SlideShare a Scribd company logo
1 of 27
Value of Personalized Medicine: What is it? How to measure it? Why care? Kathryn A. Phillips, PhD Professor of Health Economics & Health Services Research Director & Principal Investigator  Center for Translational & Policy Research on Personalized Medicine (TRANSPERS) University of California, San Francisco e
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Challenges for Personalized Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Todayโ€™s Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Understanding Perspectives
VALUE FDA Public Payers Government/Evidence Groups/โ€Societyโ€ Industry Patients โ€œ Valueโ€ is in Eyes of Beholder Physicians Private Payers PBMs Employers
Goal : Develop  evidence  of how personalized medicine can be  translated  to improve health outcomes Focus:  Breast and colorectal cancer initially The Center for  Translational and Policy Research on Personalized Medicine
Academia Stakeholders Society
Critical Questions for the Center ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Private Payer Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges to Establishing Value
โ€œ Poor Step-Childโ€ ,[object Object],[object Object],[object Object],[object Object],[object Object]
โ€œ Flying Under the Radar โ€ ,[object Object],[object Object],[object Object],[object Object]
โ€œ The Black Boxโ€   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Wall Street Journal FRIDAY,ย JANUARYย 4,ย 2008  Bad Cancer Tests  Drawing Scrutiny
HER2/neu testing for Herceptin  Clinical Practice Patterns and Cost-Effectiveness of HER2 Testing Strategies in Breast Cancer Patients.   Phillips KA, Marshall DA, Haas JS, Elkin EB, Liang SY, Hassett MJ, Ferrusi I, Brock JE, Van Bebber SL , 2009
[object Object],[object Object],[object Object],Oldest Example of Personalized Medicine Portends Promises & Challenges
Evidence  Gap: Who Tested? ,[object Object],[object Object]
Implementation Gap: Accuracy? ,[object Object],[object Object]
Translation Gap: Treatment? ,[object Object],[object Object]
Economic Gap: Efficiency? ,[object Object],[object Object]
โ€œ Oncotype DX is the most commercially successful genomic based prognostic test to dateโ€
Gene Expression Profiling Tests ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Influencing Adoption ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Influencing Coverage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tip of the Iceberg ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Christie 2015 Resume
Christie 2015 ResumeChristie 2015 Resume
Christie 2015 Resume
Christie Carter
ย 
Pcori final writeup
Pcori final writeupPcori final writeup
Pcori final writeup
hbocian14
ย 

What's hot (20)

