The Next Wave of Technology: Social Media and Electronic Health Records

The Next Wave of Technology: Social Media and Electronic Health RecordsJohn Sharp, MSSA. PMPCleveland ClinicCleveland, Ohio

Outline1. Electronic Health Records (EHRs)2. Personal Health Records (PHRs)3. Home Monitoring4. Social Media5. Mobile apps and Apps

Transforming Health CareSocial media, mobile applications and devices are pervasiveElectronic Health Records being adopted nationally

Electronic Health Records Consistent medical history/problem list Reduce errors – dose, drug-drug interactions Alerts for preventive health Collaborative care Health Information Exchange – ability to share data across health systems with patient permission

Vital Signs From VA VistA EMR

EMR Complexity Visits – scheduling, diagnoses, procedures, vitals, health alerts Orders and Results Medications Notes – discharge, operative Radiology Messages - inbox

EMR Incentives $40,000 per physician per year Must show meaningful use Must be an approved EMR Program to assist small practices Most health systems have or are in process

EMR Adoption Offices with one practicing physician – 30.8% Offices with 26-plus physicians – 75.5 %

EMRs and Quality of Care

Why EMRs Matter Improving Patient Care Accurate and complete information about a patients health during a routine visit or a medical emergency. The ability to better coordinate the care they give. A way to securely share information with patients and their family caregivers over the Internet, for patients who opt for this convenience. This means patients and their families can more fully take part in decisions about their health care. Information to help doctors diagnose health problems sooner, reduce medical errors, and HealthIT.gov provide safer care at lower costs.

Personal Health Records

Types of Personal Health Records Tethered – connected to and populated by an EMR Free Standing – must enter data Microsoft Health Vault Integrated with social networks – data shared with others

• Request an appointment• Check lab results including graphs• Request prescription refills• Visit summaries• Message provider• In some cases, see family members information

Integrates with dozens of health tools-exercise, sleep management, diabetesIntegrates with home monitoring devices

Why PHRs Matter Give patients access to their data for the first time Reduces the number of phone calls necessary to contact the doctor’s office Keeps a long term record of one’s health history Proxy use – can manage records for a child or elderly parent

Home Monitoring

Types of Home Monitoring Blood glucose monitoring Blood pressure Fitbit personal trainer Weight scales Heart rate monitors Peak flow monitors

Devices becoming smaller andMore Portable

More Home Monitoringvia Smart Phones Centre for Global Health Innovation – Toronto Lower cost solutions Proven impact on Heart Failure but no impact on readmission Also studying diabetes management

Home Monitoring shifting toRemote monitoringIncludes monitoring on the go

Why Home Monitoring Matters Shifts care to home Provides a bridge between appointments Potential to prevent readmissions Gives patient and family caregiver more control but also reassurance that someone is watching

Social Media in Health Care

Big Four Many hospitals now using actively

Hospitals using Facebookto Engage with Patients

Videos popular for seeingand hearing physiciansdiscuss treatments andpatient stories

Twitter – online chats

Blogs and Online Communities Blog postings with comments Discussion forums Committees around specific diseases and conditions Posting specific information about one’s condition

Sharing ALS Status

Why Social Media Matters Peer-to-Peer Health Care Empowers patients to take charge of their condition Social support from others in large doses Ability to monitor health and immediately share with others Quick feedback from others with the same condition

Mobile Applications

Consumers showing interest inMobile Health Tools 40% of consumers report  44% interested in body using a device in the past weight scales year to monitor their health or wellness  40% in vital sign monitors 33% are interested in  37% in mobile fitness managing their health devices records online  More than half consult their 32% want to use telehealth physicians about use of tools for physician visits these devices

iPhone and Android Apps 7000 medical apps in iTunes Store Even more in Health and Fitness Health information – WebMD Fitness – RunKeeper – integrates GPS iPharmacy

Why Mobile Apps Matter A majority of Americans have smart phones Enables monitoring of health, condition Provides social support, reminders throughout the day Reference tools allow for quick search of medical terms

Cusp of the a Revolution inHealthcare Data as power for providers and patients Communication tools connect patients nationally Apps and monitoring tools just beginning to demonstrate ability to impact health and disease

The Future of Medicine End of paternalism Age of the empowered e-Patient Care shifting from hospital to clinic to home New models of care Disruptive change

The Future of Aging  Baby boomers retiring with mobile devices in their pockets checking Facebook and Skype to follow their grandchildren  How will they manage their healthcare?

John Sharp – Social Media Business Card Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Linkedin: www.linkedin.com/in/JohnSharp SlideShare: www.slideshare.net/JohnSharpQuestions?

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The Next Wave of Technology: Social Media and Electronic Health Records

by John Sharp on Nov 09, 2011

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The Next Wave of Technology: Social Media and Electronic Health Records — Presentation Transcript