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Facebook and Electronic Medical Records

Posted by AMS at 7 DEC 6:57 am

(Dec. 6) — Americans find long-lost friends on Facebook. They meet on Facebook. They post pictures of parties, vacations or even family photos on Facebook. But what Mark Zuckerberg probably never dreamed of when he invented this social network tool to connect college students was that Facebook would someday save a life. Social media has become a tool in the medical world to diagnose patients, treat them and save their lives.


In the past few years, we have urged hospitals and doctors to move from a paper record system to an electronic one to reduce the number of medical errors, improve efficiency and, as a result, save lives and money. Among the many benefits, an electronic medical record should give the treating physician a portable, immediately accessible and thorough account of a patient’s entire medical history.


But now social media is helping the medical community enhance the practice of medicine even more.

This past summer, a 56-year-old woman checked into the emergency room of Sacred Heart Hospital in Eau Claire, Wis., complaining of chest discomfort. She said she’d been in and out of several hospitals over several weeks, yet doctors couldn’t find what was really wrong with her.

Within hours, she had lapsed into a coma. Doctors later determined that she’d sustained a massive stroke, causing paralysis and coma. There was also evidence of multiple prior strokes and fluid around her heart, something unusual for a patient so young. She rapidly deteriorated toward death.


She was a single mother who lived far from any close family members. Hospital personnel talked to her son, but he could provide little information. It was discovered that she had a Facebook account.

Every doctor will attest that to make a proper diagnosis he or she needs a thorough account of a patient’s medical history. That’s why the doctor-patient relationship is so important. It is also why you see physicians on TV shows like “House” go to great lengths to discover everything about a patient.

In the case of the woman in a coma at Sacred Heart, her diary like postings on Facebook were a far more detailed and complete accounting of her health than even her stack of medical records. More important, they were a far more relevant accounting because they detailed her medical history in her own words.

On Facebook she posted her medications, symptoms, hospitalizations and conditions dating back months. She had dates, times and descriptions of how she felt and what was occurring with her body.

That led the medical team at Sacred Heart to discover that the woman not only had a hole in her heart but that she’d been throwing blood clots to the brain, which caused the strokes. As a result, a treatment plan including lifesaving brain surgery was put in place. Today, she is out of a coma, has made great progress and is undergoing speech and physical therapy.

What does this case tell us about the future of medicine? Like everything in society, social media is having an enormous impact on our personal lives, in ways we never imagined. Everyone self-publishes their own stories.

Police officers are using Facebook to fight crime and hunt terrorists. And now physicians are discovering a whole new world of utilizing social media to chronicle medical conditions of patients. As people document their health on the Web, it is easy for anyone — including doctors — to discover what is really going on.

This intersection of medicine and the digital world is worth exploring as the Facebook generation takes us to new heights we never dreamed with the World Wide Web.

Yet it also reminds us that at the heart of our 21st century health system is the individual patient. A personalized system that puts the individual at the center and helps us make decisions based on the needs of the individual will become even more accessible — and more important — as the digital world expands in ways that can save lives and save money.

Newt Gingrich, the former speaker of the House, is the founder of the Center for Health Transformation. Dr. Kamal Thapar is a neurosurgeon at Sacred Heart Hospital who utilized Facebook with a patient last summer to save her life. To protect the patient’s privacy, her name has not been disclosed.

Source: AOL News

Newt Gingrich and Kamal Thapar, M.D.



Categories: EHR Health Care News, Social Media & Health Care
Tags: EMR, Facebook, Medical Records

Tweeting Their Way For New Patients – Social Media

Posted by AMS at 17 AUG 7:32 am

Hospitals are turning to social networking in an effort to market themselves to new patients who seem to be looking more to social media to choose the kinds of products and services they use.


Earlier this year, a Baltimore television station incorrectly reported that Greater Baltimore Medical Center had been invaded by an armed robber. Naturally, the Twitter-verse was aflutter.


After the news broadcast, Michael Schwartzberg, media relations manager of GBMC, sent out a slew of tweets correcting the misinformation.


This is new territory for medical marketing. Ten years ago, it was innovative if hospitals had websites. Now, medical institutions are tweeting, creating Facebook pages, making videos for YouTube, and posting photos to Flickr.


