how health 2.0 is reshaping medical practice and research
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HOW HEALTH 2.0 IS RESHAPING MEDICAL PRACTICE AND RESEARCH
Reshape 2009, Nijmegen, 12 Oct 2009John Sharp, MSSA, PMP@JohnSharp
CONTACT ME
Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Links:
delicious.com/johnsharp/ClevelandClinic
www.linkedin.com/in/JohnSharp Department:
lerner.ccf.org/qhs/informatics Email: [email protected]
HOW HEALTH 2.0 IS RESHAPING MEDICAL PRACTICE AND RESEARCH
Key Points Cleveland Clinic – EMR and eHealth Engagement of patients through Health 2.0
and social media Google Health and Microsoft HealthVault as
enabling platforms Reshaping Medical Research The Future of Medical Care through new
technologies
CLEVELAND CLINIC
CLEVELAND CLINIC 1000 bed hospital and medical center 1800 physician group practice 3.3 million total visits and more than
50,000 hospital admissions Locations: Cleveland, Ohio; Fort
Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NV
ELECTRONIC MEDICAL RECORD Epic Systems 2,000,000 patients In hospital, outpatient clinics and
suburban health centers CPOE implemented Now being used for
quality reporting and research
EHEALTH INITIATIVES Personal Health
Record – tethered to EMR
Online Second Opinion
Google Health partnership
Microsoft HealthVault – remote monitoring
LEADERSHIP IN HEALTHCARE REFORM Outcomes Booklets – reported annually Cited as model of care efficiency President Obama’s visit to discuss
reform Physicians on salary – remove
motivation for fee for service
INNOVATION AT THE CORE OF HEALTHCARE Need to innovate to stay competitive Innovation and Process Improvement
encouraged on all levels Commercialization of innovations Bench to beside – translational science Transparency - conflict of interest
ENGAGEMENT OF PATIENTS THROUGH HEALTH 2.0
ELECTRONIC MEDICAL RECORD Foundation for eHealth initiatives Provides personalized medical
knowledge base Updated based on medical visits Basis for future medical research Need to network with other providers –
IHE – Integrated Health data Exchanges
CULTURE SHIFTEHEALTH – INVITING PARTICIPATION
Personal Health Records (PHRs) Best practice – tethered
to EMR Calculators Health reminders Engage patients in
health management
EHEALTH AND WELLNESS Beyond acute medical model of
treatment PHR as a platform to provide wellness
education and reminders Future – personalized medicine –
reduce your risk of disease based on family history, genetic profile
SOCIAL MEDIA AND PATIENT ENGAGMENT
SOCIAL MEDIA – ENGAGEMENT Interactive with others with similar
conditions Talk to hospital – complaints, service
recovery Interact with providers real time Interactive health talks
SOCIAL MEDIA FOR EMPLOYEES www.ShapeUpandGo.com Teams of employees compete for most
steps Pedometer provided Team leader encourages participation Anyone in team can send a message
SOCIAL MEDIA PRESCRIBED Newly diagnosed with a chronic
condition Prescribe a well respected social media
site which focuses on this Educate the patient on the appropriate
role of social media and how to protect against misinformation
Ask the patient what they have been learning
TWITTER AND FACEBOOK HEALTH ALERTS
MOBILE HEALTH AND MORE
365 is a Wellness ventureBy the Cleveland Clinic
MOBILE HEALTH
MOST DESIRED MOBILE HEALTH APPS
GOOGLE HEALTH AND MICROSOFT HEALTHVAULT
PLATFORMS FOR HEALTH
IMPACT ON PATIENT CAREGOOGLE HEALTH
Combine all informationfrom all providers
Special tools – health Calculators, integration with Google Maps for doctors office locations
Add scanned documents including Living Wills
HOME MONITORING & VIRTUAL VISITS
Microsoft HealthVault – recording home monitoring directly to a PHR
HOME MONITORING - GOALS Improved outcomes for patients --patients may be
more apt to track and measure their health, improving compliance and data integrity and allowing physicians to more efficiently view, track and measure their data.
Improved clinician efficiency -- By receiving reliable, consistent and automatic patient data, physicians can improve the quality of office visits and reduce the length of appointment times.
Consumer Empowerment -- This type of web-enabled, consumer-driven approach will provide patients with increased control of their medical information and an important part to play in the management of their chronic disease.
HELLO HEALTH MODEL
WHICH PLATFORM? Available platforms enable rapid
development – Facebook, Twitter, Blogger, Google Health
But are they reliable for health care? Gmail down for 2 hours
Alternative – host and install own tools Control reliability, data
Private cloud versus public cloud
HEALTH 2.0 RESHAPING MEDICAL RESEARCH
IMPACT ON CLINICAL RESEARCH
Clinical Trial recruitment Collecting research data through
patient diaries, patient social networking
Data mashups – research implications Data sharing – OrphanData.org Social networking for collaborative
research – case study – National Comprehensive Cancer Network
MEDICAL REFERENCE Will Wikis replace standard reference
works? Weaknesses of Wikipedia Growth of Medpedia Open Source versus vetted medical
content Who are the contributors? How accurate is
the source? How current is
the information?
MEDICAL PUBLISHING Enhanced search tools
- Google Scholar and PubMed enhancements
More online only journals – gaining impact scores (JMIR, Open Medicine)
Accelerated review processingThe Lethal Lag Time
INVOLVING PATIENTS IN RESEARCH Secondary use of medical data in social
networking sites Assistance in identifying post marking
side effects Early pilot data on off label treatments Clinical trial alerts
HOW TO USE EXISTING TECHNOLOGIES WHILE REDUCING RISKS
Good project management – Risk Mitigation planning
Develop policies, educate employees Have an owner of each application Monitor content Address problems quickly
THE FUTURE OF MEDICAL CARE THROUGH NEW TECHNOLOGIES
PROTECTING AND ENABLING HEALTH INFORMATON
Google Health
PHR
EMR
Research Data
HealthMaps
FUTURE
Innovation through academic and entrepreneur partnerships
Health 2.0 Accelerator as a model Feasible business models Government role – funding, awarding
innovation
HEALTH 2.0 ACCELERATOR
EHEALTH AS THE PLATFORM FOR HEALTH 2.0Health 2.0
PHR
EMR
FUTURE Convergence of eHealth and Health 2.0
How to integrate provider ehealth tools and PHRs with social media?
Cloud computing SaaS – Software as a Service PaaS – Platform as a Service Data.gov, Apps.gov
CONTACT ME
Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Links:
delicious.com/johnsharp/ClevelandClinic
Department: lerner.ccf.org/qhs/informatics
Email: [email protected]