panel discussion: big data; holly jimison, phd

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Holly Jimison, PhD, FACMI Medical Informatics, Oregon Health & Science University Technology Advisor IPA, Office of Behavioral and Social Science Research, NIH Opportunities and Challenges in Monitoring Health Behaviors in the Home and Environment Big Data

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Tuesday, October 23, 2012 Panel Discussion: Big Data Moderator: Roozbeh Jafari, PhD – Electrical Engineering, UT Dallas Panelists: Holly Jimison, PhD – Medical Informatics & Clinical Epidemiology, OHSU James McClain, PhD – Physical Activity Epidemiologist , Risk Factor Monitoring & Methods Branch, National Cancer Institute (NCI) Lucila Ohno-Machado, MD, PhD – Associate Dean for Informatics & Technology, School of Medicine; Founding Chief, Division of Biomedical Informatics; Professor of Medicine, UC San Diego

TRANSCRIPT

Page 1: Panel Discussion:  Big Data; Holly Jimison, PhD

Holly Jimison, PhD, FACMIMedical Informatics, Oregon Health & Science University

Technology Advisor IPA, Office of Behavioral and Social Science Research, NIH

Opportunities and Challenges in Monitoring Health Behaviors in the Home and Environment

Big Data

Page 2: Panel Discussion:  Big Data; Holly Jimison, PhD

Behavioral Markers = Continuous Monitoring + Computational Models

Home health based on unobtrusive, continuous monitoring

Page 3: Panel Discussion:  Big Data; Holly Jimison, PhD

Hayes, ORCATECH 2007

Bedroom

Bathroom

Living Rm

Front Door

Kitchen

Sensor EventsPrivate Home

Activity Monitoring in the Home

Page 4: Panel Discussion:  Big Data; Holly Jimison, PhD

Hayes, ORCATECH 2007

Sensor EventsResidential Facility

Bedroom

Bathroom

Living Rm

Front Door

Kitchen

Activity Monitoring in the Home

Page 5: Panel Discussion:  Big Data; Holly Jimison, PhD

Measuring Gait in the Home

5

• Unobtrusive gait measurement in-home with passive infrared (PIR) sensors - Hagler, et al., IEEE Trans Biomed Eng, 2010

– Four restricted view PIR sensors– Measure gait velocity whenever a

subjects passes through the “sensor-line”

– Deployed for the Intelligent Systems for Assessing Aging Changes (ISAAC) study– 200+ subjects monitored for up

to 4 years and counting

Page 6: Panel Discussion:  Big Data; Holly Jimison, PhD

Subject 1

12/07 08/08 11/09 12/10

30

40

50

60

70

80

90

Time

Ve

loci

ty (

cm/s

)

0.005

0.01

0.015

0.02

0.025

0.03

0.035

Stroke

Austin et al, Sept 2011 - EMBC (Gait)6

Page 7: Panel Discussion:  Big Data; Holly Jimison, PhD

Subject 2

07/07 02/09 09/10

50

60

70

80

90

Time

Ve

loci

ty (

cm/s

)

0.005

0.01

0.015

0.02

0.025

0.03

0.035

0.04

0.045

0.05CDR=0.5and MCIdiagnosis

7Austin et al, Sept 2011 - EMBC (Gait)

Page 8: Panel Discussion:  Big Data; Holly Jimison, PhD

Monitoring->Care

8

ECG

EEG

Pulmonary Function

Gait

Balance

Step Size

BloodPressure

SpO2

Posture

Step Height

GPS

Performance

Early Detection

Prediction

Inference

Datamining

Training

Health Information

Coaching

Chronic Care

Social Networks

Decision Support

Population Statistics

EpidemiologyEvidence

M Pavel, H Watclar, Ref

Page 9: Panel Discussion:  Big Data; Holly Jimison, PhD

ChallengesBig Data Challenges with Behavior Monitoring• Need low cost sensors / intelligent algorithms• Frequent data, but noisy and context dependent• Models of sensors, noise, context • Data harmonization• New modeling techniques –

• Robust estimation and classification framework• Need advances in machine learning, data mining,

fusion algorithms, modeling and visualization• Information fusion from multiple sources• Need dynamic user models, just-in-time feedback• Privacy / security advances• Address alert fatigue - containment of false alarms

Page 10: Panel Discussion:  Big Data; Holly Jimison, PhD

Big Data Skill Sets• Sensor characterization (accuracy, bias, drift

sampling rate, setting, etc.)• Intelligent data sampling• Data cleaning / missing data / understanding • Data visualization techniques, data representation• Data storage / transfer• Privacy / security of data• Modeling techniques• Analysis methods, sensor fusion

Page 11: Panel Discussion:  Big Data; Holly Jimison, PhD

Big Data Skill Sets• Sensor characterization (accuracy, bias, drift sampling

rate, setting, etc.)• Intelligent data sampling• Data cleaning / missing data / understanding • Data visualization techniques, data representation• Data storage / transfer• Privacy / security of data• Modeling techniques• Analysis methods, sensor fusion• Clinical or health relevance• Managing multidisciplinary teams, IRB, etc.

NIH OBSSR Big Data Training: [email protected]