Senior Workers Conference Minneapolis, MN 11/10/2011

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.

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, 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

30. Sharing ALS Status

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

32. Mobile Applications

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?