In this technology-driven age, consumers are relying less on word-of-mouth referrals and looking more to social-media outlets to choose the kinds of products and services they use—including health care. In response, hospitals have ramped up their online marketing campaigns.


“I think the amount of competition in this direct area affects a lot of the things we do [in social media],” said Betsey Haley, communications and social-media manager for LifeBridge Health.


LifeBridge spreads its online presence throughout five different social-media platforms plus its website.


The LifeBridge Twitter account and Blogspot blog is updated regularly and provides health care information to patients, while its Facebook page is used as a job and career board. LifeBridge also has its own channels on YouTube and ICYou, an online health video source.


“We look at social media as a new and interesting way to communicate with people,” Haley said.


Federal health reform is helping to put patients at the center of their care too, which means consumers will have more options.


“With or without health care reform, social media has a relevant place in our landscape of navigating health information and health care decisions,” said Kathy Smith, director of market development for Johns Hopkins Medicine.


Hopkins has social-media communities on Facebook, Twitter, and YouTube.


“By actively engaging in social media, we have the opportunity to reach audiences on a platform where they feel comfortable,” Smith said.


She said patients are definitely paying attention to different social-media avenues as a way to connect with health care professionals and get health information at the click of a mouse.


“Today’s health consumer is much more mobile than they once were,” Schwartzberg said.


Schwartzberg said GBMC uses its social-media platform for media relations, customer service, crisis communication—such as H1N1 updates, community relations, and human resources.


Kevin Cservek, a spokesman for Baltimore Washington Medical Center, said the hospital has a Facebook page and Twitter account that are updated daily. Cservek also runs a YouTube channel, which so far features interviews with physicians about heart disease. A Flickr site boasts photos from various events.


Cservek said social media won’t replace traditional marketing, but it is another avenue hospitals can use to reach patients.


At a recent free screening for prostate cancer, Cservek said that out of 100 people that attended, about a handful of men said they found out about the screening on Facebook.


“For commercial brands like an energy drink or a new line of clothing, I think social media has a lot of value,” said Vivienne Stearns-Elliott, media relations officer for St. Joseph Medical Center in Towson, Maryland.


But she is still skeptical of the value of social media for hospitals, especially since many elderly and low-income patients do not have regular access to a computer.


By Emily Mullin Aug 12 2010

Portfolio.com/industry-news/health-care



Categories: EHR Health Care News, News Blog, Social Media & Health Care
Tags: Facebook, Social Media, Twitter

VA Looking To Add Social Medial Tools to EHR Portal

Posted by AMS at 11 APR 9:32 pm

The Department of Veterans Affairs is testing the use of various social media-style tools that would enhance the user experience and accessibility of VA’s electronic health record portal My HealtheVet, Federal Computer Week reports.

At the 2010 FOSE conference on Tuesday, Gail Graham, VA’s deputy chief officer of health care information management, said that younger VA members returning from deployment have been requesting more functionality and social media-like services in the EHR portal. Veterans use the portal to access their health records, maintain health diaries and order prescription refills.

She said that VA has been testing a secure message tool that would link patients to their health providers through My HealtheVet. The tool has been introduced in pilot projects at several VA hospitals, Graham said. However, she noted that HIPAA privacy rules prevent it from functioning as an instant messaging tool.

Graham said that additional features are being tested in focus groups with veterans (Beizer, Federal Computer Week, 3/23).



Categories: News Blog, Social Media & Health Care
Tags: Facebook, Social Media, Twitter, Veterans

How Social Networks Help Chronically Ill

Posted by AMS at 25 MAR 1:45 pm

A former model who is now chronically ill and struggles just to shower says the people she has met online have become her family. A quadriplegic man uses the Web to share tips on which places have the best wheelchair access, and a woman with multiple sclerosis says her regular Friday night online chats are her lifeline.

For many people, social networks are a place for idle chatter about what they made for dinner or sharing cute pictures of their pets. But for people living with chronic diseases or disabilities, they play a more vital role.

“It’s really literally saved my life, just to be able to connect with other people,” said Sean Fogerty, 50, who has multiple sclerosis, is recovering from brain cancer and spends an hour and a half each night talking with other patients online.

People fighting chronic illnesses are less likely than others to have Internet access, but once online they are more likely to blog or participate in online discussions about health problems, according to a report released Wednesday by the Pew Internet and American Life Project and the California HealthCare Foundation.

