web2.0:Beyond Open Source in Health Care

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 ◦ MySQL database ◦ PHP programming language ◦ Web 2.0 in Health Care 2

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

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

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

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

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

Web 2.0 in Health Care 8

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

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

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

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

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

Patientslikeme.com MyCancerPlace.com Personal web pages Forums, polls, resources, galleries Disease-specific communities

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

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

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

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

Hospital rating sites ◦ Revolution Health ◦ HopsitalRatings.com Blogs ◦ Patient blogs ◦ Residency programs Podcasts Web 2.0 in Health Care 33

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

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

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

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

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

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

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

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

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

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

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 48

web2.0:Beyond Open Source in Health Care

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