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Dec 2012 screen shot of http://www.health2con.com/conferences
Image courtesy © of Zephyr Technology Corp.
http://www.zephyr-technology.com/store/mhealth.html
http://www.smartphonehc.com/2012/12/03/smart-socks-helps-parents-sleep-easier/




               Watch the video that appears next.
Dec 2012 screen shot of http://www.health2news.com
Web 2.0: Connecting
          Creating
          Contributing
Exciting new applications and sites pop up with
             surprising regularity.


              Creativity    Communication




   Hosted                            Collaboration
   Services
                           Web
                           2.0
The Past & The Present: Side by Side
       Web 1.0 (1994-2001)               Web 2.0 (2002-)


Read                             Read/Write
Personal web pages /             Communities and Services
directories / corporations
                                 Google™, MySpace®, Digg™, Fa
AOL®, Netscape®, Yahoo®
                                 cebook®, YouTube™, Flickr™, D
1-way medium                     elicious™
Surfing - Browsing - Consuming
                                 Connecting - Creating -
                                 Collaborating - Sharing
BLOG


        +          +             +


post        read       comment       feed
 text
audio
video
photo
Here’s an example of a health related blog.




    Dec 2012 screen shot of http://thehealthcareblog.com/blog/category/health-2-0/
WIKI


              +                 +          +

content           collaborate       edit       save
text in web
   pages
Here’s an example of a health related wiki.




   http://health20.org/wiki/Main_Page
Here’s an example of a health related wiki.




  http://www.medpedia.com/
PODCAST / VODCAST


        +          +        +

                                media
audio       feed   podcatcher
                                player
video
Here’s an example of a health related podcast.




    iTunes screenshots courtesy of Apple
Here’s an example of a health related podcast.




    iTunes screenshots courtesy of Apple
PODCAST TOOLS




Product images © and courtesy of Apple, Sansa, and IBM
MULTIMEDIA HOSTING


          +              +           +

content       web host       embed       share
 video
 audio
 photo
              Watch the video that appears next.
SOCIAL BOOKMARKING


        +              +         +

web
            bookmark       tag       share
sites
Here’s an example of a saved list
       of links tagged “Health 2.0”.




Dec 2012 screen shot of http://diigo.com/user/sjctrainers/health2
SOCIAL NETWORKING/MEDIA


            +               +


                community       connections

interests
TWITTER
LINKEDIN




Dec 2012 screen shot of www.linkedin.com/groups/Health-20-80236/about
FACEBOOK




Dec 2012 screen shot of http://www.facebook.com/Health2.0NYC
PINTEREST




Dec 2012 screen shot of http://pinterest.com/baylorhealth/
SOCIAL NETWORKING SITES




            Photo above courtesy of Somewhat Frank's Flickr
            photostream.
PORTALS
                 Image © flickr user mike@firstsightimages.co.uk




             +                                                     +

content                   central                                      connections
(anything)              entry point                                    (people & systems)
Here’s an example of a portal site.




Dec 2012 screen shot of http://my.yahoo.com
                                              Watch the video that appears next.
Here’s an example of a health portal site.




                                              Watch the video that appears next.
   March 2010 screen shot of http://revolutionhealth.com
But, where is the site today?




Article from http://www.fiercehealthit.com/story/revolution-health-kills-its-phr/2010-02-01 and
Dec 2012 screen shot of http://everydayhealth.com
PORTAL CREATION SITES

General portal sites




 Health portal sites




 Key component of
 a portal
VIRTUAL WORLDS


                                        +                      +



3D environments                                   characters       interaction
                                                   (Avatars)
Avatar courtesy of Flickr photostream of Torley
‘In world’ screen shots courtesy of Linden Labs
VIRTUAL WORLDS - Webkinz

The young ones
already know about
social networking
and virtual worlds.




                                              Image courtesy of WebKinz.com
  Watch the videos that appear next showing Virtual Worlds, Augmented
                        Reality and Convergence.
So what does this mean for the
     Healthcare world?
Patients            Payers


           Health
            2.0


Places          Physicians
Health 2.0
Definition: "New concept of health care wherein
all the constituents … focus on health care value
(outcomes/price) and use disruptive innovation
as the catalyst for increasing access, decreasing
cost, and improving the quality of health care."

