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Thanks for the honor

I am humbled to say that this blog has made the list of “Top 50 Health 2.0 Blogs” at the RN Central site. The blogs are categorized, but not really ranked, so I guess I don’t know where I fall in the hierarchy, but that’s OK. Health 2.0 is but one aspect of health IT, but a fast-growing one.

Or is it? A debate has started on some other healthcare blogs (including The Health Care Blog) about the future of health 2.0. Dmitriy Kruglyak wrote on his Trusted.MD site this week that news of the impending sale of Revolution Health highlights the fundamental flaws of health 2.0 as is exists today.

Matthew Holt, writing at THCB, begs to differ—while also promoting his Health 2.0 Conference. Holt and Kruglyak go back and forth in the comments section, and I imagine this is not the last we will hear on this subject. I’ll be in San Francisco next month for the next installment of the conference, and am looking forward to some animated discussion.

And now back to my discussion of blogs that reach beyond a single category. Nick’s Blog, the first public blog by a U.S. hospital president, has migrated to AskAHospitalPresident.com. F. Nicholas Jacobs is stepping down at the end of the year as CEO of Windber Medical Center in Windber, Pa., and, presumably, will turn over the Windberblog site to his successor. I call your attention once again to a podcast he did with me a year ago.

I’ve added Nick’s Blog to my blogroll, along with the Wall Street Journal Health Blog.

September 18, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Medicine 2.0, day two

Travel and deadlines got in the way of me posting about the second day of last week’s Medicine 2.0 Congress in Toronto, but I saved my notes.

Something super-cool I saw there: Medting.com, a “global” repository of medical images, developed in Spain and soon to branch out to the U.S. Is it another YouTube for medicine? Not exactly. Miguel Cabrer, president of the company, sees it as more like a Snomed for multimedia.

In Canada, they’re getting interactive with physicians.

Late last month, the Canadian Medical Association launched a social networking portal called Asklepios—named after the Greek god of medicine—on its site. Access is limited to physicians, but CMA online content director Pat Rich says it’s partially in response to doctors who bemoan the demise of the staff lounge.

In the spirit of Facebook and MySpace, it is more than just a professional site; physicians can use Asklepios for blogging, discussing hobbies, posting photos and even, theoretically, dating.

Rich says the CMA is staying pretty hands-off when it comes to content. He also says the association made sure the site was hosted in Canada and not the U.S. because physicians otherwise might be subject to surveillance under the USA Patriot Act. Really. This is not the first time I’ve heard of Patriot Act concerns in healthcare outside the U.S., and it’s a topic I’d like to explore some more.

Physicians in Ontario specifically have another networking option for professional issues, as the OntarioMD.ca point-of-care resource portal recently added a “groups” function. Groups can create a public Web presence and also set up a private members area for sharing files and calendars. Jason Aprile, web contact manager for the government-run OntarioMD site, says there are 8,400 registered physician users now.

Dr. Chris Paton, a UK native who now is at the University of Auckland, says the Next Big Thing might just be social networking for mobile devices. He’s particularly bullish on the mobile clinical assistant and PDAs and smartphones with Wi-Fi capability. One of the benefits of Wi-Fi is that users can connect to more powerful computers, such as for image manipulation, overcoming one of the long-standing shortfalls of PDAs, Paton says.

September 11, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Greetings from MaRS

TORONTO—I’m here at the Medicine 2.0 Congress, a very international meeting put on by Dr. Gunther Eysenbach of the Centre for Global eHealth Innovation, a project of the University Health Network and the University of Toronto.

The meeting is in a place called the MaRS Centre, in the heart of what’s being called the Discovery District. It’s at the corner of College and University, right around the corner from several major hospitals, including Toronto General, Princess Margaret Hospital and Mount Sinai Hospital.

According to the Web site: “MaRS is not an acronym. It was originally a file name and the words “Medical and Related Sciences” were later attributed to it. Since we promote the convergence of a full range of science and technology disciplines, we’ve dropped ‘Medical and Related Sciences’ from our name and we’re back to just ‘MaRS.'”

