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/

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$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”

volunteer must click to proceed

all boxes must be checked

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.

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76% accurate.

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(not a biologist)

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