The document discusses the potential integration of social media data and tools into electronic health records (EHRs). It notes that while social media use is widespread, best practices for incorporating it into clinical settings have not been established. Some opportunities mentioned include doctors learning more about how patients feel and adhere to treatment from social media exchanges. Key considerations outlined are that social media data should supplement - not replace - information from visits, clear use policies and content management are needed, and circumstances for social media use need to be defined.

1. Integra(on
of
social
media
in
clinical
environments
and
EHRs
Miguel
Angel
Mayer
Research
Programme
on
Biomedical
informa(cs
(GRIB),
IMIM-­‐UPF,
Barcelona
(Spain)
IMIA
Social
Media
Working
Group
Panel
Medical
Informa(cs
Europe
(MIE2015)
(Madrid,
Spain)
@mmayerp
hMp://person.hst.aau.dk/ska/MIE2015/Papers/Panel06-­‐ID426.pdf

2. Panel
@MIE
2015,
Madrid
27th
–
29th,
May
2015

3. Can
social
media
data
and
tools
find
a
place
in
EHRs?
istockphoto.com

4. Social
Media
+
Electronic
Health
Records
Everyone
is
using
social
media
and
mobile
applica4ons
EHR
have
been
implemented
in
many
countries
Digital
Health

5. Accurate
and
comprehensive
informa4on
about
pa4ent’s
health
during
medical
visits
Informa(on
to
help
doctors:
-­‐ to
diagnose
medical
condi(ons
sooner
and
more
accurately
-­‐ reduce
medical
errors
-­‐ provide
safer
care
at
lower
costs
Electronic
Health
Records
(EHRs)

6. Social
Media
and
Health
• More
than
40%
of
consumers
say
that
informa(on
found
via
social
media
affects
the
way
they
deal
with
their
health
• 90%
of
respondents
from
18
to
24
years
of
age
said
they
would
trust
medical
informa4on
shared
by
others
on
their
social
media
networks
(Pew
Internet)
• 60%
of
doctors
say
SM
improves
the
quality
of
care
delivered
to
pa(ents

7. Some
opportuni4es
using
SM
in
clinical
environments
Social
Media
exchanges
could
add
important
and
interes(ng
informa(on
to
the
care
process
MD
could
learn
more
about
how
pa(ents
are
feeling,
how
they
are
responding
to
a
new
medica(on,
and
whether
they
adhere
to
a
certain
care
plan
or
not
Social
Media
can
be
used
as
a
means
of
improving
interac(on
with
coworkers

8. How
to
manage
SM
in
EHR?
Should
Facebook
or
TwiDer
be
integrated
in
EHR,
as
they
are?
Or
Is
it
of
interest
some
level
of
integra(on
of
Facebook/TwiMer-­‐
like
communica(on
within
EHRs
Is
it
necessary
to
apply
a
specific
design?
(Should
a
Facebook
content
“like”
be
considered
a
record?)
Best
prac4ces
have
not
been
widely
established

9. General
Considera(ons
• The
informa4on
should
be
supplemental
not
replacing
the
data
obtained
directly
through
inpa4ent
visits
• Define
and
determine
use
policies
(both
caregivers
and
pa(ents),
SM
content
management
and
legal
aspects
• Establish
under
what
circumstances
(in
what
context)
and
purposes
SM
should
be
used
(emergency-­‐type
problems,
(me
monitoring
of
these
content
and
channels
not
24/7)

10. General
Considera(ons
• The
informa4on
should
be
supplemental
not
replacing
the
data
obtained
directly
through
inpa4ent
visits
• Define
and
determine
use
policies
(both
caregivers
and
pa4ents),
SM
content
management
and
legal
aspects
• Establish
under
what
circumstances
(in
what
context)
and
purposes
SM
should
be
used
(emergency-­‐type
problems,
(me
monitoring
of
these
content
and
channels
not
24/7)

11. General
Considera(ons
• The
informa4on
should
be
supplemental
not
replacing
the
data
obtained
directly
through
inpa4ent
visits
• Define
and
determine
use
policies
(both
caregivers
and
pa4ents),
SM
content
management
and
legal
aspects
• Establish
under
what
circumstances
(in
what
context)
and
purposes
SM
should
be
used
(emergency-­‐type
problems,
4me
monitoring
of
these
content
and
channels,
not
24/7)