From Crossover Health Blog – Dr. Scott Shreeve -
http://blog.crossoverhealth.com
Breakdown of
Health 2.0 Tools

- Consumer Mobile/Web Apps
- Search and Information
- Medical Records
- Connecting to Health Professionals
- Health Portal Spaces
- Community
- Blogs, Videos, etc.
Take Two Aspirin and Tweet Me
       in the Morning

 Google Health Opens Pandora
     Box of PHR Sharing
Web 2.0 Tools And Its (Possible) Use
          In Medicine
 A Diabetes Mentor in Your Cell
                  Phone
 Survey: 13 percent of health devices are
              connected

'Wisdom Of The Crowd' Online Bodes
       Well For Better Care
Reliefinsite.com, a site that allows people to
map, monitor and analyze their pain




                                          Image © courtesy of Reliefinsite
Health & Fitness apps in Apple’s App Store (as of Dec 2012)




Image courtesy of iTunes App Store – screen shot from Dec 2012
Medical apps in Apple’s App Store (as of Dec 2012)




Image courtesy of iTunes App Store – screen shot from Dec 2012
Health & Fitness apps in Google’s Android Market (Top Free
Health related apps week of Dec 10, 2012)




    Image courtesy of Google’s Android Market – screen shot from Dec 2012
Medical apps in Google’s Android Market (Top Free Health related
apps week of Dec 10, 2012)




    Image courtesy of Google’s Android Market – screen shot from Dec 2012
Health/Medical apps in Google’s Android Market (week of Dec 10, 2012)




      Image courtesy of AppBrain.com – screen shot from Dec 2012
Image courtesy of www.mobihealthnews.com – screen shot from April 2011
From Feb-Sept 2010, health
related apps on 3 major phone
OSs grew 78%
[Mobihealthnews http://mobihealthnews.com/9396/number-of-
smartphone-health-apps-up-78-percent/]



2012: 31% of cell phone
owners have used their phone
to look up health info (was
17% in 2010)
[Pew Research Center survey 2012]
 http://www.pewinternet.org/Reports/2012/Mobile-Health.aspx
Image courtesy of www.informationweek.com/news/healthcare – screen shot from November 2011
Image courtesy of www.informationweek.com/news/healthcare – screen shot from November 2011
Will Social Media Transform Medicine?
http://www.businessweek.com/magazine/content/08_50/b4112058194219.htm
By Catherine Arnst




2006: 80% of adult Internet users in the U.S.—some 113
million people—searched for health information
Will Social Media Transform Medicine?
http://www.businessweek.com/magazine/content/08_50/b4112058194219.htm
By Catherine Arnst




2008: Moving beyond passive searches to interactive
forums, blogs, and other social media
[Pew Research Center survey 2008]
Pew Internet & American Life Project
Health Topics http://pewinternet.org/topics/Health.aspx




2010: Symptoms and treatments continue to dominate
internet users’ health searches.
[Pew Research Center survey 2010]
Pew Internet & American Life Project
Health Topics http://pewinternet.org/topics/Health.aspx




2012: The typical search for health information is on
behalf of someone else -- information access by proxy.
[Pew Research Center survey 2012]
Healthvault.com, a site that allows people to store a personal
health record




       Dec 20120 screen shot of Microsoft Healthvault.com
Patientslikeme.com, gives patients the power to control their disease & to
share what they learn w/others




                                              Dec 2012 screen shot of Patientslikeme.com
Exanwellness.Com, the portal includes 27 self-
assessments, interactive programs, and planners.




                                 Image © courtesy of Exanwellness.com
Mobile Access to Information
SOUTH AFRICA




Public health workers in South Africa now send
text messages to tuberculosis patients with
reminders to take their medication.

                         Image courtesy of PBS’s the Online Newshour 2008
KENYA
                                   Nurses in Kenya’s local
                                   hospitals send a text
                                   message to the nation’s
                                   central blood repository to
                                   automatically schedule a
                                   fresh delivery when blood
                                   supplies are running low.



     2008: 5.6 million cell phone subscribers in Kenya

2008: Only about 200,000 Kenyan households have electricity


                                      Image and text courtesy of Popsci.com
INDIA




India’s Freedom HIV/AIDS initiative uses mobile phone games to
educate people about HIV/AIDS (2.5 million with HIV - 3rd highest in
world) .

