Things I Learned from Facebook:Network Science Applied to … benari... · 2016-11-03 · Things I Learned from Facebook:Network Science Applied to Access to Care. Alon Ben-Ari, MD

Things I Learned from Facebook:Network ScienceApplied to Access to Care.

Alon Ben-Ari, MD

Puget Sound VA Health Care system,University of Washington Dept of Anesthesiology and Pain Medicine.

October 23, 2016

Alon Ben-Ari, MD Puget Sound VA Health Care system,University of Washington Dept of Anesthesiology and Pain Medicine.

Things I Learned from Facebook:Network Science Applied to Access to Care.

Motivation

I VA access to care.

I Veterans Access, Choice and Accountability Act, 2014.



Networks - brief introduction

Tyrion Lannister

Jamie Lannister

Cersi Lannister

Jon Snow

Sansa Stanrk

Sandor Clegane

Daenerys Targaryen

Pyter Balysh

Arya Stark

Jorah Mormont

Tywin Lannister

Game of Thrones



Networks- in-degree centrality measure

Tyrion Lannister

Jamie Lannister

Cersi Lannister

Jon Snow

Sansa Stanrk

Sandor Clegane

Daenerys Targaryen

Pyter Balysh

Arya Stark

Jorah Mormont

Tywin Lannister

Game of Thrones - In Degree



Networks- betweenness centrality measures

Google

LinkedIn

Facebook

University Washington

VA Puget Sound

userYouTube

Google Scholar

Internet - Betweenness Measures



Networks- clustering

0

1

2

34

5

6

7

8

9

10

0.727705627706

0

1

2

34

5

6

7

8

9

10

0.260606060606



Networks- connected components

connected component



Putting it Together: Network Science to OutpaientConsults

RCS MUSCULOSKELETAL OUTPT (SEA)

RCS PHYSICAL THERAPY EQUIPMENT-OUTPATIENT (SEA)

RCS OT INPATIENT-REHAB (SEA)RCS MOBILITY CLINIC OUTPT (SEA)

RCS OT CARDIAC INPT (SEA)

ONCOLOGY IFC (PUGET SOUND)

NEUROLOGY IFC (PUGET SOUND)

RHEUMATOLOGY OUTPT (SEA)

NON VA CARE COLONOSCOPY

RCS MD REHAB CONSULTATION INPT (SEA)

PROSTHETICS REQUEST - (TAC)

OPHTHALMOLOGY IFC (PUGET SOUND)

RCS SPASTICITY BLOCK OUTPT

PAIN SERVICE (MEDICATION CONSULT) OUTPT

RCS SUBACUTE CONSULT INPT (TAC)

PLASTIC SURGERY NON-VISIT IFC (PUGET SOUND)

THORACIC SURGERY IFC (PUGET SOUND)

PROSTHETICS REQUEST - (SEA) PROSTHESIS ONLY

RCS OT INPATIENT-NHCU (TAC)

NEUROSURGERY NON-VISIT IFC (PUGET SOUND)

PLASTIC SURGERY IFC (PUGET SOUND)

ORTHOPEDICS HAND OUTPT

GASTROENTEROLOGY IFC (PUGET SOUND)

PROSTHETICS REQUEST - (SEA)

PODIATRY IFC (PUGET SOUND)

NEUROSURGERY IFC (PUGET SOUND)

VASCULAR SURGERY IFC (PUGET SOUND)

GASTRO(OUTPT)-POLYP F/U (S)

INTERFACILITY IMAGING REQUEST (SEA)

RCS OT INPATIENT-TCU (SEA)

NON VA CARE GENERAL

RCS REC THERAPY OUTPT REHAB (SEA)

RCS CHIROPRACTIC CARE OUTPT

WOUND CARE OUTPATIENT (TAC)

VIRS COORDINATOR IFC (PUGET SOUND)

RCS STROKE (OUTPATIENT)

SKILLED HOME CARE REFERRALS (TAC)

GASTRO(OUTPT)-MANOMETRY (S)

RHEUMATOLOGY OUTPT (TAC)

GASTRO(OUTPT)-COLON CA SCREENING (T)CARDIAC SURGERY NON-VISIT IFC (PUGET SOUND)

