how informatics will change the future of pharmacy
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How Informatics
Will Change the
Future of
Pharmacy
Kevin A. Clauson, PharmD
Objectives
Define and discuss informatics
terminology and tools in healthcare
Explore the potential and practices of
mHealth
Consider risks associated with
informatics applications
A glimpse ahead into the future of healthcare
Fundamentals of
Informatics
Informatics is NOT
just robotics, bar
coding, and
computer systems
Informatics is NOT automating
everything in pharmacy (making it an assembly line with quotas)
Multidisciplinary field focused on
the use and integration of data,
information, knowledge, and
technology into healthcare in order
to improve outcomes
Health Informatics is…
Am J Health Syst Pharm 2007;64(2):200-3.
Change WAS cyclical and gradual
Change NOW moves rapidly
Informatics is advancing pharmacy to the point that it can appear surreal
Informatics is a fertile area for research
Informatics Tools
Interfaces &
Usability
Kaweah Delta Health Care piloting 100
iPads for pharmacists, physicians, etc.
Personal Health Record Partners
“allows patients to link their Walgreens
prescription information to other health
and medical records and share a
complete profile with other health care
providers”
“customers have the ability to securely
download their prescription histories to
their individual Microsoft HealthVault
record”
Contact lenses that change
color with variations in glucose
and can dispense medications
Advanced Functional Materials 2008;18(13):1912-21.
Video
Pharm J 2004;272:577-9.
Pharmacist led
dermatology
clinics
How many
nosocomial
infections occur
each year?
What percentage could be
prevented by hand washing?
Mobile Health
“mHealth is the use of mobile
communications – such as PDAs and
mobile phones – for health services and
information”
Andre Blackman
Cough into your cell phone
• Diagnostic extender;
help pharmacy with
triage/decision
making
• $100,000 grant by
Bill & Melinda Gates
Foundation
www.text4baby.org
Text BABY to 511411
Envia BEBE al 511411
para Español
MyGenome iPhone
app will have
patient‟s full
genomic profile
Allows for
examination of
drug responses
patients genetically
predisposed to
having
Trials 2009;10:87.
SMS Reminders in HIV Patients
Medication
and visit
adherence
Body Area Network Applications
International Journal of Electronic Healthcare 2007;3(3):303-16..
Bluetooth heart monitor records
ECG and transmits information via
patient's phone
Analyzer circuit checks the ECG
signal for signs of cardiac failure
Cell phone automatically alerts the
patient and nearest medical center
via SMS
Wearable Cardiac Monitoring System
What would it be worth to keep you or
a family member living independently?
JAMA 2002;287(8):1022-8.
Wireless Assisted Living
One way to help manage the
approaching storm of an
increasingly aging
population…
„Nana technology‟ vs Nanotechnology
J
Gerontol A Biol Sci Med Sci 2008;63(3):298-307.
Web 2.0 Tools
Twitter for smoking
cessation
Tweet Analysis
of
Antibiotics &
Am J Infect Control 2010;38(3):182-8.
NSU in Second Life
Biosecur Bioterror 2008;6(1):36-44.
Mass Prophylaxis Training
Lancet Infect Dis 2007;7(9):625-9.
Virtual Game Worlds &
Applied Epidemiology
A Fifth of the Cost, and No
JetlagA Fifth of the Cost, No Jetlag
Risks with
Informatics
Two hospital staff
were fired after a
nurse appeared on
Facebook in
„a revealing pose‟
…the picture also
showed a patient in
the background
NursingTimes.net February 2009
Data Mining
Companies scour social media sites to find
and aggregate information on individuals
Results used to infer behavioral patterns and
impact decisions about: employment, health
insurance coverage, credit rates
Can also be used benevolently to help
prevent fraud, etc.
http://mashable.com/2010/03/02/data-mining-social-media
What About Now?
Participatory Medicine
www.participatorymedicine.org
Divine intervention?
60% of e-patients said health information found
online affected their treatment decisions
Treatment #1 Treatment #3
So
urc
e: P
ew
In
tern
et &
Am
erican
Life
Pro
ject 2
00
9
“Evernote has
completely
changed the
way I work” - overheard in
numerous
pharmacies
Images
• http://www.youtube.com/watch?v=6F1u36Y-qlE&feature=channel_page
• http://www.limpfish.com/pics/apudali
• http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954
• http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954
• http://www.chrisharrison.net/projects/skinput/images/projectHand1.jpg
• http://www.youtube.com/watch?v=W7Jg9twIqto
• http://www.walgreens.com
Images
• http://www.cvs.com
• http://www.americanwell.com/
• http://www.riteaid.com/
• http://www.medicalautomation.org/wp-content/uploads/2010/03/pharmatrust2-march-2-20101.jpg
• http://www.parata.com/serve/index.php
• http://www.gizmowatch.com/entry/a-novel-camera-that-maps-sun-s-effect-on-skin/
• http://dianhasan.wordpress.com/2010/03/29/mobile-phone-innovation-cough-into-your-phone-and-get-
diagnostics-theres-an-app-for-that-too/
Images
• http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html
• http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/
• http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/
• http://www.holstcentre.com/en/PartneringinResearch/SharedPrograms/TechnologyIntegration/~/media/I
mages/_PartneringInResearch/TextImages/BodyAreaNetwork_b.ashx?w=416&h=263&as=1
• http://twitter.com/_mHealth
• http://www.nytimes.com/interactive/2009/02/02/sports/20090202_superbowl_twitter.html
• http://www.healthmap.org/en
Images
• http://www.girleffect.org/video
• http://secondlifegrid.net.s3.amazonaws.com/docs/Second_Life_Case_IBM_EN.pdf
• http://www.doseofdigital.com/healthcare-pharma-social-media-wiki/
• http://www.youtube.com/watch?v=yu4zMvE6FH4
• http://twitter.com/rxmeds96/status/7146180932
• http://www.facebook.com/home.php#/group.php?gid=29564338647&ref=search&sid=1051950779.1703
015908..1
• http://www.oleole.com/media/main/images/wallpapers/85662/arsenal3logo_238122.jpg
Images
• www.youtube.com/watch?v=XjkCl3-PId8
• http://pillbox.nlm.nih.gov/
• http://www.youtube.com/watch?v=0USn7eufXps&feature=fvw
• http://www.youtube.com/watch?v=pdpxcvIDWwg&feature=related
• http://www.slideshare.net
Unreferenced images are
licensed stock photography
Thank you for your time!
clauson@nova.edu @kevinclauson
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