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The Next Wave of Technology: Social Media and Electronic Health Records

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Senior Workers Conference
Minneapolis, MN

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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 RecordsJohn Sharp, MSSA. PMPCleveland ClinicCleveland, Ohio
  2. Outline1. Electronic Health Records (EHRs)2. Personal Health Records (PHRs)3. Home Monitoring4. Social Media5. 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 patients 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.
  11. Personal Health Records
  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, diabetesIntegrates 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 andMore Portable
  19. More Home Monitoringvia 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 toRemote monitoringIncludes 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 Facebookto Engage with Patients
  25. Videos popular for seeingand hearing physiciansdiscuss treatments andpatient 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
  28. Sharing ALS Status
  29. 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
  30. Mobile Applications
  31. Consumers showing interest inMobile 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
  32. iPhone and Android Apps 7000 medical apps in iTunes Store Even more in Health and Fitness Health information – WebMD Fitness – RunKeeper – integrates GPS iPharmacy
  33. 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
  34. Cusp of the a Revolution inHealthcare 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
  35. 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
  36. 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?
  37. John Sharp – Social Media Business Card Blog: Twitter: @JohnSharp Linkedin: SlideShare: