health care after the deluge - defrag 2013
DESCRIPTION
Keynote on health care at Defrag 2013.TRANSCRIPT
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health care after the deluge !
#defragcon @wilbanks
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1. health “networks”
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“network” means “in payment network”
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API
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“Interchange will make KP’s public facility and location information
available for third-party developers to use within their apps”
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2. the data deluge is coming for health.
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$1000 per biopsy. 1,000,000 downloads. false positive rate?
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3. a real-world experiment.
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what should i do about my prostate cancer risk?
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“eat less and exercise”
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volunteer must click to proceed
all boxes must be checked
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volunteer cannot skip video
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http://files.snpedia.com/reports/promethease_data/genome_jtw_ui2.html
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“Also there is no suggestion of consanguinity in your pedigree.” !http://www.ianlogan.co.uk/
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the answer isn’t (yet) on the regular web.
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4. bring the patients and
the experts into the same network.
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“how accurately can we predict if a female breast cancer survivor will develop a second tumor?”
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may the best (statistical) model win
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code sharing a prerequisite.
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accuracy of model jumped three orders of magnitude in nine days.
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�46
76% accurate.
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�47
(not a biologist)
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can we predict clinical utility from genetics of arthritis?
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can we predict scores on alzheimers cognitive tests from existing data?
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5. reconciling the data
deluge and the health system.
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transaction costs must come down.
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it’s likely that we will end up with a
monopoly of some sort.
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a. the incremental institution.
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b. the walled garden.
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c. big networks of small things.
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except now, everyone’s watching.