A patient’s health information is generally fragmented across silos. Though it is technically feasible to unite data for analysis in a manner that underpins a rapid learning healthcare system, privacy concerns and regulatory barriers limit data centralization. Machine learning can be conducted in a federated manner on patient datasets with the same set of variables, but separated across sites of care. But federated learning cannot handle the situation where different data types for a given
 patient are separated vertically across different organizations. We call methods that enable machine learning model training on data separated by two or more degrees “confederated machine learning.” We built and evaluated a confederated machine
learning model to stratify the risk of accidental falls among the elderly.
a confederated learning method that train model from horizontally and vertically separated medical data  A "confederated" machine learning method that learns across divides in medical data separated both horizontally and vertically.