The document discusses the emergence and applications of Web 2.0 technologies in healthcare. It describes how Web 2.0 utilizes open-source platforms like Linux, Apache, MySQL and PHP to allow users to control their own data through services rather than packaged software. Examples of Web 2.0 applications that could benefit healthcare include blogs, wikis, social networking, tagging, and media sharing sites for clinicians, patients and consumers.

1. Web 2.0:
Beyond Open Source in Health Care
John Sharp, PMP
IT Web Services

2. A funny thing happened after
the Internet Bubble burst:
LAMP
Linux operating system
◦
Apache Web Server
◦
MySQL database
◦
PHP programming language
◦
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3. The Web as Platform
You control your own data O’Reilly.com
Services, not packaged software
Architecture of participation
Cost-effective scalability
Remixable data source and data
transformation
Software above the level of a single device
Harnessing collective intelligence
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4. Blogs – own content
Wiki – participatory content
Google, Gmail, maps, Ajax
– enriching the user experience
MySpace – social networking
Flickr, del.icio.us – photo sharing,tagging
Youtube – video, tagging, social network
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5. What you need to know about Web 2.0
Why you should worry about Web 2.0
Why you should use Web 2.0
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6. The best companies are the best
collaborators.
In the flat world, more and more business
will be done through collaborations within
and between companies for a very simple
reason:
The next layers of value creation
- whether in technology, marketing,
biomedicine, or manufacturing
- are becoming so complex that no single
firm or department is going to be able to
master them alone.
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7. Web publishing tool
Typically a single owner
Utilized to convey information and express
opinions
Diary like – monthly calendar indicating days
with entries
Comments usually encouraged
Blogroll – links to related blogs
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9. Clinical Education
◦ Clinical Case and Images
CEO Blogs
◦ RunningAHospital.blogspot.com
Physician experience blogs
◦ Kevin MD
Health IT blogs
◦ Healthcare IT Guy
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14. Really Simple Syndication
Generates XML which can be consumed by an
RSS reader
Readers can be local applications or web-
based
Entries are updated as new content added
Use for all types of content – blogs, news,
photos, music, podcasts
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17. Reference Tool , collaborative contributions
50 now cataloged
ClinInfoWiki.org
AskDrWiki.com
AIDS Wiki
Flu Wiki
http://davidrothman.net/list-of-medical-
wikis/
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20. Includes audio and video
Largely free
Can subscribe through RSS, iTunes
Healthcare examples
◦ Medical information for consumers
◦ Continuing education for physicians
◦ Healthcare IT - interviews
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24. Similar to MySpace, Facebook
Like a personal web page with links to
“friends”
For patients – development of condition-
related communities
Social Networking for business - LinkedIn
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25. Patientslikeme.com
MyCancerPlace.com
Personal web pages
Forums, polls,
resources, galleries
Disease-specific
communities

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27. Free – Always
Hard-hitting clinical
posts
Information is safe
and secure
Physicians only
Over 15,000
registered physicians
- and growing
Just signed an
alliance with the AMA
– 250,000 physicians
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29. Users creating their own taxonomy
Examples
◦ Del.icio.us.com – for web pages
◦ Digg.com – for news
◦ Technorati.com – for blogs
Popular tags rise to the top
As important as Google rank?
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31. Asynchronous JavaScript and XML
◦ Utilizes dynamic data to display a web
application
◦ Can refresh data without refreshing page
◦ Does not require calls back to a database
to change the display
◦ Example – Google Maps
◦ In Healthcare – web-based applications
which are data-rich
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32. Your doctors and employees are already
using these tools
People are writing about, talking about,
ranking your hospital/company
Technology is lightweight – nimble but not as
secure or robust as enterprise systems
Application Service Provider Model
Different attitude toward Intellectual Property
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33. Hospital rating sites
◦ Revolution Health
◦ HopsitalRatings.com
Blogs
◦ Patient blogs
◦ Residency programs
Podcasts
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34. Free EMR using an advertising model –
Practice Fusion
PHRs by small firms which may be bought out
or go our of business
Wikis as reference sites to which anyone can
contribute by creating an account
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35. Reuse of patient data for advertising
Minimal security for creating an account
Security and availability of hosted
applications
Lack of robust Service Level Agreements
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36. Billions being paid for YouTube, MySpace
Astronomical growth in the number of uses
7 million blogs, 100,000 new per day
But…
Is there a significant business model?
Can Web 2.0 companies make money from
advertising alone?
Will they be gone or acquired tomorrow?
Are they easily hacked?
The mediocrity factor
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39. Revolution Health – Steve Case
Utilizes health information from Mayo,
Cleveland Clinic, Harvard
But allows users to comment on health
information, experience with providers and
hospitals
Users can create blogs
Driven by Consumer-Directed Healthcare
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41. Overly enthusiastic acceptance
Overpriced purchases
– Google purchase of YouTube
Quick shifts in popularity
– move from MySpace to Facebook
Market not yet consolidating
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42. Learn the technology
◦ Read Health IT blogs
◦ Set up an RSS reader
Check out Wikis
◦ Use Wikipedia, read critically
Read what others are saying about you
◦ Check out rating sites
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43. Develop a working group on Web 2.0 in your
organization
Develop a policy or guidelines which
◦ Encourages employees and customers to create
content
◦ Establishes parameters for that content
◦ Enhances innovation, creative solutions
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44. Know and follow IBM's Business Conduct Guidelines.
1.
Blogs, wikis and other forms of online discourse are
2.
individual interactions, not corporate communications.
IBMers are personally responsible for their posts.
Identify yourself and write in the first person. You must
3.
make it clear that you are speaking for yourself and not
on behalf of IBM.
If you publish a blog or post to a blog outside of IBM and
4.
it has something to do with work you do or subjects
associated with IBM, use a disclaimer
Respect copyright, fair use and financial disclosure laws.
5.
Don’t provide IBM’s or another’s confidential or other
6.
proprietary information. Ask permission to publish or
report on conversations that are meant to be private or
internal to IBM.
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45. Presenting blogs, wikis as extension of an
Intranet
Costs – Linux server, Microsoft alternatives
External hosting – publicly available, enables
Internet RSS feeds, talk to consumers
Limits of externally hosted
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46. The application of Web 2.0 to health care
Already a Wiki and Blogs claiming this tag
Conference planned for September in San
Francisco
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47. Speed
Freedom
Openness
Innovation
Mobility
Authenticity
Playfulness
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48. What you need to know about Web 2.0
Why you should worry about Web 2.0
Why you should use Web 2.0
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