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Lunchtime keynote address for HealthCampRDU 2010.


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  • “ We are currently witnessing the largest increase in expressive capability in human history.” -Clay Shirky New York University Interactive Telecommunications Program
  • 97% of households in S Korea have broadband connectivity
  • Other examples….opportunities for reach, reinforcement of messages, increased social support, and sustainability of resources
  • Of these, 73% were intended for use by consumer of patient end-users, while 27 percent were targeted to health care professionals.  
  • Currently under AHRQ contract to update the content in the ePSS tool and (hopefully) optimize for use on iPads.
  • For use by anyone in an infection prevention role who does hand hygiene compliance surveys.
  • Location-based apps have gained a lot of popularity for mapping / navigation, finding cheap fuel, travel, shopping, dining, and social gaming.
  • The first EHR optimized for use on an iPad was released 27APR2010
  • Health IT is broadly defined as the use of information and communication technology in health care to support the delivery of patient or population care or to support patient self-management (AHRQ) Uses a variety of platforms, such as desktop computer applications, laptop computers, cellular phones, personal digital assistants (PDAs), and touch screen kiosks
  • HCRDU10

    1. 1. this was supposed to be the future. where’s my jetpack? where’s my tricorder? How the convergence of connectivity, mobile communications, and social media will transform health care. Robert D Furberg, PhD(c), MBA RTI International Social Policy, Health, and Economics Research (SPHERE)
    2. 2. <ul><li>“ We never, ever in the history of mankind have had access to </li></ul><ul><li>so much information so </li></ul><ul><li>quickly and so easily.” </li></ul><ul><li>- Vinton Cerf </li></ul><ul><li>Vice President, Google </li></ul><ul><li>Co-Designer of TCP/IP protocols & Internet architecture </li></ul><ul><li>Widely known as “Father of the Internet” </li></ul>
    3. 3. <ul><li>access to the internet </li></ul><ul><li>mobile communications </li></ul><ul><li>social media </li></ul><ul><li>evolution of health care </li></ul>
    4. 8. Long-Term Goals <ul><li>100M US homes should have affordable access to actual DL speeds of at least 100 Mbps. </li></ul><ul><li>US should lead the work in mobile innovation with the fastest & most extensive wireless network. </li></ul><ul><li>Every American should have affordable access to broadband service. </li></ul><ul><li>Every American community should have access to 1Gbps service to anchor institutions. </li></ul>
    5. 10. Recommendations <ul><li>Create appropriate incentives for e-care utilization. </li></ul><ul><li>Modernize regulation to enable HIT adoption. </li></ul><ul><li>Unlock the value of data. </li></ul><ul><li>Ensure connectivity for health care delivery locations. </li></ul>
    6. 22. Short Message Service <ul><li>88% of all teens are text messagers </li></ul><ul><li>50% of SMS users are aged 35+, and 75% are aged 25+ </li></ul><ul><li>152.7B text messages sent monthly </li></ul><ul><li>Of 14 health studies reviewd in 2009 that used SMS interventions, only 1 was conducted in the US </li></ul><ul><li>SMS content can be tailored to address an individual’s needs, interests and concerns </li></ul>
    7. 23. Tailored SMS-Based Intervention for People Living with HIV:  Proof-of-Concept Jennifer Uhrig, Robert Furberg, Megan Lewis, Curtis Coomes, Carla Bann, Lisa Kuhns, and Peyton Williams Independent, non-profit, research and development organization One of the nation’s largest lesbian, gay, bisexual and transgender ambulatory health care organizations
    8. 24. HIV SMS Conceptual Model
    9. 29. <ul><li>e-patients are increasingly active in their care and are demonstrating the power of the participatory model of care. </li></ul><ul><li>They are equipped, enabled, empowered, engaged, equals, emancipated and experts. </li></ul>
    10. 30. Mobile applications for health & medicine <ul><li>As of February 2010, there were over 5,000 health, medical, and fitness applications available in the major smartphone app stores.   </li></ul>
    11. 33. mobilehealthnews, 2010
    12. 34. Clinical Decision Support: ePSS
    13. 35. Health & Med: Compliance
    14. 36. Location-based service (LBS) applications
    15. 37. Health & Med LBS: VaxTrak
    16. 38. Health & Med LBS: CannabisApps <ul><li>Looking for your cannabis medicine? </li></ul><ul><li>Need to find a doctor? </li></ul><ul><li>Have legal issues? </li></ul>
    17. 41. &quot;To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized.” President Barack Obama
    18. 42. <ul><li> </li></ul><ul><li> technology alone can not heal </li></ul>
    19. 43. <ul><li>“ In our country, patients are the most under-utilized resource, and they have the most at stake. They want to be involved and they can be involved. Their participation will lead to better medical outcomes at lower costs with dramatically higher patient/customer satisfaction.” </li></ul>Charles Safran, MD