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Hospital Adoption Of Medicine 2.0

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Presentation at the Medicine 2.0 Congress, Toronto, CA

Presentation at the Medicine 2.0 Congress, Toronto, CA

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  • 1. Hospital Adoption of Medicine 2.0
    A Culture Change
  • 2. Introduction
    Blog: ehealth.johnwsharp.com
    Twitter: @JohnSharp
    Links: delicious.com/johnsharp/ClevelandClinic
    Department: lerner.ccf.org/qhs/informatics
    Email: sharpj@ccf.org
  • 3. Industry Relationships
    Member of the Advisory BoardWithin3.com – private social network for physicians
  • 4. Cleveland Clinic
    1000 bed hospital and medical center
    1800 physician group practice
    3.3 million total visits and more than 50,000 hospital admissions
    Locations: Cleveland, Ohio; Fort Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NV
  • 5. Cleveland Clinic Electronic Medical Record
    Epic Systems
    2,000,000 patients
    In hospital, outpatient clinics and suburban health centers
    CPOE implemented
    Now being used for quality reporting and research
  • 6. eHealth Initiatives
    Personal Health Record – tethered to EMR
    Online Second Opinion
    Google Health partnership
    Microsoft HealthVault – remote monitoring
  • 7. Leadership in Healthcare Reform
    Outcomes Booklets – reported annually
    Cited as model of care efficiency
    President Obama’s visit to discuss reform
    Physicians on salary – remove motivation for fee for service
  • 8. Web 2.0 as a Disruptive Force
  • 9.
  • 10. Web 2.0 Beginnings
    Unofficial Blogs – Clinical Cases and Images
    Unofficial Wiki – AskDrWiki.com
    Social Networking in Medical School
    Google Gadget – Walk for Good
    Live physician chats
    Google Health partnership
    Transition – CEO blog
  • 11. Web 2.0 Beginnings
  • 12. The Transition
    Website Redesign – consumer research - 2008
    YouTube channel – repurposing news videosCleveland Clinic News Service - 2007
    Facebook page, Twitter for CME, then news - 2009
    Chief of Medical Staff – Blog for medical staff with anonymous comments allowed - 2009
    Wikis in several departments
    CMO presents strategy to Board and Trustees
  • 13. Website Redesign
  • 14. YouTube Channel
    Focus : health news and wellness recommendations
  • 15. Facebook
    Wellness Focus
  • 16. Twitter - CME
    Will be Tweeting from our Medical Innovation SummitOct 5-7
  • 17. What Enabled this Change
    An institution which encourages innovation
    Leadership willing to look at successes in other industries for new strategies
    New emphasis on patient engagement – Office of Patient Experience
    National/International strategy to recruit new patients
    Chief Marketing Office as a champion
  • 18. Future
    Physician Social Networking
    Expand Twitter presence
    Employee polices
    Enterprise 2.0 – early stages
    Integration with eHealth tools
    Facebook gadgets
  • 19. Physician Social Networking
    • Private – must be a licensed physician
    • 20. No advertising
    • 21. Profile including Clinical trials and publications
    • 22. Alumni groups, clinical trial communication, etc.
  • Policies in Place
    Website user agreement
    Employee policy
    Emphasis on avoiding harassment, defamation, profanity
    “play nice” and then your participation is acceptable
    Employees warned about personal health information
  • 23. Conclusions
    How to change the culture?
    • The healthcare organization must have a willingness encourage innovation to solve the health care crisis
    • 24. Organizations need to be willing to engage patients through social media
    • 25. Need an institutional champion
    • 26. Risks can be identified and controlled
    • 27. Experimentation and partnerships should be encouraged
  • Contact
    Blog: ehealth.johnwsharp.com
    Twitter: @JohnSharp
    Links: delicious.com/johnsharp/ClevelandClinic
    Department: lerner.ccf.org/qhs/informatics
    Email: sharpj@ccf.org