2009-07-07-byyny

Health 2.0

Outline

Richard L. Byyny, M.D.

• Electronic Health Record (HER)
  • Web 1.0
  • Proprietary
  • Non-intuitive
  • Frequent work arounds
  • Stores accessible information
  • Doesn?t share data with patient or others outside the system
  • Interferes with the doctor-patient relationship, too much time at the CRT
  • If you type 50 words per minute an advantage, if one finger much longer
  • Increased time per encounter with multiple windows for diagnosis, prescriptions, ordering tests, ordering referrals.
  • Can?t search by key words
  • Better billing and documentation
  • Limited cognitive support

• Positives:
  • Just in time learning, Up do date, First Consult, Journal articles
  • Google Scholar
  • Pub Med
  • Patient learning
  • Limited patient communication, lab test results, refill Rx

• Web 2.0/ Health 2.0
• Health 2.0: The use of social software and its ability to promote collaboration between patients, their caregivers, medical professionals, and other stakeholders in Health. J. Sarahson-Kahn, Think-Health
  • Some online consults ( simulconsult) rhetorical
  • Some telehealth and telemedicine ( Cisco etc Since 1994 little progress ,but speed)
  • Patient Social Networks: PatientsLikeMe; Diabetesmine, ALS, Patient portals
  • 59% of patients seek health info on the internet
  • Sites: Mayo, CDC, Web MD, Hellohealth, etc
  • Wisdom of crowds vs. experts

• Cell phones
  • Texting patients or doctors for information or
  • improved patient compliance with drugs and therapy: TBC, Diabetes, etc
  • Accessible in remote parts of the world and others who have access to the internet can answer queries
  • Blogs
  • Wikis
  • Podcasts

• Professional Social Networks

• Facebook
• Myspace
• Youtube
• Ning.