ACUPUNCTURE CONSULT/REFERRAL (SEA/TAC)

OTO-URGENT REFERRALS OUTPT (SEA)OTO-MOHS OUTPT

AUDIOLOGY-VESTIBULAR ASSESSMENT OUTPT

RCS DRIVER REHAB OUTPT (SEA)

PRIMARY CARE MINOR PROCEDURE OUTPT (TAC)

ORTHOPEDICS INPATIENT (SEA)

PULMONARY-OTHER OUTPT (SEA)

RCS MOBILITY CLINIC OUTPT (TAC)

NEUROGENETICS

NEUROLOGY OUTPT (TAC)

RCS PHYSICAL THERAPY-OUTPT BACK & NECK PAIN (SEA)

DERMATOLOGY OUTPATIENT

SKIN INTEGRITY-INPATIENT

STOMA CARE

RCS POLYTRAUMA OCCUPATIONAL THERAPY OUTPT (TAC)

BENEFICIARY TRAVEL (SEA)

RCS MUSCULOSKELETAL OUTPT (TAC)

PLASTIC SURGERY INPATIENT

PACT OUTPATIENT-WOUND

RCS AMPUTEE INPATIENT (SEA)

DENTAL IFC (PUGET SOUND)

CARDIOLOGY IFC (PUGET SOUND)

ONCOLOGY OUTPT

PROSTHETICS REQUEST - (TAC) PROSTHESIS ONLY

RCS PHYSICAL THERAPY EQUIPMENT-INPATIENT (SEA)

INFECTIOUS DISEASE GENERAL OUTPT (SEA)

CARDIAC SURGERY INPT

RCS PHYSICAL THERAPY EQUIPMENT OUTPT (TAC)

RENAL IFC (PUGET SOUND)

RADIATION ONCOLOGY OUTPT

RCS SPINE OUTPT (SEA)

THORACIC SURGERY OUTPT

AUDIOLOGY-DIZZINESS/VERTIGO OUTPT (SEA)

RCS PHYSICAL THERAPY-OUTPT BACK & NECK PAIN (TAC)

RCS OT INPATIENT (TAC)

RCS OT OUTPATIENT (TAC)

ORTHOPEDICS NON-VISIT IFC (PUGET SOUND)

ORAL & MAXILLOFACIAL SURGERY OUTPT

SCI OT-INPT

RCS LYMPHEDEMA THERAPY OUTPT (TAC)

CARDIAC SURGERY IFC (PUGET SOUND)

RCS MULTIPLE SCLEROSIS OUTPATIENT (SEA)

HEMATOLOGY IFC (PUGET SOUND)

RCS SPINE OUTPT (TAC)

GYNECOLOGY IFC (PUGET SOUND)

RCS ALS INTERDISCIPLINARY CARE TEAM OUTPT

OTOLARYNGOLOGY IFC (PUGET SOUND)

RCS AMPUTEE OUTPATIENT (SEA)

OTOLARYNGOLOGY NON-VISIT IFC (PUGET SOUND)

GENERAL SURGERY OUTPATIENT (SEA)

PAIN SERVICE OUTPT (PROCEDURE ONLY)

PAIN IFC (PUGET SOUND)

PAIN SERVICE OUTPT (COMPREHENSIVE MANAGEMENT)

PROSTHETICS REQUEST - (TAC) ORTHOSIS ONLY

PODIATRY OUTPT (SEA)

NEUROSURGERY-INPATIENT (SEA)

RCS CARDIAC REHAB OUTPT (SEA)

REHAB IFC (PUGET SOUND)

RCS GENERAL REHAB OUTPT

GENERAL SURGERY IFC (PUGET SOUND)

PROSTHETICS REQUEST - (SEA) ORTHOSIS ONLY

RCS OT INPATIENT-CONSULTS (SEA)

PULMONARY IFC (PUGET SOUND)

NEUROSURGERY-OUTPATIENT (SEA)

RHEUMATOLOGY NON-VISIT IFC (PUGET SOUND)

WOUND CARE IFC (PUGET SOUND)

PODIATRY NON-VISIT IFC (PUGET SOUND)

NUTRITION OUTPT (SEA)

OPHTHALMOLOGY/OPTOMETRY OUTPT (SEA)

