Web 2.0:
Beyond Open Source in Health Care
                     John Sharp, PMP
                      IT Web Services
A funny thing happened after
the Internet Bubble burst:
LAMP
    Linux operating system
◦
    Apache Web Server
◦
    MySQ...
The Web as Platform
You control your own data             O’Reilly.com
Services, not packaged software
Architecture of par...
Blogs – own content
Wiki – participatory content
Google, Gmail, maps, Ajax
– enriching the user experience
MySpace – socia...
What you need to know about Web 2.0

Why you should worry about Web 2.0

Why you should use Web 2.0




                  ...
The best companies are the best
collaborators.
In the flat world, more and more business
will be done through collaboratio...
Web publishing tool
Typically a single owner
Utilized to convey information and express
opinions
Diary like – monthly cale...
Web 2.0 in Health Care   8
Clinical Education
◦ Clinical Case and Images
CEO Blogs
◦ RunningAHospital.blogspot.com
Physician experience blogs
◦ Kevin...
Web 2.0 in Health Care   10
Web 2.0 in Health Care   11
Web 2.0 in Health Care   12
Web 2.0 in Health Care   13
Really Simple Syndication
Generates XML which can be consumed by an
RSS reader
Readers can be local applications or web-
b...
Web 2.0 in Health Care   15
Web 2.0 in Health Care   16
Reference Tool , collaborative contributions
50 now cataloged
ClinInfoWiki.org
AskDrWiki.com
AIDS Wiki
Flu Wiki
http://dav...
Web 2.0 in Health Care   18
Web 2.0 in Health Care   19
Includes audio and video
Largely free
Can subscribe through RSS, iTunes
Healthcare examples
◦ Medical information for cons...
Web 2.0 in Health Care   21
Web 2.0 in Health Care   22
Web 2.0 in Health Care   23
Similar to MySpace, Facebook
Like a personal web page with links to
“friends”
For patients – development of condition-
rel...
Patientslikeme.com
MyCancerPlace.com
Personal web pages
Forums, polls,
resources, galleries
Disease-specific
communities
Web 2.0 in Health Care   26
Free – Always
Hard-hitting clinical
posts
Information is safe
and secure
Physicians only
Over 15,000
registered physicians...
Web 2.0 in Health Care   28
Users creating their own taxonomy
Examples
◦ Del.icio.us.com – for web pages
◦ Digg.com – for news
◦ Technorati.com – for ...
Web 2.0 in Health Care   30
Asynchronous JavaScript and XML
◦ Utilizes dynamic data to display a web
  application
◦ Can refresh data without refreshi...
Your doctors and employees are already
using these tools
People are writing about, talking about,
ranking your hospital/co...
Hospital rating sites
◦ Revolution Health
◦ HopsitalRatings.com
Blogs
◦ Patient blogs
◦ Residency programs
Podcasts




  ...
Free EMR using an advertising model –
Practice Fusion
PHRs by small firms which may be bought out
or go our of business
Wi...
Reuse of patient data for advertising
Minimal security for creating an account
Security and availability of hosted
applica...
Billions being paid for YouTube, MySpace
 Astronomical growth in the number of uses
 7 million blogs, 100,000 new per day
...
Web 2.0 in Health Care   37
Web 2.0 in Health Care   38
Revolution Health – Steve Case
Utilizes health information from Mayo,
Cleveland Clinic, Harvard
But allows users to commen...
Web 2.0 in Health Care   40
Overly enthusiastic acceptance
Overpriced purchases
– Google purchase of YouTube
Quick shifts in popularity
– move from My...
Learn the technology
◦ Read Health IT blogs
◦ Set up an RSS reader
Check out Wikis
◦ Use Wikipedia, read critically
Read w...
Develop a working group on Web 2.0 in your
organization
Develop a policy or guidelines which
◦ Encourages employees and cu...
Know and follow IBM's Business Conduct Guidelines.
1.
     Blogs, wikis and other forms of online discourse are
2.
     in...
Presenting blogs, wikis as extension of an
Intranet
Costs – Linux server, Microsoft alternatives
External hosting – public...
The application of Web 2.0 to health care
Already a Wiki and Blogs claiming this tag
Conference planned for September in S...
Speed
Freedom
Openness
Innovation
Mobility
Authenticity
Playfulness




               Web 2.0 in Health Care   47
What you need to know about Web 2.0

Why you should worry about Web 2.0

Why you should use Web 2.0




                  ...
Web 2.0 in Health Care   49
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  • Another good presentation on web2.0. Thanks for sharing.

