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How Health 2.0 is Reshaping Medical Practice and Research
 

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    How Health 2.0 is Reshaping Medical Practice and Research How Health 2.0 is Reshaping Medical Practice and Research Presentation Transcript

    • How Health 2.0 is Reshaping Medical Practice and Research
      Reshape 2009, Nijmegen, 12 Oct 2009
      John Sharp, MSSA, PMP@JohnSharp
    • Contact me
      • Blog: ehealth.johnwsharp.com
      • Twitter: @JohnSharp
      • Links: delicious.com/johnsharp/ClevelandClinic
      • www.linkedin.com/in/JohnSharp
      • Department: lerner.ccf.org/qhs/informatics
      • Email: sharpj@ccf.org
    • How Health 2.0 is Reshaping Medical Practice and Research
      Key Points
      • Cleveland Clinic – EMR and eHealth
      • Engagement of patients through Health 2.0 and social media
      • Google Health and Microsoft HealthVault as enabling platforms
      • Reshaping Medical Research
      • The Future of Medical Care through new technologies
    • Cleveland clinic
    • 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
    • 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
    • eHealth Initiatives
      • Personal Health Record – tethered to EMR
      • Online Second Opinion
      • Google Health partnership
      • Microsoft HealthVault – remote monitoring
    • 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
    • Innovation at the core of healthcare
      • Need to innovate to stay competitive
      • Innovation and Process Improvement encouraged on all levels
      • Commercialization of innovations
      • Bench to beside – translational science
      • Transparency - conflict of interest
    • Engagement of patients through Health 2.0
    • Electronic medical record
      • Foundation for eHealth initiatives
      • Provides personalized medical knowledge base
      • Updated based on medical visits
      • Basis for future medical research
      • Need to network with other providers – IHE – Integrated Health data Exchanges
    • Culture shifteHealth – inviting participation
      • Personal Health Records (PHRs)
      • Best practice – tethered to EMR
      • Calculators
      • Health reminders
      • Engage patients in health management
    • Ehealth and wellness
      • Beyond acute medical model of treatment
      • PHR as a platform to provide wellness education and reminders
      • Future – personalized medicine – reduce your risk of disease based on family history, genetic profile
    • Social media and patient engagment
    • Social Media – engagement
      • Interactive with others with similar conditions
      • Talk to hospital – complaints, service recovery
      • Interact with providers real time
      • Interactive health talks
    • Social media for employees
      • www.ShapeUpandGo.com
      • Teams of employees compete for most steps
      • Pedometer provided
      • Team leader encourages participation
      • Anyone in team can send a message
    • Social media prescribed
      • Newly diagnosed with a chronic condition
      • Prescribe a well respected social media site which focuses on this
      • Educate the patient on the appropriate role of social media and how to protect against misinformation
      • Ask the patient what they have been learning
    • Twitter and Facebook health alerts
    • Mobile health and more
      365 is a Wellness venture
      By the Cleveland Clinic
    • Mobile Health
    • Most desired mobile health apps
    • Google health and microsofthealthvaultPlatforms for health
    • Impact on patient careGoogle Health
      Combine all informationfrom all providers
      Special tools – health Calculators, integration with Google Maps for doctors office locations
      Add scanned documents including Living Wills
    • Home monitoring & Virtual visits
      Microsoft HealthVault – recording home monitoring directly to a PHR
    • HOME mONITORING - goals
      • Improved 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.
      • 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. 
      • 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
    • Which platform?
      • Available platforms enable rapid development – Facebook, Twitter, Blogger, Google Health
      • But are they reliable for health care?
      • Gmail down for 2 hours
      • Alternative – host and install own tools
      • Control reliability, data
      • Private cloud versus public cloud
    • Health 2.0 reshaping medical research
    • Impact on Clinical Research
      • Clinical Trial recruitment
      • Collecting research data through patient diaries, patient social networking
      • Data mashups – research implications
      • Data sharing – OrphanData.org
      • Social networking for collaborative research – case study – National Comprehensive Cancer Network
    • Medical Reference
      • Will Wikis replace standard reference works?
      • Weaknesses of Wikipedia
      • Growth of Medpedia
      • Open Source versus vetted medical content
      • Who are the contributors?
      • How accurate is the source?
      • How current is the information?
    • Medical Publishing
      • Enhanced search tools - Google Scholar and PubMed enhancements
      • More online only journals – gaining impact scores (JMIR, Open Medicine)
      • Accelerated review processing
      • The Lethal Lag Time
    • Involving patients in research
      • Secondary use of medical data in social networking sites
      • Assistance in identifying post marking side effects
      • Early pilot data on off label treatments
      • Clinical trial alerts
    • How to use existing technologies while reducing risks
      • Good project management – Risk Mitigation planning
      • Develop policies, educate employees
      • Have an owner of each application
      • Monitor content
      • Address problems quickly
    • The Future of Medical Care through new technologies
    • Protecting and enabling health informaton
      Research Data
      Facebook
      PHR
      Google Health
      EMR
      Twitter
      HealthMaps
    • Future
      • Innovation through academic and entrepreneur partnerships
      • Health 2.0 Accelerator as a model
      • Feasible business models
      • Government role – funding, awarding innovation
    • Health 2.0 accelerator
    • eHealth as the platform for Health 2.0
    • future
      • Convergence of eHealth and Health 2.0
      • How to integrate provider ehealth tools and PHRs with social media?
      • Cloud computing
      • SaaS – Software as a Service
      • PaaS – Platform as a Service
      • Data.gov, Apps.gov
    • Contact me
      • Blog: ehealth.johnwsharp.com
      • Twitter: @JohnSharp
      • Links: delicious.com/johnsharp/ClevelandClinic
      • Department: lerner.ccf.org/qhs/informatics
      • Email: sharpj@ccf.org