Health 2.0 - Fall 2010

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The document discusses the progression of Health 2.0 from user-generated health care to partnerships reforming health care delivery to data driving decisions and discovery. It outlines the stages of Health 2.0 and how data from individuals, populations, and references is integrated through a data utility layer to power unplatforms and composite applications that inform decisions and actions.

Health & Medicine

Web 2.0:
O’Reilly’s Core Competencies
• Services, not packaged software, with cost-eﬀective
scalability

• Control over unique, hard-to-recreate 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, development models, AND
business models

Last year, we told you
what was coming next...
• Integration of the three constituent parts
(search, communities, tools—all mash up)

• The data utility layer allows easy inclusion of
same data between diﬀerent services (liquidity)

• Greater diversity in data types

• The emergence of new “unplatforms”

The Stages of Health 2.0

User-generated Consumers connect Partnerships to Data drives decisions
health care to providers reform delivery & discovery

DATA UNPLATFORMS

INDIVIDUAL

DATA
POPULATION UTILITY
LAYER

REFERENCE Decisions
Actions

DATA

INDIVIDUAL

D
POPULATION UT
LA

REFERENCE

INDIVIDUAL
Permissions
Identity
DATA
POPULATION UTILITY
LAYER

REFERENCE

UNPLATFORMS

UAL

DATA
ION UTILITY
LAYER

CE Decisions
Actions

Content
Social
Networks
Search

Tools
Transaction
Data

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Medicine of the Future—The Transformation from Reactive to Proactive (P4) Medicine as presented at the Ohio State University Medical Center Personalized Health Care National Conference. Leroy Hood, MD, PhD, is the president and founder of the Institute of Systems Biology. Dr. Hood is a member of the National Academy of Sciences, the American Philosophical Society, the American Academy of Arts and Sciences, the Institute of Medicine and the National Academy of Engineering. His professional career began at Caltech where he and his colleagues pioneered four instruments — the DNA gene sequencer and synthesizer and the protein synthesizer and sequencer — which comprise the technological foundation for contemporary molecular biology. In particular, the DNA sequencer played a crucial role in contributing to the successful mapping of the human genome during the 1990s. http://www.systemsbiology.org/Scientists_and_Research

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Shared By The Many: Advances in technology are allowing for the provision of affordable, decentralized healthcare for the masses and are lowering the barriers to entry in less developed markets. The analysis in PSFK’s Future of Health Report has yielded a number of insights, the most evident of which is mobile technology as a catalyst for change. The mobile phone and connected tablet computer are allowing for the distribution of a broad range of medical and support services. This is especially important in countries with little or no healthcare infrastructure and areas in which there are few trained healthcare professionals. These technologies also allow trained professionals to perform quality control remotely. Amongst the many significant developments is a shift towards one-on-one, in- field diagnostics and monitoring. Services that were once only available at a doctor’s office or hospital are now available on-demand through low-tech, affordable solutions. Personal systems allow for ‘good enough’ diagnostics that would have been difficult, expensive and timely to attain previously. Using a basic phone with adapted software, a health worker can test for myriad symptoms - even cancer. This information can be relayed to a central medical care center where doctors and trained professionals can react to the data, provide prompt diagnosis and suggest treatment options. The ability to capture this data and get quick responses remotely means better healthcare, fewer trips to the hospital (which, for many means days away from home and family), and less time away from work. A change is also occurring that is seeing increased access to and sharing of health information. This is made possible by the proliferation of systems designed to overcome infrastructure insufficiencies. these systems are enabling the broadcast of information and receipt of subsequent feedback in virtually any setting. From ‘town crier’ systems to ‘internet by text’, the collective knowledge found on the web is being made available to populations around the world who previously lacked access. The connectivity that is enabling the sharing of health information is also powering the growth of social networks focused on health and medical care. These networks are allowing professionals, health workers and individuals to connect and share knowledge quickly. PSFK’s Future of Health Report details 15 trends that will impact health and wellness around the world. Simple advances such as off-the-grid energy and the introduction of gaming into healthcare service offerings sit alongside more future-forward developments such as bio-medical printing. It is our hope that this report will inspire your thinking and lead to services, applications and technologies which will allow for more available, quality healthcare. For a download of this report - visit: http://www.psfk.com/future-of-health

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Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes. With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information. Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care. A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.

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