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How Informatics Will Change the Future of Pharmacy

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This presentation is part of the Nova Southeastern University 21st Annual Contemporary Pharmacy Issues program.

Published in: Health & Medicine

How Informatics Will Change the Future of Pharmacy

  1. 1. How Informatics Will Change the Future of Pharmacy Kevin A. Clauson, PharmD
  2. 2. Objectives  Define and discuss informatics terminology and tools in healthcare  Explore the potential and practices of mHealth  Consider risks associated with informatics applications
  3. 3. A glimpse ahead into the future of healthcare
  4. 4. Fundamentals of Informatics
  5. 5. Informatics is NOT just robotics, bar coding, and computer systems
  6. 6. Informatics is NOT automating everything in pharmacy (making it an assembly line with quotas)
  7. 7. Health Informatics is… Multidisciplinary field focused on the use and integration of data, information, knowledge, and technology into healthcare in order to improve outcomes Am J Health Syst Pharm 2007;64(2):200-3.
  8. 8. Change WAS cyclical and gradual
  9. 9. Change NOW moves rapidly
  10. 10. Informatics is advancing pharmacy to the point that it can appear surreal
  11. 11. Informatics is a fertile area for research
  12. 12. Informatics Tools
  13. 13. Interfaces & Usability
  14. 14. Kaweah Delta Health Care piloting 100 iPads for pharmacists, physicians, etc.
  15. 15. Skinput
  16. 16. EHR + Integrated Touchscreen
  17. 17. Personal Health Record Partners “allows patients to link their Walgreens prescription information to other health and medical records and share a complete profile with other health care providers” “customers have the ability to securely download their prescription histories to their individual Microsoft HealthVault record”
  18. 18. Contact lenses that change color with variations in glucose and can dispense medications Advanced Functional Materials 2008;18(13):1912-21.
  19. 19. Smart Pills Smart pills
  20. 20. Video
  21. 21. Video
  22. 22. Pharmacist led dermatology clinics Pharm J 2004;272:577-9.
  23. 23. How many nosocomial infections occur each year?
  24. 24. What percentage could be prevented by hand washing?
  25. 25. HyGreen Hand Hygiene System
  26. 26. Mobile Health
  27. 27. “mHealth is the use of mobile communications – such as PDAs and mobile phones – for health services and information” Andre Blackman
  28. 28. Cough into your cell phone • Diagnostic extender; help pharmacy with triage/decision making • $100,000 grant by Bill & Melinda Gates Foundation
  29. 29. Text BABY to 511411 Envia BEBE al 511411 para Español www.text4baby.org
  30. 30. MyGenome iPhone app will have patient‟s full genomic profile Allows for examination of drug responses patients genetically predisposed to having
  31. 31. SMS Reminders in HIV Patients Medication and visit adherence Trials 2009;10:87.
  32. 32. Body Area Network Applications
  33. 33. Wearable Cardiac Monitoring System Bluetooth heart monitor records ECG and transmits information via patient's phone Analyzer circuit checks the ECG signal for signs of cardiac failure Cell phone automatically alerts the patient and nearest medical center via SMS International Journal of Electronic Healthcare 2007;3(3):303-16..
  34. 34. What would it be worth to keep you or a family member living independently? JAMA 2002;287(8):1022-8.
  35. 35. Wireless Assisted Living One way to help manage the approaching storm of an increasingly aging population…
  36. 36. „Nana technology‟ vs Nanotechnology J Gerontol A Biol Sci Med Sci 2008;63(3):298-307.
  37. 37. Web 2.0 Tools
  38. 38. Twitter for smoking cessation
  39. 39. Tweet Analysis of Antibiotics & Am J Infect Control 2010;38(3):182-8.
