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