Presentation to Ignite Columbus 4 about how social technologies can affect the transformation of health care from reactive medicine to medicine that is predictive, preventative, participatory, and personalized.

1. Using Social Media toPersonalize Health Care Ryan Squire http://twitter.com/OSUsquire

2. The Problem Medicine has been and still is REACTIVE in nature. Care is provided only after signs of illness manifest. That reactive care only addresses the end effects of disease manifestation, not the root causes of disease. Reactive care has created an ecosystem of: uncontrollably rising costs, declining levels of quality, and decreasing consumer satisfaction.

3. USA outspent other developed countries in health care

4. Higher Spending Does Not Necessarily Lead to Higher Quality Source: Baicker and Chandra (Health Affairs 2004)

5. Life Expectancy While much higher than developing countries, US life expectancy is lower than most developed countries. Source: OECD, 2004 & Health Affairs 2002; 21(4): 99

6. % Finding Difficulty in Receiving Care More than 1 in 4 in the population finds accessing care difficult in the United States. Commonwealth Fund Survey, 1998

8. Those with chronic diseases account for 81% of hospital admissions; 91% of all prescriptions filled; and 76% of all physician visits

9. CDC estimates that chronic diseasemanagement represents 75% of all healthcare spending and responsible for 70% of deathsSources: CDC, fightchronicdisease.org

10. Emerging Influences

11. Percentage Source: Pew Internet and American Life Project

12. Landscape http://www.healthpopuli.com/2010/05/websites-first-then-doctors-support-peoples-health-care-decisions

13. Landscape

14. P4 Medicine Image credit: http://www.47project.com/wp-content/uploads/2010/02/Caduceus-with-DNA-Helix.jpg

16. 20 Minute Meltdown of Medicine “The average doctor's visit is 20 minutes, which is too short to interview a patient, record three generations of medical history, assess disease risks and chart courses of action.” -Francis S. Collins 2004-geneticist, Human Genome Project 2010-director, National Institutes of Health Source: WTHN: November 2004 http://www.wtnh.com/Global/story.asp?S=2536450

18. Mobile Drives Participation “Further, ‘always present’ mobile access draws people into conversations about health as much as online tools enable research.” Source: The Social Life of Health Information

19. Physician Participation Here’s a list of evidence-based questions every patient should ask physicians: How would you describe your communication style? How do you inform patients of lab test results? What percent of your adult patients have had their recommended preventive screenings? Will you take the time to understand and respect my beliefs and opinions about my health and communication preferences? What percent of your patients are non-compliant with respect to taking their medications or otherwise following treatment recommendations? Do you encourage patients to ask you about health information they have found on the Internet? For patients needing additional information, do you have a list of recommend websites you can give me? Will I get a written post visit report summarizing what occurred at each office visit, including medication and self care instructions? -reduced from 12 questions Empowered Patients Should Ask Source: Original work of the author – Steve Wilkins MPH from The Mind Gap

20. The Goal Understand the collective CULTURE (knowledge, experience, beliefs, values, attitudes) of our EMPLOYEES, PATIENTSand COMMUNITIESin which we operate; so that we can create and deliver healthcare in a way that is PERSONALIZED, PREDICTIVE, PREVENTATIVEand PARTICIPATORY(P4 Medicine).

21. Listening Is the Foundation

22. Health Care Becomes Social Source: http://www.slideshare.net/dachisgroup/social-business-design-web-20-nyc-2548310