Health 2.0

Health 2.0

Conspiracy theory Friday (FDA & CCHIT related)

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Two fun things—First, Mark Leavitt says he’s quitting CCHIT in March. He says that he’ll be 60 then and wants to go do other stuff. Of course the cynics among you will say that he’s had enough of being beaten up by David Kibbe and Brian Klepper, and that CCHIT’s role as arbiter of meaningful use has been downgraded by David Blumenthal. Leavitt says in his outgoing email (not on any website I can find but I have a copy)

Given the current high-strung health IT news environment, the media may seek to conjure up some sensation-worthy driver of this decision, but the fact is that I am simply keeping a promise I made to my family and myself to retire from full-time work within a certain window of time”

It also happens that this announcement comes the day after Blumenthal sends out an email to the Health IT world that Vince Kuraitis (at the very least) sees as a direct shot at large health IT vendors whose products don’t play nice with others (i.e. aren’t too interoperable) yet are already CCHIT certified. Here’s Vince’s take on who should have got that email.

Second, the twittersphere has been abuzz with a series of hearings where the FDA has been taking opinions on how and why they should regulate Pharma advertising in social media. this is a non-trivial issue for both sides. Pharma wants to reach patients, patients want those social media players to exist, and the sites need money (which will have to come from Pharma, unless something changes in the space time continuum). I don’t pretend to know the outcome except to remind you all (via Bill Silberg) that a similar meeting was held more than a decade ago and the result was….nothing. no guidance, no policy.

Health 2.0 – The Consumer Aggregators

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The Consumer Aggregator Panel at Health 2.0 San Francisco

Featuring: Roni Zeiger MD, Product Manager, Google Health, Wayne Gattinella, CEO WebMD, David Cerino, Microsoft Health Solutions

Moderator: Jane Sarasohn-Kahn, Think-Health

Overview: With consumers turning to online sources in record numbers, competition is heating up between the giants in the field. In this segment recorded at Health 2.0 San Francisco, key players at Google, Microsoft and WebMD talk about important shifts in the industry landscape over the last year, their companies’ near term plans and the powerful trends likely to shape the way Americans – not to mention the rest of the planet – use the internet to look after their health and search for reliable health information.

Related video:

Gov 2.0: Obama administration CTO Aneesh Chopra talks about the administration’s call for innovation  in Silicon valley and broader adoption of information technology throughout the healthcare system. A must see in light of the national healthcare reform debate and growing investor interest in health IT.

The future of electronic medical records: Electronic medical records may be the most controversial technology around in an area with little shortage of controversey.  In the popular “Cats and Dogs” panel at Health 2.0, the key players in the debate over the future of this crucial technology take center stage in a culminating debate moderated by Health 2.0 co-founder Matthew Holt.  Dr. David Kibbe of the American Association of Family Physicians (AAFP), is an early proponent of electronic medical records who has since publicly reversed his position. Glen Tullman is the CEO of industry leader Allscripts and a commissioner on the board of trustees of CCHIT, the certification body responsible for overseeing much of the electronic medical records industry. Jonathan Bush is the CEO of athenahealth, a relative newcomer that has enjoyed a good deal of success challenging industry orthodoxies.

On Stage at Health 2.0: The Cats and Dogs of Health IT

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Here's the first in a series of videos from the Health 2.0 Conference a couple of weeks back that we're going to feature on THCB. This was the last panel of the day and it featured three leading health IT figures who've never been on a panel together before.

Following the passing of the stimulus and the debate over meaningful use, there’s been lots of tension between the “cats” (the major IT vendors) & “dogs” (the web-based “clinical groupware” vendors). (Here's the article I wrote about it last January). The real question is how the new wave of EMRs is going to integrate with the consumer facing and population management tools. Can there be unity around the common themes of better health outcomes through physician and patient use of technology? Or will the worlds of Health 2.0 and the EMR move down separate paths?

On the panel were Glen Tullman from Allscripts, Jonathan Bush from AthenaHealth (in his Apple 1984 runner shorts) and David Kibbe, from the AAFP. A feisty discussion about how IT for doctors and patients should play out.

Link to video

Health 2.0 and the Big Bang

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GlennIt’s hard to believe that last week’s Health 2.0 conference was just the third annual installment of the event. The phrase, “Health 2.0” entered our lexicon at light speed and seems to have been there longer than those few, short years. The conference has become a must-attend for hundreds of people, dozens of companies and a hodge-podge of innovators, consumer activists, and buzz trackers.The Twitter feed from last spring’s Boston event rivaled that produced by the Octomom (well, not quite), and had the wireless carriers supporting last week’s event not sustained a massive H1N1 attack, that feat would have been surpassed easily. Heck, even Aneesh Chopra, our nation’s first-ever CTO, was there to kick it off. Congratulations are in order for the conference organizers, Indu Subaiya and Matthew Holt, but going forward they will have their hands full attempting to manage the wild growth of their event.

Ur Doin It Wrong

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CindyThroop

By CINDY THROOP

Susannah Fox aptly illustrated what is happening in health care during the ‘The Patient Is In’ panel of the Health 2.0 conference with some amusing LOLCat pictures captioned “ur doin it wrong.” Put simply, when it comes to involving patients in health care and health information technology, chances are, ur doin it wrong.