So here we are in the fourth paragraph and I haven’t said a word about the conference itself. You’re going to have to wait a bit longer. I’m humbled to say that I am going to be cross-posting this week with the world-renowned Health Care Blog. It just so happens that at least two other contributors to that site are here: John Sharp and Jen McCabe Gorman—and the latter also blogs in Dutch. Rod Ward made the trip from the UK and is posting to his Informaticopia blog, Maarten den Braber from Amsterdam is Twittering and Denise Silber, who flew in from Paris, also has a blog—en français.

The conference even has its own blog: http://medicine20.crowdvine.com. So I shall try to come up with something original.

OK, paragraph six and we’re finally getting down to business. Eysenbach opened the proceedings this morning with a discussion about what health 2.0 and medicine 2.0 really mean. I’ll just link to an article that appeared in Eysenbach’s Journal of Medical Internet Research earlier this year.

Don’t believe the hype? Peter Murray, the International Medical Informatics Association‘s VP for strategic planning, just put up a slide of this graphic:

Moving along, Eysenbach suggested that Google Health and HealthVault are not personal health records but “personal health applications” or platforms. That should make the marketing folks in Mountain View and Redmond very happy, since they keep denying that they offer PHRs.

Speaking of which, even though PHRs haven’t exactly captured the public’s imagination, Eysenbach said we are moving into the realm of PHR 2.0, where people should be able to disclose information within their own PHR to others to form communities around commonalities. A prime example, he said, is Patients Like Me.

Anyway, there are 180 participants from 19 countries here, with a slant toward the academic side of medical informatics. In fact, there are proceedings of this conference that are freely available. There are some 67 poster presentations for me to peruse at some point.

More to come. If anything, I will lead in links per post.

September 4, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Medicine 2.0 in Toronto

Next week I’m heading up to one of my all-time favorite places, namely Toronto, for the Medicine 2.0 Congress, put together by Dr. Gunther Eysenbach of the University of Toronto‘s Centre for Global eHealth Innovation. I usually don’t advertise my travels ahead of time for competitive reasons (everyone in this business goes to HIMSS, so I’ll talk about that in advance), but I see so many familiar names on the agenda and on the list of planned attendees, that I feel compelled to do so.

If you’re going to be there, drop me a line and we can make plans to chat and/or grab some libations.

See you in T.O.

August 29, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Still more health 2.0

I keep getting notices of new interactive healthcare sites. Here’s a list of some recent entries. It is by no means exhaustive.

Wellness Professionals has released version 2.0 of Health Gateway, its Web-based care management platform for providers.

A Massachusetts General Hospital resident has joined with Harvard and MIT graduate students to start MedicalPlexus, a forum for academic medical professionals and students.

checkMD, a site billing itself as “the first social networking site fully committed to healthcare and healthcare reform,” launched a couple of weeks ago. Of course, I pull this phrase from the same media advisory that informed me that “The Institution of Medicine [sic] estimates that nearly 100,000 patients die in hospitals each year due to medical errors.” It also asked me to “please RSVP,” so I assume it was produced by the Department of Redundancy Department.

August 6, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

The definition of irony

ORLANDO, Fla.—Today in the press room at the HIMSS conference was the following media advisory:

IBM Unveils Healthcare Island on Second Life
3:30 p.m. EST, Feb. 27, 2008
IBM Booth # 5563—HIMSS
Orange County Convention Center, Orlando, Florida

IBM will unveil its Virtual Healthcare Island on Second Life at this event. The IBM Virtual Healthcare Island is a unique, three-dimensional representation of the challenges facing today’s healthcare industry and the role information technology will play in transforming global healthcare-delivery to meet patient needs. Visiting “avatars” experience the private and secure creation of a functioning Personal Health Record as they progress through the island’s various stations, including a medical laboratory, clinic, pharmacy, hospital, and emergency room.