NUTRITION INPT (SEA)

OPHTHALMOLOGY/OPTOMETRY OUTPT (MT. VERNON CBOC)

TELEDERMATOLOGY PATHOLOGY IFC (PUGET SOUND)

OPTOMETRY OUTPT (SEA)

NUTRITION OUTPT (BREMERTON CBOC)

VIST (VISUAL IMPAIRMENT) OUTPT (TAC)

DIABETIC RETINOPATHY SURVEILLANCE (CHEHALIS) OUTPT

DIABETIC RETINOPATHY SURVEILLANCE (TAC) OUTPT

DIABETES OUTPT (SEA)

DIABETIC RETINOPATHY SURVEILLANCE (SEA) OUTPT

OPHTHALMOLOGY/OPTOMETRY OUTPT (TAC)

BEHAVIORAL MEDICINE OUTPT (SEA)NUTRITION OUTPT (TAC)

BLIND REHAB-OPTOMETRY OUTPT (TAC)

SCI PT-INPT

RCS LYMPHEDEMA THERAPY OUTPT (SEA)

SKILLED HOME CARE REFERRALS (SEA)

RCS OT OUTPATIENT (SEA)



Putting it Together: Network Science in OutpaientConsults

AUDIOLOGY-COCHLEAR IMPLANT IFC (PUGET SOUND)

ORTHOPEDICS OUTPATIENT

GERIATRIC MOOD DISORDER OUTPT (SEA)

AUDIOLOGY-TINNITUS OUTPT (TAC)

AUDIOLOGY-VIST OUTPT

VASCULAR AND INTERVENTIONAL RADIOLOGY OUTPT

VASCULAR LAB-INPAT (ALL EXAMS)

PERIPHERAL VASCULAR SURGERY OUTPT (SEA)

AUDIOLOGY-HEARING TEST/HEARING AIDS OUTPT (TAC)

VASCULAR SURGERY NON-VISIT IFC (PUGET SOUND)

VASCULAR LAB-OUTPAT (ALL EXAMS)

VASCULAR LAB (SEA)

PERIPHERAL VASCULAR SURGERY INPT (SEA)

TRANSCRANIAL DOPPLER STUDIES (SEA)

AUDIOLOGY-HEARING TEST/HEARING AIDS OUTPT (SEA)

AUDIOLOGY IFC (PUGET SOUND)

OTO-GENERAL OUTPT (TAC)

AUDIOLOGY-DIZZINESS/VERTIGO OUTPT (TAC)

OTO-IMPACTED CERUMEN OUTPT (TAC)

OTO-URGENT REFERRALS OUTPT (TAC)

PLASTIC SURGERY OUTPATIENT (SEA)



Putting it Together: Components-I

GASTROENTEROLOGY OUTPT (MTZ)

PALLIATIVE CARE TEAM OUTPT (MTZ)

PRIMARY CARE OUTPT (SAC)

SLEEP DISORDERS PROCEDURES OUTPT (SAC)

IFC GASTROENTEROLOGY (SAC)

PT PAIN OUTPT (MTZ)

TBI PHYSIATRY OUTPT (MTZ)

PHYSICAL THERAPY OUTPT (FF)

SPEECH PATHOLOGY OUTPT (MTZ)

PRIMARY CARE OUTPT (YUBA)

BEHAVIORAL HEALTH OUTPT (YUBA)

DERMATOLOGY OUTPT (SAC)

COLONOSCOPY OUTPT (SAC)

LIVER CLINIC OUTPT (SAC)

MENTAL HEALTH PHARMACY OUTPT (MTZ)

DIABETIC RETINOPATHY SURVEILLANCE OUTPT (CHICO)

NEUROLOGY TBI OUTPT (SAC)

PLASTIC SURGERY OUTPT (SAC)

WEIGHT LOSS PHARMACOTHERAPY (MTZ)

MOVE INDIVIDUAL M-OBESE (SAC)

NEUROLOGY CPAP OUTPT (MTZ)

PODIATRY OUTPT (FF)

PT WOMENS HEALTH OUTPATIENT (MTZ)

NEUROLOGY MOVEMENT DISORDER OUTPT (MTZ)

IFC ENT (SAC)

NEUROLOGY TELEHEALTH OUTPT (RED)