    Roy Jan
    http://au.freepolyphonicringtones.org/ http://at.freepolyphonicringtones.org/
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  • Great demonstration about the require to innovate company models; tips on how to represent them succinctly; along with the need to make development initiatives actionable. Superb use of photographs along with easy to understand illustrative examples.
    Teisha
    http://dashinghealth.com http://healthimplants.com
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  • Your presentation was very helpful.
    Thank you!!
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web2.0:Beyond Open Source in Health Care

  1. 1. Web 2.0: Beyond Open Source in Health Care John Sharp, PMP IT Web Services
  2. 2. A funny thing happened after the Internet Bubble burst: LAMP Linux operating system ◦ Apache Web Server ◦ MySQL database ◦ PHP programming language ◦ Web 2.0 in Health Care 2
  3. 3. The Web as Platform You control your own data O’Reilly.com Services, not packaged software Architecture of participation Cost-effective scalability Remixable data source and data transformation Software above the level of a single device Harnessing collective intelligence Web 2.0 in Health Care 3
  4. 4. Blogs – own content Wiki – participatory content Google, Gmail, maps, Ajax – enriching the user experience MySpace – social networking Flickr, del.icio.us – photo sharing,tagging Youtube – video, tagging, social network Web 2.0 in Health Care 4
  5. 5. What you need to know about Web 2.0 Why you should worry about Web 2.0 Why you should use Web 2.0 Web 2.0 in Health Care 5
  6. 6. The best companies are the best collaborators. In the flat world, more and more business will be done through collaborations within and between companies for a very simple reason: The next layers of value creation - whether in technology, marketing, biomedicine, or manufacturing - are becoming so complex that no single firm or department is going to be able to master them alone. Web 2.0 in Health Care 6
  7. 7. Web publishing tool Typically a single owner Utilized to convey information and express opinions Diary like – monthly calendar indicating days with entries Comments usually encouraged Blogroll – links to related blogs Web 2.0 in Health Care 7
  8. 8. Web 2.0 in Health Care 8
  9. 9. Clinical Education ◦ Clinical Case and Images CEO Blogs ◦ RunningAHospital.blogspot.com Physician experience blogs ◦ Kevin MD Health IT blogs ◦ Healthcare IT Guy Web 2.0 in Health Care 9
  10. 10. Web 2.0 in Health Care 10
  11. 11. Web 2.0 in Health Care 11
  12. 12. Web 2.0 in Health Care 12
  13. 13. Web 2.0 in Health Care 13
  14. 14. Really Simple Syndication Generates XML which can be consumed by an RSS reader Readers can be local applications or web- based Entries are updated as new content added Use for all types of content – blogs, news, photos, music, podcasts Web 2.0 in Health Care 14
  15. 15. Web 2.0 in Health Care 15
  16. 16. Web 2.0 in Health Care 16
  17. 17. Reference Tool , collaborative contributions 50 now cataloged ClinInfoWiki.org AskDrWiki.com AIDS Wiki Flu Wiki http://davidrothman.net/list-of-medical- wikis/ Web 2.0 in Health Care 17
  18. 18. Web 2.0 in Health Care 18
  19. 19. Web 2.0 in Health Care 19
  20. 20. Includes audio and video Largely free Can subscribe through RSS, iTunes Healthcare examples ◦ Medical information for consumers ◦ Continuing education for physicians ◦ Healthcare IT - interviews Web 2.0 in Health Care 20
  21. 21. Web 2.0 in Health Care 21
  22. 22. Web 2.0 in Health Care 22
  23. 23. Web 2.0 in Health Care 23
  24. 24. Similar to MySpace, Facebook Like a personal web page with links to “friends” For patients – development of condition- related communities Social Networking for business - LinkedIn Web 2.0 in Health Care 24
  25. 25. Patientslikeme.com MyCancerPlace.com Personal web pages Forums, polls, resources, galleries Disease-specific communities
  26. 26. Web 2.0 in Health Care 26
  27. 27. Free – Always Hard-hitting clinical posts Information is safe and secure Physicians only Over 15,000 registered physicians - and growing Just signed an alliance with the AMA – 250,000 physicians Web 2.0 in Health Care 27
  28. 28. Web 2.0 in Health Care 28
