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Graphs Opening Medical Care
Information
@davefauth
www.intelliwareness.org
About Me
•
•
•
•

My Blog: http://www.intelliwareness.org
Find me on Twitter: @davefauth
Email me: dsfauth@gmail.com
GitHub: http://github.com/davidfauth

2
Not talking about this….
Or this….

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Panel presentation on public access at the American Association of Publisher/Professional and Scholarly Division (AAP/PSP) Annual Meeting, February 2014

pspopen accessmandates
Your Work is Distinctive, What about Your Name? Japan Library Fair 2014
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orcidlibrary fairyokohama
Starting the Hadoop Journey at a Global Leader in Cancer Research
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MD Anderson Cancer Center implemented Hadoop to help manage and analyze big data as part of its big data program. The implementation included building Hadoop clusters to store and process structured and unstructured data from various sources. Lessons learned included that implementing Hadoop is complex and a journey, and to leverage existing strengths, collaborate openly, learn from experts, start with one cluster for multiple uses cases, and follow best practices. Next steps include expanding the Hadoop platform, ingesting more data types, identifying high value use cases, and developing and training people with new big data skills.

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But we want to talk about this:
And this:

Ryan Weald – isurfsoftware.com
I’ll try not to do this…
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Your Work is Distinctive, What about Your Name?
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This document summarizes a presentation given by Laurel Haak on ORCID identifiers. ORCID aims to uniquely identify researchers and link them to their work, such as publications, datasets, and grants. It discusses how ORCID identifiers can be integrated into author workflows and research systems. Over 160 organizations from different sectors have joined ORCID as members. Usage of ORCID is growing internationally, with over 1 million identifiers issued. The presentation outlines how different stakeholders like universities, funders, and repositories can connect with ORCID to link researcher profiles with their systems and activities.

orcidhong kong universitypersistent identifier
Doctor mailing database
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At Lake B2B we have been assisting marketers with medical mailing lists for years. With data from across countries, our list of Doctors is the outcome of years of research. Data present in the database therefore is accurate, verified and authentic, making it possible for marketers to rest assured of deliverables when using it. Marketers have according used the Doctors mailing addresses for generating business leads, adding new customers, reducing sales cycle time, up-selling and cross-selling products and more. So make a difference to your campaigns by using the right data at the right time. Get our Doctors mailing database now and get more from your marketing initiatives by adopting a strategic approach. Contact Us: http://www.lakeb2b.com/contact-us/ Call Us (Toll Free): 800-710-5516 Email Us: info@lakeb2b.com Website : http://www.lakeb2b.com/doctors-mailing-list-and-email-addresses/

doctors email address listdoctor email listdoctor mailing database
Where we are today
Healthcare Data
• Recommend watching Fred Trotter speak at
GraphConnect – SF
• Moving from no data -> bad data -> better
data -> good data
• Claims Data
– Hard to accurately describe what a doctor is
doing and how they are getting paid without
claims data
– Limited and not a good data set by any standard
Examples of Bad Data
• Not enough data – More transparency
without having to FOIA
• State level data is hard to get
Better Data Sets
• DocGraph Data
– One of the “best” available
– “Best” does not mean “good”

• DocGraph Rx
– Prescribing patterns for Medicare Part D patients

• NPPES
• NUCC

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Access to consistent, high-quality metadata is critical to finding, understanding, and reusing scientific data. However, while there are many relevant vocabularies for the annotation of a dataset, none sufficiently captures all the necessary metadata. This prevents uniform indexing and querying of dataset repositories. Towards providing a practical guide for producing a high quality description of biomedical datasets, the W3C Semantic Web for Health Care and the Life Sciences Interest Group (HCLSIG) identified Resource Description Framework (RDF) vocabularies that could be used to specify common metadata elements and their value sets. The resulting HCLS community profile covers elements of description, identification, attribution, versioning, provenance, and content summarization. The HCLS community profile reuses existing vocabularies, and is intended to meet key functional requirements including indexing, discovery, exchange, query, and retrieval of datasets, thereby enabling the publication of FAIR data. The resulting metadata profile is generic and could be used by other domains with an interest in providing machine readable descriptions of versioned datasets. The goal of this tutorial is to explain elements of the HCLS community profile and to enable users to craft and validate descriptions for datasets of interest.

metadatabioinformaticslife sciences
Linking Open Government Data at Scale
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Linking Open Government Data at Scale

Talk delivered at YOW! Developer Conferences in Melbourne, Brisbane and Sydney Australia on 1-9 December 2016. Abstract: Governments collect a lot of data. Data on air quality, toxic chemicals, laws and regulations, public health, and the census are intended to be widely distributed. Some data is not for public consumption. This talk focuses on open government data — the information that is meant to be made available for benefit of policy makers, researchers, scientists, industry, community organisers, journalists and members of civil society. We’ll cover the evolution of Linked Data, which is now being used by Google, Apple, IBM Watson, federal governments worldwide, non-profits including CSIRO and OpenPHACTS, and thousands of others worldwide. Next we’ll delve into the evolution of the U.S. Environmental Protection Agency’s Open Data service that we implemented using Linked Data and an Open Source Data Platform. Highlights include how we connected to hundreds of billions of open data facts in the world’s largest, open chemical molecules database PubChem and DBpedia. WHO SHOULD ATTEND Data scientists, software engineers, data analysts, DBAs, technical leaders and anyone interested in utilising linked data and open government data.

