health care after the deluge
!

#defragcon
@wilbanks
1.
health “networks”
“network” means “in
payment network”
API
“Interchange will make KP’s public
facility and location information
available for third-party developers
to use within th...
2.
the data deluge is
coming for health.
https://www.scienceexchange.com/
17
18
19
20
$1000 per biopsy.
1,000,000 downloads.
false positive rate?
3.
a real-world experiment.
what should i do about
my prostate cancer risk?
“eat less and exercise”
all boxes must be checked

volunteer must click to proceed
volunteer cannot skip video
http://opensnp.org/users/615
http://files.snpedia.com/reports/promethease_data/genome_jtw_ui2.html
“Also there is no suggestion of
consanguinity in your pedigree.”
!
http://www.ianlogan.co.uk/
the answer isn’t (yet) on
the regular web.
4.
bring the patients and
the experts into the
same network.
“how accurately can we predict if
a female breast cancer survivor
will develop a second tumor?”
may the best (statistical) model win
code sharing a prerequisite.
accuracy of model jumped three
orders of magnitude in nine days.
76% accurate.

46
(not a biologist)

47
can we predict clinical utility from
genetics of arthritis?
can we predict scores on alzheimers
cognitive tests from existing data?
5.
reconciling the data
deluge and the health
system.
transaction costs
must come down.
it’s likely that we will
end up with a
monopoly of some sort.
a. the incremental
institution.
b. the walled garden.
c. big networks of
small things.
except now,
everyone’s watching.
thank you
!

@wilbanks
john.wilbanks@sagebase.org
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
Health Care After The Deluge - Defrag 2013
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Health Care After The Deluge - Defrag 2013

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Keynote on health care at Defrag 2013.

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Health Care After The Deluge - Defrag 2013

  1. 1. health care after the deluge ! #defragcon @wilbanks
  2. 2. 1. health “networks”
  3. 3. “network” means “in payment network”
  4. 4. API
  5. 5. “Interchange will make KP’s public facility and location information available for third-party developers to use within their apps”
  6. 6. 2. the data deluge is coming for health.
  7. 7. https://www.scienceexchange.com/
  8. 8. 17
  9. 9. 18
  10. 10. 19
  11. 11. 20
  12. 12. $1000 per biopsy. 1,000,000 downloads. false positive rate?
  13. 13. 3. a real-world experiment.
  14. 14. what should i do about my prostate cancer risk?
  15. 15. “eat less and exercise”
  16. 16. all boxes must be checked volunteer must click to proceed
  17. 17. volunteer cannot skip video
  18. 18. http://opensnp.org/users/615
  19. 19. http://files.snpedia.com/reports/promethease_data/genome_jtw_ui2.html
  20. 20. “Also there is no suggestion of consanguinity in your pedigree.” ! http://www.ianlogan.co.uk/
  21. 21. the answer isn’t (yet) on the regular web.
  22. 22. 4. bring the patients and the experts into the same network.
  23. 23. “how accurately can we predict if a female breast cancer survivor will develop a second tumor?”
  24. 24. may the best (statistical) model win
  25. 25. code sharing a prerequisite.
  26. 26. accuracy of model jumped three orders of magnitude in nine days.
  27. 27. 76% accurate. 46
  28. 28. (not a biologist) 47
  29. 29. can we predict clinical utility from genetics of arthritis?
  30. 30. can we predict scores on alzheimers cognitive tests from existing data?
  31. 31. 5. reconciling the data deluge and the health system.
  32. 32. transaction costs must come down.
  33. 33. it’s likely that we will end up with a monopoly of some sort.
  34. 34. a. the incremental institution.
  35. 35. b. the walled garden.
  36. 36. c. big networks of small things.
  37. 37. except now, everyone’s watching.
  38. 38. thank you ! @wilbanks john.wilbanks@sagebase.org
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