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