#Health2stat kicks off in Bethesda

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A packed house for another action packed series of talks.

Dougla Naegele talking about mobile health in Africa

Fascinating examples of ingenuity

Nancy Shute of US News and world report. “Now the news is Oprah- checked” associated content editors spend two minutes checking a story.
What do we do about this?

Heslthnewsreview.org doing some interesting health reporting

1. News orgx should explain how they report.
2. Develop reporting standards
3. Creat tools to make news more accessible

Glenn Pearson talking about a lost person finder. A tool to help in the event of a major disaster. A tool tocollect and search people descriptions and pictures.

A prototype demonstrated at CMAX09. It was put to a real test during the Haiti earthquake disaster.

Miguel Gomez of AIDS.Gov talking about using new media for aids outreach. 80% of people come to aids.gov for basic info that they are not setup to do. they are adapting to meet this need.

Fed employees don’t understand how the US public use the Internet to find health info. They want peer to peer information from people like themselves. But they also want expert info. Social media is about repurposing content.

Finally Ed Bennett and chip harman talking about web governance.

How to do web stuff in large complex conservative organizations. They MADD a reference to Lisa Welchman’s 10 management truths for the digital age.

What does your web presence say -are you messed up? It was ok in the 20th century

1 your web is a manifestation of your organization
2. Bold leadership is vital from the top. Without it you magnify weaknesses to your competitors and customers
3. Decision making based oncexpertise not power. Get data to support your argument.
4. An inclusive business framework for both physical and digital presence.
5. Standards enable collaboration. Managed chaos spawns innovation
6. The web is an asset. Use it to create efficiencies and more revenue.
7. The organization owns the web presence. Not just marketing and communications or IT.
8. Management should embrace impermanence.
9. Know your customer. Own your mission.
10. Measure twice execute once.

Mark Scrimshire
B: http://ekive.blogspot.com
….Sent from my iPhone

Damned Facebook – too clever for their own good?

Fbfail

After a great couple of days at HealthCampRDU in Durcham, NC (http://healthcamprdu.org)??I was browsing the web catching up on tech news and tried to share an article with friends on Facebook.

Facebook Connect popped up with the message that my account had recently been accessed from an unfamiliar location. This has happened before and I changed my password. THis time the prompts were different. I was taken through a series of pictures to identify people. After guessing who the pictures belonged to (all of the pictures were ones I have never seen before) Believe me it is hard to guess who is identified in a picture when they aren’t there and it is a picture of a chair and a glass…..

Well, after the final picture I was prompted to submit my answers. The only problem was that there was no submit button. The picture was a tall one and the button to press was off the screen and the page (it was one of those popups for Facebook connect) had no scrolling.

I had to cancel out of the page. Now I find I am locked out of Facebook for at least an hour.??

Nafffb
Come on Facebook. If you are going to throw in these challenges make sure they work within the limited windows that Facebook Connect uses on other sites.??

Facebook – You have a Fail on your hands.

#hcrdu Jeff Taekman wrapping up with keynote talking about health and gaming

Children today have different expectations about learning. They have different skills. 

Jeff is looking at creating Physician Leaders.
Lectures don’t change behavior. Work – Learn – Work.

Apply information in context. Situational cognition with deliberate practice.
This leads to immersive education. In the MD field this involves:

High Fidelity Simulation, Virtual Reality, Task Trainers, and Computer Education. The goal is to improve patient safety.

Check out Virtual Heroes for a commercial offshoot of this learning: http://www.virtualheroes.com/

Multiplayer, Scaleable, expandable, Minimal equipment, Internet enabled including voice, avatars.

Sense of touch has been slowest to develop in virtual world. 

Immersive Learning Environment @ Duke – looking at incorporating Social aspects. 

Learning also applies to patients. e.g. They can learn implications of following/not following their medication regimes.

There is a place for all the different technologies. e.g. Augmented Reality. The question is what are getting people to learn.

#hcrdu Panel Session – Online communities for health

Bob Brooks, Wego Health
Marci Williams, vlogger for American Heart Association (works for FedEx)
Joe Miller, Blogger, GetGoing NC! ex-journalist. Blog is sponsored by Blue Cross Blue Shield of North Carolina

Wego Health represents several thousand health activists on line. Treatments, coping strategies and educating others etc.

Other than diagnosis e-patients got more value from community than their specialists. PCPs didn’t rank well in any category of Sapient Health Study.

What conditions lend themselves to online community support?

Doctors may provider the what, may be even the how. The social community brings the encouragement.

