web2.0:beyond open source in health care

Web 2.0:Beyond Open Source in Health Care

John Sharp, PMPIT Web Services

A funny thing happened after the Internet Bubble burst: LAMP◦ Linux operating system◦ Apache Web Server◦ MySQL database◦ PHP programming language

2Web 2.0 in Health Care

The Web as PlatformYou control your own dataServices, not packaged softwareArchitecture of participationCost-effective scalabilityRemixable data source and data transformationSoftware above the level of a single deviceHarnessing collective intelligence

O’Reilly.com


http://www.oreilly.com/

Blogs – own contentWiki – participatory contentGoogle, Gmail, maps, Ajax – enriching the user experienceMySpace – social networkingFlickr, del.icio.us – photo sharing,taggingYoutube – video, tagging, social network


What you need to know about Web 2.0

Why you should worry about Web 2.0

Why you should use Web 2.0


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.


Web publishing tool Typically a single ownerUtilized to convey information and express opinionsDiary like – monthly calendar indicating days with entriesComments usually encouragedBlogroll – links to related blogs


Clinical Education◦ Clinical Case and ImagesCEO Blogs◦ RunningAHospital.blogspot.comPhysician experience blogs◦ Kevin MDHealth IT blogs◦ Healthcare IT Guy


Really Simple SyndicationGenerates XML which can be consumed by an RSS readerReaders can be local applications or web-basedEntries are updated as new content addedUse for all types of content – blogs, news, photos, music, podcasts


Reference Tool , collaborative contributions50 now catalogedClinInfoWiki.orgAskDrWiki.comAIDS WikiFlu Wikihttp://davidrothman.net/list-of-medical-wikis/


http://davidrothman.net/list-of-medical-wikis/

http://davidrothman.net/list-of-medical-wikis/

Includes audio and videoLargely freeCan subscribe through RSS, iTunesHealthcare examples◦ Medical information for consumers◦ Continuing education for physicians◦ Healthcare IT - interviews


Similar to MySpace, FacebookLike a personal web page with links to “friends”For patients – development of condition-related communitiesSocial Networking for business - LinkedIn


Patientslikeme.comMyCancerPlace.comPersonal web pagesForums, polls, resources, galleriesDisease-specific communities

Free – Always Hard-hitting clinical postsInformation is safe and securePhysicians onlyOver 15,000 registered physicians - and growingJust signed an alliance with the AMA – 250,000 physicians


Users creating their own taxonomyExamples◦ Del.icio.us.com – for web pages◦ Digg.com – for news◦ Technorati.com – for blogsPopular tags rise to the top As important as Google rank?


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


Your doctors and employees are already using these toolsPeople 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 ModelDifferent attitude toward Intellectual Property


Hospital rating sites◦ Revolution Health◦ HopsitalRatings.comBlogs ◦ Patient blogs◦ Residency programsPodcasts


Free EMR using an advertising model –Practice FusionPHRs by small firms which may be bought out or go our of businessWikis as reference sites to which anyone can contribute by creating an account


Reuse of patient data for advertisingMinimal security for creating an accountSecurity and availability of hosted applicationsLack of robust Service Level Agreements


Billions being paid for YouTube, MySpaceAstronomical growth in the number of uses7 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


Revolution Health – Steve CaseUtilizes health information from Mayo, Cleveland Clinic, HarvardBut allows users to comment on health information, experience with providers and hospitalsUsers can create blogsDriven by Consumer-Directed Healthcare


Overly enthusiastic acceptanceOverpriced purchases – Google purchase of YouTubeQuick shifts in popularity – move from MySpace to FacebookMarket not yet consolidating


Learn the technology◦ Read Health IT blogs◦ Set up an RSS readerCheck out Wikis◦ Use Wikipedia, read criticallyRead what others are saying about you◦ Check out rating sites


Develop a working group on Web 2.0 in your organizationDevelop a policy or guidelines which◦ Encourages employees and customers to create

content◦ Establishes parameters for that content◦ Enhances innovation, creative solutions


1. Know and follow IBM's Business Conduct Guidelines. 2. Blogs, wikis and other forms of online discourse are

individual interactions, not corporate communications. IBMers are personally responsible for their posts.

3. Identify yourself and write in the first person. You must make it clear that you are speaking for yourself and not on behalf of IBM.

4. If you publish a blog or post to a blog outside of IBM and it has something to do with work you do or subjects associated with IBM, use a disclaimer

5. Respect copyright, fair use and financial disclosure laws. 6. Don’t provide IBM’s or another’s confidential or other

proprietary information. Ask permission to publish or report on conversations that are meant to be private or internal to IBM.


Presenting blogs, wikis as extension of an IntranetCosts – Linux server, Microsoft alternativesExternal hosting – publicly available, enables Internet RSS feeds, talk to consumersLimits of externally hosted


The application of Web 2.0 to health careAlready a Wiki and Blogs claiming this tagConference planned for September in San Francisco


SpeedFreedomOpennessInnovationMobilityAuthenticityPlayfulness


What you need to know about Web 2.0

Why you should worry about Web 2.0

Why you should use Web 2.0