ORTHOPEDIC OUTPT (OAK)

IFC NUTRITION (FAIRFIELD)

PCMHI-PRIMARY CARE MENTAL HEALTH INTEGRATION CLINIC OUTPT (SAC)

PM&R PELVIC PHYSICAL THERAPY OUTPT (SAC)

AUDIOLOGY OUTPT (RED)

GYNECOLOGY OUTPT (SAC)

ORTHOPEDIC OUTPT (RED)

EYE CLINIC OUTPT (MTZ)

DYSPHAGIA OUTPT (MTZ)

FEE (NON-EMERGENCY GENERAL)

NURSING WOUND CARE CLINIC OUTPT (SAC)

PODIATRY OUTPT (MTZ)

HEPATOLOGY/CD CHART CONSULT OUTPT

COLONOSCOPY SCREENING (MTZ)

NEPHROLOGY OUTPT (SAC)

PHARMACY PAIN OUTPT (SAC)

EGD OUTPT (RED)

PFT OUTPT (SAC)

HBPC OUTPT (SAC)

IFC PHYSICAL THERAPY (SAC)

PRIMARY CARE OUTPT (MI)

PROSTHETICS REQUEST - POWER MOBILITY (ALL SITES)

MEMORY ASSESSMENT MENTAL HEALTH OUTPT (MTZ)

GASTROENTEROLOGY OUTPT (SAC)

AUDIOLOGY OUTPT (MTZ)

ORTHOPEDIC OUTPT (MTZ)

MENTAL HEALTH OUTPT (MTZ)

PODIATRY OUTPT (MCCL)

NEUROLOGY EEG OUTPT (SAC)

PHYSICAL THERAPY INPATIENT (CREC)

IFC OCCUPATIONAL THERAPY (MTZ)

PROSTHETICS REQUEST - ORTHOTICS (SAC)

IFC HEMATOLOGY/ONCOLOGY (SAC)

PM&R CHIROPRACTIC CARE OUTPT (MTZ)

GENERAL SURGERY OUTPT (SAC)

OCCUPATIONAL THERAPY OUTPT (MTZ)

IFC NEUROLOGY (SAC)

NUTRITION OUTPT (MI)

EGD (MTZ)

PHYSICAL THERAPY OUTPT (MTZ)

GASTROENTEROLOGY OUTPT (RED)

PHYSICAL THERAPY WOUND OUTPT (MTZ)

PT WOMENS HEALTH OUTPATIENT (OAK)

PROSTHETICS REQUEST - DME (MI/OAK/FF)

DIABETIC RETINOPATHY SURVEILLANCE OUTPT (SAC)

EYE OUTPT (MCCLELLAN)

AGENT ORANGE/IONIZING RAD OUTPT (MTZ)

INFECTIOUS DISEASE OUTPT (RED)

NEUROBEHAVIOR CLINIC OUTPT (MTZ)

PFT OUTPT (OAK)

OCCUPATIONAL THERAPY INPT (CREC)

PFT FUTURE CARE (MTZ)

COLONOSCOPY OUTPT (MTZ)

PCMHI-PRIMARY CARE MENTAL HEALTH INTEGRATION CLINIC OUTPT (OAK)

ENT OUTPT (MTZ)

PAIN MANAGEMENT OUTPT (MTZ)

PRE-OPERATIVE CARDIOLOGY EVALUATION OUTPT (SAC)

MENTAL HEALTH OUTPT (SAC)

GASTROENTEROLOGY OUTPT (OAK)

DIETETICS OUTPT (OAK)

UROLOGY OUTPT (RED)

ENT OUTPT (SAC)

IFC DERMATOLOGY (SAC)

PHYSICAL MEDICINE OUTPT (SAC)

DIETETICS MOVE OUTPT (FF)

PODIATRY OUTPT (RED)

PULMONARY OUTPT (SAC)

STROKE EVALUATION AND TREATMENT OUTPT (MTZ)

NON VA CARE DGMC ORTHOPEDIC SURGERY

DERMATOLOGY OUTPT (CHICO)

DIETETICS OUTPT (YUBA)

EYE CLINIC - DIABETES OUTPT (RED)

EYE CLINIC OUTPT (OAK)

