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Data	
  data	
  everywhere	
  
Joe	
  Donahue	
  
Senior	
  Vice	
  President	
  BioReference	
  Laboratories	
  
October	
  13,	
  2015	
  
	
  
Pistoia Alliance Meeting 2
Preparing	
  for	
  this	
  panel…	
  
Pistoia Alliance Meeting 3
Done!	
  
Pistoia Alliance Meeting 4
Let	
  me	
  be	
  a	
  bit	
  more	
  thoughHul…	
  
Pistoia Alliance Meeting 5
Let	
  me	
  be	
  a	
  bit	
  more	
  thoughHul…	
  
Pistoia Alliance Meeting 6
Pistoia Alliance Meeting 7
Pistoia Alliance Meeting 8
Pistoia Alliance Meeting 9
Pistoia Alliance Meeting 10
Pistoia Alliance Meeting 12
I	
  learned	
  a	
  lot	
  about	
  Pharma…	
  	
  
•  We’re	
  inefficient	
  (on	
  pre.y	
  much	
  everything)	
  
•  We’re	
  expensive	
  
•  Not	
  very	
  good	
  at	
  integra;ng	
  data	
  
•  Slow	
  to	
  adopt	
  new	
  technologies	
  
•  Stagnant	
  pipelines	
  
•  Etc…!	
  
Pistoia Alliance Meeting 13
But	
  no-­‐one	
  said	
  we	
  don’t	
  have	
  data…!	
  	
  
Pistoia Alliance Meeting 14
But	
  no-­‐one	
  said	
  we	
  don’t	
  have	
  data…!	
  	
  
We’ve	
  had	
  lots	
  of	
  data	
  for	
  a	
  long	
  Mme	
  
•  Combinatorial	
  Libraries	
  
•  HTS	
  
•  Genome	
  
•  Laboratory	
  notebooks	
  /	
  e-­‐notebooks	
  
•  Images	
  
•  Health	
  Records	
  (electronic	
  and	
  otherwise)	
  
15 ● Pistoia Alliance Meeting ● 13 October 2015
Why	
  all	
  the	
  commoMon	
  all	
  of	
  a	
  sudden?	
  
	
  
PaMent	
  Data	
  
17 ● Pistoia Alliance Meeting ● 13 October 2015
Pistoia Alliance Meeting 18
PaMent	
  Data	
  
•  It’s	
  helping	
  us	
  interpret	
  what	
  we	
  have	
  
•  Some	
  of	
  it	
  is	
  ‘dirty’	
  
•  There’s	
  a	
  lot	
  more	
  of	
  it	
  from	
  daily	
  life	
  –	
  sensors	
  
•  Lab	
  Data	
  (not	
  as	
  ‘dirty’)	
  
•  EHR	
  data	
  (‘standards’	
  challenging)	
  
20 ● Pistoia Alliance Meeting ● 13 October 2015
PaMent	
  Data	
  
•  It’s	
  helping	
  us	
  interpret	
  what	
  we	
  have	
  
•  Some	
  of	
  it	
  is	
  ‘dirty’	
  
•  There’s	
  a	
  lot	
  more	
  of	
  it	
  from	
  daily	
  life	
  –	
  sensors	
  
•  Lab	
  Data	
  (not	
  as	
  ‘dirty’)	
  
•  EHR	
  data	
  (‘standards’	
  challenging)	
  
•  What	
  are	
  we	
  allowed	
  to	
  REALLY	
  do	
  with	
  it	
  
(‘Consents’)?	
  
21 ● Pistoia Alliance Meeting ● 13 October 2015
Decision	
  Support	
  
Knowledge	
  
Informa;on	
  
Data	
  
Pre-­‐Omics	
  TesMng	
  
ResultsData	
  
Informa;on	
  
Knowledge	
  
WisdomManagement	
  
Decisions	
  
Post-­‐Omics	
  TesMng	
  
Lab	
  
Provider	
  
Lab	
  
Provider,	
  
Research	
  
Hospital,	
  
Pharma,	
  
PaMents	
  
WisdomManagement	
  	
  
and	
  Research	
  Decisions	
  
Laboratories	
  /	
  Lab	
  Data	
  taking	
  on	
  a	
  new	
  role	
  
New	
  Data	
  
•  Genomics	
  technologies	
  
•  Laboratory	
  Tes;ng	
  Data	
  
•  Imaging	
  
•  Healthcare	
  data	
  mining	
  
•  Safety	
  monitoring	
  from	
  social	
  media	
  
•  Anything	
  said	
  on	
  social	
  media	
  
•  Data	
  from	
  Pa;ent	
  Groups	
  /	
  Disease	
  Founda;ons	
  
•  Digital	
  medicine	
  
•  Wearable	
  devices	
  (daily	
  pa;ent	
  data)	
  
