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

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  • 1. How Health 2.0 is Reshaping Medical Practice and Research<br />Reshape 2009, Nijmegen, 12 Oct 2009<br />John Sharp, MSSA, PMP@JohnSharp<br />
  • 2. Contact me<br /><ul><li>Blog: ehealth.johnwsharp.com
  • 3. Twitter: @JohnSharp
  • 4. Links: delicious.com/johnsharp/ClevelandClinic
  • 5. www.linkedin.com/in/JohnSharp
  • 6. Department: lerner.ccf.org/qhs/informatics
  • 7. Email: sharpj@ccf.org</li></li></ul><li>How Health 2.0 is Reshaping Medical Practice and Research<br />Key Points<br /><ul><li>Cleveland Clinic – EMR and eHealth
  • 8. Engagement of patients through Health 2.0 and social media
  • 9. Google Health and Microsoft HealthVault as enabling platforms
  • 10. Reshaping Medical Research
  • 11. The Future of Medical Care through new technologies </li></li></ul><li>Cleveland clinic<br />
  • 12. Cleveland Clinic<br /><ul><li>1000 bed hospital and medical center
  • 13. 1800 physician group practice
  • 14. 3.3 million total visits and more than 50,000 hospital admissions
  • 15. Locations: Cleveland, Ohio; Fort Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NV</li></li></ul><li>Electronic Medical Record<br /><ul><li>Epic Systems
  • 16. 2,000,000 patients
  • 17. In hospital, outpatient clinics and suburban health centers
  • 18. CPOE implemented
  • 19. Now being used for quality reporting and research</li></li></ul><li>eHealth Initiatives<br /><ul><li>Personal Health Record – tethered to EMR
  • 20. Online Second Opinion
  • 21. Google Health partnership
  • 22. Microsoft HealthVault – remote monitoring</li></li></ul><li>Leadership in Healthcare Reform<br /><ul><li>Outcomes Booklets – reported annually
  • 23. Cited as model of care efficiency
  • 24. President Obama’s visit to discuss reform
  • 25. Physicians on salary – remove motivation for fee for service</li></li></ul><li>Innovation at the core of healthcare<br /><ul><li>Need to innovate to stay competitive
  • 26. Innovation and Process Improvement encouraged on all levels
  • 27. Commercialization of innovations
  • 28. Bench to beside – translational science
  • 29. Transparency - conflict of interest </li></li></ul><li>Engagement of patients through Health 2.0 <br />
  • 30. Electronic medical record<br /><ul><li>Foundation for eHealth initiatives
  • 31. Provides personalized medical knowledge base
  • 32. Updated based on medical visits
  • 33. Basis for future medical research
  • 34. Need to network with other providers – IHE – Integrated Health data Exchanges</li></li></ul><li>Culture shifteHealth – inviting participation<br /><ul><li>Personal Health Records (PHRs)
  • 35. Best practice – tethered to EMR
  • 36. Calculators
  • 37. Health reminders
  • 38. Engage patients in health management</li></li></ul><li>Ehealth and wellness<br /><ul><li>Beyond acute medical model of treatment
  • 39. PHR as a platform to provide wellness education and reminders
  • 40. Future – personalized medicine – reduce your risk of disease based on family history, genetic profile</li></li></ul><li>Social media and patient engagment<br />
  • 41. Social Media – engagement<br /><ul><li>Interactive with others with similar conditions
  • 42. Talk to hospital – complaints, service recovery
  • 43. Interact with providers real time
  • 44. Interactive health talks</li></li></ul><li>Social media for employees<br /><ul><li>www.ShapeUpandGo.com
  • 45. Teams of employees compete for most steps
  • 46. Pedometer provided
  • 47. Team leader encourages participation
  • 48. Anyone in team can send a message</li></li></ul><li>Social media prescribed<br /><ul><li>Newly diagnosed with a chronic condition
  • 49. Prescribe a well respected social media site which focuses on this
  • 50. Educate the patient on the appropriate role of social media and how to protect against misinformation
  • 51. Ask the patient what they have been learning</li></li></ul><li>Twitter and Facebook health alerts<br />
  • 52. Mobile health and more<br />365 is a Wellness venture<br />By the Cleveland Clinic<br />
  • 53. Mobile Health<br />
  • 54. Most desired mobile health apps<br />
  • 55. Google health and microsofthealthvaultPlatforms for health<br />
  • 56. Impact on patient careGoogle Health<br />Combine all informationfrom all providers<br />Special tools – health Calculators, integration with Google Maps for doctors office locations<br />Add scanned documents including Living Wills<br />
  • 57. Home monitoring & Virtual visits<br />Microsoft HealthVault – recording home monitoring directly to a PHR<br />
  • 58. HOME mONITORING - goals<br /><ul><li>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.