IFC PHYSICAL THERAPY (OAK)

PM&R PHYSICAL MEDICINE CLINIC OUTPT (MTZ)

PROSTHETICS REQUEST - SHOES (SAC)

SUBSTANCE ABUSE OUTPT (SAC)

COLONOSCOPY OUTPT (RED)

DIAGNOSTIC OXYGEN TESTING OUTPT

PROSTHETICS REQUEST - DME (SAC)

ONCOLOGY OUTPT (MTZ)

INFECTIOUS DISEASE OUTPT (MTZ)

PRIMARY CARE OUTPT (CHICO)

DIETETICS MOVE GROUP OUTPT (YUBA)

MH PHARMACOTHERAPY ECONSULT OUTPT

NEUROLOGY EMG OUTPT (SAC)

PROSTHETICS REQUEST - wheelchair (manual)

PODIATRY OUTPT (SAC)

PRIMARY CARE OUTPT (MCCL)

NEUROLOGY GENERAL OUTPT (MTZ)

GENERAL ENDOCRINOLOGY OUTPT (MTZ)

PROSTHETICS REQUEST - CPAP/BIPAP

PROSTHETICS REQUEST - DME (RED/CHICO)

AGENT ORANGE/IONIZING RAD OUTPT (MI/FF)

ANGER MANAGEMENT OUTPT (SAC)

SPEECH PATHOLOGY OUTPT (SAC)

CREC HOSPICE CONSULT INPT

OPTOMETRY OUTPT (SAC)

EGD OUTPT (SAC)

GENERAL SURGERY OUTPT (OAK)

ORTHO/PT KNEE GROUP OUTPT (OAK)

PALLIATIVE CARE OUTPT (SAC)

AUDIOLOGY OUTPT (MCCLELLAN)

NEUROLOGY SLEEP APNEA SCREENING OUTPT (MTZ)

PHYSICAL THERAPY OUTPT (OAK)

DIETETICS MOVE OUTPT (SAC)

DIETETICS MOVE OUTPT (NSAC)

DIETETICS MOVE OUTPT (CHICO)

PODIATRY OUTPT (CHICO)

EYE CLINIC - DIABETES - GLASSES - OUTPT (MTZ)

GENERAL SURGERY INPT (SAC)

ENT OUTPT (CHICO)

PHYSICAL THERAPY OUTPT (SAC)

PRIMARY CARE OUTPT (OAK)

PODIATRY OUTPT (OAK)

OCCUPATIONAL THERAPY/PHYSICAL THERAPY HOME CARE (OROVILLE)

PODIATRY PAVE LEVEL 3 OUTPT (SAC)

GERIATRIC OUTPT (SAC)

EYE CLINIC - DIABETES OUTPT (OAK)

PHYSICAL THERAPY OUTPT (MCCL)

NEUROLOGY NEUROMUSCULAR CLINIC (MTZ)

NEUROLOGY EEG OUTPT (MTZ)

NUTRITION GROUP EDUCATION OUTPT (FF)

DERMATOLOGY OUTPT (MTZ)

AUDIOLOGY OUTPT (CHICO)

TRANSPLANT PSYCHOLOGICAL EVALUATION OUTPT

MEDICAL ONCOLOGY OUTPT (SAC)

OCCUPATIONAL THERAPY OUTPATIENT (SAC)

SOCIAL WORK OUTPT (CHICO)

UROLOGY OUTPT (MTZ)

PROSTHETICS REQUEST - BLIND AIDS (ALL)

PHYSICAL THERAPY INPT (SAC)

PROSTHETICS REQUEST - CUSTOM BRACE (MTZ)

HBPC OT OUTPT (MTZ)

AUDIOLOGY OUTPT (SAC)

DIETETICS OUTPT (SAC)

DIETETICS OUTPT (RED)

INFECTIOUS DISEASE OUTPT (OAK)

PTSD OUTPT (MTZ)

DERMATOLOGY OUTPT (RED)

NEUROPSYCH OUTPT (OAK)

PM&R OUTPT (SAC)

TBI PHYSIATRY OUTPT (SAC)

PLASTIC SURGERY OUTPT (OAK)

PRIMARY CARE OUTPT (RED)

