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How Health 2.0 is Reshaping Medical Practice and Research
The document discusses how Health 2.0 technologies are reshaping medical practice and research. It describes how Cleveland Clinic has implemented an electronic medical record to engage patients through personal health records and social media. It explores enabling platforms like Google Health and Microsoft HealthVault and how they allow remote monitoring and collection of home health data. Finally, it envisions a future of converged eHealth and Health 2.0 technologies, facilitated by cloud computing, that further empower patients and support innovation.
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How Health 2.0 is Reshaping Medical Practice and Research
- 1. How Health 2.0is Reshaping Medical Practice and ResearchReshape 2009, Nijmegen, 12 Oct 2009John Sharp, MSSA, PMP@JohnSharp
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- 7. Email: [email protected] Health2.0 is Reshaping Medical Practice and ResearchKey PointsCleveland Clinic – EMR and eHealth
- 8. Engagement of patientsthrough Health 2.0 and social media
- 9. Google Health andMicrosoft HealthVault as enabling platforms
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- 11. The Future ofMedical Care through new technologies Cleveland clinic
- 12. Cleveland Clinic1000 bed hospitaland medical center
- 13. 1800 physician grouppractice
- 14. 3.3 million totalvisits and more than 50,000 hospital admissions
- 15. Locations: Cleveland, Ohio;Fort Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NVElectronic Medical RecordEpic Systems
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- 17. In hospital, outpatientclinics and suburban health centers
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- 19. Now being usedfor quality reporting and researcheHealth InitiativesPersonal Health Record – tethered to EMR
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- 22. Microsoft HealthVault –remote monitoringLeadership in Healthcare ReformOutcomes Booklets – reported annually
- 23. Cited as modelof care efficiency
- 24. President Obama’s visitto discuss reform
- 25. Physicians on salary– remove motivation for fee for serviceInnovation at the core of healthcareNeed to innovate to stay competitive
- 26. Innovation and ProcessImprovement encouraged on all levels
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- 28. Bench to beside– translational science
- 29. Transparency -conflict of interest Engagement of patients through Health 2.0
- 30. Electronic medical recordFoundationfor eHealth initiatives
- 31. Provides personalized medicalknowledge base
- 32. Updated based onmedical visits
- 33. Basis for futuremedical research
- 34. Need to networkwith other providers – IHE – Integrated Health data ExchangesCulture shifteHealth – inviting participationPersonal Health Records (PHRs)
- 35. Best practice –tethered to EMR
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- 38. Engage patients inhealth managementEhealth and wellnessBeyond acute medical model of treatment
- 39. PHR as aplatform to provide wellness education and reminders
- 40. Future – personalizedmedicine – reduce your risk of disease based on family history, genetic profileSocial media and patient engagment
- 41. Social Media –engagementInteractive with others with similar conditions
- 42. Talk to hospital– complaints, service recovery
- 43. Interact with providersreal time
- 44. Interactive health talksSocialmedia for employeeswww.ShapeUpandGo.com
- 45. Teams of employeescompete for most steps
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- 47. Team leader encouragesparticipation
- 48. Anyone in teamcan send a messageSocial media prescribedNewly diagnosed with a chronic condition
- 49. Prescribe a wellrespected social media site which focuses on this
- 50. Educate the patienton the appropriate role of social media and how to protect against misinformation
- 51. Ask the patientwhat they have been learningTwitter and Facebook health alerts
- 52. Mobile health andmore365 is a Wellness ventureBy the Cleveland Clinic
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- 54. Most desired mobilehealth apps
- 55. Google health andmicrosofthealthvaultPlatforms for health
- 56. Impact on patientcareGoogle HealthCombine all informationfrom all providersSpecial tools – health Calculators, integration with Google Maps for doctors office locationsAdd scanned documents including Living Wills
- 57. Home monitoring &Virtual visitsMicrosoft HealthVault – recording home monitoring directly to a PHR
- 58. HOME mONITORING -goalsImproved outcomes for patients --patients may be more apt to track and measure their health, improving compliance and data integrity and allowing physicians to more efficiently view, track and measure their data.
- 59. Improved clinician efficiency-- By receiving reliable, consistent and automatic patient data, physicians can improve the quality of office visits and reduce the length of appointment times.
- 60. Consumer Empowerment --This type of web-enabled, consumer-driven approach will provide patients with increased control of their medical information and an important part to play in the management of their chronic disease.Hello Health model
- 61. Which platform?Available platformsenable rapid development – Facebook, Twitter, Blogger, Google Health
- 62. But are theyreliable for health care?
- 63. Gmail down for2 hours
- 64. Alternative – hostand install own tools
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- 66. Private cloud versuspublic cloudHealth 2.0 reshaping medical research
- 67. Impact on ClinicalResearchClinical Trial recruitment
- 68. Collecting research datathrough patient diaries, patient social networking
- 69. Data mashups –research implications
- 70. Data sharing –OrphanData.org
- 71. Social networking forcollaborative research – case study – National Comprehensive Cancer NetworkMedical ReferenceWill Wikis replace standard reference works?
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- 74. Open Source versusvetted medical content
- 75. Who are thecontributors?
- 76. How accurate isthe source?
- 77. How current isthe information?Medical PublishingEnhanced search tools - Google Scholar and PubMed enhancements
- 78. More online onlyjournals – gaining impact scores (JMIR, Open Medicine)
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- 80. The Lethal LagTimeInvolving patients in researchSecondary use of medical data in social networking sites
- 81. Assistance in identifyingpost marking side effects
- 82. Early pilot dataon off label treatments
- 83. Clinical trial alertsHowto use existing technologies while reducing risksGood project management – Risk Mitigation planning
- 84. Develop policies, educateemployees
- 85. Have an ownerof each application
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- 87. Address problems quicklyTheFuture of Medical Care through new technologies
- 88. Protecting and enablinghealth informatonResearch DataFacebookPHRGoogle HealthEMRTwitterHealthMaps
- 89. FutureInnovation through academicand entrepreneur partnerships
- 90. Health 2.0 Acceleratoras a model
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- 92. Government role –funding, awarding innovationHealth 2.0 accelerator
- 93. eHealth as theplatform for Health 2.0
- 94. futureConvergence of eHealthand Health 2.0
- 95. How to integrateprovider ehealth tools and PHRs with social media?
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- 97. SaaS – Softwareas a Service
- 98. PaaS – Platformas a Service
- 99. Data.gov, Apps.govContact meBlog:ehealth.johnwsharp.com
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