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The Next Wave of Technology: Social
   Media and Electronic Health Records
John Sharp, MSSA. PMP

Cleveland Clinic

Cleveland, Ohio
Outline
1. Electronic Health Records (EHRs)

2. Personal Health Records (PHRs)

3. Home Monitoring

4. Social Media

5. Mobile apps and Apps
Transforming Health Care

Social media, mobile applications
 and devices are pervasive
Electronic Health Records being
 adopted nationally
Electronic Health Records

 Consistent medical history/problem list

 Reduce errors – dose, drug-drug interactions

 Alerts for preventive health

 Collaborative care

 Health Information Exchange – ability to share data
  across health systems with patient permission
Vital Signs   From VA VistA EMR
EMR Complexity

 Visits – scheduling, diagnoses, procedures,
  vitals, health alerts

 Orders and Results

 Medications

 Notes – discharge, operative

 Radiology

 Messages - inbox
EMR Incentives
 $40,000 per physician per year

 Must show meaningful use

 Must be an approved EMR

 Program to assist small practices

 Most health systems have or are in process
EMR Adoption




 Offices with one practicing physician – 30.8%

 Offices with 26-plus physicians – 75.5 %
EMRs and Quality of Care
Why EMRs Matter
      Improving Patient Care
 Accurate and complete information about a
  patient's health during a routine visit or a medical
  emergency.

 The ability to better coordinate the care they
  give.

 A way to securely share information with patients
  and their family caregivers over the Internet, for
  patients who opt for this convenience.

 This means patients and their families can more
  fully take part in decisions about their health
  care.

 Information to help doctors diagnose health
  problems sooner, reduce medical errors, and            HealthIT.gov
  provide safer care at lower costs.
Personal Health Records
Types of Personal Health Records

 Tethered – connected to and populated by
  an EMR

 Free Standing – must enter data
  Microsoft Health Vault

 Integrated with social networks – data
  shared with others
• Request an appointment
• Check lab results including graphs
• Request prescription refills
• Visit summaries
• Message provider
• In some cases, see family members information
Integrates with dozens of health tools
-exercise, sleep management, diabetes
Integrates with home monitoring devices
Why PHRs Matter

 Give patients access to their data for the first time

 Reduces the number of phone calls necessary to contact
  the doctor’s office

 Keeps a long term record of one’s health history

 Proxy use – can manage records for a child or elderly
  parent
Home Monitoring
Types of Home Monitoring

 Blood glucose monitoring

 Blood pressure

 Fitbit personal trainer

 Weight scales

 Heart rate monitors

 Peak flow monitors
Devices becoming smaller and
More Portable
More Home Monitoring
via Smart Phones

 Centre for Global Health Innovation – Toronto

 Lower cost solutions

 Proven impact on
  Heart Failure but no
  impact on readmission

 Also studying diabetes
  management
Home Monitoring shifting to
Remote monitoring

Includes monitoring on the go
Why Home Monitoring Matters

 Shifts care to home

 Provides a bridge between appointments

 Potential to prevent readmissions

 Gives patient and family caregiver more control but also
  reassurance that someone is watching
Social Media in Health Care
Big Four




 Many hospitals now using actively
Hospitals using Facebook
to Engage with Patients
Videos popular for seeing
and hearing physicians
discuss treatments and
patient stories
Twitter – online chats
Blogs and Online Communities

 Blog postings with comments

 Discussion forums

 Committees around specific diseases and conditions

 Posting specific information about one’s condition
The Next Wave of Technology: Social Media and Electronic Health Records
The Next Wave of Technology: Social Media and Electronic Health Records
Sharing ALS Status
Why Social Media Matters

 Peer-to-Peer Health Care

 Empowers patients to take charge of their condition

 Social support from others in large doses

 Ability to monitor health and immediately share with
  others

 Quick feedback from others with the same condition
Mobile Applications
Consumers showing interest in
Mobile Health Tools

 40% of consumers report         44% interested in body
  using a device in the past       weight scales
  year to monitor their health
  or wellness                     40% in vital sign monitors

 33% are interested in           37% in mobile fitness
  managing their health            devices
  records online
                                  More than half consult their
 32% want to use telehealth       physicians about use of
  tools for physician visits       these devices
iPhone and Android Apps

 7000 medical apps in iTunes Store

 Even more in Health and Fitness

 Health information – WebMD

 Fitness – RunKeeper – integrates GPS

 iPharmacy
The Next Wave of Technology: Social Media and Electronic Health Records
The Next Wave of Technology: Social Media and Electronic Health Records
Why Mobile Apps Matter

 A majority of Americans have smart phones

 Enables monitoring of health, condition

 Provides social support, reminders throughout the day

 Reference tools allow for quick search of medical terms
Cusp of the a Revolution in
Healthcare

 Data as power for providers and patients

 Communication tools connect patients nationally

 Apps and monitoring tools just beginning to demonstrate
  ability to impact health and disease
The Future of Medicine

 End of paternalism

 Age of the empowered e-Patient

 Care shifting from hospital to clinic to home

 New models of care

 Disruptive change
The Future of Aging
                       Baby boomers retiring
                        with mobile devices in
                        their pockets
                        checking Facebook
                        and Skype to follow
                        their grandchildren

