Effective resource management using machine learning in medicine: an applied example. (22nd June 2018)

• Record Type: Journal Article
• Authors: Williams, Alan; Mekhail, Ann-Marie; Williams, James; McCord, Johanna; Buchan, Vanessa
• Is Part Of: BMJ simulation & technology enhanced learning. Volume 5:Number 2(2019)
• Page Start: 85
• Page End: 90
• Publication Date: 2018-06-22
• Subjects: inefficiency in health -- resource management big data -- primary care -- healthcare resource utilization -- clinical informatics; Medicine -- Simulation methods -- Periodicals; Medical innovations -- Periodicals; 610.113
• DOI: 10.1136/bmjstel-2017-000289
• Languages: English
• ISSNs: 2056-6697

Abstract

Abstract : Background: The field of medicine is rapidly becoming digitised, and in the process passively amassing large volumes of healthcare data. Machine learning and data analytics are advancing rapidly, but these have been slow to be taken up in the day-to-day delivery of healthcare. We present an application of machine learning to optimise a laboratory testing programme as an example of benefiting from these tools. Methods: Canterbury District Health Board has recently implemented a system for urgent lab sample processing in the community, reducing unnecessary emergency presentations to hospital. Samples are transported from primary care facilities to a central laboratory. To improve the efficiency of this service, our team built a prototype transport scheduling platform using machine learning techniques and simulated the efficiency and cost impact of the platform using historical data. Results: Our simulation demonstrated procedural efficiency and potential for annual savings between 5% and 14% from implementing a real-time lab sample transport scheduling platform. Advantages included providing a forward job list to the laboratory, an expected time to result and a streamlined transport request process. Conclusion: There are a range of opportunities in healthcare to use large datasets for improved delivery of care. We have described an applied example of using machine learning techniques to improve the efficiency of community patient lab sample processing at scale. This is with a view to demonstrating practical avenues for collaboration between clinicians and machine learning engineers.