  40. 40. Twitter flu tracker
  41. 41. the pharmacist effect http://www.girleffect.org/video
  42. 42. NSU in Second Life
  43. 43. Mass Prophylaxis Training Biosecur Bioterror 2008;6(1):36-44.
  44. 44. Virtual Game Worlds & Applied Epidemiology Lancet Infect Dis 2007;7(9):625-9.
  45. 45. A Fifth of the Cost, and No A Fifth of the Cost, No Jetlag Jetlag
  46. 46. Risks with Informatics
  47. 47. Maternal Instinct Meets Facebook
  48. 48. Two hospital staff were fired after a nurse appeared on Facebook in „a revealing pose‟ …the picture also showed a patient in the background NursingTimes.net February 2009
  49. 49. Data Mining Companies scour social media sites to find and aggregate information on individuals Results used to infer behavioral patterns and impact decisions about: employment, health insurance coverage, credit rates Can also be used benevolently to help prevent fraud, etc. http://mashable.com/2010/03/02/data-mining-social-media
  50. 50. What About Now?
  51. 51. Participatory Medicine www.participatorymedicine.org
  52. 52. What Type of Patient Is This?
  53. 53. Divine intervention?
  54. 54. Treatment #1 Treatment #3 Source: Pew Internet & American Life Project 2009 60% of e-patients said health information found online affected their treatment decisions
  55. 55. “Evernote has completely changed the way I work” - overheard in numerous pharmacies
  56. 56. Forget Brown…What Can Evernote Do for You?
  57. 57. Pillbox
  58. 58. An alternate glimpse ahead…
  59. 59. Slidedeck available at: www.slideshare.net
  60. 60. Images • http://www.youtube.com/watch?v=6F1u36Y-qlE&feature=channel_page • http://www.limpfish.com/pics/apudali • http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954 • http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954 • http://www.chrisharrison.net/projects/skinput/images/projectHand1.jpg • http://www.youtube.com/watch?v=W7Jg9twIqto • http://www.walgreens.com
  61. 61. Images • http://www.cvs.com • http://www.americanwell.com/ • http://www.riteaid.com/ • http://www.medicalautomation.org/wp-content/uploads/2010/03/pharmatrust2-march-2-20101.jpg • http://www.parata.com/serve/index.php • http://www.gizmowatch.com/entry/a-novel-camera-that-maps-sun-s-effect-on-skin/ • http://dianhasan.wordpress.com/2010/03/29/mobile-phone-innovation-cough-into-your-phone-and-get- diagnostics-theres-an-app-for-that-too/
  62. 62. Images • http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html • http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/ • http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/ • http://www.holstcentre.com/en/PartneringinResearch/SharedPrograms/TechnologyIntegration/~/media/I mages/_PartneringInResearch/TextImages/BodyAreaNetwork_b.ashx?w=416&h=263&as=1 • http://twitter.com/_mHealth • http://www.nytimes.com/interactive/2009/02/02/sports/20090202_superbowl_twitter.html • http://www.healthmap.org/en
  63. 63. Images • http://www.girleffect.org/video • http://secondlifegrid.net.s3.amazonaws.com/docs/Second_Life_Case_IBM_EN.pdf • http://www.doseofdigital.com/healthcare-pharma-social-media-wiki/ • http://www.youtube.com/watch?v=yu4zMvE6FH4 • http://twitter.com/rxmeds96/status/7146180932 • http://www.facebook.com/home.php#/group.php?gid=29564338647&ref=search&sid=1051950779.1703 015908..1 • http://www.oleole.com/media/main/images/wallpapers/85662/arsenal3logo_238122.jpg
  64. 64. Images • www.youtube.com/watch?v=XjkCl3-PId8 • http://pillbox.nlm.nih.gov/ • http://www.youtube.com/watch?v=0USn7eufXps&feature=fvw • http://www.youtube.com/watch?v=pdpxcvIDWwg&feature=related • http://www.slideshare.net Unreferenced images are licensed stock photography
  65. 65. Thank you for your time! clauson@nova.edu @kevinclauson

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