As our healthcare system has adopted more digital tools, our electronic medical records (EMR) have become a repository of real world patient data -- that is, patient data generated outside of a clinical trial. But that real world data is complex and messy, so what are the actual use cases for it? Can it be used for real-time clinical decision support, or is its utility limited to less time-sensitive use cases? a16z Bio General Partner and practicing physician Vineeta Agarwala talks to data initiative leaders from the University of California, Truveta, Foundation Medicine, and Johns Hopkins about how they are using real world data and how this data may be changing the role of academic medical centers (AMC) and other organizational players in our healthcare system.