Stanford cs247 lecture 2 21-11 final v ss

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Slides for guest lecture to Stanford CS247 (Interaction Design Studio) class on computer-human interaction

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  • Registry data, phase 2 POC studies, value of speeding up clinical trials
  • Stanford cs247 lecture 2 21-11 final v ss

    1. 1. User Generated Health<br />Chris Hogg<br />twitter.com/cwhogg<br />citizenmed.wordpress.com<br />
    2. 2. 6,836<br />3.4<br />127/62<br />84<br />3.2<br />
    3. 3. We are currently in the era of disconnected health<br />
    4. 4. We are disconnected from our health data<br />50.7% use EMR<br />$44k in stimulus per doc<br />
    5. 5. We are disconnected from our physicians<br />
    6. 6. We are disconnected from the healthcare system<br />
    7. 7. We are disconnected from our own health<br />
    8. 8. Being disconnected leads to poor health<br />
    9. 9. Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2009<br />(*BMI 30, or about 30 lbs. overweight for 5’4” person)<br />1999<br />1990<br />2009<br />1/3 <br />of Americans will have diabetes by 2050<br />(CDC)<br />No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%<br />
    10. 10. The pace of drug development is slowing<br />
    11. 11. How did we lose control of our personal health identity?<br />
    12. 12. Technology will disrupt healthcare…<br />(it will just take longer than other industries)<br />80% search for health<br />3rd most popular web-based pursuit<br />(Susannah Fox, Pew Internet Project)<br />
    13. 13. Cyberchondria<br />“Unfounded escalation of concerns about common symptomatology, based on the review of search results and literature on the Web”<br />2 in 5 report increase in anxiety from medical search<br />(White and Horvitz, Microsoft Research)<br />
    14. 14. The patient is the most underutilized resource in healthcare<br />
    15. 15.
    16. 16. Measurement facilitates behavioral change<br />10.5%<br />(Seligman and Darley 1977)<br />
    17. 17. Is mHealth adoption following a familiar pattern?<br />% of Age Group<br />Age<br />Data from:<br />Brian Dolan, MobiHealthNews<br />Susannah Fox, Pew Internet Project<br />
    18. 18. Apple wants to connect you to your health<br />
    19. 19.
    20. 20. New data is more powerful<br />than a new drug<br />39% reduction in <br />hospitalizations <br />over 6 months<br />
    21. 21. 50%<br />73 million have HTN<br />69% with first MI<br />
    22. 22. Know your target audience<br />
    23. 23. Even young people have chronic medical conditions<br />% of Patients<br />Age<br />
    24. 24. # of chronic conditions for Medicare beneficiaries (65+)<br />5+conditions<br />But as people age, they get a lot more<br />No conditions<br />4conditions<br />1condition<br />3conditions<br />2 conditions<br />Presented at the Annual Academy Health Research Meeting, June 2007; CMS (Centers for Medicare and Medicare Services)<br />
    25. 25. Medical / clinical is converging with health / wellness <br />
    26. 26. What you can learn from a few data points?<br />
    27. 27. Mood Seasonality<br />Mood by Day of Week<br />
    28. 28.
    29. 29. Significant personal information from a single daily data point<br />
    30. 30. 30<br />Crowdsourcing personal health data<br />
    31. 31. Xanax(Alprazolam)<br />Exercise<br />B Vitamins<br />31<br />
    32. 32. Can crowdsourced personal health data be used to predict personalized drug responses?<br />
    33. 33. Data is beginning to flow from the system to users<br />
    34. 34. Access to data – <br />Blue Button<br />Practice Fusion<br />MSHV<br />
    35. 35. Prescription data is beginning to flow<br />Surescripts data on Rx histories<br />
    36. 36. Rx history + treatment algorithm = understanding<br />
    37. 37. You can learn a lot about a person from a few simple data points<br />
    38. 38. Beta Blockers<br />Diuretics<br />High Blood Pressure<br />Drug<br />ACE Inhibitors<br />Drug Class<br />Liptor<br />Zocor<br />Lovastatin<br />Pravachol<br />Crestor<br />Lescol<br />Calcium Channel Blockers<br />ARBs<br />Statins<br />70-80% of CAD patients have high blood pressure<br />High Cholesterol<br />Coronary Artery Disease<br />(CAD)<br />Myocardial Infarction<br />(Heart Attack)<br />Zetia<br />Tricor<br />Vytorin<br />Gemfibrozil<br />Niaspan<br />Medical Conditions<br />Event<br />HDL<br />and<br />Other<br />20-30% of CAD patients have Type 2 Diabetes <br />TZDs<br />Drug Class<br />Metformin<br />Type 2 Diabetes<br />DPP -4 Inhibitors<br />Drug<br />Sulphonylureas<br />Insulin<br />
    39. 39. Hidalgo et al. PLoS Computational Biology 5(4):e1000353 (2009)<br />http://hudine.neu.edu/<br />
    40. 40. High Cholesterol<br />High Blood Pressure<br />1<br />2<br />3<br />4<br />5<br />High Blood Pressure<br />High Cholesterol<br />High Blood Pressure<br />High Blood Pressure<br />Type 2 Diabetes<br />High Cholesterol<br />Type 2 Diabetes<br />Osteoporosis<br />
    41. 41. Social Health App<br />Social Health App<br />Social Health Layer / Health Graph<br />Google Health<br />Microsoft HealthVault<br />Practice Fusion EMR / PHR<br />AllScripts PHR<br />Other EMR / PHR System APIs<br />Google Apps<br />MSHV Apps<br />PF Apps<br />AS Apps<br />Other PHR Apps<br />
    42. 42. We are entering the era of Participatory Medicine<br />
    43. 43. A medical record is a punctuated data stream<br />Gaps filled via recollection<br />Personal Health Data<br />
    44. 44. Anamnesis<br />(patient recollection)<br />is not accurate<br />
    45. 45. EMR data + user generated data = healthstream<br />Personal Health Data<br />
    46. 46. Rx of Apps<br />Medications<br />METFORMIN 500MG BID<br />LISINOPRIL 20MG OD <br />Applications<br />
    47. 47. I will own my healthstream and health data<br />
    48. 48. The market for health data is very large<br />
    49. 49.
    50. 50. Healthcare systems are the future<br />
    51. 51. Data enables us all to become Citizen Scientists<br />
    52. 52. Can butter make you smarter?<br />
    53. 53. The MTHFR Study<br />
    54. 54. Groups of users will come together to <br />run their own <br />clinical trials<br />
    55. 55. Genomera: A platform for Citizen Science<br />
    56. 56. Future study:<br />meditation and blood pressure<br />
    57. 57. Citizen Science has the power to disrupt healthcare<br />Drug A<br />Track common measures of efficacy, potential side effects, events, etc.<br />Drug B<br />
    58. 58.
    59. 59. For those interested in learning more, the Bay Area is a good place to be…<br />
    60. 60. Chris Hogg<br />cwhogg@gmail.com<br />twitter.com/cwhogg<br />linkedin.com/in/cwhogg<br />citizenmed.wordpress.com<br />?<br />Thank You<br />

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