Best strategies for successful recruitment and retention
Best strategies for successful recruitment and retentionBest strategies for successful recruitment and retention
Best strategies for successful recruitment and retention
ย 
Comparative Effectiveness Research:: Threat or Opportunity
Comparative Effectiveness Research:: Threat or OpportunityComparative Effectiveness Research:: Threat or Opportunity
Comparative Effectiveness Research:: Threat or Opportunity
ย 
Developing a Pilot Project for Private Sector Coverage with Evidence Developm...
Developing a Pilot Project for Private Sector Coverage with Evidence Developm...Developing a Pilot Project for Private Sector Coverage with Evidence Developm...
Developing a Pilot Project for Private Sector Coverage with Evidence Developm...
ย 
Clinical Trial Recruitment & Retention
Clinical Trial Recruitment & RetentionClinical Trial Recruitment & Retention
Clinical Trial Recruitment & Retention
ย 
2006 Anaheim Juthnas 24
2006 Anaheim Juthnas 242006 Anaheim Juthnas 24
2006 Anaheim Juthnas 24
ย 
CROs Driving Changes in Patient Recruitment
CROs Driving Changes in Patient RecruitmentCROs Driving Changes in Patient Recruitment
CROs Driving Changes in Patient Recruitment
ย 
Christie 2015 Resume
Christie 2015 ResumeChristie 2015 Resume
Christie 2015 Resume
ย 
Clinical trial recruitment overview
Clinical trial recruitment overviewClinical trial recruitment overview
Clinical trial recruitment overview
ย 
Emerging diagnostic technologies proving the clinical application through g...
Emerging diagnostic technologies   proving the clinical application through g...Emerging diagnostic technologies   proving the clinical application through g...
Emerging diagnostic technologies proving the clinical application through g...
ย 
What does it take to perform an optimal cost effectiveness analysis in radiology
What does it take to perform an optimal cost effectiveness analysis in radiologyWhat does it take to perform an optimal cost effectiveness analysis in radiology
What does it take to perform an optimal cost effectiveness analysis in radiology
ย 
MedicReS Winter School 2017 Vienna - Importance of Selection of Outcomes - Ma...
MedicReS Winter School 2017 Vienna - Importance of Selection of Outcomes - Ma...MedicReS Winter School 2017 Vienna - Importance of Selection of Outcomes - Ma...
MedicReS Winter School 2017 Vienna - Importance of Selection of Outcomes - Ma...
ย 
Initial post week 12
Initial post week 12 Initial post week 12
Initial post week 12
ย 
0306 1 Sergio Diaz - Patient Reported Outcomes
0306 1 Sergio Diaz - Patient Reported Outcomes0306 1 Sergio Diaz - Patient Reported Outcomes
0306 1 Sergio Diaz - Patient Reported Outcomes
ย 
Pcori final writeup
Pcori final writeupPcori final writeup
Pcori final writeup
ย 
Outcomes research
Outcomes researchOutcomes research
Outcomes research
ย 
0307 Mary Wang - Biobanks and registries
0307 Mary Wang - Biobanks and registries0307 Mary Wang - Biobanks and registries
0307 Mary Wang - Biobanks and registries
ย 
Mosio's Clinical Trial Patient Recruitment and Retention Ebook (First Edition)
Mosio's Clinical Trial Patient Recruitment and Retention Ebook (First Edition)Mosio's Clinical Trial Patient Recruitment and Retention Ebook (First Edition)
Mosio's Clinical Trial Patient Recruitment and Retention Ebook (First Edition)
ย 
Patient Centered Medical Home (PCMH) is not a pill Kevin Grumbach 2013
Patient Centered Medical Home (PCMH)  is not a pill Kevin Grumbach 2013Patient Centered Medical Home (PCMH)  is not a pill Kevin Grumbach 2013
Patient Centered Medical Home (PCMH) is not a pill Kevin Grumbach 2013
ย 
Outcomes research
Outcomes researchOutcomes research
Outcomes research
ย 
Robert Kaplan, Value Based Health Care
Robert Kaplan, Value Based Health CareRobert Kaplan, Value Based Health Care
Robert Kaplan, Value Based Health Care
ย 

Viewers also liked

Demand force tutorial
Demand force tutorialDemand force tutorial
Demand force tutorial
Rodolfo Maldonado
ย 
MassTLC healthcare seminar - Patient Engagement from the Patient's point of view
MassTLC healthcare seminar - Patient Engagement from the Patient's point of viewMassTLC healthcare seminar - Patient Engagement from the Patient's point of view
MassTLC healthcare seminar - Patient Engagement from the Patient's point of view
MassTLC
ย 
The Experience Matters
The Experience MattersThe Experience Matters
The Experience Matters
DemandForce
ย 
S dillon mtlc 5-02-2013
S dillon   mtlc 5-02-2013S dillon   mtlc 5-02-2013
S dillon mtlc 5-02-2013
MassTLC
ย 

Viewers also liked (20)