When I was at the Fall 2008 Health 2.0 conference a year ago, someone asked me, “where are the patients?” Well, I didn’t see any there, but without a doubt, patients made their debut at the Spring 2009 Health 2.0 conference in Boston. When ePatient Dave spoke to the audience from the balcony, it represented a symbolic shift in health care. So, is the Health 2.0 conference doin it wrong? I don’t think so. Is there room for improvement? Sure.

As Trisha Torrey noted during the patient panel, while it’s nice that patients had their own panel, patients should be on every panel. Good point and well said! I do, however, think it is important to acknowledge that the Health 2.0 conference did a great job and has set a new standard for patient participation.

Months of preparation and work went into a video project documenting patients’ use of and experimentation with Health 2.0 services to manage their health. Thank you to Indu Subaiya and Lizzie Dunklee for truly putting patients at the center of Health 2.0 with that project. It will be interesting to see how upcoming conferences, especially those that claim to be about patients, measure up.

If you are curious about the patient revolution (you’ve only seen the tip of the iceberg), read Sarah Greene’s e-patients.net post: Participatory Medicine as Revolution! Think Critically! Communicate! Revolution is not about marketing hype and conferences with the word “patient” or “ePatient” in the conference name.

The days of 1.0 medicine and health care are over. Things will never be the same. You can join the revolution or get left behind. Kudos to the Health 2.0 team for supporting the patient revolution in health information technology.

Cindy Throop is a University of Michigan-trained social science researcher specializing in social policy and evaluation.  She is one of the few social workers who can program in SAS, SPSS, SQL, VBA, and Perl.  She provides research, data, and project management expertise to projects on various topics, including social welfare, education, and health. www.cindythroop.com

Nursing a Health 2.0 Hangover

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J.D. Kleinke

So it’s the morning after the big Health 2.0 bash and the hangover is awful. My head is awash with flashing screens of medical alerts, rainbow-colored demos of virtual patients flitting from one personal health app to the next, and a blur of snappy, almost sneering answers to the same old questions about user adoption, ROI, and business models. I just spent two days getting high on health care’s highest high-concept, I can’t log into my own health plan’s portal to look up a simple eligibility thing, and it’s dull, gray cloudy morning in San Francisco.Whither the 2.0 revolution you’ve been reading about all week? Was the blueprint unfurled before the cognoscenti by Matt Holt and the NorCal health care keiretsu? Was there an exhibitor booth handing out the magic bullets, along with the usual pens and mugs? Um – no.Perhaps it’s my own perennial impatience with health care’s miserable status quo; perhaps it’s a sign of the inevitable coming of age for the 2.0 community, or space, or ecosystem, or whatever the corporate concept jockeys are calling a market this year. But at the risk of offending Matt and my other good friends in the keiretsu, this year’s conference felt for the first time oddly normative, almost reminiscent of other conferences like HIMSS and the World Health Congress, where Big New Health Care Ideas run headlong into The Great and Powerful Health Care Inertia Machine.

Health 2.0 Accelerator Demonstrates Integration of Consumer Web Apps and EHRs

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SAN FRANCISCO, Calif. – October 7, 2009 – Health 2.0 Accelerator member companies today joined together at the Fall 2009 Health 2.0 Conference to demonstrate a streamlined, consumer-centric integration among nine separate technologies creating a more streamlined user experience.

During the conference “Tools Panel”, eight Health 2.0 Accelerator members MediKeeper, change:healthcare, Sage, Kryptiq, MedSimple, Polka, ReliefInsite, PharmaSURVEYOR and Kinnexxus worked together to demonstrate a seamless, end-to-end user experience across disparate Health 2.0 applications.  The demonstration enabled a consumer persona to sign into their personal health record and utilize their personal and clinical health information across several applications while using Microsoft’s HealthVault data sharing platform without having to re-enter information.  The demonstration also utilized the Drug Code Lookup Service being piloted by member companies First DataBank and PharmaSURVEYOR that provides easy online access to First DataBank’s standardized drug codes to promote interoperability among Internet-based healthcare services.

The Big Day for Health 2.0

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Yes, today is the big day for Health 2.0 or rather the first of two huge days. In less than 7 hours Indu and I will be stepping onto the stage and six months of work, rehearsals and excitement come to a climax. Many thanks in advance to all the speakers, sponsors, staff, exhibitors, volunteers and members of the Health 2.0 community for coming. We’re ready (or close as we’ll ever be!)

I can’t hope to capture all that’s happening, but here’s two big pieces of news. Myca just received an investment from Sandbox, the Blues venture fund. You can hear an interview I did with Nat Findlay, Myca CEO from a few days back here. You can see Myca both on the Clinical Groupware panel on Day 1 (today!) and in a sponsored Deep Dive on day 2.

And Keas, Adam Bosworth’s company, is formally launching on Day 2 and gets its own article in the NY Times today. You’ll be hearing more about this, and platforms and unplatforms throughout the conference!

Finally, THCB & Health 2.0 has its own little news. JD Kleinke (the Arriana Huffington of health care!) is emerging from a long period of seclusion and both pens his first article as a a THCB contributor today, but is also a very late addition to the “Can Health 2.0 Make Health Care More Affordable” panel at Health 2.0 today!