All this is from IBM. You know, the company that paid millions to air the following commercial during the Super Bowl:

There you have it, the definition of irony. Either that, or yet another reason to believe PHRs in their current state are mostly vaporware.

February 27, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Global health 2.0

I don’t want to jump on any bandwagons just yet, since plenty of what I’ve seen in health 2.0 so far is bluster. Sure, there are some interesting ideas, but whether they actually help in the provision of care remains to be proven. I am a big fan of disclosure, however, and I am becoming a big fan of social networking. The latter has helped me reconnect with several people I’d lost touch with.

On that note, here are a couple of interesting links I picked up recently:

A hospital rating site in Ireland called RateMyHospital.ie seems to be attracting a lot of activity. As of this writing, the counter indicates that 9,896 surveys have been completed. I’m not sure when the site started, but we’re talking about a country with just 4.2 million people.

RateMyHospital is part of a privately run site called IrishHealth.com, which looks to have all the trappings of a WebMD or Revolution Health, from consumer health information to personal health records. I don’t know the PHR usage rate, but let’s assume it’s low.

As Facebook continues to explode in popularity, so does the number of groups related to health IT. The latest one I’ve come across is the IMIA group. So far, it only has 23 members, including a high school student from Egypt and a healthy contingent from Argentina.

January 4, 2008 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Health 2.0 slight?

“Health 2.0” seems to be everywhere in this insular world of health IT we live in, and even in a lot of places on the outside. But not in the Wired Geekipedia.

This directory of “The Wired World From A to Z” includes entries on Web 2.0 and even the vaporware-heavy (or is it concept-light) “Web 3.0,” whatever Web 3.0 really means. But nothing on health 2.0.

It still might be too early for health 2.0 to have any meaning in the wider world outside healthcare, but the “wired world” changes fast. Published in September, the Geekipedia already is out of date. In its current iteration, Geekipedia lists Fake Steve Jobs as still under a cloak of anonymity. Of course, FSJ (“Dude, I invented the friggin iPhone. Have you heard of it?”) has since been outed as Forbes senior editor Daniel Lyons.

Any volunteers to be Fake Bill Gates? He’d surely want a piece of the healthcare market. Oh, wait. Someone’s already done it. Dude, he created the Blue Screen of Death! Have you seen it?

December 6, 2007 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

Podcast: Blogging hospital CEO Nick Jacobs

From the Department of Better Late Than Never comes this podcast with Nick Jacobs, CEO of Windber Medical Center in Windber, Pa., who’s well known in some circles for being perhaps the first hospital chief in the country to write his own blog.

Nick’s Blog has been around since May 2005, and Jacobs also contributes to Hospital Impact and to the World Health Care Blog. Paul Levy at Beth Israel Deaconess Medical Center in Boston has been writing his blog since August 2006. (I’ve got them both beat, as my blog dates to May 2004. But I am not going to brag until I get the kind of traffic that HIStalk does. That blog, which I’ve heard referred to as the “National Enquirer of health IT,” recently passed 1 million visitors. I’m still looking up at 30,000.)

Speaking of historical records, I’ve been sitting on this recording since September, when Jacobs was in Chicago for the third Healthcare Blogging & Social Media Summit. I’ve got an even older recording in the podcast pipeline, and who knows when I’ll get to that? I did write about Jacobs in Digital HealthCare & Productivity in early October, but now you can hear what he’s all about.

Podcast details: Interview with Nick Jacobs, CEO of Windber (Pa.) Medical Center. MP3, mono, 64 kbps, 9 MB. Running time 19:34.

0:49 Genesis of the blog
2:02 How blogging helps a small hospital compete with larger hospitals
2:50 His message
3:45 Early blog posts and how he started taking more risks
4:50 Motivating employees via the blog
5:40 Keeping local mass media honest
6:40 The global reach of the Internet: “You can never be a prophet in your own home town.”
8:00 Why other hospital CEOs don’t blog
9:20 Being the first to take the plunge
10:00 Why healthcare is so slow to turn to IT
10:40 Windber’s cancer research for the military
11:30 National recognition and local indifference: “reverse urban snobbery”
12:30 Transparency in healthcare
13:45 Flaws in public reporting requirements
15:30 High tech at small hospitals
16:20 Using the Internet to build a reputation
17:30 Market challenges for a small hospital
18:04 The future and his passion for change in healthcare

November 29, 2007 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.

