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