7 ideas on how ‘online technology’ can save the nhs

From Gutenberg to ZuckerbergNapsterisation of healthcare

Donald Clark

Moodle 2001iTunes 2001Wikipedia 2001Blogger 2003Wordpress 2003Facebook 2003Linkedin 2003Flickr 2004Youtube 2005Twitter 2006Slideshare 2006Google docs 2007Dropbox 2007Evernote 2008Pinterest 2009Instagram 2011Google + 2011MOCs 2012

POLIC THEORY

Jade Lily & Torley Torgeson

Healthcare

More disintermediation in last 10 years than last 1000 years

Oct 2000

Dec 2010

May 2011

• 20,000 calls a day - around 8 million calls a year

• 40% of calls completed within NHS Direct, only seeking further advice if symptoms persist

• Of patients given self-care advice, if NHS Direct had not been available

24% would have gone to A&E31% to see their GP

Healthcare

More pedagogic change in last 10 years than last 1000 years

Coursera MOOCs on:

Data analysisNutritionPrimary health careBiostatisticsPrinciples of obesity economics

(175,000 students)

Informal learning

Spending paradox

0

20

40

60

80

100

120

Spend Learning

FormalInformal

University of Eindhoven

Recording can IMPROVE a bad talk/lecture

Healthcare

More communication change in last 10 years than last 1000 years

Texting

Skype

Skype

Social media

Libya

Learner benefits• Precis your thoughts• Learning too short or too long• Blogs make you concise but substantial

• Writing = deep processing = retention• Aide memoire• Comments and dialogue

• Good blogs have a ‘voice’

Teacher/trainer blogs• What I Taught This Week• second bite for students• expand with media & links• almost odd that a teacher, lecturer, trainer

does not blogLearner blogs• What I Learnt This Week• reflect & summarise experience • higher retention/notes for revision• writing and communication skills• continuous formative assessment

Manager/leader blogs• humanises organisation• gives a voice • others get to know that person better• consistency, change managementExpert blogsInformal blogsPublished blogs

Blogs: vastly underused teaching & learning toolhttp://donaldclarkplanb.blogspot.co.uk/search?q=blogs

"hello , this is Imogen , Jan's daughter , just to warn you if you are meeting up with her or due in work from her or whatever - she is in hospital after a stroke on monday night so will not be able to do anything for a while."

“Nurses telling meboff for playing with my phone too much”

“it is my lifeline and link thome and I've had enough of this game can I stop now please?”

“Salad today consists of grated carrot, cress - slices of orange and lemons.......truly weird”

“Had a few blubbery moments over the weekend... I miss Imogen, I miss my as I just can't face it anymore ...”

“I'm going home hip hip hooraaaaay:):):)thank you everyone for your support these past 11weeks”

“ from my perspective it was you and all my other facebook friends sending me messages and just getting on with your daily lives that inspired me to get better – the world was still turning out there and I wanted to be included.”

Learner benefits• everybody’s there (1 billion+)• groups• tools (apps)• peer-to-peer• mobile

Learner benefits• in learning, less is more• plagued by cognitive overload• Twitter is short and sweet• boosted by rise in mobile

• Twitter and professional network• Twitter as backchannel (#)• Twitter & courses/classes• Twitter & workplace learning (Yammer)

Twitter• Promote events• It’s the links that matter• Gather resources• Poll/opinions (twitpol.com)• Share resources (twitpic)

Tweetdeck

Twitter• Medical schools @yalemedicine• Medical Journals @bmj_latest• Health Organisations @whonews• Hospitals @mayoclinic• Medical Libraries @ymedlib• Academics• Students

Twitter• 140 healthcare uses for Twitter Phil

Baumannhttp://philbaumann.com/2009/01/16/140-health-care-uses-for-twitter/

• 50 ways to use Twitter in classhttp://www.onlinecolleges.net/2009/06/08/50-ways-to-use-twitter-in-the-college-classroom/

• Twitter: less is morehttp://donaldclarkplanb.blogspot.co.uk/search?q=Twitter

Learner benefits• TV out YouTube in• less is more• cheap to produce, free to distribute• quality not important• people, processes• vast resource• channels

Stanford University• New England Journal of Medicine• teaching hasn’t innovated in step with

rapidly expanding body of medical knowledge

• flipped course• core biochemistry class at Stanford’s

medical school• attendance & attainmentscopeblog.stanford.edu/2012/05/stanford-professors-propose-re-imagining-medical-education-with-lecture-less-classes/

• familiar medium (PPT) • synchronise an MP3 audio file with

slides to create a slidecast• conference talks• create and load• use any of hundreds of medical

education slidesets• http://www.slideshare.net/russcucina/

social-media-and-your-practice-ready-or-not-advances-in-internal-medicine-2012

> 1 BILLION >500m

4 billion viewsper day6 billion

5th on web

>175m

>120m/hour

Find thingsSearch effectively with GoogleSearch the Social Web with other toolsUseful sources on the Social Web

Keep up to dateMonitor new stuff web contentRead industry, analyst & practitioner blogsSubscribe to blog/web feeds with an RSS reader

Build a trusted networkFacebookLinkedInTwitterYammerOther online communities

Communicate effectivelyGmail webmail SkypeGroup chat

Social media & LEARNINGShare resources & ideasShare your calendarShare filesShare weblinksShare photos, videos and screencastsShare presentationsShare ideas and experiences by bloggingShare ideas and experiences by podcasting

Collaborate effectivelyWork collaboratively on a documentCollaborate on ad hoc documents in real-timeCreate a collaborative resource using a wikiSet up a group space

Productivity gainsUse a good web browserUse a personal online dashboardUse other personal productivity toolsUse other team productivity tools

M-learning

M-learning = learning on the move

Healthcare

More technical change in 10 years than last 1000 years

• reusable microfluidic device

• rapid, low-cost cell counts

• measurements of electrolytes, proteins & other biomarkers

• optics & nanostrip reagents for haematology, chemistry, and biomarker assays

• from single drop of blood or bodily fluid

Napsterisation of healthcare:• democratisation• decentralisation • disintermediation

The future is already here….

….it’s just not evenly distributed.

1) Everything that’s already in the world when

you’re born is just normal

2) Anything invented before you turn thirty is incredibly

exciting & creative and with any luck you can make a career out of it

3) Anything invented after you’re thirty is against the natural

order of things and the beginning of the end of civilisation as we know it, until it’s been around for about ten years

when it gradually turns out to be alright really!

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