IBM Watson in Health Care Joel Farrell, IBM

1. MedBiquitous Annual Conference 2013 IBM Watson in Health CareJoel Farrell, IBM

2. Watson Workload Optimized System (Power 750) – Original • 90 x IBM Power 7501 servers • 2880 POWER7 cores • POWER7 3.55 GHz chip • 500 GB per sec on-chip bandwidth • 10 Gb Ethernet network • 15 Terabytes of memory • 20 Terabytes of disk, clustered • Can operate at 80 Teraflops • Runs IBM DeepQA software • Scales out with and searches vast amounts of unstructured information with UIMA & Hadoop open source components • SUSE Linux provides a cost-effective open platform which is performance-optimized to exploit POWER 7 systems • 10 racks include servers, networking, shared disk system, cluster controllers 1 Note that the Power 750 featuring POWER7 is a commercially available server that runs AIX, IBM i and Linux and has been in market since Feb 2010

3. Watson Today • 1 to 4 p750's • 16 cores • 256 GB RAM • Enhanced core algorithms • Large case question • Health care specific reasoning • Health language normalization • New health care specific scoring • New NLP processors • New Data Engine • New Data Model

4. Key Differences Between Jeopardy and Healthcare Consequence: Significant development required 08/10/11

5. Patient Physician Utilization Management Registered Nurses (RN) Clinical staff Clinical staff Administrative Simplification Administrative Simplification Process with Watson Physician determines patient is at risk for breast malignancy and wants a breast MRI. Staff requests MRI pre-authorization from WellPoint Utilization Management (UM) UM RN reads the pre-auth request (fax/email/transcribed vm) and creates a summary. RN queries Watson and reviews Watson’s recommendation Physician records symptoms, medical history, and vitals RN makes a decision: authorize or forward request to WLP MD Medical Policies / Care Guidelines Utilization Management Registered Nurses (RN) Utilization Management Registered Nurses (RN)

6. Oncology Advisor Use Case Workflow Patient Discuss Treatment options Create tailored treatment program and adjust as needed Comprehensive case management Coordinated collaborative care S U R G E R Y Care Management T H E R A P Y Notify additional care givers of treatment authorization P C P Presumptive Diagnosis Oncologist Patient Data Office Staff Nurse Query for patient specific treatment options (e.g., mortality, morbidity, likelihoods) Clinical EMR Claims Treatment options Authorize full treatmentprogram instead of each episode of care Longitudinal Patient Health Information Care Guidelines Medical Literature Pre-Authorization Treatment Analyzer Morbidity and Mortality Info Genetic Testing Automated claims authorization for providers in patient’s care delivery team • Summary Benefits • Increase evidence based treatment • Streamline pre-auth / claims administration • Improve coordination of collaborative care Medical Policy Cost Information Claims Management