The Next Wave of Technology: Social Media and Electronic Health Records
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Senior Workers Conference Minneapolis, MN 11/10/2011
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The Next Wave of Technology: Social Media and Electronic Health Records
- 1. The Next Wave of Technology: Social Media and Electronic Health Records John Sharp, MSSA. PMP Cleveland Clinic Cleveland, Ohio
- 2. Outline 1. Electronic Health Records (EHRs) 2. Personal Health Records (PHRs) 3. Home Monitoring 4. Social Media 5. Mobile apps and Apps
- 3. Transforming Health Care Social media, mobile applications and devices are pervasive Electronic Health Records being adopted nationally
- 4. 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
- 5. Vital Signs From VA VistA EMR
- 6. EMR Complexity Visits – scheduling, diagnoses, procedures, vitals, health alerts Orders and Results Medications Notes – discharge, operative Radiology Messages - inbox
- 7. 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
- 8. EMR Adoption Offices with one practicing physician – 30.8% Offices with 26-plus physicians – 75.5 %
- 9. EMRs and Quality of Care
- 10. 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 HealthIT.gov provide safer care at lower costs.
- 12. Types of Personal Health Records Tethered – connected to and populated by an EMR Free Standing – must enter data Microsoft Health Vault Integrated with social networks – data shared with others
- 13. • Request an appointment • Check lab results including graphs • Request prescription refills • Visit summaries • Message provider • In some cases, see family members information
- 14. Integrates with dozens of health tools -exercise, sleep management, diabetes Integrates with home monitoring devices
- 15. 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
- 16. Home Monitoring
- 17. Types of Home Monitoring Blood glucose monitoring Blood pressure Fitbit personal trainer Weight scales Heart rate monitors Peak flow monitors
- 18. Devices becoming smaller and More Portable
- 19. More Home Monitoring via Smart Phones Centre for Global Health Innovation – Toronto Lower cost solutions Proven impact on Heart Failure but no impact on readmission Also studying diabetes management
- 20. Home Monitoring shifting to Remote monitoring Includes monitoring on the go
- 21. 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
- 22. Social Media in Health Care
- 23. Big Four Many hospitals now using actively
- 24. Hospitals using Facebook to Engage with Patients
- 25. Videos popular for seeing and hearing physicians discuss treatments and patient stories
- 26. Twitter – online chats
- 27. Blogs and Online Communities Blog postings with comments Discussion forums Committees around specific diseases and conditions Posting specific information about one’s condition
- 31. 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
- 33. Consumers showing interest in Mobile Health Tools 40% of consumers report 44% interested in body using a device in the past weight scales year to monitor their health or wellness 40% in vital sign monitors 33% are interested in 37% in mobile fitness managing their health devices records online More than half consult their 32% want to use telehealth physicians about use of tools for physician visits these devices
- 34. iPhone and Android Apps 7000 medical apps in iTunes Store Even more in Health and Fitness Health information – WebMD Fitness – RunKeeper – integrates GPS iPharmacy
- 37. 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
- 38. 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
- 39. 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
- 40. 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?
- 41. John Sharp – Social Media Business Card Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Linkedin: www.linkedin.com/in/JohnSharp SlideShare: www.slideshare.net/JohnSharp Questions?