PCMHI-PRIMARY CARE MENTAL HEALTH INTEGRATION CLINIC OUTPT (MTZ)

PTSD OUTPT (SAC)

GENERAL SURGERY OUTPT (RED)

PRIMARY CARE OUTPT (MTZ)

SOCIAL WORK OUTPT (SAC)

HBPC OT OUTPT (SAC)

CARDIOLOGY OUTPT (RED)

PM&R INPATIENT (CREC)

DIETETICS MOVE OUTPT (MTZ)

DIETETICS OUTPT (MCCLELLAN)

IFC UROLOGY (SAC)

VASCULAR ABI OUTPT (MTZ)

VASCULAR V-TEL OUTPT (RED)

PHYSICAL THERAPY OUTPT (RED)

VOICE OUTPT (MTZ)

DIETETICS OUTPT (CHICO)

BLIND REHAB - VIST OUTPT

PRIMARY CARE OUTPT (FF)

EYE CLINIC OUTPT (SAC)

ALLERGY CLINIC OUTPT (SAC)

PROSTHETICS REQUEST - ORTHOTICS (MTZ/OAK/RED/All Other)

COLONOSCOPY SCREENING (SAC)

ECHO (RED)

NEUROLOGY EMG OUTPT (MTZ)

UROLOGY OUTPT (OAK)

DYSPHAGIA OUTPT (SAC)

VASCULAR LAB/VASCULAR SURGERY OUTPT (MTZ)

ANTICOAGULATION OUTPT (YUBA)

PULMONARY GENERAL OUTPT (OAK)

PROSTHETICS REQUEST - SHOES (MTZ/OAK/RED/ALL OTHERS)

PAIN ECONSULT OUTPT

IFC EYE (SAC)

IFC AUDIOLOGY (SAC)

PFT OUTPT (MTZ)

PROSTHETICS REQUEST - DME (MTZ)

OCCUPATIONAL THERAPY INPT (SAC)

PM&R GENERAL CLINIC OUTPT (MTZ)

NEUROPSYCH OUTPT (SAC)

PULMONARY GENERAL OUTPT (MTZ)

HBPC SOCIAL WORK OUTPT (SAC)

IFC EYE CLINIC (MCCLELLAN)

ENT OUTPT (OAK)

ORTHOPEDICS OUTPT (SAC)

PAIN MANAGEMENT OUTPT (SAC)

IFC OCCUPATIONAL THERAPY (SAC)

NEUROCOGNITIVE REHABILITATION OUTPT (SAC)

NEUROLOGY OUTPT (OAK)

SPEECH PATHOLOGY - DEMENTIA OUTPT (MTZ)

HCV OUTPT (MTZ)

VASCULAR CLINIC OUTPT (SAC)

CARDIOLOGY OUTPT (SAC)

CARDIOLOGY OUTPT (CHICO)

IFC PAIN MANAGEMENT (SAC)

TELEDERMATOLOGY IMAGING REQUEST - CONSULT OUTPT (RED)

HIV/AIDS OUTPT (MTZ)

SLEEP DISORDERS OUTPT (SAC)

HOME TELEHEALTH (MTZ, FF, MI & OAK)

NEUROPSYCH MHC OUTPT (MTZ)

PROSTHETICS REQUEST - WHEELCHAIR LIFTS (ALL)

IFC PULMONARY (MTZ)

IFC FEE BASIS (NCHCS)

MHC GENERAL CONSULT OUTPT (MCCLELLAN)

IFC SLEEP DISORDER (SAC)

CARDIO/THORACIC OUTPT (SAC)

LOW VISION AND MOBILITY OUTPT (MTZ)

NEUROLOGY GENERAL OUTPT (SAC)

DIABETIC TELERETINAL IMAGING OUTPT (SAC)

TBI NEURO OUTPT (MTZ)

PROSTHETICS REQUEST - CUSTOM SHOES

GENERAL SURGERY OUTPT (MTZ)

SLEEP DISORDERS EQUIPMENT ONLY OUTPT (SAC)

IFC LIVER CLINIC (SAC)

MENTAL HEALTH OUTPT (FAIRFIELD)

EYE CLINIC - DIABETES OUTPT (SAC)

