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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