Social Media Trends to Watch for in 2009Tags: social media, physicians, providers, consumers
In 2008 medicine evolved. There was an explosion of social media applications enabling physicians and consumers to share healthcare related information. With 60 million U.S. adults now Health 2.0 consumers according to Manhattan Research, I want to look ahead to the coming year and share, from a physician's perspective, the trends I will be watching for in 2009.
Provider Trends in 2009
Physicians will continue to pour into online communities and physician social networks throughout 2009, but priorities are changing, and we will demand more from the social media services we use - we will see:
The Evolution of Physician Collaboration.
We will embrace resources that offer trusted information and look for more in a site than news feeds or discussions boards. And we will build and use professional networks to help filter the overflow of information and prioritize our learning activities.
Recognition of rapid communication tools as a resource, not a distraction.
Health Systems and provider groups will start to understand the massive potential of instant communication, whether mobile or via microblogging as an information and collaboration resource, and begin to 'unblock' these services for their providers.
Early steps in improving Provider/Industry interaction.
In order to re-establish trust in their interactions with Physicians, Industry will begin to lean towards a more open and balanced exchange of information. Over time, new models will level the playing field with improved transparency between both parties.
Mobile, Mobile, Mobile. Physicians have always been interested in mobile apps for referencing medication doses and practice management resources but with wireless broadband access, faster processors, and slick new devices like the 3G iPhone, more useful and productive apps are bound to appear. Look for mobile apps that go beyond simple reference and calculators to interactive learning, CME, and instant or "store and forward" consultations.
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A Tech-savvy Physician’s View of Patient Social NetworksTags: patient communities, patient social networks
This week I have posted as a guest on Shahid Shah's blog, The Healthcare IT Guy. I discuss how patient focused social networks are impacting how we provide care. Below is an excerpt from the post, which you can read in its entirety here: Guest Article: A Tech-savvy Physician’s View of Patient Social Networks.
Patient social networks are generally either diverse, all purpose communities, such as HealthCentral, MedHelp and RevolutionHealth or disease focused, such as Patients Like Me (neuro-degenerative diseases and mood disorders), Relief Insite (chronic pain), DiabetesMine (diabetes), and I’m Too Young for This (cancer patients from 15-40 years old). As these sites continue to grow in popularity, patients are using these communities to share and discuss daily life struggles or to cope with rare diseases.
(Collage of the many patient social networks)
Ozmosis Unleashes the Power of a Physicians NetworkTags: crowdsourcing, physician networking
On Ozmosis, physicians learn from each other every day. As the only Trusted Physician Network, we enable our members to share clinical and practice management insights (see my blog on migraine therapies). In observing these interactions and reviewing feedback from the community, two key themes continue to emerge.
On Ozmosis, as in medicine, "Trust" and "Access To Your Professional Network" are essential to learning. We have developed the next generation of Ozmosis to drive the exchange of medical knowledge by maximizing the power of a trusted physician network.
Ozmosis now leverages the power of each member's trusted network to deliver more personalized and relevant information to every physician. The new feature set and user interface on Ozmosis drive "Network Powered Knowledge", which means physicians can quickly access personalized content from the sources they trust the most.
By expanding their professional networks, our physician members benefit from the insights shared by colleagues. Upon logging in, personalized information is immediately presented to each physician.
Physicians see questions submitted by members of their network,
number of responses, and relative level of trust from the community
Health 2.0 Day 2: Highlights and MusingsTags: Pharma, Health 2.0, Keas, Athena Health, Sage Software
Day two at the Health 2.0 Conference in San Francisco was just as busy as the first -full of amazing ideas and inspiration.
The day began with Jonathan Bush of Athena Health being interviewed by Chris Lawton of the Wall Street Journal. I was struck by Jonathan's blunt appraisal of the problems in the healthcare system. He was especially aware of the plight of the physician and how to incent them to adopt change (money). While I agree that certain things that cost money will require some financial inducement, I also believe that physicians will ultimately do what is in the best interest of their patients.
There was a great panel on various health technology initiatives from around the world. There is an understanding that mobile apps are the key to improving health and access to healthcare in underdeveloped countries. Deb Levine of ISIS showed off some pretty cool apps for disease prevention (HIV) using SMS (everyone's phone was beeping). James Mathews of Sage Software is one of the best moderators that I have seen - his calm demeanor and extremely insightful commentary was excellent.