  • 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.</li></li></ul><li>Hello Health model<br />
  • 61. Which platform?<br /><ul><li>Available platforms enable rapid development – Facebook, Twitter, Blogger, Google Health
  • 62. But are they reliable for health care?
  • 63. Gmail down for 2 hours
  • 64. Alternative – host and install own tools
  • 65. Control reliability, data
  • 66. Private cloud versus public cloud</li></li></ul><li>Health 2.0 reshaping medical research<br />
  • 67. Impact on Clinical Research<br /><ul><li>Clinical Trial recruitment
  • 68. Collecting research data through patient diaries, patient social networking
  • 69. Data mashups – research implications
  • 70. Data sharing – OrphanData.org
  • 71. Social networking for collaborative research – case study – National Comprehensive Cancer Network</li></li></ul><li>Medical Reference<br /><ul><li>Will Wikis replace standard reference works?
  • 72. Weaknesses of Wikipedia
  • 73. Growth of Medpedia
  • 74. Open Source versus vetted medical content
  • 75. Who are the contributors?
  • 76. How accurate is the source?
  • 77. How current is the information?</li></li></ul><li>Medical Publishing<br /><ul><li>Enhanced search tools - Google Scholar and PubMed enhancements
  • 78. More online only journals – gaining impact scores (JMIR, Open Medicine)
  • 79. Accelerated review processing
  • 80. The Lethal Lag Time</li></li></ul><li>Involving patients in research<br /><ul><li>Secondary use of medical data in social networking sites
  • 81. Assistance in identifying post marking side effects
  • 82. Early pilot data on off label treatments
  • 83. Clinical trial alerts</li></li></ul><li>How to use existing technologies while reducing risks<br /><ul><li>Good project management – Risk Mitigation planning
  • 84. Develop policies, educate employees
  • 85. Have an owner of each application
  • 86. Monitor content
  • 87. Address problems quickly</li></li></ul><li>The Future of Medical Care through new technologies <br />
  • 88. Protecting and enabling health informaton<br />Research Data<br />Facebook<br />PHR<br />Google Health<br />EMR<br />Twitter<br />HealthMaps<br />
  • 89. Future<br /><ul><li>Innovation through academic and entrepreneur partnerships
  • 90. Health 2.0 Accelerator as a model
  • 91. Feasible business models
  • 92. Government role – funding, awarding innovation</li></li></ul><li>Health 2.0 accelerator<br />
  • 93. eHealth as the platform for Health 2.0<br />
  • 94. future<br /><ul><li>Convergence of eHealth and Health 2.0
  • 95. How to integrate provider ehealth tools and PHRs with social media?
  • 96. Cloud computing
  • 97. SaaS – Software as a Service
  • 98. PaaS – Platform as a Service
  • 99. Data.gov, Apps.gov</li></li></ul><li>Contact me<br /><ul><li>Blog: ehealth.johnwsharp.com
  • 100. Twitter: @JohnSharp
  • 101. Links: delicious.com/johnsharp/ClevelandClinic
  • 102. Department: lerner.ccf.org/qhs/informatics
  • 103. Email: sharpj@ccf.org</li>

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