Demand forcetutorial
Demand forcetutorialDemand forcetutorial
Demand forcetutorial
ย 
Demand force tutorial
Demand force tutorialDemand force tutorial
Demand force tutorial
ย 
Master Class on Talent Management & Engagement - Ajay Bhatia
Master Class on Talent Management & Engagement - Ajay BhatiaMaster Class on Talent Management & Engagement - Ajay Bhatia
Master Class on Talent Management & Engagement - Ajay Bhatia
ย 
Patient perspective: Is the promise to involve patients being fulfilled?
Patient perspective: Is the promise to involve patients being fulfilled?Patient perspective: Is the promise to involve patients being fulfilled?
Patient perspective: Is the promise to involve patients being fulfilled?
ย 
Patient relationship management on the cloud
Patient relationship management on the cloudPatient relationship management on the cloud
Patient relationship management on the cloud
ย 
MassTLC healthcare seminar - Patient Engagement from the Patient's point of view
MassTLC healthcare seminar - Patient Engagement from the Patient's point of viewMassTLC healthcare seminar - Patient Engagement from the Patient's point of view
MassTLC healthcare seminar - Patient Engagement from the Patient's point of view
ย 
The Experience Matters
The Experience MattersThe Experience Matters
The Experience Matters
ย 
Marketing Automation Rules for Healthcare Organizations
Marketing Automation Rules for Healthcare OrganizationsMarketing Automation Rules for Healthcare Organizations
Marketing Automation Rules for Healthcare Organizations
ย 
'Stories & Numbers' - A Framework for Measuring Engagement
'Stories & Numbers' - A Framework for Measuring Engagement'Stories & Numbers' - A Framework for Measuring Engagement
'Stories & Numbers' - A Framework for Measuring Engagement
ย 
S dillon mtlc 5-02-2013
S dillon   mtlc 5-02-2013S dillon   mtlc 5-02-2013
S dillon mtlc 5-02-2013
ย 
Demandforce Automated Marketing - Tearsheet
Demandforce Automated Marketing - TearsheetDemandforce Automated Marketing - Tearsheet
Demandforce Automated Marketing - Tearsheet
ย 
Listening to the Patients: Uncovering the Hidden Value in Medicine
Listening to the Patients: Uncovering the Hidden Value in MedicineListening to the Patients: Uncovering the Hidden Value in Medicine
Listening to the Patients: Uncovering the Hidden Value in Medicine
ย 
Df1
Df1Df1
Df1
ย 
[White Paper] Patient Engagement ROI
[White Paper] Patient Engagement ROI[White Paper] Patient Engagement ROI
[White Paper] Patient Engagement ROI
ย 
ePatient Perspective(s) - Telecom Council of Silicon Valley
ePatient Perspective(s) - Telecom Council of Silicon ValleyePatient Perspective(s) - Telecom Council of Silicon Valley
ePatient Perspective(s) - Telecom Council of Silicon Valley
ย 
Patient Engagement Through the Use of Information Technology
Patient Engagement Through the Use of Information TechnologyPatient Engagement Through the Use of Information Technology
Patient Engagement Through the Use of Information Technology
ย 
Patient Engagement & the Matrix: How plugged in are we?
Patient Engagement & the Matrix: How plugged in are we?Patient Engagement & the Matrix: How plugged in are we?
Patient Engagement & the Matrix: How plugged in are we?
ย 
Code and Care - case studies
Code and  Care  -  case studiesCode and  Care  -  case studies
Code and Care - case studies
ย 
Romana Hasnain-Wynia: Incorporating the Patientโ€™s Perspective in Research
Romana Hasnain-Wynia: Incorporating the Patientโ€™s Perspective in ResearchRomana Hasnain-Wynia: Incorporating the Patientโ€™s Perspective in Research
Romana Hasnain-Wynia: Incorporating the Patientโ€™s Perspective in Research
ย 
Dalton presentation
Dalton presentationDalton presentation
Dalton presentation
ย 

