the next wave of technology: social media and electronic health records
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The Next Wave of Technology: Social Media and Electronic Health Records
John Sharp, MSSA. PMP
Cleveland Clinic
Cleveland, Ohio
Outline1. Electronic Health Records (EHRs)
2. Personal Health Records (PHRs)
3. Home Monitoring
4. Social Media
5. Mobile apps and Apps
Transforming Health Care
Social media, mobile applications and devices are pervasive
Electronic Health Records being adopted nationally
Electronic Health Records
Consistent medical history/problem list
Reduce errors – dose, drug-drug interactions
Alerts for preventive health
Collaborative care
Health Information Exchange – ability to share data across health systems with patient permission
Vital Signs From VA VistA EMR
EMR Complexity
Visits – scheduling, diagnoses, procedures, vitals, health alerts
Orders and Results Medications Notes – discharge, operative Radiology Messages - inbox
EMR Incentives $40,000 per physician per year
Must show meaningful use
Must be an approved EMR
Program to assist small practices
Most health systems have or are in process
EMR Adoption
Offices with one practicing physician – 30.8% Offices with 26-plus physicians – 75.5 %
EMRs and Quality of Care
Why EMRs Matter Improving Patient Care
Accurate and complete information about a patient's health during a routine visit or a medical emergency.
The ability to better coordinate the care they give.
A way to securely share information with patients and their family caregivers over the Internet, for patients who opt for this convenience.
This means patients and their families can more fully take part in decisions about their health care.
Information to help doctors diagnose health problems sooner, reduce medical errors, and provide safer care at lower costs.
HealthIT.gov
Personal Health Records
Types of Personal Health Records
Tethered – connected to and populated by an EMR
Free Standing – must enter dataMicrosoft Health Vault
Integrated with social networks – data shared with others
• Request an appointment• Check lab results including graphs• Request prescription refills• Visit summaries• Message provider • In some cases, see family members information
Integrates with dozens of health tools-exercise, sleep management, diabetesIntegrates with home monitoring devices
Why PHRs Matter
Give patients access to their data for the first time
Reduces the number of phone calls necessary to contact the doctor’s office
Keeps a long term record of one’s health history
Proxy use – can manage records for a child or elderly parent
Home Monitoring
Types of Home Monitoring
Blood glucose monitoring
Blood pressure
Fitbit personal trainer
Weight scales
Heart rate monitors
Peak flow monitors
Devices becoming smaller andMore Portable
More Home Monitoring via Smart Phones
Centre for Global Health Innovation – Toronto
Lower cost solutions
Proven impact on Heart Failure but noimpact on readmission
Also studying diabetesmanagement
Home Monitoring shifting to Remote monitoring
Includes monitoring on the go
Why Home Monitoring Matters
Shifts care to home
Provides a bridge between appointments
Potential to prevent readmissions
Gives patient and family caregiver more control but also reassurance that someone is watching
Social Media in Health Care
Big Four
Many hospitals now using actively
Hospitals using Facebookto Engage with Patients
Videos popular for seeing and hearing physiciansdiscuss treatments and patient stories
Twitter – online chats
Blogs and Online Communities
Blog postings with comments
Discussion forums
Committees around specific diseases and conditions
Posting specific information about one’s condition
Sharing ALS Status
Why Social Media Matters
Peer-to-Peer Health Care Empowers patients to take charge of their condition Social support from others in large doses Ability to monitor health and immediately share with
others Quick feedback from others with the same condition
Mobile Applications
Consumers showing interest in Mobile Health Tools
40% of consumers report using a device in the past year to monitor their health or wellness
33% are interested in managing their health records online
32% want to use telehealth tools for physician visits
44% interested in body weight scales
40% in vital sign monitors
37% in mobile fitness devices
More than half consult their physicians about use of these devices
iPhone and Android Apps 7000 medical apps in iTunes
Store
Even more in Health and Fitness
Health information – WebMD
Fitness – RunKeeper – integrates GPS
iPharmacy
Why Mobile Apps Matter
A majority of Americans have smart phones
Enables monitoring of health, condition
Provides social support, reminders throughout the day
Reference tools allow for quick search of medical terms
Cusp of the a Revolution in Healthcare
Data as power for providers and patients
Communication tools connect patients nationally
Apps and monitoring tools just beginning to demonstrate ability to impact health and disease
The Future of Medicine
End of paternalism
Age of the empowered e-Patient
Care shifting from hospital to clinic to home
New models of care
Disruptive change
The Future of Aging Baby boomers
retiring with mobile devices in their pockets checking Facebook and Skype to follow their grandchildren
How will they manage their healthcare?
Questions?
John Sharp – Social Media Business Card
Blog: ehealth.johnwsharp.comTwitter: @JohnSharpLinkedin: www.linkedin.com/in/JohnSharpSlideShare: www.slideshare.net/JohnSharp
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