How Health 2.0 is Reshaping Medical Practice and Research

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

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How Health 2.0 is Reshaping Medical Practice and Research

by John Sharp on Oct 12, 2009

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