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Mount Sinai and the Atlantic Host Working Summit on Big Data in New York City
Date:10/29/2013

rch, said it is important to consider "smart data," which is often not reflected in health records. "One percent of the patient's experience is their encounter with the physician," he said. "What if during the other 99 percent of the time they're making poor choices? We need to gather more data from the patient. The more we can encapsulate behavioral preferences, the closer we will get to having smart data."

Kenneth L. Davis, MD, Chief Executive Officer and President of the Mount Sinai Health System, said Mount Sinai understands the importance of managing the health information of large populations of patients, and has created incentives for physicians to record thorough patient information.

"We're on the cutting edge of getting our physicians to use the data we generate," Dr. Davis said. "In between the clinicians and the data are case managers who make sure the physicians act on that data, and a significant percent of a physician's salary is tied to using the data effectively to control readmissions, inappropriate utilization, and all the other things that drive health care costs. When a patient misses an appointment or doesn't fill a prescription we know it right away and our people are on the phone making sure that mistake doesn't become a major health event. If we don't align the payers, the providers, and the patients with the same incentives the system doesn't work."

Mount Sinai is also using Minerva to change patient care at a population level. In recent study of Medicare patients enrolled in Mount Sinai's Accountable Care Organization, Dr. Davis said Minerva helped researchers discover that the use of comprehensive EHRs cut the 30-day readmission rate by 44 percent, and emergency department visits by 53 percent.

Creating an open platform for data sharing was another important topic of discussion at the summit. Today, most health informat
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