Center for Population Health Sciences

ANNUAL SYMPOSIUM

October 26, 2015

8 AM – 5 PM

@StanPopHealth

Center for Population Health Sciences

STANFORD POPULATION HEALTH SCIENCES ANNUAL SYMPOSIUM

October 26, 2015

8 AM – 5 PM

Mark R. Cullen, MDDirector

What is Population Health Sciences ?

Development and application of tools integrating clinical, biologic, social and environmental data on large numbers of people to:

Provide evidence for improved health care delivery at the bedside Establish scientific foundations for population level

decision making impacting health of groups Enhance our understanding of the pathways by which

health and disease evolve over the life-course

Stanford Population Health Sciences (PHS) Mission

To fuel the trans-disciplinary work of PHS at Stanford

To provide an academic home for scientists in the core PHS disciplines

To coordinate and enhance training opportunities in PHS and its core disciplines

To serve as a home for community focused research and education in biomedical science in the region

Core Disciplines

Health Services Research

Epidemiology

Informatics and Biostatistics

Demography

Genetics

Environmental Science

Economics, Psychology, Sociology & other Social Sciences

Strategic Plan

Secure a trove of data resources - including access to bio-specimens, populations, and secondary data

Develop a team of professionals and an infrastructure to facilitate the relationships between investigators, trainees and the above assets

Develop resources to support core faculty, post-docs, visiting scholars, seed funds, and incentives for investigators at every career stage

Stanford Center for Population Health Sciences

PhD and MSTraining Seed Grants

Access to Populations, Databases and

Biobanks

Learning Health System

Bioethics Center

Symposia, Seminars, Academic Exchange

Post-docs and Fellows Community

Engagement

Department of BDS and Hub

“Sister” Centers & Institutes:

• IRiSS/RDC• Woods• Genomics• CPOP• SCI• Poverty Center

Clinical Research Informatics

Stanford Center for Clinical Research

BDSISpectrum

Special Populations

Stanford Hospital and Clinics

HRP

Data Sets

ASSETS WORKING GROUPS

Learning Health Systems

& Care Delivery

PHS

Gene -

Environment Interaction

Special Populations

& Rare Diseases

mHealth &

Technologies for Health

First 1000 Days

of Life

Sex & Gender in

HealthResearch

Immigration &

Health

Analytics

Health Disparities: Global

& Domestic

Cohorts

PHS Resources

Community Partnership

Biobank

“Shark Tank” Sessions

Data Curation & Tech Support

PHS Staff

Consultation Services

Grant/IRB Help

MEMBERS

Co-Working Space

Work-Life, Retirement, Disability,

Aging & Cognitive Decline

Wiki Hub – PHS Intranet

PHS Pilot Funds

SphinX

WG X Prizeand more…

Seed Grants

Stanford PHS Data Vault

Large Regional/National Data Children

• CPQCC Neonatal Database• March of Dimes• HCUP – KID• California Perinatal Quality Care

Collaborative• Medi-Cal Seriously Ill Children

Large Regional/National Data

• Optum• Marketscan• CMS• IRiSS – Census Data• Danish Biobank• Alcoa Occupational Cohort• Solano Cohort• HRS/CMS Linked Data• Kaiser Northern California• Stanford Military Data Repository• NHANES Dietary Data• VA Disability • HCUP Nationwide Inpatient Sample

Disease Specific Data

• AIDS Clinical Trials Group data• DAIDS data sets• California Cancer Registry• Ovarian Cancer Assoc. Consortium

Environmental Data

• California Neighborhoods Data System

• Worldwide weather data• Particulate matter• Pesticide use

Global Health Data

• Indian Rail Service • Africa - Demographic and Health

Surveys/ INDEPTH• Singapore Cohort• Taiwan National Insurance • FEWSnet food price datasetStanford Data

• STRIDE• Stanford Cancer

Genetics Research Database

• Stanford Imaging Studies

• Asthma/Allergy Data with samples

Data Set Overview

Dataset Overview: Sampling Frame (n=205)

World

wide

Intern

ational - LM

IC

Intern

ational - Afri

ca

Intern

ational - Asia

LMIC

Intern

ational - Asia

HIC

Intern

ational - Centra

l/South

Americ

an

Scandinavia

National Data

USA

State

-CA

State

- CA/M

ulti

Regional Data

- CA

Regional - Oth

er

Stanfo

rd0

10

20

30

40

50

60

70

80

90

100

Num

ber

of D

atas

ets

(n=2

05)

Dataset Overview: Type of Data Collection (n=228)

Administra

tive/claim

s

Survey

Surveilla

nce/c

laims

EMR

RCT

Registry

Environmenta

l surv

eillance

Genetic data

"Omes"

Biologic sa

mples0

10

20

30

40

50

60

70

80

90

100

Num

ber

of D

atas

ets

(n=2

28)

Dataset Overview: Condition/Disease of Interests (n=62)

Cancer -

All

Cancer -

Breast

Cancer -

Colorecta

l

Cancer -

Ovaria

n

Cancer -

Prosta

te

Cardiac -

Adult

Disease

specifi

c

Menta

l Health

Surgery

/Tra

uma

Brain Tumors

Vector

Weight L

oss0

2

4

6

8

10

12

14

Num

ber

of D

atas

ets

(n=6

2)

Human Assets: Brokering the “chasms”

Resources

Colleagues

Community Partnership

Mentor(s)

Data

Colleagues

Resources

Technical Support

Funding Support

Seed Grants PHS Pilot Funds SphinX WG X Prize Faculty/Post-doc Stipends Visiting Scholars

Pitch an idea!

PHS LeadershipWorking Group Co Chairs

EntrepreneursVenture Capitalists

Up Next . . .

@StanPopHealth

Selected presentations of PHS Data Assets:

• March of Dimes • Women & Gender • Stanford Military Data Repository

• Optum Commercial • Community Health Partners • HIMC Biobank• VA Disability & ACA/Medicaid• Solano Cohort

New concentrations in Epidemiology

Concentration LeaderGlobal Health Luby

Life-course / Social Rehkopf, Leonard

Infectious diseases Parsonnet

Chronic diseases Nelson, Simard

Quantitative methods Sainani

Clinical Research / CER Goodman

Meta-research Ioannidis, Goodman

Cancer / genetic Whittemore

Environmental / Occupational

Cullen

Under considerationLearning Health Systems

Mental health

New programsin Epidemiology

Program LeaderUndergrad co-term (now)

Parsonnet

Joint Epi-Law(in development)

Mello, Goodman

PHS Working Groups

What’s a Challenge?

A study whose result could ideally be achieved within 3 years

Result implies measureable anticipated health impact

Conducted by a team of investigators from, at least two different schools if within SOM, at least one basic and clinical

science

Demonstrable originality in study design or method

Working Group Panels

Panel 1 Moderator: Mark Cullen

• Health Disparities – Global, Domestic | Immigration and Health• Work-Life, Retirement, Disability, Aging & Cognitive Decline• Sex and Gender in Health Research

Panel 2 Moderator: Doug Owens

First 1000 Days of Life Gene-Environment Interaction Special Population & Rare Diseases

Panel 3 Moderator: Lorene Nelson

Learning Health Systems mHealth & other New Technologies for Health Analytics