Launch = 9 million handsets
Now = 40 million handsets in Asia and Africa
Download of 10.3 million game sessions in 15 months from its
launch
(Freedom HIV/AIDS, 2008)
                                         Images © courtesy of www.freedomhivaids.in
Microsoft Future Vision: Healthcare

   Watch the video that appears next
   to end with a gaze into the future.

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Web 2 Health 2 Presentation

  • 1. Dec 2012 screen shot of http://www.health2con.com/conferences
  • 2. Image courtesy © of Zephyr Technology Corp. http://www.zephyr-technology.com/store/mhealth.html
  • 3.
  • 5. Dec 2012 screen shot of http://www.health2news.com
  • 6. Web 2.0: Connecting Creating Contributing
  • 7. Exciting new applications and sites pop up with surprising regularity. Creativity Communication Hosted Collaboration Services Web 2.0
  • 8. The Past & The Present: Side by Side Web 1.0 (1994-2001) Web 2.0 (2002-) Read Read/Write Personal web pages / Communities and Services directories / corporations Google™, MySpace®, Digg™, Fa AOL®, Netscape®, Yahoo® cebook®, YouTube™, Flickr™, D 1-way medium elicious™ Surfing - Browsing - Consuming Connecting - Creating - Collaborating - Sharing
  • 9. BLOG + + + post read comment feed text audio video photo
  • 10. Here’s an example of a health related blog. Dec 2012 screen shot of http://thehealthcareblog.com/blog/category/health-2-0/
  • 11. WIKI + + + content collaborate edit save text in web pages
  • 12. Here’s an example of a health related wiki. http://health20.org/wiki/Main_Page
  • 13. Here’s an example of a health related wiki. http://www.medpedia.com/
  • 14. PODCAST / VODCAST + + + media audio feed podcatcher player video
  • 15. Here’s an example of a health related podcast. iTunes screenshots courtesy of Apple
  • 16. Here’s an example of a health related podcast. iTunes screenshots courtesy of Apple
  • 17. PODCAST TOOLS Product images © and courtesy of Apple, Sansa, and IBM
  • 18. MULTIMEDIA HOSTING + + + content web host embed share video audio photo Watch the video that appears next.
  • 19. SOCIAL BOOKMARKING + + + web bookmark tag share sites
  • 20. Here’s an example of a saved list of links tagged “Health 2.0”. Dec 2012 screen shot of http://diigo.com/user/sjctrainers/health2
  • 21. SOCIAL NETWORKING/MEDIA + + community connections interests
  • 23. LINKEDIN Dec 2012 screen shot of www.linkedin.com/groups/Health-20-80236/about
  • 24. FACEBOOK Dec 2012 screen shot of http://www.facebook.com/Health2.0NYC
  • 25. PINTEREST Dec 2012 screen shot of http://pinterest.com/baylorhealth/
  • 26. SOCIAL NETWORKING SITES Photo above courtesy of Somewhat Frank's Flickr photostream.
  • 27. PORTALS Image © flickr user mike@firstsightimages.co.uk + + content central connections (anything) entry point (people & systems)
  • 28. Here’s an example of a portal site. Dec 2012 screen shot of http://my.yahoo.com Watch the video that appears next.
  • 29. Here’s an example of a health portal site. Watch the video that appears next. March 2010 screen shot of http://revolutionhealth.com
  • 30. But, where is the site today? Article from http://www.fiercehealthit.com/story/revolution-health-kills-its-phr/2010-02-01 and Dec 2012 screen shot of http://everydayhealth.com
  • 31. PORTAL CREATION SITES General portal sites Health portal sites Key component of a portal
  • 32. VIRTUAL WORLDS + + 3D environments characters interaction (Avatars) Avatar courtesy of Flickr photostream of Torley ‘In world’ screen shots courtesy of Linden Labs
  • 33. VIRTUAL WORLDS - Webkinz The young ones already know about social networking and virtual worlds. Image courtesy of WebKinz.com Watch the videos that appear next showing Virtual Worlds, Augmented Reality and Convergence.
  • 34. So what does this mean for the Healthcare world?
  • 35. Patients Payers Health 2.0 Places Physicians
  • 36. Health 2.0 Definition: "New concept of health care wherein all the constituents … focus on health care value (outcomes/price) and use disruptive innovation as the catalyst for increasing access, decreasing cost, and improving the quality of health care." From Crossover Health Blog – Dr. Scott Shreeve - http://blog.crossoverhealth.com
  • 37. Breakdown of Health 2.0 Tools - Consumer Mobile/Web Apps - Search and Information - Medical Records - Connecting to Health Professionals - Health Portal Spaces - Community - Blogs, Videos, etc.
