Health 2.0 in the doctor's office introduction

Indu Subaiya, MDMatthew Holt

Source: Harris Interactive

2007160 million adults

84% of those online

The Rise of the CyberChondriacs

What the hell is Web 2.0?

Web 2.0 Ecosystem

Source: Tim O’Reilly What is Web2.0, 9/2005

Web 2.0: O’Reilly’s Core Competencies

• Services, not packaged software

• Data sources that get richer as more people use them

• Trusting users as co-developers

• Harnessing collective intelligence

• Leveraging the long tail through customer self-service

• Software above the level of a single device

• Lightweight user interfaces

Services, not packaged software

Data sources that get richer as

more people use them

Trusting users as co-developers

Harnessing collective intelligence

Leveraging the long tail through customer self-service

Software above the level of a single device

Lightweight user interfaces

Easy Development Platforms

What the hell is

?

“...Social software and lightweight tools that promote collaboration between... stakeholders”

- Matthew Holt and Jane Sarasohn-Kahn

“...Social software and lightweight tools that promote collaboration between... stakeholders”

- Matthew Holt and Jane Sarasohn-Kahn

“... all the constituents focus on health value…improving safety, efficiency and quality of healthcare”

- Scott Shreeve

“... all the constituents focus on health value…improving safety, efficiency and quality of healthcare”

- Scott Shreeve

"health 2.0 is participatory healthcare... we the patients can be effective partners in healthcare.”

- Ted Eytan

"health 2.0 is participatory healthcare... we the patients can be effective partners in healthcare.”

- Ted Eytan

What is “Health 2.0”Matthew Holt’s best guess at the constituent parts

• Personalized search

• Communities

• Intelligent tools

• Integration of data with contentAnd not just a maybe….

Technologies fusing as patients increasingly guide their own care

Social Networks

Tools

Search

Content

TransactionData

Health 2.0

The new search

Intelligent Communities

Tools intelligently presenting content

A Continuum of Health 2.0?

User-generated health care

Users connect to providers

Partnerships to reform delivery

Data drives decisions and discovery

User-generated health care

A Continuum of Health 2.0?

User-generated health care Patients connect to

providers

A Continuum of Health 2.0?

Social Media & Web 2.0 Online care

A New Generation of Telemedicine

Online Services: Barbarians at the Gates

Asynchronous Care

Patients Connect with Providers

Services Come Home

?

The Future Role of the Doctor

1. Personalized

2. Analytical

3. Supporting Decisions

4. Enabling Transactions

Emergence of Consumer-Focused Tools

That’s all background…

…for why this matters tophysicians

CPOE in 4% of hospitals

….planned in 17%

(Leapfrog Group 2004)

Source: Harris Interactive, BCG 2002, CDC 2006

2006 physician EMR data

9% use it all the time

25% in part (CDC 2006)

Actually made it to ~7% 2006

2008 physician EMR data

20% use it all the time

38% in part (CDC 2006)

The ever-so-slow EMR uptake

Source: Harris Interactive 2002

EMR Use: The N factor

Netherlands 88% Norway 90% NZ 80%

8 years ago!

EMRs: Yes We Can!

EMR Evolution$34 BillionHITECH

And why WE’re here…

EMRs — Not patient friendly

(Provider friendly?) Health care IT— Not connected to Web

2.0 Technology Health 2.0 is an innovation community Health 2.0 is a different conference