Title
AWS re:Invent 2023 - Beyond the EHR: Delivering timely, accessible care with One Medical (AMZ204)
Summary
- One Medical, now part of Amazon, operates a membership-based healthcare model and has built its own technology platform on AWS.
- Jeff Eckhouse, a Principal Business Development Manager at AWS, introduces the session and highlights the dissatisfaction with current healthcare experiences.
- Stuart Parmenter, CTO of One Medical, discusses the company's mission to transform healthcare through technology, people, and processes.
- One Medical's platform, One Life, is a suite of applications that includes patient-facing applications, provider applications, and internal analytics.
- The platform is built on AWS, leveraging services like API Gateway, ECS, RDS, Lambda, DynamoDB, ElastiCache, OpenSearch, and S3.
- AWS services help ensure security and scalability, which are critical in healthcare.
- Patrick, a principal engineer at One Medical, explains how the platform uses domain-oriented primitives and open standards like FHIR to ensure interoperability and future-proofing.
- Machine learning, including generative AI, is applied to solve real-world health problems, such as document classification and message routing.
- The platform enables a flywheel effect, improving patient and provider experiences and reducing costs.
- The session concludes with a call to explore AWS services like HealthLake for building healthcare applications and a reminder to complete the session survey.
Insights
- One Medical's decision to build its own EHR and technology platform is driven by the need for a seamless, integrated experience that off-the-shelf solutions could not provide.
- The use of AWS services has allowed One Medical to focus on differentiating their patient care experience rather than managing infrastructure.
- The adoption of FHIR standards for interoperability is a strategic move that positions One Medical to easily exchange data with other health systems and future-proof their platform.
- Machine learning is being used to automate and improve operational tasks, such as document classification and message routing, which can lead to reduced provider burnout and improved patient experiences.
- The presentation suggests a cautious approach to generative AI in healthcare, emphasizing the importance of keeping a human in the loop to avoid potential risks.
- AWS HealthLake is highlighted as a promising tool for new healthcare applications, offering a HIPAA-hardened, secure platform with built-in medical primitives and interoperability features.