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Presentation to UC Berkeley Information School Class: INFO 290A. FINDING HEALTH IN THE US: HEALTH CARE AND THE INFORMATION ECONOMY - on using social media in total health and health care

Presentation to UC Berkeley Information School Class: INFO 290A. FINDING HEALTH IN THE US: HEALTH CARE AND THE INFORMATION ECONOMY - on using social media in total health and health care
http://www.ischool.berkeley.edu/courses/i290a-hcie

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Eytan - UC Berkeley iSchool Presentation - Why be Social (Media)? Presentation Transcript

  • 1. Why be Social (Media)? Ted Eytan, MD MS MPH • twitter: tedeytan • October 4, 2013 Finding Health in the US: Health Care and Information Economy • UC Berkeley 2013 Photo: Ted Eytan, MD, Washington, DC : http://flic.kr/p/awgDVh
  • 2. 2011 The changing face of communication: Social Media Ted Eytan, MD MS MPH • twitter: tedeytan • October 17, 2011 Finding Health in the US: Health Care and Information Economy • UC Berkeley © 2011 The Permanente Federation, LLC Photo: Ted Eytan, MD, Washington, DC : http://flic.kr/p/awgDVh
  • 3. Hi. I’m Ted. Follow me! @tedeytan
  • 4. We’re here from the future center for total health | @kptotalhealth
  • 5. Mark Davies, MD • Jeremy Hunt Medical Director, NHS Information Centre • UK Secretary of State for Health
  • 6. Boris Lushniak, MD • Regina Benjamin, MD • Bob Sallis, MD US Surgeon General • Southern California Permanente Medical Group
  • 7. The most HEDIS #1’s Effectiveness of Care Measures 41 Kaiser Permanente #1’s • Comprehensive diabetes 31 21 10 2011 9 0 Medicare care — LDL control less than 100 mg/dl (Hawaii Region) • Osteoporosis management in women who had a fracture (Northern California Region) • Breast cancer screening, age 42–69 (Northwest Region) • Pharmacotherapy Management of chronic obstructive pulmonary disease (COPD) exacerbation — bronchodilator (Northwest Region) • Cholesterol management (coronary artery disease), LDL level less than 100 mg/ dl (Colorado Region) • Follow-up after hospitalization for mental illness — 30 days (Colorado Region) • Controlling high blood pressure — cardiovascular (Hawaii Region) • Potentially harmful drugdisease interaction — total (Hawaii Region) • Weight assessment for adults — body mass index percentile (Georgia Region) • Weight assessment for 11 Commercial children — body mass index percentile • Counseling for nutrition for children • Counseling for physical activity for children • Chlamydia screening in women (ages 16–20, 21–24 and total) • Appropriate testing for children with pharyngitis • Appropriate use of medications for people with asthma (ages 12– 50, total) • Comprehensive diabetes care — LDL control less than 100 mg/dl • Comprehensive diabetes care — medical attention for nephropathy • Antidepressant medication management (effective acute phase) • Antidepressant medication management (effective continuation phase) • Annual monitoring for patients on persistent medications — anticonvulsants
  • 8. The most HEDIS #1’s Effectiveness of Care Measures Kaiser Permanente #1’s • Breast cancer screening, 41 31 21 10 2012 13 0 Medicare Source: Kaiser Permanente Newe Center, http://xnet.kp.org/ newscenter/pressreleases/nat/ 2012/101012_ncqa_care_measures.html ; http://xnet.kp.org/ newscenter/pressreleases/nat/2012/112812-ncqa-medicaremeasures.html age 42–69 (Southern California) • Use of Spirometry Testing in the Assessment of COPD (Hawaii Region) • Pharmacotherapy Management of COPD Exacerbation — Bronchodilator (Southern California) • Cholesterol management (coronary artery disease), LDL Screening (Hawaii) • Cholesterol management (coronary artery disease), LDL level less than 100 mg/ dl (Colorado) • Controlling high blood pressure — cardiovascular (Ohio) • Comprehensive diabetes care — HbA1c Testing (Hawaii) • Comprehensive diabetes care — LDL level less than 100 mg/dl (Northern California) • Comprehensive diabetes care — Medical Attention for Nephropathy (Colorado) • Comprehensive diabetes care — blood pressure control (<140/80) (Georgia) • Comprehensive diabetes care — blood pressure control (<140/90) (Colorado) • Osteoporosis management in women who had