•  Microbiome	
  
•  No	
  longer	
  n-­‐of-­‐1	
  
•  It’s	
  n-­‐of-­‐many	
  
•  DNA/RNA	
  technologies	
  and	
  omics	
  (in	
  general)	
  are	
  going	
  
to	
  be	
  the	
  bulk	
  of	
  data	
  for	
  a	
  while	
  
•  Even	
  with	
  all	
  the	
  sensors,	
  those	
  ‘phenotypes’	
  s;ll	
  need	
  
‘genotypes’	
  
•  Machine	
  learning	
  and	
  experts	
  will	
  help	
  with	
  the	
  data	
  
challenges	
  and	
  contribute	
  knowledge	
  that	
  helps	
  us	
  
‘connect	
  the	
  dots’	
  
Pistoia Alliance Meeting 25
Discovery	
   I	
   II	
   III	
   Launch	
  
MarkeMng	
  &	
  Sales	
  	
  
Life	
  Cycle	
  Management	
  
Phase	
  IV	
  
• 10	
  
• 100	
  
• 1000	
  
PaMents	
  
(thousands)	
  
Pharma	
  currently	
  uses	
  very	
  li.le	
  RWPD	
  in	
  
the	
  R&D	
  process.	
  What	
  they	
  do	
  use	
  is	
  
highly	
  controlled	
  
T	
  =	
  ~20	
  years	
  
$1.4	
  –	
  2.6B	
  
Pharma-­‐owned	
  highly	
  
controlled	
  clinical	
  
trials	
  data	
  
	
  Real	
  World	
  PaMent	
  Data	
  (RWPD	
  /	
  RWE)	
  
Discovery	
   I	
   II	
   III	
   Launch	
  
MarkeMng	
  &	
  Sales	
  	
  
Life	
  Cycle	
  Management	
  
Phase	
  IV	
  
• 10	
  
• 100	
  
• 1000	
  
PaMents	
  
(thousands)	
  
Access	
  to	
  Real	
  World	
  Pa;ent	
  Data	
  can	
  
help	
  make	
  be.er	
  decisions	
  throughout	
  
the	
  Discovery,	
  Development	
  and	
  Launch	
  
phases	
  of	
  bringing	
  a	
  medicine	
  to	
  market	
  
T	
  =	
  ~20	
  years	
  
$1.4	
  –	
  2.6B	
  
Pharma-­‐owned	
  highly	
  
controlled	
  clinical	
  
trials	
  data	
  
Clinical	
  prac;ce,	
  
pa;ents,	
  payers	
  and	
  
providers	
  own	
  rights	
  
to	
  the	
  data	
  
	
  Real	
  World	
  PaMent	
  Data	
  (RWPD	
  /	
  RWE)	
  
Pistoia Alliance Meeting 28
Pistoia Alliance Meeting 29
Joe Donahue
Senior Vice President
jdonahue@bioreference.com
+1-551-223-9716 (mobile)

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Pistoia Alliance US Conference 2015 - 1.5.2 New data - Joe Donahue