Similar to Value of Personalized Health Care

Matching the Research Design to the Study Question
Matching the Research Design to the Study QuestionMatching the Research Design to the Study Question
Matching the Research Design to the Study Question
AcademyHealth
ย 
Highlights from ExL Pharma's 2nd Pharmaceutical Managed Markets
Highlights from ExL Pharma's  2nd Pharmaceutical Managed MarketsHighlights from ExL Pharma's  2nd Pharmaceutical Managed Markets
Highlights from ExL Pharma's 2nd Pharmaceutical Managed Markets
ExL Pharma
ย 
Personalized Medicine: Current and Future Perspectives Personalized Medicin...
Personalized Medicine: Current and Future Perspectives 	 Personalized Medicin...Personalized Medicine: Current and Future Perspectives 	 Personalized Medicin...
Personalized Medicine: Current and Future Perspectives Personalized Medicin...
MedicineAndHealth
ย 
Faculty PowerPoint Amcp Template_032713_final draft_printouts
Faculty PowerPoint Amcp Template_032713_final draft_printoutsFaculty PowerPoint Amcp Template_032713_final draft_printouts
Faculty PowerPoint Amcp Template_032713_final draft_printouts
Joe Gricar, MS
ย 
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-EmployerConfronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
Melissa Kay Palardy
ย 
E4P0815_PatientInterest_V6
E4P0815_PatientInterest_V6E4P0815_PatientInterest_V6
E4P0815_PatientInterest_V6
Ulrich Neumann, FRSA
ย 

Similar to Value of Personalized Health Care (20)

Comparative Effectiveness Research
Comparative Effectiveness ResearchComparative Effectiveness Research
Comparative Effectiveness Research
ย 
Matching the Research Design to the Study Question
Matching the Research Design to the Study QuestionMatching the Research Design to the Study Question
Matching the Research Design to the Study Question
ย 
Highlights from ExL Pharma's 2nd Pharmaceutical Managed Markets
Highlights from ExL Pharma's  2nd Pharmaceutical Managed MarketsHighlights from ExL Pharma's  2nd Pharmaceutical Managed Markets
Highlights from ExL Pharma's 2nd Pharmaceutical Managed Markets
ย 
Personalized Medicine: Current and Future Perspectives Personalized Medicin...
Personalized Medicine: Current and Future Perspectives 	 Personalized Medicin...Personalized Medicine: Current and Future Perspectives 	 Personalized Medicin...
Personalized Medicine: Current and Future Perspectives Personalized Medicin...
ย 
smi patient recruitment programs
smi patient recruitment programssmi patient recruitment programs
smi patient recruitment programs
ย 
HL7: Clinical Decision Support
HL7: Clinical Decision SupportHL7: Clinical Decision Support
HL7: Clinical Decision Support
ย 
Moving Beyond Resistance: Current Research in ER+ Metastatic Breast Cancer
Moving Beyond Resistance: Current Research in ER+ Metastatic Breast Cancer Moving Beyond Resistance: Current Research in ER+ Metastatic Breast Cancer
Moving Beyond Resistance: Current Research in ER+ Metastatic Breast Cancer
ย 
Aware - Just Clinical
Aware - Just ClinicalAware - Just Clinical
Aware - Just Clinical
ย 
NMA Presentation Ddey 04Jun08
NMA Presentation Ddey 04Jun08NMA Presentation Ddey 04Jun08
NMA Presentation Ddey 04Jun08
ย 
Clinical trials article
Clinical trials articleClinical trials article
Clinical trials article
ย 
Fda Cms Summit Panel Preso In Ventiv
Fda Cms Summit Panel Preso In VentivFda Cms Summit Panel Preso In Ventiv
Fda Cms Summit Panel Preso In Ventiv
ย 
Faculty PowerPoint Amcp Template_032713_final draft_printouts
Faculty PowerPoint Amcp Template_032713_final draft_printoutsFaculty PowerPoint Amcp Template_032713_final draft_printouts
Faculty PowerPoint Amcp Template_032713_final draft_printouts
ย 
Is complementary and alternative medicine (CAM) cost-effective? a systematic ...
Is complementary and alternative medicine (CAM) cost-effective? a systematic ...Is complementary and alternative medicine (CAM) cost-effective? a systematic ...
Is complementary and alternative medicine (CAM) cost-effective? a systematic ...
ย 
Whereโ€™s the evidence that screening for distress benefits cancer patients?
Whereโ€™s the evidence that screening for distress benefits cancer patients?Whereโ€™s the evidence that screening for distress benefits cancer patients?
Whereโ€™s the evidence that screening for distress benefits cancer patients?
ย 
Genetic Testing Reduces Specialty Drug Spend
Genetic Testing Reduces Specialty Drug SpendGenetic Testing Reduces Specialty Drug Spend
Genetic Testing Reduces Specialty Drug Spend
ย 
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-EmployerConfronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
ย 
Call on Congress 2014 John Marshall, Treatment
Call on Congress 2014 John Marshall, TreatmentCall on Congress 2014 John Marshall, Treatment
Call on Congress 2014 John Marshall, Treatment
ย 
A Leading Patient Experience Survey Platform by MedStatix - White Labeled for...
A Leading Patient Experience Survey Platform by MedStatix - White Labeled for...A Leading Patient Experience Survey Platform by MedStatix - White Labeled for...
A Leading Patient Experience Survey Platform by MedStatix - White Labeled for...
ย 
E4P0815_PatientInterest_V6
E4P0815_PatientInterest_V6E4P0815_PatientInterest_V6
E4P0815_PatientInterest_V6
ย 
SLC CME- Evidence based medicine 07/27/2007
SLC CME- Evidence based medicine 07/27/2007SLC CME- Evidence based medicine 07/27/2007
SLC CME- Evidence based medicine 07/27/2007
ย 

