conversely, “garbage in, garbage out.”
Computer generated data may hold the key to unraveling the parallel
hieroglyphics between clinical judgments and actual outcomes – between old wife’s
health tales and scientific results.
If you read today’s June 5 New England Journal of Medicine, a staunch advocate of data-rich
double-blind clinical trials and meta-studies,
you will soon learn we may be on the cusp of deciphering the modern Rosetta
clinical stone.
·
“Learning from Big Health Care Data”
·
“Fostering Responsible Data Sharing Standards”
·
“Min-Sentinel and Regulatory Science – Big Data
Rendered Fit and Functional”
If you read Kaiser
Health News, you will learn
doctors are already getting a lot of their supplemental outside information
about what works and doesn’t work through artificial-intelligence in sites such as Modernizing Health “When
Doctors Need Advice, It Might Not Come from a Fellow Human,” June 4,
Kaiser Health News. The point of
that article is, “Computers can’t replace doctors at the bedside, but they are
capable of crunching vast amount of data, identifying patterns humans can’t.”
But if you talk to harassed clinicians who must deal with the time
spent away from patients to enter patient data, the personal barriers between
them and their patients posed by carrying a lap data around with them, interposed between them and their patients; the
hieroglyphics of figuring out what codes to use in ICD-10 coding systems, and the expenses of installing, maintaining,
and training needed for electronic health
systems, you begin to understand why
doctors are bailing out of 3rd party arrangements requiring data
entry as the price of participation in insurance systems and are entering Direct Primary Care Practices free of 3rd party involvement.
And if you go outside the realm of science into the world of
health care politics, you quickly learn that data interpretation becomes
hieroglyphic.
·
Reuters, June
5, “U.S Says 2.2 million ObamaCare
Enrollees have Data Problems.”
·
The
Hill, June 4, “ O-Care Errors Threatened Plans, Subsidies.”
I close with this verse.
When you
think of data as a Rosetta,
Remember
data can be a piƱata.
Data
may seem totally objective,
But data
can be perverse and subjective,
Prone
to and subject to human errata.
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