Sands - Using Technology Effectively to Engage Patients - Patient Destiny

Using Technology Effectively to Engage PatientsDaniel Z. Sands, MD, MPHSociety for Participatory MedicineCisco Systems,Beth Israel Deaconess Medical Center, andHarvard Medical SchoolBoston, MADZ Sands and RD DeBronkart © 2010 All rights reserved.

e-Patients  85% of online adults  Rising over time  Each day, more people search for health information than see a physician!  More than half act on the information Source: www.pewinternet.orgCisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

Because of Web, Patients Are Connected to Information and Each Other (and to Doctors)Cisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

Five Technology Areas 1. Connections to general health information 2. Connections to patient’s health information 3. Connections between patients and clinicians 4. Connections among patients 5. Other technologiesDZ Sands © 2011 All rights reserved.

“Knowledge is power.” Sir Francis Bacon English author, courtier, & philosopher (1561 - 1626)Cisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

Shifting Paradigm? !  Information asymmetry –Physician as oracle –Comfortable –A burden?  Information symmetry ! ! –Physician as partner –Threatening vs. liberating ☺ –Physician as healerCisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

General HealthInformation

Honest AskingDisclosures Trusting Relationship Tacit Approval

To My Patients:There is a wealth of health and other informationavailable on the World Wide Web. We havecollected a number of useful and interestingsources of information for you on our web site.While you are waiting, I welcome you to sit at mydesk and use this computer to explore health andwellness issues. If you can’t figure out how to findthe patient information on our website or havetrouble using the computer, just ask one of ourpractice assistants.If you find something interesting you may print it

practice assistants.If you find something interesting you may print itout (ask one of us to get it for you from theprinter) or write notes (if you can’t find a paperpad or a pen, ask one of us).I am happy to discuss any information you findwhen we meet.If you want to find this list of resources from yourhome or office, you will find it athttp://home.caregroup.org, then look in the“Patient Education” section.Happy and healthy surfing!- DanielSands, MD- Daniel Sands, MD

Learn and Teach Skills for Health on Web  Qualities of good versus bad sites  Deciphering medical jargon  Don’t be afraid to ask  Resources: – http://www.mlanet.org/resources/consumr_index.html – http://www.vuw.ac.nz/staff/alastair_smith/evaln/evaln.htmCisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

How do we level theplaying field using an EHR? Beyond theIn the office office

EHR In the Office

Using EHR in the Office  Three (not two) entities in the room  Sharing is encouraged when all align: – Attitude – Geometry – Communication habitsCisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

EHR Beyond the Office

Mail:Secure Services:Automated routing Prescription refillsTask assignment Appointment requests Referrals View billRecords:SecureAll CG recordsUpcoming appointmentsMeds/Problems/Results…Personal recordsEducation:Info prescriptionsPatient selected linksPredefined collectionsVideos

SF 61 y.o. M Minister with Diabetes, Chronic Pain Syndrome, and Multiple Medical Issues“I have a lot of medical issues. This … systemhas left me feeling comfortable and in goodhands! Otherwise, I would feel as cold,depleted, and alone, as the lifeless tree inmy front yard in the deepest of winter!”Cisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Internet Business Solutions Group reserved.

Human Connections

Human Connections: e-Communication “Sorry, Dr. Sands no longer sees patients. He e-mails them”Cisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

Human Connections: Online Communities  Provides psychosocial and medical peer-support  Removes barriers of time and spaceCisco IBSG © 2011 Cisco and/or its affiliates. All rights Cisco Confidential Business Transformation Group reserved.

ACOR is great. I posted two messagestonight and got responses in 4 and 11minutes. One responder also sent a privatenote mentioning Robin and Cathy. The otherresponder was Cathy. :)Through that list Ive also found severalother useful sites. Copyright © 2008 D. Z. Sands and R. D. deBronkart. All rights reserved.

Other Technologies  Therapeutic journaling through blogging  Health apps: fixed vs. mobile  Monitoring systems or apps – Feedback to patient from program – Feedback/support from peers – Feedback from provider or designee  Chat or video consultation  Twitter and social networking  Others…DZ Sands and RD DeBronkart © 2010 All rights reserved.

Participatory Medicine is a movement in which networked patients shift from being mere passengers to responsible drivers of their health, and in which providers encourage and value them as full partners. http://ParticipatoryMedicine.orgDZ Sands and RD DeBronkart © 2010 All rights reserved.

Conclusions  It’s not about the “i,” it’s about the “e”  But connected technologies can lower barriers  Culture even more important than technology  Best practices exist for key technologies  Others are evolvingDZ Sands and RD DeBronkart © 2011 All rights reserved.

Questions?dzsands@cisco.com Twitter: @DrDannySandshttp://slideshare.net/dzsands

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Sands - Using Technology Effectively to Engage Patients - Patient Destiny

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