  • 38. Take Two Aspirin and Tweet Me in the Morning Google Health Opens Pandora Box of PHR Sharing Web 2.0 Tools And Its (Possible) Use In Medicine A Diabetes Mentor in Your Cell Phone Survey: 13 percent of health devices are connected 'Wisdom Of The Crowd' Online Bodes Well For Better Care
  • 39.
  • 40. Reliefinsite.com, a site that allows people to map, monitor and analyze their pain Image © courtesy of Reliefinsite
  • 41. Health & Fitness apps in Apple’s App Store (as of Dec 2012) Image courtesy of iTunes App Store – screen shot from Dec 2012
  • 42. Medical apps in Apple’s App Store (as of Dec 2012) Image courtesy of iTunes App Store – screen shot from Dec 2012
  • 43. Health & Fitness apps in Google’s Android Market (Top Free Health related apps week of Dec 10, 2012) Image courtesy of Google’s Android Market – screen shot from Dec 2012
  • 44. Medical apps in Google’s Android Market (Top Free Health related apps week of Dec 10, 2012) Image courtesy of Google’s Android Market – screen shot from Dec 2012
  • 45. Health/Medical apps in Google’s Android Market (week of Dec 10, 2012) Image courtesy of AppBrain.com – screen shot from Dec 2012
  • 46. Image courtesy of www.mobihealthnews.com – screen shot from April 2011
  • 47. From Feb-Sept 2010, health related apps on 3 major phone OSs grew 78% [Mobihealthnews http://mobihealthnews.com/9396/number-of- smartphone-health-apps-up-78-percent/] 2012: 31% of cell phone owners have used their phone to look up health info (was 17% in 2010) [Pew Research Center survey 2012] http://www.pewinternet.org/Reports/2012/Mobile-Health.aspx
  • 48. Image courtesy of www.informationweek.com/news/healthcare – screen shot from November 2011
  • 49. Image courtesy of www.informationweek.com/news/healthcare – screen shot from November 2011
  • 50. Will Social Media Transform Medicine? http://www.businessweek.com/magazine/content/08_50/b4112058194219.htm By Catherine Arnst 2006: 80% of adult Internet users in the U.S.—some 113 million people—searched for health information
  • 51. Will Social Media Transform Medicine? http://www.businessweek.com/magazine/content/08_50/b4112058194219.htm By Catherine Arnst 2008: Moving beyond passive searches to interactive forums, blogs, and other social media [Pew Research Center survey 2008]
  • 52. Pew Internet & American Life Project Health Topics http://pewinternet.org/topics/Health.aspx 2010: Symptoms and treatments continue to dominate internet users’ health searches. [Pew Research Center survey 2010]
  • 53. Pew Internet & American Life Project Health Topics http://pewinternet.org/topics/Health.aspx 2012: The typical search for health information is on behalf of someone else -- information access by proxy. [Pew Research Center survey 2012]
  • 54. Healthvault.com, a site that allows people to store a personal health record Dec 20120 screen shot of Microsoft Healthvault.com
  • 55. Patientslikeme.com, gives patients the power to control their disease & to share what they learn w/others Dec 2012 screen shot of Patientslikeme.com
  • 56. Exanwellness.Com, the portal includes 27 self- assessments, interactive programs, and planners. Image © courtesy of Exanwellness.com
  • 57. Mobile Access to Information
  • 58. SOUTH AFRICA Public health workers in South Africa now send text messages to tuberculosis patients with reminders to take their medication. Image courtesy of PBS’s the Online Newshour 2008
  • 59. KENYA Nurses in Kenya’s local hospitals send a text message to the nation’s central blood repository to automatically schedule a fresh delivery when blood supplies are running low. 2008: 5.6 million cell phone subscribers in Kenya 2008: Only about 200,000 Kenyan households have electricity Image and text courtesy of Popsci.com
  • 60. INDIA India’s Freedom HIV/AIDS initiative uses mobile phone games to educate people about HIV/AIDS (2.5 million with HIV - 3rd highest in world) . Launch = 9 million handsets Now = 40 million handsets in Asia and Africa Download of 10.3 million game sessions in 15 months from its launch (Freedom HIV/AIDS, 2008) Images © courtesy of www.freedomhivaids.in
  • 61. Microsoft Future Vision: Healthcare Watch the video that appears next to end with a gaze into the future.

