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The State Of Health 2.0

 Los Angeles Health 2.0 Meetup
            Group



          11/09/2011
The State Of Health 2.0

Luis De Avila - SOA/Integration Architect
+LuisDeAvila, @luisdeavila

• A decade of experience designing and building Enterprise
  Application Integration solutions for commercial and health
  care clients.
• Designed and built one of the first Health Information
  Exchanges in the country, Colorado Regional Health
  Information Organization.
• Past clients include top 10 health care systems
  like Ascension Health and Catholic Health Initiatives.
What I Do

You Have This
What I Do

I Give You This
Overview

•   What Is Health 2.0?
•   What's Driving The Change?
•   The Developing Ecosystem
•   What's Working, What's Not
•   Getting Involved And Staying Engaged
Disclaimer

I in no way endorse or support any company, product, or
services who's logo you will see during this presentation.


They are just up here because it was easy for me to steal... er
borrow their photos and logos.
Health 1.0

 
Health 1.0

              I'm healthy

               I get sick

             I see a doctor

             I am treated

              I go home
Health 1.0

                      I'm healthy

             I develop a chronic condition

                    I see a doctor

                     I am treated

                      I go home

                         ......
Health 1.0

 
Health 1.0

              One Effect Is Rising Costs




         http://www.cbo.gov/ftpdocs/87xx/doc8758/MainText.3.1.shtml#box2
What's Health 2.0?

 
What's Health 2.0?

Web 2.0 is...
  o AJAX
  o Blogs
  o RSS
  o Social
  o Mobile
  o etc.
What's Health 2.0?

Web 2.0 is...
  o The Web as a Platform
  o Interactive and Participatory
What's Health 2.0?

 
What's Health 2.0?

What if instead of this...
This is Health 2.0

Health care and wellness was this...
What's Driving The Change?

• Health Care Costs And The Need For Savings
• Changes In Health Care Law
• Opportunity




The Health 2.0 ecosystem can a important part of the Health IT
infrastructure for effectively implementing new efficiency and
care requirements 
What's Driving The Change?

Reach the patient beyond hospital walls
The Developing Ecosystem

 
Devices/Sensors

Tools used to collect physiological data:
Devices/Sensors

Each has a different focus; Wellness, Chronic Disease
Management, etc.
A Closer Look



•   Heart Flow Sensor
•   Accelerometer
•   Heat Senor
•   Galvanic Skin Response Senor




                         http://mybasis.com/
A Closer Look



• Weight
• BMI
• Muscle




                http://www.withings.com/
Use Case - Cardiovascular Disease

 
Challenges

•   Demand
•   Price
•   Who Pays?
•   Integration


Rock Health, a health start-up accelerator produced an
excellent report on sensors:
 http://www.slideshare.net/RockHealth/rock-report-sensors-
9962927
Prediction

Managed Care Organizations (MCO) and Accountable Care
Organizations (ACO) will lead in this area.

• Improve Care
• Reduce Health Care Costs
Personal Health Records

User/Patient managed record of your health information
The Pure Play PHR

What's the value proposition?




Fred Trotter - "Lets spend a few 10′s of millions on this, and then make it back because a
few million people will click on ads, after leaving Google Health to do a web search of
some kind."


                      http://www.fredtrotter.com/category/the-currently-evil-microsoft-phr/
PHRs+Communities+Devices

• Automate Data Collection
• Sharing/Support
• Add Value to Data
A CLoser Look


•   Track Health Factors
•   Education
•   Reminders
•   Sharing
•   Data vs Information




                           https://www.heart360.org
A Closer Look


• Track Health Factors
• 3rd Party Connections
• Sharing




                   http://www.microsoft.com/en-us/healthvault/
Use Case - Cardiovascular Disease

 
Challenges

• Integration
• Who Pays?
Mobile Health Apps

Software that uses your phone's hardware and OS API
A Closer Look


• Drug Reference
• Disease Database
• Clinical Information




                         http://www.epocrates.com/
A Closer Look


• Activity Tracking
• GPS
• Social Sharing




                      http://www.endomondo.com
Use Case - Cardiovascular Disease

 
Challenges

• Integration
• Who Pays?
Corporate Wellness

Employer-sponsored programs and services for improving
health
A Closer Look



•   Challenges
•   Social
•   Play
•   Prizes
You're At The Center

 
Stimulating Innovation

Developer Challenges
• Office of the National Coordinator
  - http://www.health2challenge.org/onc-i2-challenges/
• Corporate and Foundation
  - http://www.health2challenge.org/challenges/

Accelerators
• Rock Health - http://rockhealth.com/
• Health Box - http://www.healthboxaccelerator.com/
Summary

•   Change Is Happening Now
•   Technology, Cost, and Health Law Are Driving Change
•   Change Creates Opportunities
•   Still Many Challenges
Resources

• Health 2.0 Community on Google+ and Twitter

• HealthIt.gov - http://healthit.hhs.gov
• Health 2.0 Conference - http://www.health2con.com
• HealthCa.mp Foundation - http://healthca.mp/
• TEDMed - http://www.tedmed.com
• Mobile Health - http://mobihealthnews.com/
• Wireless Health
  Group http://www.linkedin.com/groups/Wireless-Health-
  2181454
• Healthcare IT News - http://www.healthcareitnews.com/
• Government IT News - http://govhealthit.com/
The State Of Health 2.0