                       How will they manage
                        their healthcare?
John Sharp – Social Media Business Card

 Blog: ehealth.johnwsharp.com
 Twitter: @JohnSharp
 Linkedin: www.linkedin.com/in/JohnSharp
 SlideShare: www.slideshare.net/JohnSharp




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The Next Wave of Technology: Social Media and Electronic Health Records

  • 1. The Next Wave of Technology: Social Media and Electronic Health Records John Sharp, MSSA. PMP Cleveland Clinic Cleveland, Ohio
  • 2. Outline 1. Electronic Health Records (EHRs) 2. Personal Health Records (PHRs) 3. Home Monitoring 4. Social Media 5. Mobile apps and Apps
  • 3. Transforming Health Care Social media, mobile applications and devices are pervasive Electronic Health Records being adopted nationally
  • 4. Electronic Health Records  Consistent medical history/problem list  Reduce errors – dose, drug-drug interactions  Alerts for preventive health  Collaborative care  Health Information Exchange – ability to share data across health systems with patient permission
  • 5. Vital Signs From VA VistA EMR
  • 6. EMR Complexity  Visits – scheduling, diagnoses, procedures, vitals, health alerts  Orders and Results  Medications  Notes – discharge, operative  Radiology  Messages - inbox
  • 7. EMR Incentives  $40,000 per physician per year  Must show meaningful use  Must be an approved EMR  Program to assist small practices  Most health systems have or are in process
  • 8. EMR Adoption  Offices with one practicing physician – 30.8%  Offices with 26-plus physicians – 75.5 %
  • 10. Why EMRs Matter Improving Patient Care  Accurate and complete information about a patient's health during a routine visit or a medical emergency.  The ability to better coordinate the care they give.  A way to securely share information with patients and their family caregivers over the Internet, for patients who opt for this convenience.  This means patients and their families can more fully take part in decisions about their health care.  Information to help doctors diagnose health problems sooner, reduce medical errors, and HealthIT.gov provide safer care at lower costs.
  • 12. Types of Personal Health Records  Tethered – connected to and populated by an EMR  Free Standing – must enter data Microsoft Health Vault  Integrated with social networks – data shared with others
  • 13. • Request an appointment • Check lab results including graphs • Request prescription refills • Visit summaries • Message provider • In some cases, see family members information
  • 14. Integrates with dozens of health tools -exercise, sleep management, diabetes Integrates with home monitoring devices
  • 15. Why PHRs Matter  Give patients access to their data for the first time  Reduces the number of phone calls necessary to contact the doctor’s office  Keeps a long term record of one’s health history  Proxy use – can manage records for a child or elderly parent
  • 17. Types of Home Monitoring  Blood glucose monitoring  Blood pressure  Fitbit personal trainer  Weight scales  Heart rate monitors  Peak flow monitors
  • 18. Devices becoming smaller and More Portable
  • 19. More Home Monitoring via Smart Phones  Centre for Global Health Innovation – Toronto  Lower cost solutions  Proven impact on Heart Failure but no impact on readmission  Also studying diabetes management
  • 20. Home Monitoring shifting to Remote monitoring Includes monitoring on the go
  • 21. Why Home Monitoring Matters  Shifts care to home  Provides a bridge between appointments  Potential to prevent readmissions  Gives patient and family caregiver more control but also reassurance that someone is watching
  • 22. Social Media in Health Care
  • 23. Big Four  Many hospitals now using actively
  • 24. Hospitals using Facebook to Engage with Patients
  • 25. Videos popular for seeing and hearing physicians discuss treatments and patient stories
  • 27. Blogs and Online Communities  Blog postings with comments  Discussion forums  Committees around specific diseases and conditions  Posting specific information about one’s condition
  • 31. Why Social Media Matters  Peer-to-Peer Health Care  Empowers patients to take charge of their condition  Social support from others in large doses  Ability to monitor health and immediately share with others  Quick feedback from others with the same condition
  • 33. Consumers showing interest in Mobile Health Tools  40% of consumers report  44% interested in body using a device in the past weight scales year to monitor their health or wellness  40% in vital sign monitors  33% are interested in  37% in mobile fitness managing their health devices records online  More than half consult their  32% want to use telehealth physicians about use of tools for physician visits these devices
  • 34. iPhone and Android Apps  7000 medical apps in iTunes Store  Even more in Health and Fitness  Health information – WebMD  Fitness – RunKeeper – integrates GPS  iPharmacy
  • 37. Why Mobile Apps Matter  A majority of Americans have smart phones  Enables monitoring of health, condition  Provides social support, reminders throughout the day  Reference tools allow for quick search of medical terms
  • 38. Cusp of the a Revolution in Healthcare  Data as power for providers and patients  Communication tools connect patients nationally  Apps and monitoring tools just beginning to demonstrate ability to impact health and disease
  • 39. The Future of Medicine  End of paternalism  Age of the empowered e-Patient  Care shifting from hospital to clinic to home  New models of care  Disruptive change
  • 40. The Future of Aging  Baby boomers retiring with mobile devices in their pockets checking Facebook and Skype to follow their grandchildren  How will they manage their healthcare?
  • 41. John Sharp – Social Media Business Card Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Linkedin: www.linkedin.com/in/JohnSharp SlideShare: www.slideshare.net/JohnSharp Questions?