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Health 2.0 by Twitter

Here’s my version of Short Attention Span Theater (which is pretty much what Twitter is anyway), of the recently concluded Health 2.0 Fall Conference, as I reported via Twitter. Note the juxtaposition between observation, commentary and snark.

Preconference sessions on Sunday:

Irony: RegisterPatient is on same #health2con panel as DrChrono after DrChrono called its pt history collector "groundbreaking." #mhealth
@nversel
Neil Versel
RT @: Still waiting for a demo to blow me away or provide impressive insight on adoption rates at Doctors 2.0. #health2con #toosoon?
@nversel
Neil Versel

Monday plenary sessions:

Following thoughtful keynote from @ boss Mark Smith, live launch of HealthTap at #health2con threatens to turn mtg into pep rally.
@nversel
Neil Versel
This got someone from HealthTap to misinterpret what I had said:
So much enthusiasm on health! @ After keynote from @ Mark Smith, launch of #HealthTap at #health2con turns mtg into pep rally
@HealthTap
HealthTap
To which I replied:
@ @ That was meant as a caution, not as approval. Too much enthusiasm and you lose sight of reality. #health2con
@nversel
Neil Versel
(For the record, @CHCF is not the correct handle for the California HealthCare Foundation. It’s @CHCFnews.)

I also had an important question for HealthTap, one that so far has gone unanswered.

@ says 5k docs signed up. I wonder about liability from giving #medical advice online to #patients they don't know #health2con
@nversel
Neil Versel

I retweeted/commented on many others’ tweets, too.

AMEN! RT @: Need #healthIT solutions to be more geared toward real source of need in our population: the elderly #health2con
@nversel
Neil Versel
RT @: stickK has users commit money toward their goal, spends it on their 'anti-charity' of choice if they don't meet #health2con
@pjmachado
Paulo Machado
RT @: Love Mark Bertolini's comment that people should be able to fit healthcare into their lives & not other way around #health2con
@pjmachado
Paulo Machado
RT @: RT @: Jim Hansen of Dossia: 85 year olds don't like sexy interfaces. Keep it simple #health2con
@ekivemark
Mark Scrimshire

I found quite a bit of news and lack of news being announced on stage.

Aetna will have #mhealth app for #patients to make #physician appointments next spring. #health2con
@nversel
Neil Versel
Pls don't tell me about another untethered #PHR. Nobody uses them. #healthIT #health2con #fail
@nversel
Neil Versel

And don’t take kindly to vagueness about the word “solution.”

WTF is a solution? RT @: Or just solutions! RT @: Ppl dont want a PHR, they want tools 2 help solve health problems
@nversel
Neil Versel
I hate hate hate the use of "solution" as a synonym for "product" or "service." #health2con #healthit
@nversel
Neil Versel
Good health. MT @: WTF is a solution? RT @: Or just solutions! RT @: Ppl want tools 2 help solve health problems
@grapealope
Rachel Kalmar
@ @: ok! people want good health without having to invest time into it, that's the bottom line.
@grapealope
Rachel Kalmar
(I get the sense @grapealope is among the many Silicon Valley cheerleaders who came not to a conference but a pep rally. I bet the Kool-Aid tasted great.)

So true. RT @: How many social networks will people participate in? I find it hard to keep up with one. #health2con
@nversel
Neil Versel
What about the unmentionable of the digital divide, that people who need help, can't afford the tools we are building apps for #health2con
@rdesain
Rachel de Sain

Then came the lamest presentation of them all, in a plenary session no less, a demo of an overly cutesy “life game” called Mindbloom. The presentation was accompanied by distracting sound effects of birds chirping the entire time, and the game itself featured a guide character called the “enlightening bug.” My impression?

More touchy-feely bs. Time for a group hug. #health2con
@nversel
Neil Versel

Others weren’t so harsh, but at least had questions about the purpose and appeal.

Mindbloom interesting idea - just wondering how many people will take the time to manage this digital Tamagachi... #health2con
@pjmachado
Paulo Machado
@ I say nobody. Too cutesy.
@nversel
Neil Versel
Some will use - will have high drop off rate... RT @: @ I say nobody. Too cutesy.
@pjmachado
Paulo Machado
@ Yeah, that sounds right.
@nversel
Neil Versel

I later asked fellow realist John Moore of Chilmark Research this question:

@ Ready to join hands and sing Kumbaya yet? #health2con
@nversel
Neil Versel

At least I wasn’t the only one worn out by having to separate the wheat from the chaff.

At odds with myself after a long day at #health2con. So much great stuff, but so much shiny hyped iVapor too. Let's make it REAL folks!

I did tone down my rhetoric a bit on Tuesday, though.

Lots of people seem to be gulping the #health2con Kool-aid. Is your enthusiasm realistic? As an objective observer, I'm seeing hits & misses
@nversel
Neil Versel

OK, maybe only a bit, especially after Microsoft’s Mike Raymer said, “It was good to have two companies create a marketplace,” in reference to Microsoft’s HealthVault and the soon-to-be-departed Google Health.