“If they can break free from the anchors holding them down, people living with chronic disease who go online are finding resources that are more useful than the rest of the population,” said Susannah Fox, associate director of digital strategy at Pew and author of the report.

They are gathering on big patient networking sites like PatientsLikeMe, HealthCentral, Inspire, CureTogether and Alliance Health Networks, and on small sites started by patients on networks like Ning and Wetpaint.

Sherri Connell, 46, modeled and performed in musicals until, at age 27, she learned she had multiple sclerosis and Lyme disease. She began posting her journal entries online for friends and family to read. Soon, people from all over the world were reading her Web site and telling her they had similar health problems.

In 2008, she and her husband started a social network using Ning called My Invisible Disabilities Community. It now has 2,300 members who write about living with lupus, forthcoming operations or medical bills, for example.

“People have good and bad days, and they don’t know a good day’s going to come Wednesday at 5 o’clock when a live support group is meeting,” Ms. Connell said. “The Internet is a great outlet for people to be honest.”

Not surprisingly, according to Pew, Internet users with chronic illnesses are more likely than healthy people to use the Web to look for information on specific diseases, drugs, health insurance, alternative or experimental treatments and depression, anxiety or stress.

But for them, the social aspects of the Web take on heightened importance. Particularly if they are homebound, they also look to the Web for their social lives, discussing topics unrelated to their illnesses. Some schedule times to eat dinner or watch a movie while chatting online.

John Linna, a pastor in Neenah, Wis., did not know what a blog was when his son suggested he start one after discovering he needed to stay home on a ventilator.

“That day my little world began to expand,” he wrote in a post last year about blogging. “Soon I had a little neighborhood. It was like stopping in for coffee every day just to see how things were going.”

When Mr. Linna died earlier this year, people all over the Web who had never met him in person mourned the loss.

Others use the Web to find practical tips about living with their disease or disability that doctors and family members, having not lived with it themselves, cannot provide.

On Diabetic Connect, a diabetes social network with 140,000 members, people share recipes like low-sugar banana pudding, review products like an insulin pump belt and have discussions like a recent one started by a patient with a new diagnosis. “I don’t like to talk to my family and friends about this,” she wrote. “Honestly I feel helpless. I really just need some advice and people to talk to who might have been experiencing the same things.”

Amy Tenderich is the community manager for Diabetic Connect and writes a blog called Diabetes Mine. “There’s no doctor in the world, unless they’ve actually lived with this thing, that can get into that nitty-gritty,” she said. “I’ve walked away from dinner parties with tears in my eyes because people just don’t understand.”

Patients often use social networks to interact with people without worrying about the stigma of physical disabilities, said Susan Smedema, an assistant professor of rehabilitation counseling at Florida State University who studies the psychosocial aspects of disability.

From her home in Maine, Susan Fultz plays online games at Pogo.com and commiserates with people who are frustrated that they do not have a diagnosis for their symptoms.

“There’s no worry of being judged or criticized, and that is something that I know a lot of us don’t get in our daily lives,” said Ms. Fultz, who has Lyme disease and psoriatic arthritis.

Those with chronic diseases or disabilities, like all Internet users, have to be wary about sharing private health information online, particularly with anonymous users.

Research has also shown that emotions can be contagious, said Paul Albert, digital services librarian at Weill Cornell Medical Library in New York who has researched how social networks meet the needs of patients with chronic diseases.

“If you hang out on a message board where people are very negative, you can easily adopt a negative attitude about your disease,” he said. “On the other hand, if people are hopeful, you might be better off.”

Some people also worry that patients might exchange erroneous medical information on the Web, he said. Yet most patient social networks make clear that the information on the site should not substitute for medical advice, and the Pew study found that just 2 percent of adults living with chronic diseases report being harmed by following medical advice found on the Internet.

Instead, the sites are used to share information from the front lines, said Lily Vadakin, 45, who has multiple sclerosis and works as a site administrator for Disaboom, a social network for people with disabilities. For instance, she has discussed with other patients how to combat fatigue by working at home and taking vitamin supplements.

“That’s what the community can give you — a real-life perspective,” she said.

Source: By CLAIRE CAIN MILLER



Categories: EHR Health Care News
Tags: blogging, Facebook, Social Media, social networks, Twitter

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