                Thank You


      Connect With Me on Google+ or Twitter

                 +LuisDeAvila
                 @LuisDeAvila

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The State of Health 2.0

  • 1. The State Of Health 2.0 Los Angeles Health 2.0 Meetup Group 11/09/2011
  • 2. The State Of Health 2.0 Luis De Avila - SOA/Integration Architect +LuisDeAvila, @luisdeavila • A decade of experience designing and building Enterprise Application Integration solutions for commercial and health care clients. • Designed and built one of the first Health Information Exchanges in the country, Colorado Regional Health Information Organization. • Past clients include top 10 health care systems like Ascension Health and Catholic Health Initiatives.
  • 3. What I Do You Have This
  • 4. What I Do I Give You This
  • 5. Overview • What Is Health 2.0? • What's Driving The Change? • The Developing Ecosystem • What's Working, What's Not • Getting Involved And Staying Engaged
  • 6. Disclaimer I in no way endorse or support any company, product, or services who's logo you will see during this presentation. They are just up here because it was easy for me to steal... er borrow their photos and logos.
  • 8. Health 1.0 I'm healthy I get sick I see a doctor I am treated I go home
  • 9. Health 1.0 I'm healthy I develop a chronic condition I see a doctor I am treated I go home ......
  • 11. Health 1.0 One Effect Is Rising Costs http://www.cbo.gov/ftpdocs/87xx/doc8758/MainText.3.1.shtml#box2
  • 13. What's Health 2.0? Web 2.0 is... o AJAX o Blogs o RSS o Social o Mobile o etc.
  • 14. What's Health 2.0? Web 2.0 is... o The Web as a Platform o Interactive and Participatory
  • 16. What's Health 2.0? What if instead of this...
  • 17. This is Health 2.0 Health care and wellness was this...
  • 18. What's Driving The Change? • Health Care Costs And The Need For Savings • Changes In Health Care Law • Opportunity The Health 2.0 ecosystem can a important part of the Health IT infrastructure for effectively implementing new efficiency and care requirements 
  • 19. What's Driving The Change? Reach the patient beyond hospital walls
  • 21. Devices/Sensors Tools used to collect physiological data:
  • 22. Devices/Sensors Each has a different focus; Wellness, Chronic Disease Management, etc.
  • 23. A Closer Look • Heart Flow Sensor • Accelerometer • Heat Senor • Galvanic Skin Response Senor http://mybasis.com/
  • 24. A Closer Look • Weight • BMI • Muscle http://www.withings.com/
  • 25. Use Case - Cardiovascular Disease  
  • 26. Challenges • Demand • Price • Who Pays? • Integration Rock Health, a health start-up accelerator produced an excellent report on sensors:  http://www.slideshare.net/RockHealth/rock-report-sensors- 9962927
  • 27. Prediction Managed Care Organizations (MCO) and Accountable Care Organizations (ACO) will lead in this area. • Improve Care • Reduce Health Care Costs
  • 28. Personal Health Records User/Patient managed record of your health information
  • 29. The Pure Play PHR What's the value proposition? Fred Trotter - "Lets spend a few 10′s of millions on this, and then make it back because a few million people will click on ads, after leaving Google Health to do a web search of some kind." http://www.fredtrotter.com/category/the-currently-evil-microsoft-phr/
  • 30. PHRs+Communities+Devices • Automate Data Collection • Sharing/Support • Add Value to Data
  • 31. A CLoser Look • Track Health Factors • Education • Reminders • Sharing • Data vs Information https://www.heart360.org
  • 32. A Closer Look • Track Health Factors • 3rd Party Connections • Sharing http://www.microsoft.com/en-us/healthvault/
  • 33. Use Case - Cardiovascular Disease  
  • 35. Mobile Health Apps Software that uses your phone's hardware and OS API
  • 36. A Closer Look • Drug Reference • Disease Database • Clinical Information http://www.epocrates.com/
  • 37. A Closer Look • Activity Tracking • GPS • Social Sharing http://www.endomondo.com
  • 38. Use Case - Cardiovascular Disease  
  • 40. Corporate Wellness Employer-sponsored programs and services for improving health
  • 41. A Closer Look • Challenges • Social • Play • Prizes
  • 42. You're At The Center  
  • 43. Stimulating Innovation Developer Challenges • Office of the National Coordinator - http://www.health2challenge.org/onc-i2-challenges/ • Corporate and Foundation - http://www.health2challenge.org/challenges/ Accelerators • Rock Health - http://rockhealth.com/ • Health Box - http://www.healthboxaccelerator.com/
  • 44. Summary • Change Is Happening Now • Technology, Cost, and Health Law Are Driving Change • Change Creates Opportunities • Still Many Challenges
  • 45. Resources • Health 2.0 Community on Google+ and Twitter • HealthIt.gov - http://healthit.hhs.gov • Health 2.0 Conference - http://www.health2con.com • HealthCa.mp Foundation - http://healthca.mp/ • TEDMed - http://www.tedmed.com • Mobile Health - http://mobihealthnews.com/ • Wireless Health Group http://www.linkedin.com/groups/Wireless-Health- 2181454 • Healthcare IT News - http://www.healthcareitnews.com/ • Government IT News - http://govhealthit.com/
  • 46. The State Of Health 2.0 Thank You Connect With Me on Google+ or Twitter +LuisDeAvila @LuisDeAvila