There was a strange, but entertaining period where Matthew Holt dared to dress in drag and go through the process of testing a number of 'Consumer Tools' from H20. From genetic testing (23andMe) to apps that check for generic drug equivalents, estimate your savings, and even call the doctor to change the prescription, there are all sorts of fun toys for us to play with. Adam Bosworth unveiled Keas to the world today and it looks like a Consumer Decision Support Tool. It takes in health data from Microsoft Health Vault or Google Health and helps the consumer build a health plan while forecasting outcomes from specific diet, exercise, and other lifestyle changes. It was a bit underwhelming but I suspect we were only seeing the tip of the iceberg.Read more » « Collapse
Health 2.0 Day 1: Quick ReviewTags: Health 2.0
Day 1 of the Health 2.0 Conference in San Francisco this week was the whirlwind that I had expected. Below is a quick snapshot of highlights from the day's events:
The folks from Google Health, Yahoo! Health, WebMD all agreed that "Trust" is an essential part of an online community and the exchange of information, essentially saying that information comes from trust, and trust cannot be forced by simply pushing information.
Organized Wisdom announced that they are creating Provider 'Wisdom Cards' so consumers can learn more about their doctors.
West Shell, CEO of Healthline, had a nice demo of his health search site - he talked about their intelligent ad targeting and how they have built a taxonomy to make the ads more contextually relevant - When searching for "AAA" on a health site, think "Abdominal Aortic Aneurism," not flat tires.Read more » « Collapse
Health 2.0 Pre-Conference Highlights: Provider Social Networks, Pharma, and Consumer SearchTags: Health 2.0
Will you be at Health 2.0? Ozmosis hopes to see you there!
I have the absolute privilege of participating in the Health 2.0 conference this week in San Francisco. Health 2.0 has been defined a number of different ways, but in my view, it's a movement that encompasses the various social web technologies, companies, and ideas that are driving innovation in healthcare and healthcare delivery.
Ozmosis will be highlighted in the Clinical Social Networks panel on Wednesday, October 22. The panel is moderated by Enoch Choi, MD of PAMF and MedHelp. Other panelists include Brijesh Mehta a Co-Founder of MedicalPlexus, Lance Hill the CEO of Within3, Tobin Arthur the CEO of iMedexchange, and Rex Jakobovits the Creator of MyPacs.net.
During the panel, I will be showcasing some of the new personalization and trust features being released shortly on Ozmosis. I will share a more detailed review of the features in an upcoming blog post.
This year’s Health 2.0 conference is full of great sessions and I look forward to seeing many of the other demonstrations and updates from companies and products that I have been following intently. From the Patient-Provider Communication panel I will be watching for new insights from Teladoc, they offer an innovative approach to telemedicine and an affordable solution for access to care. I am going to pay close attention to the Provider Search and Directory panel, where we will see speakers from Consumer Aware, HealthWorldWeb, ZocDoc, and Emphasis Search - provider search and ranking is a very real concern of mine.
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Ozmosis Community Shares Insights on Treating Migraine Headaches
I continue to enjoy the great exchanges of medical knowledge on Ozmosis. As physicians from across the country add their insights to the community, doctors are learning from each other and improving patient care every day. Since the clinical insights shared on Ozmosis can benefit all of us, I intend to highlight, from time to time, what we are learning. In a recent discussion on Migraine Headaches (a common and often vexing affliction that physicians across many specialties deal with), our members collaborated on ways to help Migraine sufferers. Below are some of the key points:
- The treatment of acute and chronic migraines differs greatly across specialty and geography
- Prevention of triggers is useful and worthwhile but can be a compliance challenge
- Anecdotal reports from physicians within the Ozmosis community indicate that Alka Seltzer and Intra-Nasal Lidocaine may be options for treatment of acute migraine
- A recent, industry sponsored study, shows Botox may be efficacious in chronic migraine management and is one of the trusted treatment options in certain cases of chronic migraines among Ozmosis Physicians.Read more » « Collapse
Looming Physician Shortages Continue to Make HeadlinesTags: Obama
The Journal of the American Medical Association (JAMA) published recent survey results that demonstrated a significant decline in the number of medical students who intend to go into Primary Care. An abysmal 2% of students planned to go into Primary Care Internal Medicine and 5% into Family Medicine. This in the face of the aging Baby Boomer population and the obvious need for more physicians to manage their care (estimates are 85,000 physicians short by 2020.)
Family Physicians, general Internists, and Pediatricians make less than 50% of the salaries of some of our specialist counterparts - while this is not the only reason for entering specialties, it contributes. We are in essence paid more to fix problems with procedures than to prevent them with good care. I think Dean Ornish hit the nail on the head with his article "The Collapse of Primary Care" in Newsweek where he states:
For example, insurance companies pay more than $30,000 to amputate a diabetic foot even though most amputations are preventable by scrupulous foot care organized by a primary care doctor for a few hundred dollars and which is often not even covered by insurance or Medicare.
I think once we figure out our priorities as a country, the rest should fall into place - although not without a significant sacrifice from all involved.
Even Barak Obama has indicated that there is a significant problem in the works - this in response to the AAFP Candidate Survey question dealing with Workforce Development: What is your plan to increase the number of medical students who choose family medicine and primary care?
