How Health 2.0 is Reshaping Medical Practice and Research<br />Reshape 2009, Nijmegen, 12 Oct 2009<br />John Sharp, MSSA, ...
Contact me<br /><ul><li>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</li></li></ul><li>How Health 2.0 is Reshaping Medical Practice and Research<br />Key Points<br /><ul...
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 </li></li></ul><li>Cleveland clinic<br />
Cleveland Clinic<br /><ul><li>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</li></li></ul><li>Electronic M...
2,000,000 patients
In hospital, outpatient clinics and suburban health centers
CPOE implemented
Now being used for quality reporting and research</li></li></ul><li>eHealth Initiatives<br /><ul><li>Personal Health Recor...
Online Second Opinion
Google Health partnership
Microsoft HealthVault – remote monitoring</li></li></ul><li>Leadership in Healthcare Reform<br /><ul><li>Outcomes Booklets...
Cited as model of care efficiency
President Obama’s visit to discuss reform
Physicians on salary – remove motivation for fee for service</li></li></ul><li>Innovation at the core of healthcare<br /><...
Innovation and Process Improvement encouraged on all levels
Commercialization of innovations
Bench to beside – translational science
Transparency  - conflict of interest </li></li></ul><li>Engagement of patients through Health 2.0 <br />
Electronic medical record<br /><ul><li>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</li></li></ul><li>Culture shifteHealth – inv...
Best practice – tethered to EMR
Calculators
Health reminders
Engage patients in health management</li></li></ul><li>Ehealth and wellness<br /><ul><li>Beyond acute medical model of tre...
PHR as a platform to provide wellness education and reminders
Future – personalized medicine – reduce your risk of disease based on family history, genetic profile</li></li></ul><li>So...
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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

  1. 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. 2. Contact me<br /><ul><li>Blog: ehealth.johnwsharp.com
  3. 3. Twitter: @JohnSharp
  4. 4. Links: delicious.com/johnsharp/ClevelandClinic
  5. 5. www.linkedin.com/in/JohnSharp
  6. 6. Department: lerner.ccf.org/qhs/informatics
  7. 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. 8. Engagement of patients through Health 2.0 and social media
  9. 9. Google Health and Microsoft HealthVault as enabling platforms
  10. 10. Reshaping Medical Research
  11. 11. The Future of Medical Care through new technologies </li></li></ul><li>Cleveland clinic<br />
  12. 12. Cleveland Clinic<br /><ul><li>1000 bed hospital and medical center
  13. 13. 1800 physician group practice
  14. 14. 3.3 million total visits and more than 50,000 hospital admissions
  15. 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. 16. 2,000,000 patients
  17. 17. In hospital, outpatient clinics and suburban health centers
  18. 18. CPOE implemented
  19. 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. 20. Online Second Opinion
  21. 21. Google Health partnership
  22. 22. Microsoft HealthVault – remote monitoring</li></li></ul><li>Leadership in Healthcare Reform<br /><ul><li>Outcomes Booklets – reported annually
  23. 23. Cited as model of care efficiency
  24. 24. President Obama’s visit to discuss reform
  25. 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. 26. Innovation and Process Improvement encouraged on all levels
  27. 27. Commercialization of innovations
  28. 28. Bench to beside – translational science
  29. 29. Transparency - conflict of interest </li></li></ul><li>Engagement of patients through Health 2.0 <br />
  30. 30. Electronic medical record<br /><ul><li>Foundation for eHealth initiatives
  31. 31. Provides personalized medical knowledge base
  32. 32. Updated based on medical visits
  33. 33. Basis for future medical research
  34. 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. 35. Best practice – tethered to EMR
  36. 36. Calculators
  37. 37. Health reminders
  38. 38. Engage patients in health management</li></li></ul><li>Ehealth and wellness<br /><ul><li>Beyond acute medical model of treatment
