2021
In 2021 the Cleveland Clinic reviewed its sepsis death figures and decided to act, according to Josh Tyrangiel.
“So the hospital in 2021 looked at its numbers for sepsis deaths and said, This is outrageous.”
Topic
Cleveland Clinic
10 facts from 1 episode, in date order. These are what speakers said on the shows, each linked to the moment it was said. They aren't independently verified.
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Josh Tyrangiel says the Cleveland Clinic's operating margin is about 2.2%, which he calls heroic for healthcare.
“you know, the margins at the clinic are like 2.2%, which most of your listeners are like,”
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A Cleveland Clinic CEO told Tyrangiel the clinic's first priority is the best care and outcomes for patients, with efficiency second so more money can go into care.
“We have two priorities here. The first is to provide the best possible care to create the best possible outcomes for our patients.”
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At the Cleveland Clinic, each AI pilot is run by a product manager who is a doctor or clinician.
“There's a product manager who runs every pilot of AI, and that product manager is a doctor or a clinician.”
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The Cleveland Clinic worked with Palantir to build a scheduling tool that predicts when hospital patients are ready to be discharged or transferred.
“And what they did is they called Palantir. They came in and they built basically a kind of rudimentary scheduling tool that would tell the hospital team when patients were getting ready to go.”
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Josh Tyrangiel says the Cleveland Clinic earns much of its income from transfers of international patients.
“You can move people in and out. The clinic gets a lot of its income and revenue from transfers from international.”
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Tyrangiel says the Palantir-built tool raised the Cleveland Clinic's transfer rate and cut emergency room wait times by ninety minutes.
“They increased the transfer rate tremendously. They cut down on emergency room wait times by ninety minutes, and they were able to improve the bottom line, right?”
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The Cleveland Clinic chose Bayesian Health, a vendor of predictive software that flags possible sepsis, for its sepsis project.
“Found a good vendor called Bayesian Health, which is predictive software that just flags the possibility of sepsis.”
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After explainability was added, the sepsis tool helped cut sepsis mortality at the Cleveland Clinic by 41% over a year, according to Josh Tyrangiel.
“Around the hospital, over the course of a year, they reduced mortality by 41%.”
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Josh Tyrangiel says in about 10% of ICU cases clinicians recognized sepsis by sight or smell before the software flagged it.
“in about 10% of cases in the ICU, a nurse or doctor would be able to look at a patient and simply by smelling them or looking at the pallor of their skin”
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