Lee Shapiro, President AllscriptsDavid Kibbe, American Academy of Family PhysiciansBob Katter, Senior VP, Relay Health (McKesson subsidiary)Jay Silverstein, President, Employer/Employee Group, Revolution HealthSteve Brown, Founder Health Hero Network, Entrepreneur in Residence, Mohr Davidow VenturesEsther Dyson, EDventureModerator: Marty Tenenbaum, Commercenet

David Kibbe – Health 2.0 is part of the American Academy of Family Physicians’ future. Things are changing too fast for many physicians in the country. Half of family practitioners use EMRs to automate existing office procedures. Going forward we need to think about three things:

    – We need to change the reimbursement system.    – We need to share clinical decision support to save money.    – Steve Brown – Health search is much more valuable when there is more patient data. The majors are positioned to create a new health data ecosystem comprised of interconnected health records surrounded by transparency and decision support tools.

Lee Shapiro – EMRs are being used as a substitute for the paper charts. But, as with home accounting software, they become transformative when connectivity is added.

Jay Silverstein – All the imagination and creativity in building community can begin to eliminating the randomness in health. But I also saw a lot of people coming up with visions and tools that are fragmented, that take advantage of significant dollar expenditures, but that are not focused on removing unnecessary services from the system while improving care for the mainstream.

Esther Dyson – We’ve heard today only from the Health 2.0 community, something like the mobile phone system, which just appeared but is only snipping away at the edges without being truly disruptive of the calcified problems that are weighting us down.

At the Health 2.0 meeting today, icyou posted more than a dozen videos of speakers, at the podium and in interviews on the fly. They captured a more accurate, robust flavor than we could possibly have in the narrative reportage of the blog. They’ll continue to post throughout the evening and tomorrow, hopefully with some editing of the more embarrassing moments. Each video provides links to the speakers’ own sites. Go have a look and get a sense of how this meeting really felt.

The volume of online content targeted at doctors is growing exponentially and includes everything from vertical search, care forums and audio files, to video postings, journal articles, blogs and CME. Yet, with health 2.0 ready to become health 3.0, physicians still don’t have a tool that helps them aggregate all of this information in one location…easily.

And so comes PeerClip, a social bookmarking tool that enables physicians to organize and store online content in a couple of easy steps. While we admit that the notion of social bookmarking is not new, a social bookmarking community exclusively for physicians is novel. Though social bookmarking is the foundation of PeerClip, we have developed it to have depth and functionality that enhances the value for busy physicians.

So, here is why we think physicians will find PeerClip a useful tool:

PeerClip helps physicians organize the medical information they deem most relevant in one online location.

PeerClip provides a forum to share perspectives on important medical content by allowing members to comment, rate and tag while viewing comments and ratings of other physicians.

PeerClip leverages the "wisdom of crowds," in our case peers, to help physicians discover other key content that has been bookmarked into PeerClip by other members.

PeerClip is a secure private community exclusively for MDs, DOs, Physicians Assistants, and Nurse Practitioners. Physicians will be identified only within the closed community. They will have the ability to set their own profiles and to view profiles of other members.

We are excited to be launching PeerClip at Health2.0 today!

Paul Wallace, Senior Advisor & Medical Director, Kaiser PermanenteJoe Gifford, Chief Medical Officer, Regence BCBSJeff Rideout, VP, Internet Business Solutions Group, Chief Medical Officer, CiscoBruce Grant, SVP Digitas HealthTed von Glahn, Director, Performance Information and Consumer Engagement, Pacific Group on Health

Joe argued that, to accelerate the values of Health 2.0, they must be exported to the larger community. (This struck me as a profoundly important point.)

Bruce – There is no franker source of information available to vendors than the Web. Action’s speak louder than words. Listen to hear what people are saying about you. Engage and encourage the community. The power is moving away from corporations and to the user communities in an unprecedented way.

Jeff – How do you take all the innovation and move it to the people, so that we can make health care more effective. Health 2.0 is a significant portion of that solution set.

Ted is disappointed with the lack of robust health care decision support tools on the Web so far. The Health 2.0 community has the opportunity to create data and tools that can facilitate better decision-making, and also to define the standards which are still not solid yet in health care.

Paul noted that Health 2.0 is about personalizing care. We’re finally becoming competent in understanding how to treat disease in the context of the larger situation that the disease resides in, how clinicians can leverage tools to touch as many people as possible in a day and how we can improve outcomes by cultivating trust . The goal is to make the right thing easier to do.

Ben Heywood, CEO, Patients Like MeDoug Hirsch, CEO, Daily StrengthSteve Krein, CEO, OrganizedWisdomKaren Herzog, Founder, Sophia’s GardenJohn de Souza, CEO, MedHelp InternationalBrian Loew, CEO, InspireModerator: Amy Tenderich, Blogger/Journalist DiabetesMine

Sophia’s Garden is a healing community for parents and ailing children, leveraging virtual spaces adorned wtih familiar health management tools.

Daily Strength – A social network of 600 communities serving 100,000 registered users, offering connection with other individuals who also face the same experiences you’re dealing with.

Inspire. Brought into the meeting at the last minute as a result of winning the People’s Choice Award, Inspire is another very well designed site for patients to collaborate.

Patients Like Me.  Simple tools for patients to track relevant treatments, status and outcomes, as well as their experiences, all in communities.

Organized Wisdom uses human reviewers to curate spam-free, clutter-free search results.

MedHelp began in 1994, and has developed a robust catalog of patient and expert generated content on specific conditions, including question-answer exchanges between patients and doctors.

The interesting characteristic of these sites is that technology is used to facilitate a better experience for patients. The tools are aimed at people who may or may not be experienced in using tools.

Brian Loew made a particularly astute statement in talking about how these sites are different than standard social networking sites like Facebook or MySpace: "Health care is different. You don’t typically find people willing to talk about their pancreatic cancer in the middle of Madison Square Gardens."

While patients are already aware of these sites, the mainstream of doctors are just now becoming conscious of their existance. As they do, these sites will become richer resources and available to more and more patients.

Audience Questions:

What do you see as the biggest hurdle for up-and-comeing patient social media sites?Competition from new sites was highest (46%), followed by Health groups/offerings on Google, Yahoo, Facebook and MySpace (32%).

What do you think patinets want most out of thei experience on the web?Quick and easy medical information search (33%), followed by Hear testimony from other experiencing the same illness/condition (31%).

Let’s imagine you were an "ePatient." which of the six sites we’ve seen today would be most appealing to you?Patients LIke Me was first at 39%.