To increase the number of medical students who choose family medicine and primary care, I will expand funding—including loan repayment, adequate reimbursement, grants for training curricula, and infrastructure support to improve working conditions—to ensure a strong workforce that will champion prevention and public health activities.Read more » « Collapse
Terre Haute, Indiana - the Home of actionable solutions in the Primary Care Crisis
In the town of Terre Haute, near Indiana State University (yes, where Larry Bird played basketball) a noble experiment in healthcare innovation is taking place. The Lugar Center for Rural Healthcare is redefining how a Family Medicine Residency Program, a Teaching Hospital (Union Hospital), a Medical School (Indiana University School of Medicine), and a Community (Indiana AHEC) can work together to innovate and develop a sustainable and reproducible model for rural health care.
Their mission, "to prepare and train primary care physicians for successful rural practice," is needed more today than ever before. As the nation confronts the stark realities of a growing primary care shortage, the Lugar Center is focused on using technology and innovative practices to improve medical access for patients and resources for physicians.
MedPedia vs Google Knol: The Medical Knowledge Share Wave Gains Momentum
Announced only last week, Google Knol and MedPedia are already drawing more attention to online collaboration in medicine.
The "Wave" is definitely approaching (see my first Blog post), and whether we are ready or not, the world of medicine is changing. Google Knol and MedPedia represent two of the latest trends, and the question is, which one is worth the ride?
Google Knol (Knol stands for a 'unit of knowledge') is described by Wired as a "Wikipedia-like online encyclopedia penned by authoritative sources", and according to TechCrunch, Medpedia offers an "online collaborative medical encyclopedia". Both build upon earlier wiki based medical resources such as AskDrWiki from the Cleveland Clinic and WikiDoc which is maintained by Harvard. So how are they different?
1. Anyone can register and post a Knol - Google only verifies your identity, not your expertise.
2. Readers can comment on a Knol but cannot directly edit the posting - Knol authors do not appear to be required to maintain or update their Knols.
3. Multiple posts can exist on any topic - Traditional Google search ranks by popularity, not accuracy. Will Google modify their rankings to promote Knols?
1. Experts (MDs, PHDs, etc) will post and review content - This appears to be an exclusive club (I requested an account but have not yet heard back)
2. MedPedia will select their experts - Some have already raised concerns regarding the lack of transparency to the process - Is this just another way for top institutions to market their services?
3. Committees and Boards of experts will oversee the content generated and edited in their fields of expertise. - Is this really any different from todays 'Top Down' approach? How will MedPedia capture and share the collective knowledge of the medical community, i.e. is this scalable?
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Videos From Social Media Experiment at UVA
What happens when you take two innovative, social media companies, add a room full of intelligent and knowledgeable physicians and turn on the camera and bright lights? The answer is, tons of fun and and some great videos with clinical insights. The Doctors Channel has produced the first videos from our social media experiment at the UVA School of Medicine, which are NOW LIVE!
These videos are also being viewed and discussed by the physicians who were featured in them. Members of Ozmosis can watch the videos and join in the discussion. The beauty of the project is that not only can physicians access these clinical pearls anytime, but on Ozmosis, we may also directly engage and discuss the information with the 'stars' themselves. While in Charlottesville, I also had the opportunity to present, "How Physicians Can Use Social Media to Improve Medicine", (see authorSTREAM presentation below) at UVA's Grand Rounds.
During the presentation, we had some great discussions about how physicians can use social media and social networking tools (thanks David Rothman) to mix evidence with experience, enable more meaningful and more frequent exchanges with our peers, connect physicians across geographies and bridge the gap between academia and the trenches.
Jason Bhan, MD Co-Founder, OzmosisRead more » « Collapse
Medicare Payment: Not the Whole Problem
On July 10, the U.S. Senate approved legislation that will delay cuts in Medicare reimbursements to physicians. Already passed by the House of Representatives and on its way to the White House, the bill delays the scheduled 10.6 percent cut for 18 months and provides a 1.1 percent increase in reimbursements to physicians and bonuses for doctors serving in rural communities.
Despite these short-term changes, physicians remain vigilant about the future of Medicare. Will we be able to continue to care for Medicare patients, let alone take on new ones? Unfortunately, the situation is far more complex than the general public believes. The problems we have in caring for older patients reach far beyond possible restrictions in Medicare payment.