More from Ryan Squire

Rogers Power Point Slides
Rogers Power Point SlidesRogers Power Point Slides
Rogers Power Point Slides
Ryan Squire
ย 

More from Ryan Squire (20)

Heart failure resources
Heart failure resourcesHeart failure resources
Heart failure resources
ย 
Ohio State Medical Center Social Media April 2011
Ohio State Medical Center Social Media April 2011Ohio State Medical Center Social Media April 2011
Ohio State Medical Center Social Media April 2011
ย 
Social Media @OSUMC
Social Media @OSUMCSocial Media @OSUMC
Social Media @OSUMC
ย 
Conversations that matter: Social networking for students with disabilities
Conversations that matter: Social networking for students with disabilitiesConversations that matter: Social networking for students with disabilities
Conversations that matter: Social networking for students with disabilities
ย 
Social media ethics
Social media ethicsSocial media ethics
Social media ethics
ย 
Social media by design
Social media by designSocial media by design
Social media by design
ย 
Overcoming internal resistance proving the value of new media
Overcoming internal resistance proving the value of new mediaOvercoming internal resistance proving the value of new media
Overcoming internal resistance proving the value of new media
ย 
Ignite4
Ignite4Ignite4
Ignite4
ย 
Health Care is Social
Health Care is SocialHealth Care is Social
Health Care is Social
ย 
Embracing The Change Of Social Media
Embracing The Change Of Social MediaEmbracing The Change Of Social Media
Embracing The Change Of Social Media
ย 
Advocacy Through Interaction
Advocacy Through InteractionAdvocacy Through Interaction
Advocacy Through Interaction
ย 
Social Media Health Care 2009
Social Media Health Care 2009Social Media Health Care 2009
Social Media Health Care 2009
ย 
How To Handle The Responsibilities Of Hipaa, Identity Theft, And Privacy Conc...
How To Handle The Responsibilities Of Hipaa, Identity Theft, And Privacy Conc...How To Handle The Responsibilities Of Hipaa, Identity Theft, And Privacy Conc...
How To Handle The Responsibilities Of Hipaa, Identity Theft, And Privacy Conc...
ย 
Rogers Power Point Slides
Rogers Power Point SlidesRogers Power Point Slides
Rogers Power Point Slides
ย 
Direct To Consumer Genomics and the Future of Healthcare
Direct To Consumer Genomics and the Future of HealthcareDirect To Consumer Genomics and the Future of Healthcare
Direct To Consumer Genomics and the Future of Healthcare
ย 
Pharmacogenomic Clinical Studies
Pharmacogenomic Clinical StudiesPharmacogenomic Clinical Studies
Pharmacogenomic Clinical Studies
ย 
Pharmacogenomics in Clinical Medicine: What Is FDA Doing to Facilitate the M...
Pharmacogenomics in Clinical Medicine:  What Is FDA Doing to Facilitate the M...Pharmacogenomics in Clinical Medicine:  What Is FDA Doing to Facilitate the M...
Pharmacogenomics in Clinical Medicine: What Is FDA Doing to Facilitate the M...
ย 
Tamoxifen And CYP2D6: Using Pharmacogenetics to discover a new drug
Tamoxifen And CYP2D6:  Using Pharmacogenetics to discover a new drugTamoxifen And CYP2D6:  Using Pharmacogenetics to discover a new drug
Tamoxifen And CYP2D6: Using Pharmacogenetics to discover a new drug
ย 
Patient Centered Medical Home
Patient Centered Medical HomePatient Centered Medical Home
Patient Centered Medical Home
ย 
Medicine of the Futureโ€”The Transformation from Reactive to Proactive (P4) Med...
Medicine of the Futureโ€”The Transformation from Reactive to Proactive (P4) Med...Medicine of the Futureโ€”The Transformation from Reactive to Proactive (P4) Med...
Medicine of the Futureโ€”The Transformation from Reactive to Proactive (P4) Med...
ย 

