HOSPITAL ADOPTION OF MEDICINE 2.0

A Culture Change

Introduction

Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Links:

delicious.com/johnsharp/ClevelandClinic Department:

lerner.ccf.org/qhs/informatics Email: sharpj@ccf.org

Industry Relationships

Member of the Advisory BoardWithin3.com – private social network for physicians

Cleveland Clinic

1000 bed hospital and medical center 1800 physician group practice 3.3 million total visits and more than

50,000 hospital admissions Locations: Cleveland, Ohio; Fort

Lauderdale, FL; Toronto, CA; Abu Dhabi, UAE; Las Vegas, NV

Cleveland Clinic Electronic Medical Record

Epic Systems 2,000,000 patients In hospital, outpatient clinics and

suburban health centers CPOE implemented Now being used for

quality reporting and research

eHealth Initiatives

Personal Health Record – tethered to EMR

Online Second Opinion

Google Health partnership

Microsoft HealthVault – remote monitoring

Leadership in Healthcare Reform Outcomes Booklets – reported annually Cited as model of care efficiency President Obama’s visit to discuss

reform Physicians on salary – remove motivation

for fee for service

Web 2.0 as a Disruptive Force

Web 2.0 Beginnings

Unofficial Blogs – Clinical Cases and Images

Unofficial Wiki – AskDrWiki.com Social Networking in Medical School Google Gadget – Walk for Good Live physician chats Google Health partnership Transition – CEO blog

Web 2.0 Beginnings

The Transition

Website Redesign – consumer research - 2008

YouTube channel – repurposing news videosCleveland Clinic News Service - 2007

Facebook page, Twitter for CME, then news - 2009

Chief of Medical Staff – Blog for medical staff with anonymous comments allowed - 2009

Wikis in several departments CMO presents strategy to Board and

Trustees

Website Redesign

YouTube Channel

Focus : health news and wellness recommendations

Facebook

Wellness Focus

Twitter - CME

Will be Tweeting from our Medical Innovation SummitOct 5-7

What Enabled this Change

An institution which encourages innovation

Leadership willing to look at successes in other industries for new strategies

New emphasis on patient engagement – Office of Patient Experience

National/International strategy to recruit new patients

Chief Marketing Office as a champion

Future

Physician Social Networking Expand Twitter presence Employee polices Enterprise 2.0 – early stages Integration with eHealth tools Facebook gadgets

Physician Social Networking

•Private – must be a licensed physician•No advertising•Profile including Clinical trials and publications•Alumni groups, clinical trial communication, etc.

Policies in Place

Website user agreement Employee policy Emphasis on avoiding harassment,

defamation, profanity “play nice” and then your participation is

acceptable Employees warned about personal

health information

Conclusions

How to change the culture? The healthcare organization must have a

willingness encourage innovation to solve the health care crisis

Organizations need to be willing to engage patients through social media

Need an institutional champion Risks can be identified and controlled Experimentation and partnerships should be

encouraged

Contact

Blog: ehealth.johnwsharp.com Twitter: @JohnSharp Links:

delicious.com/johnsharp/ClevelandClinic Department:

lerner.ccf.org/qhs/informatics Email: sharpj@ccf.org