Thanks to Chris for sharing the video.

Here’s a long video on the end of the RMN (21 minutes, but it’s worth it.).  If you can watch it in full screen in HD.

Scoble’s take on it is that the benefits of social networking and getting the  crowds feedback on your condition, your physician and your prescriptions. I think it comes back to personal choice– if you choose to release your healthcare information, then you are free to accept the benefits and the consequences.

If you have a few minutes, click around and let me know what you think.  If you want to know more about the new hospital, read the newly redesigned edition of our quarterly magazine, Housecall.

First, I think it’s important to acknowledge the role that electronic health records and secure messaging between physicians and patients can have to improve the doctor patient relationship and the patients overall health.  In the next five years we are going to see more and more doctor-patient communication move online and hopefully see more health care team communication move online (think of a facebook like social network all about your health where your nurses, primary care docs, pharmacists, specialists and you can all keep each other up to date about your health).

In this new era it will be important for your doctor and your health care team to exercise appropriate online etiquette to maximize their relationships with you and each other.  Here are some online etiquette tips that a doctor should follow:

1. Respond quickly  to patients online questions. Tell your patient you or a member of your team will respond within XX hours (24 or less hopefully) and have a work flow set-up to ensure that you meet that goal.
2. Respond fully to patients online. Take the time to write in complete sentences in language that your patients will understand. In my day to day work i communicate with some doctors over email who reply to me over email in cryptic short bursts of information which if I didn’t know better would leave me thinking they were upset, not just overworked.
3. Check off and share health care alerts with your patients. Have an automated system for sharing troubling health care issues with your patients and information on solving their health care problems.
4. Prescribe information online.  Just like patients need prescriptions, links to online information can be a great way to inform the patient and let them make informed decisions about their health care.
5. Confer with other health team members online. Find a way to create a social health care network where specialists, pharmacists and therapists can all communicate online with each other about the patient.

Eventually a form of online etiquette may need to be taught in Continuing Medical Education and in Medical School to help standardize the appropriate way to communicate with your patients online.

We know that at these fancy schmancy systems, they can do these things. But here in New York, we’re trying to do this for the storefront in Harlem,” said Dr. Farzad Mostashari, a health department epidemiologist who is spearheading the New York effort. “As of now, about 2 percent of solo and small practices have electronic health records. This is really hard stuff to do. We have boots on the ground.

For the doctor, it helps him quickly review the patients record.

Particularly for less experienced doctors, the system provides what Dr. Jesse Singer, a health department records expert, described as CliffsNotes-style advice on how to handle medical problems based on a patient’s age, sex, ethnic background and medical history. It prompts doctors to provide routine tests and vaccinations, advises them on appropriate treatment and medication for certain conditions, and warns of potentially dangerous drug interactions.

When given access patients can interact with the doctor’s office electronically, too.

They can request appointments electronically, check lab results or chart how well they are doing in, for instance, controlling cholesterol, blood pressure or blood sugar.

Many in the medical world have long chafed at the notion that patients should not see their charts, and city health officials see the interactivity as a potentially powerful tool to push patients to take more responsibility for their well-being. Just seeing a readout of their vitals at various intervals could help, Dr. Singer said.

]]> http://www.lanniebyrd.com/2008/12/30/nyc-paying-doctors-to-convert-to-ehr/feed/ 1 http://www.lanniebyrd.com/2008/12/02/social-networking-for-patients/ http://www.lanniebyrd.com/2008/12/02/social-networking-for-patients/#comments Wed, 03 Dec 2008 01:31:47 +0000 Lannie http://lanniebyrd.com/?p=407 Since I started working at UAMS, I have been paying closer attention to healthcare and medical sites. I ran across an interesting website last night– patientslikeme. Basically it’s a social network for people diagnosed with serious illnesses. The site says

Thousands of patients with ALS/Motor Neuron Disease, Devic’s NMO, HIV, Mood Conditions, Multiple Sclerosis (MS), MSA, Parkinson’s Disease (PD), and PSP use PatientsLikeMe to better manage their overall health, treatments, and symptoms.

It’s truly an amazing concept for an online community where people can share everything from diagnoses and treatments to how their families are handling their condition.

Jeff Jarvis follows up on the conversation looking at medicine as information. Jarvis advocates “doctors should act as curators, selecting the best information for their patients and making sure they are better informed.” I like the concept of the doctors helping us sort the good from the bad, but I’m not sure how most health care practicioners feel about losing control of the information.

Well, you’re not alone. A recent study of more than 500 Microsoft employees who answered a survey on their medical search habits revealed that more than half said that online medical queries related to a serious illness had interrupted their day-to-day activities at least once. In the study on cyberchondria the researchers examined how medical searches can be made to give more relevant results. Health information professionals should try to create search engines that are able to detect medical queries and offer advice that did not automatically make Web searchers fear the worst.