  • 1. Data  data  everywhere   Joe  Donahue   Senior  Vice  President  BioReference  Laboratories   October  13,  2015    
  • 2. Pistoia Alliance Meeting 2 Preparing  for  this  panel…  
  • 4. Pistoia Alliance Meeting 4 Let  me  be  a  bit  more  thoughHul…  
  • 5. Pistoia Alliance Meeting 5 Let  me  be  a  bit  more  thoughHul…  
  • 11.
  • 12. Pistoia Alliance Meeting 12 I  learned  a  lot  about  Pharma…     •  We’re  inefficient  (on  pre.y  much  everything)   •  We’re  expensive   •  Not  very  good  at  integra;ng  data   •  Slow  to  adopt  new  technologies   •  Stagnant  pipelines   •  Etc…!  
  • 13. Pistoia Alliance Meeting 13 But  no-­‐one  said  we  don’t  have  data…!    
  • 14. Pistoia Alliance Meeting 14 But  no-­‐one  said  we  don’t  have  data…!    
  • 15. We’ve  had  lots  of  data  for  a  long  Mme   •  Combinatorial  Libraries   •  HTS   •  Genome   •  Laboratory  notebooks  /  e-­‐notebooks   •  Images   •  Health  Records  (electronic  and  otherwise)   15 ● Pistoia Alliance Meeting ● 13 October 2015
  • 16. Why  all  the  commoMon  all  of  a  sudden?    
  • 17. PaMent  Data   17 ● Pistoia Alliance Meeting ● 13 October 2015
  • 19.
  • 20. PaMent  Data   •  It’s  helping  us  interpret  what  we  have   •  Some  of  it  is  ‘dirty’   •  There’s  a  lot  more  of  it  from  daily  life  –  sensors   •  Lab  Data  (not  as  ‘dirty’)   •  EHR  data  (‘standards’  challenging)   20 ● Pistoia Alliance Meeting ● 13 October 2015
  • 21. PaMent  Data   •  It’s  helping  us  interpret  what  we  have   •  Some  of  it  is  ‘dirty’   •  There’s  a  lot  more  of  it  from  daily  life  –  sensors   •  Lab  Data  (not  as  ‘dirty’)   •  EHR  data  (‘standards’  challenging)   •  What  are  we  allowed  to  REALLY  do  with  it   (‘Consents’)?   21 ● Pistoia Alliance Meeting ● 13 October 2015
  • 22. Decision  Support   Knowledge   Informa;on   Data   Pre-­‐Omics  TesMng   ResultsData   Informa;on   Knowledge   WisdomManagement   Decisions   Post-­‐Omics  TesMng   Lab   Provider   Lab   Provider,   Research   Hospital,   Pharma,   PaMents   WisdomManagement     and  Research  Decisions   Laboratories  /  Lab  Data  taking  on  a  new  role  
  • 23. New  Data   •  Genomics  technologies   •  Laboratory  Tes;ng  Data   •  Imaging   •  Healthcare  data  mining   •  Safety  monitoring  from  social  media   •  Anything  said  on  social  media   •  Data  from  Pa;ent  Groups  /  Disease  Founda;ons   •  Digital  medicine   •  Wearable  devices  (daily  pa;ent  data)   •  Microbiome  
  • 24. •  No  longer  n-­‐of-­‐1   •  It’s  n-­‐of-­‐many   •  DNA/RNA  technologies  and  omics  (in  general)  are  going   to  be  the  bulk  of  data  for  a  while   •  Even  with  all  the  sensors,  those  ‘phenotypes’  s;ll  need   ‘genotypes’   •  Machine  learning  and  experts  will  help  with  the  data   challenges  and  contribute  knowledge  that  helps  us   ‘connect  the  dots’  
  • 26. Discovery   I   II   III   Launch   MarkeMng  &  Sales     Life  Cycle  Management   Phase  IV   • 10   • 100   • 1000   PaMents   (thousands)   Pharma  currently  uses  very  li.le  RWPD  in   the  R&D  process.  What  they  do  use  is   highly  controlled   T  =  ~20  years   $1.4  –  2.6B   Pharma-­‐owned  highly   controlled  clinical   trials  data    Real  World  PaMent  Data  (RWPD  /  RWE)  
  • 27. Discovery   I   II   III   Launch   MarkeMng  &  Sales     Life  Cycle  Management   Phase  IV   • 10   • 100   • 1000   PaMents   (thousands)   Access  to  Real  World  Pa;ent  Data  can   help  make  be.er  decisions  throughout   the  Discovery,  Development  and  Launch   phases  of  bringing  a  medicine  to  market   T  =  ~20  years   $1.4  –  2.6B   Pharma-­‐owned  highly   controlled  clinical   trials  data   Clinical  prac;ce,   pa;ents,  payers  and   providers  own  rights   to  the  data    Real  World  PaMent  Data  (RWPD  /  RWE)  
  • 30. Joe Donahue Senior Vice President jdonahue@bioreference.com +1-551-223-9716 (mobile)