Editor's Notes

  1. Let me start by saying this topic, Health 2.0, is so big and so wide that there are multiple, worldwide, conferences devoted to this topic since 2007!
  2. What is great about this visual is the appearance of a convergence of multiple networks, systems, processes and technologies. While I have no idea if the product from Zephyr is useful or valuable, the concept behind it is where we will see healthcare and IT merge in the next few years.
  3. Take it one step further and you don’t have to wear a device…it is embedded directly into your clothing! Same company partnering with AT&T to create a new line of clothing. These are offered up as examples of where we may be headed in a Health 2.0 world.
  4. Students at Brigham Young University have created what they call The Owlet baby monitor. This device is supposed to help combat SIDS, which is the leading cause of death for infants in the United States. It is a sock-like monitor that is placed on a baby’s foot while they sleep, and uses pulse oximetry to indicate if a child stops breathing, has low-levels of blood-oxygen, or irregular vital signs. The creators hope that it will help alert parents to potentially fatal and harmful situations
  5. Sites have sprung up every month devoted to Health 2.0. Let’s now step back and take a look at how we’ve come this far using a variety of connected technologies.
  6. Tell Audience Up Front:This session is jammed pack with information. Do not try to furiously copy everything you see and hear. All session materials will be available on a web page for you to view after. Welcome notes:Welcome to our session. This is an exciting time in both education and the health care world! You have an opportunity to engage with one another like never before.. All of these tools (refer to graphic)are available at your fingertips from a web browser. [Point to a few recognizable ones] [click]
  7. Briefly speak of the components of a web 2.0 tool, web site , or application.Components of Web 2.0:1. Hosted services - delivering (and allowing users to use) applications entirely through an internet browser using a rich, interactive, user-friendly interface (SaaS = “Software as a Service”)2. Creativity - Users create, own, and exercise control over content3. Communication - social-networking functions, IM, chat, 4. Collaboration - content sharing, collaborative authoring, tagging, and commentingCommon features of Web 2.0 web sites:Requires login user name and passwordPublic vs Private Can others contribute?Ability to embed content from one site into another
  8. In a side by side review you can clearly see the distinctions between Web 1.0 and 2.0.Right now the single-feature focus of Web 2.0 technologies is prevalent on the web. Flickr=share picturesYouTube=share videosDigg=read popular stories, etc.)Use quote if needed or if it fits in:“Web 2.0 seems to be like Pink Floyd lyrics. It can mean different things to different people depending on the state of your mind.” - Kevin Maney, tech blogger
  9. In summary:Posts (text, video, audio, photos, etc.) + read + comment + feed = blog
  10. Blog Screen Shot – focus on structure of the blog with posts, link to comments, and related content down side
  11. In summary:Content (text in web pages) + collaborate + edit + save = wiki
  12. Wiki Screen Shot = focus on structure of wiki and collaborative efforts via Edit link at the top. Ability to check page history and roll back pages as needed.
  13. Wiki Screen Shot = popular now, but who is editing content? Verifiable, trustworthy, accurate?
  14. In summary:Audio/video file + feed + podcatcher software (iTunes) + audio/video player = podcast (vodcast)
  15. Health related podcast Screen ShotPlay it on iPod if possible75% of podcast listened to on computer, not portable device
  16. Health related podcast Screen ShotPlay it on iPod if possible75% of podcast listened to on computer, not portable device
  17. Podcast / Vodcast(video broadcasts) :: very similar to subscribing to a daily newspaper and having it delivered directly to your door. That is a constant source of new information delivered to you.The act of simply creating and audio file and making it available to students is not considered podcasting. There are a few other steps involved.Step 1 - Create your MP3 filesStep 2 -  Create your Podcast RSS file and update it with the latest MP3Step 3 -  Upload your audio file and the RSS file to a hosting web siteStep 4 - The podcatcher software on the user end will “automatically” grab the newest audio fileYou don't need an iPod to listen to a podcast. Extra notes to explain the podcatcher if needed:Basically, these types of programs (podcatchers) 'ask' the podcasters hundreds of times a day 'Do you have a new show ready yet?' If their computer says ‘No’ than your podcatcher program says 'Ok, but I'll be back later to check again.' This goes on hundreds of thousands of times a day--little requests between computers that do not even require your attention. It just happens, until their computer comes back and says "Why yes, we do have a new podcast show ready. Here you go".