a fracture (Southern California) • Potentially harmful drugdisease interaction — Dementia (Hawaii) 16 Commercial • Breast cancer screening • Comprehensive diabetes care — blood pressure control (<140/80) • Comprehensive diabetes care — blood pressure control (<140/90) • Comprehensive diabetes care — medical attention for nephropathy • Antidepressant medication management (effective acute phase) • Antidepressant medication management (effective continuation phase) • Weight assessment for children — body mass index percentile • Counseling for nutrition for children • Counseling for physical activity for children • Chlamydia screening in women (ages 16–20, 21–24 and total) • Appropriate treatment for children with upper respiratory infection • Avoidance of antibiotic treatment in adults with acute bronchitis • Use of spirometry testing in assessment & diagnosis of chronic obstructive pulmonary disease • Annual monitoring for patients on persistent medications — anticonvulsants • Medical assistance with smoking cessation — advising smokers to quit • Medical assistance with smoking cessation — discussing strategies
  • 9. We stand for Total Health © 2012 The Permanente Federation, LLC Lenora Brogan, member Kaiser Permanente Center for Total Health
  • 10. 2005 Social Networking Use Internet 100% 75% 50% 25% AGE: < 30 0% 30-50 50-64 65+ Source: Pew Internet & American Life Project Tracking Survey, September, 2005; Pew Internet & American Life Project: Older Adults and Social Media, August 2010, http://pewinternet.org/Reports/2010/Older-Adults-and-Social-Media.aspx Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan
  • 11. 2009 Twitter/Status Update Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source: Pew Internet & American Life Project Tracking Survey, April 2009; Pew Internet & American Life Project: Older Adults and Social Media, August 2010, http://pewinternet.org/Reports/2010/Older-Adults-and-Social-Media.aspx Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 12. 2010 Twitter/Status Update Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source: Pew Internet & American Life Project Tracking Survey, May 2010; Pew Internet & American Life Project: Older Adults and Social Media, August 2010, http://pewinternet.org/Reports/2010/Older-Adults-and-Social-Media.aspx Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 13. 2011 Twitter Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source: Madden M, Zickuhr K. 65% of online adults use social networking sites. Washington; 2011. Available at: http://pewinternet.org/ Reports/2011/Social-Networking-Sites.aspx [Accessed August 30, 2011]. Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 14. 2012 Twitter Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source: Zickuhr K, Madden M. Older Adults and Internet Use: For the first time , half of adults ages 65 and older are online. Washington, DC; 2012. Available at: http://pewinternet.org/Reports/2012/Older-adults-and-internet-use.aspx. Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 15. 2012 - February Twitter Social Networking Use Internet 100% Half of internet users ages 75% 50-64 and one in three users aged 65 and older use social networking sites 50% 25% 0% AGE: < 30 30-50 50-64 Source: Zickuhr K, Madden M. Older Adults and Internet Use: For the first time , half of adults ages 65 and older are online. Washington, DC; 2012. Available at: http://pewinternet.org/Reports/2012/Older-adults-and-internet-use.aspx. Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 16. 2012 - December Twitter Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source: Duggan M, brenner. The Demographics of Social Media Users — 2012 | Pew Research Center’s Internet & American Life Project. Washington, DC; 2013. Available at: http://pewinternet.org/Reports/2013/Social-media-users.aspx Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 17. 2013 Twitter Social Networking Use Internet 100% 75% 50% 25% 0% AGE: < 30 30-50 50-64 Source:1. Brenner J, Smith A (Pew IALP. 72% of Online Adults are Social Networking Site Users | Pew Research Center’s Internet & American Life Project.; 2013. Available at: http://pewinternet.org/Reports/2013/social-networking-sites.aspx Denominator is all adults for both data points; data is for “ever have” done this activity - Charts by Ted Eytan, MD @tedeytan 65+