Meetup.com has had a big impact on the outdoors community (hikers, bikers etc)

The groups on Wego Health providing the most value are those that trigger the most passion or pain. e.g. Peanut allergies or Migraine.

Marci Williams story from overweight high risk with Diabetes to a committed Video Blogger is an amazing one. I wish I had caught that session earlier.

What is important: Written, video. People have questions and are looking for answers. Search is the most important.

Question from Physician representative: How do you recommend busy Primary Care Doctors leverage online communities.

The PCP can raise the issue. The online community can explain and educate (in the patient’s own time)

Docs can prescribe the information (the URL) But beware, the best discussions happen in specialist communities. You have to go beyond the general communities like WebMD.

Payment reform – moving from fee for service to outcome based payments could drive use of online communities to support Patients.

#hcrdu Robert Furberg How the Internet, Social Media and Mobile sets us up for (r)evolution in Health Care

More from HealthCampRDU:

Robert Furberg: RTI International

60% of the USA Have Broadband Internet

South Korea is the most connected country in the world. 97% of households have Broadband. In the USA we pay $50/month. On average S Korean households pay $29.99 per month. 14.99Megabytes/second. About 10 times the speed in the USA.

The connectivity deficit is being addressed by the Connecting America National Broadband Plan. Go Read Chapter 10.

Some Health care related impacts:

– Create appropriate incentives for e-care utilization. e-care is more telemedicine. 
– Modernize regulations to enable HIT Adoption. 100k PCPs to meet meaningful use by 2012. Medicare/Medicaid rates will reflect use of EMR.
– Unlock the value of data.
– Ensure connectivity for health care delivery locations.

Cancer In The Family

A site currently undergoing evaluation. Hereditary Disposition to Breast Cancer. Tools and worksheets for risk assessment for Hereditary Breast and Ovarian Cancer.

Providers assess the tool to see patient risk assessment. Tips on talking with the patient. Patient also receives the flip side of this information.  

A Family Tree is also created. Output available to a PHR.

Mobile

Everyone in the audience has a mobile phone. 3 of the 100+ DON’t have a smartphone.

83% of young adults and 94% of teenagers have mobiles
This is a major growth area for HealthCare – Worldwide. 

Nearly 70% of people worldwide have Cellphones. Versus Internet access at 25%. Fixed phone lines will drop. Mobile broadband is set to explode.

In the USA 64% of subscribers have sent a text to another phone. (March 2010 – Comscore)

Adoption is influenced by the pricing model. 

SMS is secure and can be targeted to  individuals.

HealthCare and Social Media

Doctors tweeting from the Operating Room

WebMD has created Health Exchange. Moderated discussions across a range of acute and chronic conditions.

e-Patients are equipped, enabled, empowered, engaged, equals, emancipated and experts.

26% of doctors have admitted going to Wikipedia to research a medical condition. 

5,000 Medical apps on the iPhone.

74% of health apps are aimed at consumers.

Clinical Decision Support is being aimed at all smartphone platforms and the iPad.
iPad already has an EMR app.

#hcrdu @kalbritton talking about Reigning in online influencers

More real time notes from #HCRDU HealthCampRDU in Durham, NC:

The emerging role of strangers in life and death decisions

The web is changing patient doctor interactions – about 25% of patients come in with research prior to an appointment.

But misinformation makes it harder to deal with patient misconceptions.

You need health information – Where do you go: 1. Doc, 2. Friends/Family, 3. Google

Most influential source: 1. Doctor, 2. Google, 3. Not Sure. – Insurers web sites…. 1% (at the bottom)

Online information changes how a patient treats a condition (58%). 

The doctor is now the second opinion.

86% of Docs search for health information on line….and they start with Google.

How does the web affect the Doc-Patient Relationship?

– It can enrich and facilitate the interaction

We need a Digg for Docs to counter erroneous information

If Docs go to Wikipedia – they need to commit to updating erroneous information. Communally it helps all doctors.

NC has http://familydoctor.org but how do you get these sites with credible information to be prominent in searches.

Physician offices should make recommendations on where to look for information.

People search online for people with similar conditions. 

People with chronic conditions may be less likely to go online BUT WHEN THEY DO they are more likely to blog and participate in forums about their health problems.

The younger generation don’t interact with pharmacists in the same way their parents do. They view pharmacies as chain stores that has devalued the role of the pharmacist.

Health communities online are most appealing because they are available 24×7.

Sara Baker – The Faux Patient on Facebook.

Social Media in Health Care – the genie is out of the bottle.