1.
How Informatics
Will Change the
Future of
Pharmacy
Kevin A. Clauson, PharmD

2.
Objectives
 Define and discuss informatics
terminology and tools in healthcare
 Explore the potential and practices of
mHealth
 Consider risks associated with
informatics applications

3.
A glimpse ahead into the future of healthcare

4.
Fundamentals of
Informatics

5.
Informatics is NOT
just robotics, bar
coding, and
computer systems

6.
Informatics is NOT automating
everything in pharmacy
(making it an assembly line with quotas)

7.
Health Informatics is…
Multidisciplinary field focused on
the use and integration of data,
information, knowledge, and
technology into healthcare in order
to improve outcomes
Am J Health Syst Pharm 2007;64(2):200-3.

8.
Change WAS cyclical and gradual

9.
Change NOW moves rapidly

10.
Informatics is
advancing
pharmacy to
the point that
it can appear
surreal

11.
Informatics is a fertile area for research

12.
Informatics Tools

13.
Interfaces &
Usability

14.
Kaweah Delta Health Care piloting 100
iPads for pharmacists, physicians, etc.

15.
Skinput

16.
EHR + Integrated Touchscreen

17.
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”

18.
Contact lenses that change
color with variations in glucose
and can dispense medications
Advanced Functional Materials 2008;18(13):1912-21.

19.
Smart Pills
Smart pills

20.
Video

21.
Video

22.
Pharmacist led
dermatology
clinics
Pharm J 2004;272:577-9.

23.
How many
nosocomial
infections occur
each year?

24.
What percentage could be
prevented by hand washing?

25.
HyGreen Hand
Hygiene System

26.
Mobile Health

27.
“mHealth is the use of mobile
communications – such as PDAs and
mobile phones – for health services and
information”
Andre Blackman

28.
Cough into your cell phone
• Diagnostic extender;
help pharmacy with
triage/decision
making
• $100,000 grant by
Bill & Melinda Gates
Foundation

29.
Text BABY to 511411
Envia BEBE al 511411
para Español
www.text4baby.org

30.
MyGenome iPhone
app will have
patient‟s full
genomic profile
Allows for
examination of
drug responses
patients genetically
predisposed to
having

31.
SMS Reminders in HIV Patients
Medication
and visit
adherence
Trials 2009;10:87.

32.
Body Area Network Applications

33.
Wearable Cardiac Monitoring System
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
International Journal of Electronic Healthcare 2007;3(3):303-16..

34.
What would it be worth to keep you or
a family member living independently?
JAMA 2002;287(8):1022-8.

35.
Wireless Assisted Living
One way to help manage the
approaching storm of an
increasingly aging
population…

36.
„Nana technology‟ vs Nanotechnology
J
Gerontol A Biol Sci Med Sci 2008;63(3):298-307.

37.
Web 2.0 Tools

38.
Twitter for smoking
cessation

39.
Tweet Analysis
of
Antibiotics &
Am J Infect Control 2010;38(3):182-8.

40.
Twitter flu tracker

41.
the pharmacist effect
http://www.girleffect.org/video

42.
NSU in Second Life

43.
Mass Prophylaxis Training
Biosecur Bioterror 2008;6(1):36-44.

44.
Virtual Game Worlds &
Applied Epidemiology
Lancet Infect Dis 2007;7(9):625-9.

45.
A Fifth of the Cost, and No
A Fifth of the Cost, No Jetlag
Jetlag

46.
Risks with
Informatics

47.
Maternal Instinct Meets Facebook

48.
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

49.
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

50.
What About Now?

51.
Participatory Medicine
www.participatorymedicine.org

52.
What Type of Patient Is This?

53.
Divine intervention?

54.
Treatment #1 Treatment #3
Source: Pew Internet & American Life Project 2009
60% of e-patients said health information found
online affected their treatment decisions

55.
“Evernote has
completely
changed the
way I work”
- overheard in
numerous
pharmacies

56.
Forget Brown…What
Can Evernote Do for
You?

57.
Pillbox

58.
An alternate glimpse ahead…

59.
Slidedeck available at:
www.slideshare.net

60.
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

61.
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/

62.
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

63.
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

64.
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

65.
Thank you for your time!
clauson@nova.edu @kevinclauson