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.