A new gig!

Ladies and Gentlereaders,

I am proud to announce that I have a new gig. I am writing a monthly supplement to the weekly Part B News called Physician Office Technology Report. It’s published by Decision Health of Rockville, Md.

The title pretty much speaks for itself, and the audience is primarily physician practice managers, similar to my last full-time job at a publication that shall remain nameless because I don’t want them to have the publicity.

So yeah, there was a good reason why I was in Philadelphia last week for the Medical Group Management Association‘s annual conference and yet another reason why my blogging has been rather spotty of late.

The first issue of the Part B News Physician Office Technology Report came out this week. Look for it the first week of each month.

Speaking of conferences I’m covering, I will be at the American Medical Informatics Association confab here in Chicago next week. The last time I saw Don Detmer’s crew was in Australia for MedInfo in August. Let’s see, 17 hours of flying vs. 25 minutes on the bus. Discuss.

The AMIA meeting at the Sheraton overlaps with the AHIP Business Forum, which is at the Renaissance Chicago about five blocks away, so it’s unlikely I’ll spend much time with the health insurers.

I did go to the AHIP annual meeting in Las Vegas in June (much warmer than Chicago in November, or, for that matter, Chicago in October 1871), but I’m not sure how much I’d get out of next week’s meeting.

A poll question in an AHIP “SmartBrief” last week asked which of the following trends was most significant in 2007:

1. CMS ruling not to reimburse costs for preventable errors.
2. Expansion of walk-in clinics in retail health settings.
3. Efforts to provide more insurance options for young people.
4. Obesity epidemic continuing.

Notice that health IT didn’t register. It’s not a top-tier issue on the national healthcare scene at the moment, a point further driven home at another event I dropped in on last week: the 25th anniversary celebration for Health Affairs. There, representatives from nine or 10 presidential campaigns participated in a roundtable discussion of healthcare issues.

The way it sounded to me was: “Access. Cost. Access. Cost. Medicare reform. Access. Cost. Health savings accounts. Access. Cost. Access Cost.” John McCain’s representative did mention health IT and, at the very end, Barack Obama’s guy alluded to quality. And you wonder why national HIT legislation hasn’t gone anywhere?

Want another sign that physicians are lagging on the IT front? I’m going to scrape the very bottom of the barrel for some evidence contained in a spam e-mail. Yeah, I know.

Someone trying to sell physician mailing lists said there were 788,974 total licensed physicians in the U.S. That sounds about right. This particular outfit claimed to have e-mail addresses for 17,042 of them. That works out to about 2 percent. Even if you consider only the 600,000 or so practicing docs, you’re only taking about 3 percent.

OK, enough with the spam. Here’s a public service for some people I’ve worked with, either directly or indirectly: Job listings.

First, blogger Matthew Holt is looking for 2-3 unpaid interns for the next health 2.0 conference, scheduled for San Diego next March. He’s based in San Francisco, and I assume most of the work is too. (Maybe I shouldn’t mention that the current issue of another pub I contribute to, Inside Healthcare Computing, has a commentary headlined “Our Take: Health 2.0 Is Really Advertising 2.0.”)

Also, E-Health Media in the UK, publisher of E-Health Insider, is putting on a healthcare IT careers forum in London on Nov. 30.

If you go to the latter, bring me back some British pounds. They’re worth about $2.11 as of this writing. Heck, I’d settle for Canadian or Aussie dollars, euros, yen, whatever.

November 5, 2007 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality fast $5000 loans-cash.net with bad credit, hospital/physician practice management and healthcare finance.