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.

Keynote on health care at Defrag 2013.

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Health Care After The Deluge - Defrag 2013 Health Care After The Deluge - Defrag 2013 Presentation Transcript

  • 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 their apps”
  • 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