  39. 39. PHR as a platform to provide wellness education and reminders
  40. 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. 41. Social Media – engagement<br /><ul><li>Interactive with others with similar conditions
  42. 42. Talk to hospital – complaints, service recovery
  43. 43. Interact with providers real time
  44. 44. Interactive health talks</li></li></ul><li>Social media for employees<br /><ul><li>www.ShapeUpandGo.com
  45. 45. Teams of employees compete for most steps
  46. 46. Pedometer provided
  47. 47. Team leader encourages participation
  48. 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. 49. Prescribe a well respected social media site which focuses on this
  50. 50. Educate the patient on the appropriate role of social media and how to protect against misinformation
  51. 51. Ask the patient what they have been learning</li></li></ul><li>Twitter and Facebook health alerts<br />
  52. 52. Mobile health and more<br />365 is a Wellness venture<br />By the Cleveland Clinic<br />
  53. 53. Mobile Health<br />
  54. 54. Most desired mobile health apps<br />
  55. 55. Google health and microsofthealthvaultPlatforms for health<br />
  56. 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. 57. Home monitoring & Virtual visits<br />Microsoft HealthVault – recording home monitoring directly to a PHR<br />
  58. 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. 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. 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. 61. Which platform?<br /><ul><li>Available platforms enable rapid development – Facebook, Twitter, Blogger, Google Health
  62. 62. But are they reliable for health care?
  63. 63. Gmail down for 2 hours
  64. 64. Alternative – host and install own tools
  65. 65. Control reliability, data
  66. 66. Private cloud versus public cloud</li></li></ul><li>Health 2.0 reshaping medical research<br />
  67. 67. Impact on Clinical Research<br /><ul><li>Clinical Trial recruitment
  68. 68. Collecting research data through patient diaries, patient social networking
  69. 69. Data mashups – research implications
  70. 70. Data sharing – OrphanData.org
  71. 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. 72. Weaknesses of Wikipedia
  73. 73. Growth of Medpedia
  74. 74. Open Source versus vetted medical content
  75. 75. Who are the contributors?
  76. 76. How accurate is the source?
  77. 77. How current is the information?</li></li></ul><li>Medical Publishing<br /><ul><li>Enhanced search tools - Google Scholar and PubMed enhancements
  78. 78. More online only journals – gaining impact scores (JMIR, Open Medicine)
  79. 79. Accelerated review processing
  80. 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. 81. Assistance in identifying post marking side effects
  82. 82. Early pilot data on off label treatments
  83. 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. 84. Develop policies, educate employees
  85. 85. Have an owner of each application
  86. 86. Monitor content
  87. 87. Address problems quickly</li></li></ul><li>The Future of Medical Care through new technologies <br />
  88. 88. Protecting and enabling health informaton<br />Research Data<br />Facebook<br />PHR<br />Google Health<br />EMR<br />Twitter<br />HealthMaps<br />
  89. 89. Future<br /><ul><li>Innovation through academic and entrepreneur partnerships
  90. 90. Health 2.0 Accelerator as a model
  91. 91. Feasible business models
  92. 92. Government role – funding, awarding innovation</li></li></ul><li>Health 2.0 accelerator<br />
  93. 93. eHealth as the platform for Health 2.0<br />
  94. 94. future<br /><ul><li>Convergence of eHealth and Health 2.0
  95. 95. How to integrate provider ehealth tools and PHRs with social media?
  96. 96. Cloud computing
  97. 97. SaaS – Software as a Service
  98. 98. PaaS – Platform as a Service
  99. 99. Data.gov, Apps.gov</li></li></ul><li>Contact me<br /><ul><li>Blog: ehealth.johnwsharp.com
  100. 100. Twitter: @JohnSharp
  101. 101. Links: delicious.com/johnsharp/ClevelandClinic
  102. 102. Department: lerner.ccf.org/qhs/informatics
  103. 103. Email: sharpj@ccf.org</li>
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