#MSFT #HealthVault and #Google Health didn't create #PHR marketplace. CapMed started in 1991. #health2con
@nversel
Neil Versel
GH didn't have any users. RT @: Love how Microsoft Health Vault has a welcome page to former Google Health users. #health2con
@nversel
Neil Versel

I highlighted what I saw as good points:

RT @: Non invasive blood glucose monitor unveiled at #health2con in SF. very cool! Is it accurate? http://t.co/XIBm2i8f
@2healthguru
Gregg Masters
Sona Mehring of CaringBridge: #Facebook is the 3rd largest country in the world. #health2con
@nversel
Neil Versel

And I asked a question that I’d love to hear an answer to:

Deep Thought: Maybe there needs 2b differentiation between health 2.0 and fitness 2.0? #health2con #mhealth
@nversel
Neil Versel

I would be less likely to tune out certain sessions if there were more related to healthcare and less to personal fitness and wellness. Of course, others have different viewpoints, which is why it might make more sense to separate the two into different conferences or at least different tracks.

September 30, 2011 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Facebook + health data = all sorts of HIPAA questions

“Time’s Person of the Year is Mark Zuckerberg. Sorry, Julian Assange, I guess you didn’t violate enough people’s privacy.” — Stephen Colbert, Dec. 15, 2010.

Yes, Facebook has issues with privacy. Just Monday, the Electronic Privacy Information Center, the Center for Digital Democracy, Consumer Watchdog and the Privacy Rights Clearinghouse formally asked the Federal Trade Commission to stop Facebook from launching a facial-recognition feature. Last week, European regulators said they would investigate Facebook after it came out that Facebook’s 500 million to 700 million users were automatically opted in to facial recognition.

And now we hear that Microsoft is adding Facebook authentication to its HealthVault health information platform.

Let me repeat: You can now sign in via Facebook to a HealthVault personal health record.

Though I’m not a lawyer, I’m wondering if Microsoft might not be treading in some dangerous territory. What if it’s possible to link HealthVault updates to Facebook so your entire social network knows that you just got a lab test result back? What if the Facebook location tagger indicates that you’ve just visited an STD clinic? Yeah, sometimes discretion is in order, and Facebook generally isn’t the place to be discreet.

According to Healthcare IT News’ MobileHealthWatch blog, Microsoft’s Sean Nolan was practically giddy about this arrangement helping HealthVault go mobile. I think mobility will help make PHRs a bit more attractive to patients, but I still think PHRs are DOA if they don’t link to EHRs.

I just don’t see a lot of medical practices being willing to send electronic data back and forth to HealthVault accounts if Facebook is handling the security, making MobileHealthWatch’s claim that, in wake of the supposed demise or at least de-emphasis of Google Health, HealthVault is now “more or less unchallenged as the PHR of record” a joke. There’s no such thing as a PHR of record, and there won’t be as long as authentication passes through Facebook.

 

June 13, 2011 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.

Bosworth: PHRs need to do more than just store data

You may have heard news of Google essentially putting its Google Health PHR platform in cold storage. Whether it’s true or not, the “untethered” PHR—one not connected to a health system’s EHR—has been a non-starter for years. I’ve been particularly critical of the undeserved attention Google Health and Microsoft HealthVault have received, when many smaller companies have been working on PHRs for much longer.

The original head of the Google Health project, Adam Bosworth, left the company in 2007 under suspicious circumstances—did he quit or was fired?—prior to the way overhyped 2008 introduction of this vaporware. Bosworth has gone on to start a new company, Keas, that produces a PHR that incorporates care plans. Keas got some undeserved hype itself, in the form of an October 2009 story in the New York Times that, from what I understand, was suggested by a Times editor who also was advising Keas. (That editor is no longer with the Times.)

Keas itself hasn’t gained much traction, either. I reported in September 2010 that Keas abandoned its original plans to sell direct to consumers in favor of partnering with insurance companies and large employers. That was the last I had heard about Keas until last week, when TechCrunch TV posted the following short interview with Bosworth, entitled, “Adam Bosworth On Why Google Health Failed”:

Bosworth said that Google simply didn’t offer anything the public really wanted. “They basically offered a place to store data,” he said. “Our data shows people don’t really want a place to store data per se. They want to do something fun and engaging. If it’s not fun, if it’s not social, why would they do it?” Yes, that makes sense.

Bosworth said that people need encouragement and even peer pressure to practice healthy behaviors. Bosworth said he lost 22 pounds in 18 weeks by walking 4 miles each way to and from his downtown San Francisco office four times a week, and he credited the encouragement he got from checking in on Keas.

That’s a great sign, but I wonder how many other stories like his there are out there? My guess is, not many. I’m thinking online communities of like-minded people or those facing similar health issues have been far more successful. Last night’s post is a prime example.

Feel free to prove me wrong.

June 6, 2011 I Written By

I'm a freelance healthcare journalist, specializing in health IT, mobile health, healthcare quality, hospital/physician practice management and healthcare finance.