We, as physicians, need to engage in dialogue on how to care for patients with serious chronic conditions. Now projected as the leading cause of disability by 2020, chronic conditions are draining the U.S. healthcare system. Heart disease alone cost some $400 billion in 2006, says The Silver Book, while diabetes has increased 50 percent in the last 10 years, according to the National Diabetes Information Clearinghouse. Diabetes now affects some 20.8 million people, but will double by 2020. At the same time, cancer’s price tag is more than $70 billion a year, says the Agency for Research and Quality.Read more » « Collapse
Social Media Experiment at UVA Grand Rounds
Ozmosis and The Doctor’s Channel To Examine How Physicians View Social Media During UVA Grand Rounds And Video Shoot
- When – Friday, June 27, 2008
- What – Physician Video Shoot Hosted by Ozmosis and The Doctor’s Channel at Family Medicine Grand Rounds (Video interviews in studio at UVA Hospital West Complex)
- Where – University of Virginia School of Medicine and Hospital, Charlottesville
3G iPhone, Health2.0 and a World of Possibilities
Steve Jobs announced the long awaited 3G iPhone or iPhone 2.0 yesterday. The new devices will be available July 11, 2008 and start at $199 for the 8 gig version (AT&T contract required). (See the initial Engadget review of the iPhone. While the majority of consumers will easily become enamored with the new phone's faster Web surfing speeds, slimmer profile and global positioning system (GPS) support, physicians and healthcare professionals must ask more relevant and intriguing questions: What kind of impact, if any, will the speedier iPhone have on healthcare and medicine? How will it help transform physician practice and care delivery? What's its potential for reducing medical errors and ensuring quality of care? Physicians who are optimistic and enthused about the e-medicine revolution eagerly await the launch of Apple's App Store, through which Apple will offer iPhone applications from third-party developers.Read more » « Collapse
Missing in Action: A Call for Physician Leadership and Involvement in E-Health Innovation
A May 2008 American College of Physicians (ACP) report focuses on e-health. "E-health is an emerging field in the intersection of medical informatics, clinical practice, public health, and business," says the ACP in E-Health and Its Impact on Medical Practice. The ACP further describes e-health as "health services and information delivered or enhanced through the Internet and related technologies." ACP uses its report to cover three major areas of e-health: telemedicine, patient use of the Internet as a health information source and personal health records (PHRs).
As health policy analyst Jane Sarasohn-Kahn writes in her blog, the ACP report demonstrates that physicians are embracing e-health. Interestingly, the report does not mention a new, powerful and emerging area of e-health: Internet technologies designed exclusively by and for physicians. Physicians' use of these technologies has already demonstrated a potential to improve patient care, as evidenced in research in the Journal of Public Health Management and Practice, and in an Information Week report, "Physicians Leaning More on Internet Technologies".Read more » « Collapse
Resist Change or Join the Online Revolution: A Physician’s Dilemma and Opportunity
I enjoy taking a look back at a 2004 article published in the British Medical Journal entitled “Easy Ways to Resist Change in Medicine.”
Written by two evidence-based medicine gurus, the article satirizes the tactics physicians use to obstruct and resist change.
Of course, physicians aren’t alone in resisting change. The reasons for knee-jerk responses to change are numerous and entirely understandable. Among them:
- Fear of failure
- No obvious need
- Loss of control
- Fear of the unknown
- Unwillingness to learn
- Lack of support
- Fear that the new way won’t be any better
- Close mindedness
- Lack of money
Most of us have been guilty of these behaviors at some point in our professional lives. And yet, as physicians, we can no longer resist the dramatic shift in online health and medicine. The stakes are just too high and we can’t afford to miss another opportunity.Read more » « Collapse
Searching for Doctor Right
At the AMA’s 28th Annual Medical Communications Conference, held April 16-18, 2008, in San Diego, I had the opportunity to serve as a panelist for a session on social media in medicine. The audience featured media savvy professionals, many of whom were physicians. I could not have asked for finer fellow panelists than Craig Stoltz, one of Time’s Top 25 Bloggers, David Rothman, an expert on online search and medical web technology, and Eric Wright, our video guru from DSS.
I was struck by the level and quality of group participation and the questions surrounding new and innovative uses of the Web. We spent time discussing Web Presence, how and when to blog or distribute videos, the rationale behind Search Engine Optimization(SEO), and how patients search for their physicians on Google. If physicians aren't actively involved in enhancing their Web presence, potential patients are likely to find search results from a physician rating site or—even worse—no results at all. Since so many Web sites mention a physician by name (even Zagats offers physician ratings now), it’s virtually impossible for the average physician to provide adequate monitoring and surveillance. At a minimum we should check our reviews on the more significant rating sites, including Healthgrades (http://www.healthgrades.com) and RateMD (http://www.ratemd.com).Read more » « Collapse
The Wave Is Approaching, Are We Ready?
Over the past few years, we have seen increased use of social media throughout healthcare. Consumers are utilizing new online communities and tools to help make healthcare decisions. According to a recent survey, the Internet is the most widely used resource for health information: 59% of adults use online resources to obtain health and wellness information, 55% go to their doctors and 29% talk to relatives, friends or co-workers. (iCrossing Survey) Innovators such as Patients Like Me, Inspire, ChangeHealthcare, ReliefInsite, and many others are empowering patients and helping to improve care.Read more » « Collapse