Recently uploaded

Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
adilkhan87451
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
mahaiklolahd
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
chetankumar9855
ย 
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
ย 

Recently uploaded (20)

Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
ย 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
ย 
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
ย 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
ย 
Call Girls in Delhi Triveni Complex Escort Service(๐Ÿ”))/WhatsApp 97111โ‡›47426
Call Girls in Delhi Triveni Complex Escort Service(๐Ÿ”))/WhatsApp 97111โ‡›47426Call Girls in Delhi Triveni Complex Escort Service(๐Ÿ”))/WhatsApp 97111โ‡›47426
Call Girls in Delhi Triveni Complex Escort Service(๐Ÿ”))/WhatsApp 97111โ‡›47426
ย 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
ย 
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call ๐Ÿ‘‰๐Ÿ‘‰7877925207 Top Class Call Girl Service...
ย 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
ย 
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
ย 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
ย 
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} โค๏ธ (ahana) Indore Call Girls * UPA...
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
ย 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
ย 
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
๐ŸŒนAttapurโฌ…๏ธ Vip Call Girls Hyderabad ๐Ÿ“ฑ9352852248 Book Well Trand Call Girls In...
ย 
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
ย 
Top Rated Bangalore Call Girls Ramamurthy Nagar โŸŸ 9332606886 โŸŸ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar โŸŸ  9332606886 โŸŸ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar โŸŸ  9332606886 โŸŸ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar โŸŸ 9332606886 โŸŸ Call Me For G...
ย 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
ย 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
ย 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
ย 

Value of Personalized Health Care

  • 1. Value of Personalized Medicine: What is it? How to measure it? Why care? Kathryn A. Phillips, PhD Professor of Health Economics & Health Services Research Director & Principal Investigator Center for Translational & Policy Research on Personalized Medicine (TRANSPERS) University of California, San Francisco e
  • 2.
  • 3.
  • 4.
  • 6. VALUE FDA Public Payers Government/Evidence Groups/โ€Societyโ€ Industry Patients โ€œ Valueโ€ is in Eyes of Beholder Physicians Private Payers PBMs Employers
  • 7. Goal : Develop evidence of how personalized medicine can be translated to improve health outcomes Focus: Breast and colorectal cancer initially The Center for Translational and Policy Research on Personalized Medicine
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15. Wall Street Journal FRIDAY,ย JANUARYย 4,ย 2008 Bad Cancer Tests Drawing Scrutiny
  • 16. HER2/neu testing for Herceptin Clinical Practice Patterns and Cost-Effectiveness of HER2 Testing Strategies in Breast Cancer Patients. Phillips KA, Marshall DA, Haas JS, Elkin EB, Liang SY, Hassett MJ, Ferrusi I, Brock JE, Van Bebber SL , 2009
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. โ€œ Oncotype DX is the most commercially successful genomic based prognostic test to dateโ€
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.

Editor's Notes

  1. Plan to expand to other cancers & conditions Focusing on BC & CRC: PM is becoming widely used in tx of these diseases Great need for targeted interventions Team has expertise on topics
  2. Thus no benefit