web2-health2 presentation notes

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    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!

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    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.

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    Take it one step further and you dont have to wear a deviceit 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.

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    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

    babys 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

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    Sites have sprung up every month devoted to Health 2.0. Lets now step back and

    take a look at how weve come this far using a variety of connected technologies.

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    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]

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    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 content

    3. Communication - social-networking functions, IM, chat,

    4. Collaboration - content sharing, collaborative authoring, tagging, and

    commenting

    Common features of Web 2.0 web sites:

    1. Requires login user name and password

    2. Public vs Private

    3. Can others contribute?

    4. Ability to embed content from one site into another

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    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 pictures

    YouTube=share videos

    Digg=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

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    In summary:

    Posts (text, video, audio, photos, etc.) + read + comment + feed = blog

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    In summary:

    Content (text in web pages) + collaborate + edit + save = wiki

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    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.

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    Wiki Screen Shot = popular now, but who is editing content? Verifiable,

    trustworthy, accurate?

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    In summary:

    Audio/video file + feed + podcatcher software (iTunes) + audio/video player =

    podcast (vodcast)

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    Health related podcast Screen Shot

    Play it on iPod if possible

    75% of podcast listened to on computer, not portable device

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    Health related podcast Screen Shot

    Play it on iPod if possible

    75% of podcast listened to on computer, not portable device

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    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

    consideredpodcasting. There are a few other steps involved.

    Step 1 - Create your MP3 files

    Step 2 - Create your Podcast RSS file and update it with the latest MP3

    Step 3 - Upload your audio file and the RSS file to a hosting web site

    Step 4 - The podcatcher software on the user end will automatically grab the

    newest audio file

    You 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".

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    In summary:

    Content (video, audio, photo) + web host + embed + share = multimedia hosting

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    Health related video example what are patients, doctors, hospitals doing with

    multimedia?

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    In summary:

    Web sites + bookmarks (favorites) + tags + share = social bookmarking

    2

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    Social Bookmarking Screen Shot = How do you store and keep track of all the great

    health web sites you find?

    2

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    In summary:

    Interests + Community + Connections = Social Networking

    2

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    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.

    2

    http://search.twitter.com/search?q=http://search.twitter.com/search?q=http://search.twitter.com/search?q=http://search.twitter.com/search?q=
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    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.

    2

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    Image sharing sites like Pinterest, Instagram, Flickr, and others provide a community

    around the sharing of healthcare related pictures and topics.

    2

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    Widgets (apps) on Verizon FIOS intersection of the web (Internet) on our TV sets.

    Potential for healthcare world: Alerts during TV shows? Medicine reminders?

    2

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    Social Networking Logos

    2

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    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.

    2

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    Example of portal site my.yahoo.com a variety of content is aggregated in one

    place via one login

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    Discussed with Diane Sawyer on GMA in 2007 Interview with Steve Case, founder

    of revolutionhealth.com

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    Example of health portal site revolutionhealth.com design and agregate your

    own content

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    Discussed with Rachel Ray on her show 2008 revolutionhealth.com

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    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

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    Portal Logoskey component here is the personalization feature (MY )

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    In summary:

    Environments + characters (Avatars) + interaction = virtual world

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    Virtual Worlds contd

    -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.

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    A visit to a local hospital for a look at Mr. Gadskins knee.

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    Great definition from http://blog.withings.com/en/2011/09/20/health-care-in-the-

    era-of-augmented-and-virtual-reality/

    Augmented Reality is a term for the integration of computer generated images

    and virtual objects into the users perception of the real world, all in real-time 3D.

    In short, AR adds objects that dont necessarily exist to your computer or

    smartphone while youre looking at it; hence it supplements the real world instead

    of replacing it. Augmented reality is different from virtual reality (VR): the latter is

    more complex as it creates a whole new world for the user to explore. Augmented

    reality is therefore closer to the actual reality than virtual reality.

    4

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    What is taking place in this video? Mobility, high speed networks, 3D, virtual

    environment, communication.

    4

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    How do Web 2.0 tools fit into the Healthcare world?

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    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."

    4

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    Good definition of Health 2.0 from Crossover Health Blog

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    These are the major components of Health 2.0 Tools (web sites, apps, devices, etc.)

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    Headlines from health related blogs and sites

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    Social sites (YouTube & Technorati & ) health 2.0 tags

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    Great site for tracking pain daily/weekly. Example of user created web based content

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    Find applications for the web and iPhone/iPod

    4

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    Find applications for the web and iPhone/iPod

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    Find applications for Android Market

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    Find applications for Android Market

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    Find applications for Android Market

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    Find applications for the web and iPhone/iPod

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    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.

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    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.

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    Mention other sites like Google Health, Keyose (no personally identifiably info

    supplied only get a pin #)

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    Community orientated sites like Patientslikeme.com

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    Corporate health portal sites

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    What are under-developed nations doing with mobile devices? South Africa, India, &

    Kenya as brief examples.

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    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.

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    What is the vision for the future of Health IT? How far are we from this world?