  18. In summary:Content (video, audio, photo)+ web host + embed + share = multimedia hosting
  19. In summary:Web sites + bookmarks (favorites) + tags + share = social bookmarking
  20. Social Bookmarking Screen Shot = How do you store and keep track of all the great health web sites you find?
  21. In summary:Interests + Community + Connections = Social Networking
  22. Already doctors use Twitter to ask for help and share information about procedures. At Henry Ford Hospital in Detroit, surgeons and residents twittered throughout a recent operation to remove a brain tumor from a 47-year-old man who has seizures.Screen shot of Paper.li #Healthit Twitter Daily (all content is aggregated in the form of tweets that use the hashtag #healthit) and some related tweets listed in the app Twhirl.
  23. There a good deal of Health 2.0 related groups on LinkedIn and lots of discussions and opportunities to connect to professionals in the field.
  24. Image sharing sites like Pinterest, Instagram, Flickr, and others provide a community around the sharing of healthcare related pictures and topics.
  25. Social Networking Logos
  26. Portals – define and example - A web portal, also known as a links page, presents information from diverse sources in a unified way. A single point of access to a variety of information and tools.
  27. Example of portal site – my.yahoo.com – a variety of content is aggregated in one place via one login
  28. Example of health portal site – revolutionhealth.com – design and agregate your own content
  29. On October 3, 2008, Revolution Health announced that it would merge with Waterfront Media , which operates the Everyday Health Network, in a deal valued at $300 million. http://en.wikipedia.org/wiki/Revolution_Health_Group
  30. Portal Logos – key component here is the personalization feature (MY …)
  31. In summary:Environments + characters (Avatars) + interaction = virtual world
  32. Virtual Worlds cont’d-One of the more complex Web 2.0 tools to implement because of the technical aspects of the VW and the level of intricacy involved in the worlds. -However, know that your students have most likely experienced these and grown up within these worlds! They start in WebKinz (ages4+) or ClubPenguin, move into creating their own worlds in The Sims (preteen), and then into the popular Second Life (teen+).-"Do you think kids want these stuffed animals because they are cute? No, it's because they can immediately go online into the webkinz virtual world to see what else they got with the animal and then invite friends into their "rooms" to play.” -They "graduate" from this virtual world into another and then another.
  33. How do Web 2.0 tools fit into the Healthcare world?
  34. Definition: "New concept of health care wherein all the constituents (patients, physicians, places, and payers) focus on health care value (outcomes/price) and use disruptive innovation as the catalyst for increasing access, decreasing cost, and improving the quality of health care."
  35. Good definition of Health 2.0 from Crossover Health Blog
  36. These are the major components of Health 2.0 Tools (web sites, apps, devices, etc.)
  37. Headlines from health related blogs and sites
  38. Social sites (YouTube & Technorati & ) health 2.0 tags
  39. Great site for tracking pain daily/weekly. Example of user created web based content
  40. Find applications for the web and iPhone/iPod
  41. Find applications for the web and iPhone/iPod
  42. Find applications for Android Market
  43. Find applications for Android Market
  44. Find applications for Android Market
  45. Find applications for the web and iPhone/iPod
  46. FDA wants to get into the mix and regulate apps. They are doing for some (ultrasound via smart phone and showing xrays), but want to review and regulate a larger share.
  47. One of the bigger concerns in the healthcare world now centers around securing mobile devices. Implications for compromised, lost, and stolen devices here are broad and wide.
  48. Mention other sites like Google Health, Keyose (no personally identifiably info supplied – only get a pin #)
  49. Community orientated sites like Patientslikeme.com
  50. Corporate health portal sites
  51. What are under-developed nations doing with mobile devices? South Africa, India, & Kenya as brief examples.
  52. While sending a text may not seem like the most logical way to go about solving the problem of blood shortages, consider this: There are more than 5.6 million cell phone subscribers in Kenya, despite the fact that only about 200,000 Kenyan households have electricity.
  53. What is the vision for the future of Health IT? How far are we from this world?