IFC PHYSICAL THERAPY (MTZ)NEUROLOGY EPILEPSY CLINIC OUTPT

SURGERY BREAST CLINIC OUTPT (SAC)

IFC PULMONARY (SAC)

DIETETICS OUTPT (MTZ)

SPEECH PATH GENERAL CONSULT OUTPT (MTZ)

MHC GENERAL CONSULT OUTPT (MI)

MENTAL HEALTH OUTPT (CHICO)

IFC GENERAL SURGERY (SAC)

TELEDERMATOLOGY IMAGING REQUEST - CONSULT OUTPT (CHICO)

MHC GENERAL CONSULTS OUTPT (OAK)

MHC BARIATRIC PSYCHOLOGICAL EVALUATION OUTPT FEE (EMERGENCY GENERAL)

INFECTIOUS DISEASE OUTPT (SAC)

PLASTIC SURGERY OUTPT (MTZ)

ANTICOAGULATION OUTPT (MCCLELLAN)

OCCUPATIONAL THERAPY OUTPT (RED)

HOME TELEHEALTH MOVE!/WEIGHT MANAGEMENT OUTPT

UROLOGY OUTPT (SAC)

ALLERGY OUTPT (MTZ)

M-KPAIN OUTPT

MENTAL HEALTH OUTPT (RED)

IFC PAIN MANAGEMENT (MTZ)



Putting it Together: Components-II

IFC GASTROENTEROLOGY (SAC)

LIVER CLINIC OUTPT (SAC)

WEIGHT LOSS PHARMACOTHERAPY (MTZ)

MOVE INDIVIDUAL M-OBESE (SAC)

IFC NUTRITION (FAIRFIELD)

EYE CLINIC OUTPT (MTZ)

PFT OUTPT (SAC)

NUTRITION OUTPT (MI)

GASTROENTEROLOGY OUTPT (RED)

PFT OUTPT (OAK)

PFT FUTURE CARE (MTZ)

DIETETICS OUTPT (OAK)

DIETETICS MOVE OUTPT (FF)

PULMONARY OUTPT (SAC)

DIETETICS OUTPT (YUBA)

DIAGNOSTIC OXYGEN TESTING OUTPT

DIETETICS MOVE GROUP OUTPT (YUBA)

EGD OUTPT (SAC)

DIETETICS MOVE OUTPT (SAC)

DIETETICS MOVE OUTPT (NSAC)

DIETETICS MOVE OUTPT (CHICO)

NEUROLOGY EEG OUTPT (MTZ)

NUTRITION GROUP EDUCATION OUTPT (FF)

DIETETICS OUTPT (SAC)

DIETETICS OUTPT (RED)

PTSD OUTPT (MTZ)

CARDIOLOGY OUTPT (RED)

DIETETICS MOVE OUTPT (MTZ)

DIETETICS OUTPT (MCCLELLAN)

DIETETICS OUTPT (CHICO)

PULMONARY GENERAL OUTPT (OAK)

PFT OUTPT (MTZ)

PULMONARY GENERAL OUTPT (MTZ)CARDIOLOGY OUTPT (CHICO)

HOME TELEHEALTH (MTZ, FF, MI & OAK)

IFC PULMONARY (MTZ)

IFC PULMONARY (SAC)

DIETETICS OUTPT (MTZ)

HOME TELEHEALTH MOVE!/WEIGHT MANAGEMENT OUTPT



Looking Across the Board



Function Follows Form

0 20 40 60 80 100 120 140time

0

20

40

60

80

100st

rongly

_cc_

size

SF_662

durham_558

PaloAlto_640

portland_648

sacramento_612

mnpls_618

wallaWalla_687

boise_531

seattle_663



Testing Strategies for Improving Access to Care

I simulation



Function Follows Form, Preliminary Results

0 10 20 30 40 50 60 70# of clinics merged

0.60

0.65

0.70

0.75

0.80

0.85

0.90

0.95

1.00re

duct

ion

in to

tal w

ait t

ime

reduction of wait time

natural trainglespagerankmax common neighbourmax wt 1max wt 2



Complexity Science for Access to Care

I Summary



Documents

Things I Learned from Facebook:Network Science Applied to … benari... · 2016-11-03 · Things I Learned from Facebook:Network Science Applied to Access to Care. Alon Ben-Ari, MD