  29. 29. Users creating their own taxonomy Examples ◦ Del.icio.us.com – for web pages ◦ Digg.com – for news ◦ Technorati.com – for blogs Popular tags rise to the top As important as Google rank? Web 2.0 in Health Care 29
  30. 30. Web 2.0 in Health Care 30
  31. 31. Asynchronous JavaScript and XML ◦ Utilizes dynamic data to display a web application ◦ Can refresh data without refreshing page ◦ Does not require calls back to a database to change the display ◦ Example – Google Maps ◦ In Healthcare – web-based applications which are data-rich Web 2.0 in Health Care 31
  32. 32. Your doctors and employees are already using these tools People are writing about, talking about, ranking your hospital/company Technology is lightweight – nimble but not as secure or robust as enterprise systems Application Service Provider Model Different attitude toward Intellectual Property Web 2.0 in Health Care 32
  33. 33. Hospital rating sites ◦ Revolution Health ◦ HopsitalRatings.com Blogs ◦ Patient blogs ◦ Residency programs Podcasts Web 2.0 in Health Care 33
  34. 34. Free EMR using an advertising model – Practice Fusion PHRs by small firms which may be bought out or go our of business Wikis as reference sites to which anyone can contribute by creating an account Web 2.0 in Health Care 34
  35. 35. Reuse of patient data for advertising Minimal security for creating an account Security and availability of hosted applications Lack of robust Service Level Agreements Web 2.0 in Health Care 35
  36. 36. Billions being paid for YouTube, MySpace Astronomical growth in the number of uses 7 million blogs, 100,000 new per day But… Is there a significant business model? Can Web 2.0 companies make money from advertising alone? Will they be gone or acquired tomorrow? Are they easily hacked? The mediocrity factor Web 2.0 in Health Care 36
  37. 37. Web 2.0 in Health Care 37
  38. 38. Web 2.0 in Health Care 38
  39. 39. Revolution Health – Steve Case Utilizes health information from Mayo, Cleveland Clinic, Harvard But allows users to comment on health information, experience with providers and hospitals Users can create blogs Driven by Consumer-Directed Healthcare Web 2.0 in Health Care 39
  40. 40. Web 2.0 in Health Care 40
  41. 41. Overly enthusiastic acceptance Overpriced purchases – Google purchase of YouTube Quick shifts in popularity – move from MySpace to Facebook Market not yet consolidating Web 2.0 in Health Care 41
  42. 42. Learn the technology ◦ Read Health IT blogs ◦ Set up an RSS reader Check out Wikis ◦ Use Wikipedia, read critically Read what others are saying about you ◦ Check out rating sites Web 2.0 in Health Care 42
  43. 43. Develop a working group on Web 2.0 in your organization Develop a policy or guidelines which ◦ Encourages employees and customers to create content ◦ Establishes parameters for that content ◦ Enhances innovation, creative solutions Web 2.0 in Health Care 43
  44. 44. Know and follow IBM's Business Conduct Guidelines. 1. Blogs, wikis and other forms of online discourse are 2. individual interactions, not corporate communications. IBMers are personally responsible for their posts. Identify yourself and write in the first person. You must 3. make it clear that you are speaking for yourself and not on behalf of IBM. If you publish a blog or post to a blog outside of IBM and 4. it has something to do with work you do or subjects associated with IBM, use a disclaimer Respect copyright, fair use and financial disclosure laws. 5. Don’t provide IBM’s or another’s confidential or other 6. proprietary information. Ask permission to publish or report on conversations that are meant to be private or internal to IBM. Web 2.0 in Health Care 44
  45. 45. Presenting blogs, wikis as extension of an Intranet Costs – Linux server, Microsoft alternatives External hosting – publicly available, enables Internet RSS feeds, talk to consumers Limits of externally hosted Web 2.0 in Health Care 45
  46. 46. The application of Web 2.0 to health care Already a Wiki and Blogs claiming this tag Conference planned for September in San Francisco Web 2.0 in Health Care 46
  47. 47. Speed Freedom Openness Innovation Mobility Authenticity Playfulness Web 2.0 in Health Care 47
  48. 48. What you need to know about Web 2.0 Why you should worry about Web 2.0 Why you should use Web 2.0 Web 2.0 in Health Care 48
  49. 49. Web 2.0 in Health Care 49
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