Hospital Adoption of Medicine 2.0A Culture Change

IntroductionBlog: ehealth.johnwsharp.comTwitter: @JohnSharpLinks: delicious.com/johnsharp/ClevelandClinicDepartment: lerner.ccf.org/qhs/informaticsEmail: sharpj@ccf.org

Industry RelationshipsMember of the Advisory BoardWithin3.com – private social network for physicians

Cleveland Clinic1000 bed hospital and medical center1800 physician group practice3.3 million total visits and more than 50,000 hospital admissions Locations: Cleveland, Ohio; Fort Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NV

Cleveland Clinic Electronic Medical RecordEpic Systems2,000,000 patientsIn hospital, outpatient clinics and suburban health centersCPOE implementedNow being used for quality reporting and research

eHealth InitiativesPersonal Health Record – tethered to EMROnline Second OpinionGoogle Health partnershipMicrosoft HealthVault – remote monitoring

Leadership in Healthcare ReformOutcomes Booklets – reported annuallyCited as model of care efficiency President Obama’s visit to discuss reformPhysicians on salary – remove motivation for fee for service

Web 2.0 as a Disruptive Force

Web 2.0 BeginningsUnofficial Blogs – Clinical Cases and ImagesUnofficial Wiki – AskDrWiki.comSocial Networking in Medical SchoolGoogle Gadget – Walk for GoodLive physician chatsGoogle Health partnership Transition – CEO blog

Web 2.0 Beginnings

The TransitionWebsite Redesign – consumer research - 2008YouTube channel – repurposing news videosCleveland Clinic News Service - 2007Facebook page, Twitter for CME, then news - 2009Chief of Medical Staff – Blog for medical staff with anonymous comments allowed - 2009Wikis in several departments CMO presents strategy to Board and Trustees

Website Redesign

YouTube ChannelFocus : health news and wellness recommendations

FacebookWellness Focus

Twitter - CMEWill be Tweeting from our Medical Innovation SummitOct 5-7

What Enabled this ChangeAn institution which encourages innovationLeadership willing to look at successes in other industries for new strategiesNew emphasis on patient engagement – Office of Patient ExperienceNational/International strategy to recruit new patientsChief Marketing Office as a champion

FuturePhysician Social NetworkingExpand Twitter presenceEmployee policesEnterprise 2.0 – early stagesIntegration with eHealth toolsFacebook gadgets

Physician Social NetworkingPrivate – must be a licensed physicianNo advertisingProfile including Clinical trials and publicationsAlumni groups, clinical trial communication, etc.

Private – must be a licensed physician

No advertising

Profile including Clinical trials and publications

Alumni groups, clinical trial communication, etc.

Policies in PlaceWebsite user agreementEmployee policyEmphasis on avoiding harassment, defamation, profanity“play nice” and then your participation is acceptableEmployees warned about personal health information

ConclusionsHow to change the culture?The healthcare organization must have a willingness encourage innovation to solve the health care crisisOrganizations need to be willing to engage patients through social mediaNeed an institutional championRisks can be identified and controlledExperimentation and partnerships should be encouraged

The healthcare organization must have a willingness encourage innovation to solve the health care crisis

Organizations need to be willing to engage patients through social media

Need an institutional champion

Risks can be identified and controlled

Experimentation and partnerships should be encouraged

ContactBlog: ehealth.johnwsharp.comTwitter: @JohnSharpLinks: delicious.com/johnsharp/ClevelandClinicDepartment: lerner.ccf.org/qhs/informaticsEmail: sharpj@ccf.org