aibig databernadette hyland
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DocGraph Dataset
• DocGraph by the numbers
– Directed graph
– Average total degree 52.8
– 940,492 providers (graph nodes/vertices)
– 49,685,810 shared edges
DocGraph Data
Doctor Detail (docNPI.com)
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NPPES
•
•
•
•

National Plan and Provider Enumeration System
Source of NPI (National Provider Identifier)
No cost download 
Information is entered and updated by provider
Data quality is good to poor 

• CSV file with 314 columns 
NUCC
• National Uniform Claim Committee
– Healthcare Provider Taxonomy
– No cost download 

• CSV file with 5 columns and 830 rows
– Link taxonomy to NPPES reported taxonomy
DocGraph Data
Nodes
Organizations
Specialties
Providers
Locations
CountiesZip
Census

Relationships
* Organizations -[:PARENT_OF] – Providers -[:SPECIALTY]Specialties
* Lcations-[:LOCATED_FOR]-Providers
* Providers -[:REFERRED]-Providers
* Counties -[:INCOME_IN]- CountiesZip
* Locations – [:LOCATED_IN]-CountiesZip
DocGraph Data

Provider

refers

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Big Data in HealthCare
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The presentation discusses how big data and population health management tools can help reduce healthcare costs and improve outcomes. It explains that big data allows for deeper analysis of existing data to make better business decisions. Advanced analytics can help identify opportunities to improve clinical quality and financial performance. With proper outreach and lifestyle changes, big data tools may enable fewer hospital visits.

health insurancehealth solutionshealth
Time for Analysis
Fraud Referrals
April 2013 - The owner and another
senior executive of Sacred Heart
Hospital and four physicians
affiliated with the west side facility
were arrested today for allegedly
conspiring to pay and receive illegal
kickbacks, including more than
$225,000 in cash, along with other
forms of payment, in exchange for
the referral of patients insured by
Medicare and Medicaid to the
hospital, announced U.S. Attorney
for the Northern District of Illinois
Gary S. Shapiro.
Hadoop Page Rank
DocGraph RX Data
• Originally obtained by ProPublica
• Prescribing pattern for all physicians for
Medicare Part D – 2011
• Largest public released prescribing database
• 2 sets of data - 30M edges each
• Related to business name and NDC-9 code
– NDC 9 code allows for aggregation of drugs

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Linking and mapping PDMP data can provide several benefits but also faces challenges. Linking PDMP and clinical data allows for evaluating the impact of PDMP interventions on outcomes and prescribing decisions. However, obtaining permissions and data is difficult due to legal and resource barriers. Mapping PDMP data using GIS tools in Washington identified areas for targeting overdose prevention efforts by visualizing patterns in prescribing risks, treatment availability, and overdoses. Stakeholders used these maps to guide education and funding decisions. Sustaining these tools requires ongoing funding and expanding included data sources.

rxsummit
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This document summarizes a presentation on linking and mapping prescription drug monitoring program (PDMP) data. It discusses the benefits of linking PDMP data to clinical data, including improving patient safety, evaluating prescribing decisions, and assessing the impact of PDMP interventions. It describes challenges with linking data, such as obtaining consent and negotiating data use agreements. It also discusses Washington State's MAPPING OPIOID AND OTHER DRUG ISSUES (MOODI) tool, which integrates PDMP data with other databases to map and target treatment and overdose prevention efforts at the community level.

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• http://whnt.com/2013/03/27/follow-updecatur-family-claims-prescription-drugsfrom-dr-shelinder-aggarwal-killed-their-son/
• http://www.palmbeachpost.com/news/news/
state-regional/doctors-booted-fom-medicaidfor-massive-oxy-doses-/nPpMf/
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The document discusses how big data and analytics can optimize clinical trial efficiency. It notes that unstructured data makes up 80% of useful information and is growing faster than structured data. Traditional clinical trial protocols rely on limited data sources like medical histories and questionnaires, whereas expanded protocols could incorporate a wider range of data sources like other medical records. Graphical displays of contextual analyses and intuitive interfaces can provide insights at a glance. Actionable analytics derived from big data could drive clinical trial efficiency by defining measures, answering questions, and leading directly to meaningful actions.

Combine additional datasets
• Medical data
– Doctor referral data
– Medicare doctor prescription practices
– “Dollars for Doctors” – Drug company promotional
payments

• Census Data
– Income data
– Poverty data
Recommendation Engine?
• Build a graph model of the data
• Build a recommender model from the graph
model
• Graphs can be visualized, explained, discussed
and debugged collaboratively
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