  • 18. doctor | th 19 century
  • 19. §24/7 access worldwide §9,000,000 members can –email their doctor –check lab test results –order prescription refills –manage appointments patient | st 21 century
  • 20. 4.3 million members connected, via kp.org 5,000,000 members 2,500,000 members 2003 2005 2007 2009 Source: Kaiser Permanente Web Analytics, updated 10/3/2013 2013 (2Q)
  • 21. 4.3 million members connected, via kp.org 5,000,000 members In 2013, per month 2,500,000 members 1.2 million emails 6.2 million test results reviewed 105 thousand appointments made 35 % signed on 5 or more times 2003 2005 2007 2009 2013 (2Q) Source: Kaiser Permanente Web Analytics, updated 10/3/13
  • 22. and, 507,000 caregivers 550,000 Act for Child / Act for Adult 607,000 subjects 462,500 375,000 287,500 Jan, 2010 Dec 2010 200,000 Dec 2011 Jun 2012 Dec 2012 June 2013 Source: Kaiser Permanente Internet Services Group Web Analytics Updated 10/3/13
  • 23. The last time you had a health issue, did you get information, care, or support from….? Doctor/Health Professional Non-clinician source All patients 60% 32% 70% 70% 30% 30% 8% 2002 2011 2012 Sources: Fox S, Fallows D. Internet Health Resources: Health searches and email have become more commonplace, but there is room for improvement in searches and overall Internet access. Washington, DC; 2003:27. Available at: http://www.pewinternet.org/Reports/2003/Internet-Health-Resources.aspx; Fox S. The Social Life of Health Information, 2011. Washington, DC; 2011. Available at: http://www.pewinternet.com/Reports/2011/Social-Life-of-Health-Info.aspx Fox S, Duggan M. Health Online 2013. Washington, DC; 2013. Available at: http://www.pewinternet.org/Reports/2013/Health-online.aspx
  • 24. What caregivers want from us | each other 100% Health Professional Patients, Friends, Family 75% 50% 25% 0% diagnosis, drug info, treatment info, referral info emotional support, quick remedies, day to day advice Source: Fox S, Brenner J. Family Caregivers Online. 2012. Available at: http://pewinternet.org/Reports/2012/Caregivers-online.aspx.
  • 25. Listening, the most important innovation e m o H Mail News You Sports Finance Contacts Weather Communities Games Explore Groups Answers Flickr More 11 Upload 700_6494 Leadership Academy 2013 Photo Credit: David Flatter Copyright © 2013 California Medical Association. All rights reserved. The photo owner has disabled commenting. 700_6494 California Medical Association Leadership Academy 2013 Photo Credit: David Flatter Copyright © 2013 California Medical Association. All rights reserved. The photo owner has disabled commenting. + Add California Medical Association'... (1,732) Member since 2010 Taken on June 1, 2013 8 Views Additional info (show more) All Rights Reserved This photo also appears in Leadership Academy 2013 (set) Tags Flag this photo las vegas cma california leadership physicians medical academy doctors association nevada medicine cme 2013
  • 26. Listening
  • 27. Listening solves problems social network “linear”
  • 28. Listening solves problems social network “connected”
  • 29. social network “connected”
  • 30. social network “linear” time’s up!
  • 31. social network “linear” more time • better solution
  • 32. Listening, beyond the immediate network Source: Lazer D, Friedman A. The Network Structure of Exploration and Exploitation. Administrative Science Quarterly. 2007;52(4):667–694. Available at: http://asq.sagepub.com/lookup/doi/10.2189/asqu.52.4.667.
  • 33. Listening “You know institutions tend to become static; they build walls around themselves to protect themselves from change, and eventually die. You should fight that by opening up your thinking and your ideas, and work for a change.” -Sidney Garfield, MD
  • 34. Presence Agencies, departments, and organizations don't do things - people do things. People's names should be on things to foster both accountability and pride. - Edward Tufte
  • 35. Presence
  • 36. I want to know about YOU - @reginaholliday
  • 37. 2005
  • 38. 2005
  • 39. 2008
  • 40. What? Always through the lens of health Source: Twitonomy
  • 41. Contagion