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