How Informatics Will Change the Future of Pharmacy

How Informatics Will Change the Future of Pharmacy Kevin A. Clauson, PharmD

Objectives  Define and discuss informatics terminology and tools in healthcare  Explore the potential and practices of mHealth  Consider risks associated with informatics applications

A glimpse ahead into the future of healthcare

Fundamentals of Informatics

Informatics is NOT just robotics, bar coding, and computer systems

Informatics is NOT automating everything in pharmacy (making it an assembly line with quotas)

Health Informatics is… Multidisciplinary field focused on the use and integration of data, information, knowledge, and technology into healthcare in order to improve outcomes Am J Health Syst Pharm 2007;64(2):200-3.

Change WAS cyclical and gradual

Change NOW moves rapidly

Informatics is advancing pharmacy to the point that it can appear surreal

Informatics is a fertile area for research

Informatics Tools

Interfaces & Usability

Kaweah Delta Health Care piloting 100 iPads for pharmacists, physicians, etc.

Skinput

EHR + Integrated Touchscreen

Personal Health Record Partners “allows patients to link their Walgreens prescription information to other health and medical records and share a complete profile with other health care providers” “customers have the ability to securely download their prescription histories to their individual Microsoft HealthVault record”

Contact lenses that change color with variations in glucose and can dispense medications Advanced Functional Materials 2008;18(13):1912-21.

Smart Pills Smart pills

Pharmacist led dermatology clinics Pharm J 2004;272:577-9.

How many nosocomial infections occur each year?

What percentage could be prevented by hand washing?

HyGreen Hand Hygiene System

Mobile Health

“mHealth is the use of mobile communications – such as PDAs and mobile phones – for health services and information” Andre Blackman

Cough into your cell phone • Diagnostic extender; help pharmacy with triage/decision making • $100,000 grant by Bill & Melinda Gates Foundation

Text BABY to 511411 Envia BEBE al 511411 para Español www.text4baby.org

MyGenome iPhone app will have patient‟s full genomic profile Allows for examination of drug responses patients genetically predisposed to having

SMS Reminders in HIV Patients Medication and visit adherence Trials 2009;10:87.

Body Area Network Applications

Wearable Cardiac Monitoring System Bluetooth heart monitor records ECG and transmits information via patient's phone Analyzer circuit checks the ECG signal for signs of cardiac failure Cell phone automatically alerts the patient and nearest medical center via SMS International Journal of Electronic Healthcare 2007;3(3):303-16..

What would it be worth to keep you or a family member living independently? JAMA 2002;287(8):1022-8.

Wireless Assisted Living One way to help manage the approaching storm of an increasingly aging population…

„Nana technology‟ vs Nanotechnology J Gerontol A Biol Sci Med Sci 2008;63(3):298-307.

Web 2.0 Tools

Twitter for smoking cessation

Tweet Analysis of Antibiotics & Am J Infect Control 2010;38(3):182-8.

Twitter flu tracker

the pharmacist effect http://www.girleffect.org/video

NSU in Second Life

Mass Prophylaxis Training Biosecur Bioterror 2008;6(1):36-44.

Virtual Game Worlds & Applied Epidemiology Lancet Infect Dis 2007;7(9):625-9.

A Fifth of the Cost, and No A Fifth of the Cost, No Jetlag Jetlag

Risks with Informatics

Maternal Instinct Meets Facebook

Two hospital staff were fired after a nurse appeared on Facebook in „a revealing pose‟ …the picture also showed a patient in the background NursingTimes.net February 2009

Data Mining Companies scour social media sites to find and aggregate information on individuals Results used to infer behavioral patterns and impact decisions about: employment, health insurance coverage, credit rates Can also be used benevolently to help prevent fraud, etc. http://mashable.com/2010/03/02/data-mining-social-media

What About Now?

Participatory Medicine www.participatorymedicine.org

What Type of Patient Is This?

Divine intervention?

Treatment #1 Treatment #3 Source: Pew Internet & American Life Project 2009 60% of e-patients said health information found online affected their treatment decisions

“Evernote has completely changed the way I work” - overheard in numerous pharmacies

Forget Brown…What Can Evernote Do for You?

Pillbox

An alternate glimpse ahead…

Slidedeck available at: www.slideshare.net

Images • http://www.youtube.com/watch?v=6F1u36Y-qlE&feature=channel_page • http://www.limpfish.com/pics/apudali • http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954 • http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954 • http://www.chrisharrison.net/projects/skinput/images/projectHand1.jpg • http://www.youtube.com/watch?v=W7Jg9twIqto • http://www.walgreens.com

Images • http://www.cvs.com • http://www.americanwell.com/ • http://www.riteaid.com/ • http://www.medicalautomation.org/wp-content/uploads/2010/03/pharmatrust2-march-2-20101.jpg • http://www.parata.com/serve/index.php • http://www.gizmowatch.com/entry/a-novel-camera-that-maps-sun-s-effect-on-skin/ • http://dianhasan.wordpress.com/2010/03/29/mobile-phone-innovation-cough-into-your-phone-and-get- diagnostics-theres-an-app-for-that-too/

Images • http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html • http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/ • http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/ • http://www.holstcentre.com/en/PartneringinResearch/SharedPrograms/TechnologyIntegration/~/media/I mages/_PartneringInResearch/TextImages/BodyAreaNetwork_b.ashx?w=416&h=263&as=1 • http://twitter.com/_mHealth • http://www.nytimes.com/interactive/2009/02/02/sports/20090202_superbowl_twitter.html • http://www.healthmap.org/en

Images • http://www.girleffect.org/video • http://secondlifegrid.net.s3.amazonaws.com/docs/Second_Life_Case_IBM_EN.pdf • http://www.doseofdigital.com/healthcare-pharma-social-media-wiki/ • http://www.youtube.com/watch?v=yu4zMvE6FH4 • http://twitter.com/rxmeds96/status/7146180932 • http://www.facebook.com/home.php#/group.php?gid=29564338647&ref=search&sid=1051950779.1703 015908..1 • http://www.oleole.com/media/main/images/wallpapers/85662/arsenal3logo_238122.jpg

Images • www.youtube.com/watch?v=XjkCl3-PId8 • http://pillbox.nlm.nih.gov/ • http://www.youtube.com/watch?v=0USn7eufXps&feature=fvw • http://www.youtube.com/watch?v=pdpxcvIDWwg&feature=related • http://www.slideshare.net Unreferenced images are licensed stock photography

Thank you for your time! clauson@nova.edu @kevinclauson

http://rxinformatics.com	496
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How Informatics Will Change the Future of Pharmacy

by Kevin Clauson on Apr 28, 2010

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How Informatics Will Change the Future of Pharmacy — Presentation Transcript