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  <id>tag:,2008:/1/tag:www.readwriteweb.com,2008://1.5884-</id>
  <updated>2008-07-07T13:32:25Z</updated>
  <title>Comments for Top Health 2.0 Web Apps</title>
  
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  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884</id>
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    <link rel="service.edit" type="application/atom+xml" href="http://www.readwriteweb.com/cgi-bin/mt/mt-atom.cgi/weblog/blog_id=1/entry_id=5884" title="Health Care at SXSW - Health Getting Hot With Tech Crowd" />
    <published>2008-03-16T04:39:50Z</published>
    <updated>2008-03-16T05:58:15Z</updated>
    <title>Health Care at SXSW - Health Getting Hot With Tech Crowd</title>
    <summary>SXSW 2008 will most likely be remembered for the Zuckerberg interview controversy. But a more interesting phenomenon, that in some ways broke through at SXSW, was health care and tech. Specifically the movement to user (or at least employer) owned Web-based health and wellness apps and services. One of the most popular sessions was &apos;Transforming...</summary>
    <author>
      <name>Guest Author</name>
      
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    <category term="Real World" />
    
    <category term="SXSW 2008" />
    
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      <![CDATA[<p><img src="http://www.readwriteweb.com/images/health_sxsw.jpg" />SXSW 2008 will most likely be remembered for the <a href="http://www.austin360.com/news/mplayer/sxsw/73367">Zuckerberg interview controversy</a>. But a more interesting phenomenon, that in some ways broke through at SXSW, was health care and tech. Specifically the movement to user (or at least employer) owned Web-based health and wellness apps and services. </p>

<p>One of the most popular <a href="http://2008.sxsw.com/interactive/programming/panels_schedule/?action=show&id=IAP060514">sessions</a> was 'Transforming Hospital Systems: The Digital Future of Healthcare'.</p>]]>
      <![CDATA[<p><em>This is a guest post by Joshua Rosenthal, Ph.D., founder of <a href="http://www.sprigley.com/">www.Sprigley.com</a></em></p>

<p>The speakers were Michael Kennedy, an Info systems guy at Microsoft specializing in hospital and insurance systems, and Gregg Lucksinger, Chief Medical Officer of Red River Family Practice and Central Texas Clinical Research. Dr. Lucksinger opened with a case study of how Electronic Medical Records have helped his practice.  Helped save time, save money, reduce mistakes, etc.  It's not too hard of a case to make in theory.  Your bank uses electronic records to streamline your banking, why should your doctors have to mail each other libraries of paper files?  Of course the devil is in the details, particularly those involving implementation.</p>

<p><img src="http://farm4.static.flickr.com/3134/2325352185_0f6994d7e4.jpg?v=0" alt="" /><br /><em>SXSW health care session</em></p>

<p>Michael Kennedy noted that Microsoft is getting into health care big time.  According to Kennedy, Microsoft's health care staff now tops 600 full time employees.  Much of the work focuses on tying electronic medical records to hospital systems. Not surprisingly, most of the growth is in foreign markets where things don't need to be "retro-fitted" to engage "legacy systems", but can be dropped in from scratch.</p>

<h2>Microsoft's Healthvault</h2>

<p>All of this is old hat in healthcare circles and received limited yawns and polite nods of ascent in the session.  Things got interesting when Kennedy described Microsoft's Personal Health Record product, <a href="http://www.healthvault.com/">Healthvault</a>.</p>

<p>Basic primer: Electronic Medical Records (EMRs) are for doctors and hospitals, insurance companies and employers.  They contain things like codes for drugs, tests and procedures - i.e. data.  Personal Health Records, on the other hand, are accessible to individual patients.  They are a higher level description that people can understand themselves and share with others - i.e. information rather than data.  Microsoft's Healthvault places them squarely in the consumer market.  It's the plumbing that ties together devices and services meant for individuals.  Add to that <a href="http://googleblog.blogspot.com/2008/02/google-health-first-look.html">Google Health</a>, another recent Big Internet Co entry into the same space, and it's easy to see why the session was standing room only and the line for Q&A stretched almost out the door.</p>

<p>Kennedy noted that things were still early, still in roll out mode for both Microsoft and Google, but he mentioned enough current consumer devices and applications to create buzz.  </p>

<h2>Health 2.0 Devices and Apps</h2>

<p>First up, <a href="http://www.polar.fi/polar/channels/eng/segments/Fitness.html">watches from Polar that monitor your heart rate</a> and write the information to your Personal Health Record:</p>

<p><img src="http://www.readwriteweb.com/images/F55-seg-semi.gif" alt="" /></p>

<p>Imagine sharing trends from your workout sessions with your doctor health coach or personal trainer.  Same thing with a scale from A&D Medical:</p>

<p><img src="http://www.readwriteweb.com/images/UC-321PBTNew.jpg" alt="" /></p>

<p>A pedometer from OMRON:</p>

<p><img src="http://www.readwriteweb.com/images/720ITC-w-PA.gif" alt="" /></p>

<p>The more traditional medical devices, like blood pressure monitors from OMRON:</p>

<p><img src="http://www.readwriteweb.com/images/Ultra-Prem-790IT.gif" alt="" /></p>

<p>A <a href="http://www.microlifeusa.com/product_3AX1-4U.asp">wrist-worn blood pressure unit from Microlife</a>, and a blood glucose meter from Johnson & Johnson's LifeScan:</p>

<p><img src="http://www.readwriteweb.com/images/image_meter_1.gif" alt="" /></p>

<p>Okay, so the above are some cool devices.  Is anyone making slick apps to sit on top of those devices?  Check out the <a href="https://www.bpmc.heart.org/App_HeartHealth/GetStarted.aspx?uniqueId=2624334.7792048054">American Heart Association's Blood Pressure Management Center</a>, which gives a slick visualization and makes it easy to see your blood pressure trends over time:</p>

<p><img src="http://www.readwriteweb.com/images/blood_pressure_mgmt.jpg" /></p>

<p>Maybe you're an athlete.  How about software from Peaksware?  <a href="http://www.trainingpeaks.com/">Training Peaks</a> is for the workout junky, while <a href="http://www.fitnesspeaks.com/">Fitness Peaks</a> is more for the person interested in being generally fit.</p>

<h2>Trends</h2>

<p>So what does all of this mean?  Firstly, these devices and apps help people become experts in their health and well-being.  Individuals gather their data - blood pressure, glucose, heart rate, weight, workout session and nutritional information, etc - then use the apps to learn about themselves over time.  </p>

<p>Second, portability.  Tracking your weight, blood pressure and workout info over time isn't new.  The problem was that every product lived in its own silo.  The offerings from Microsoft and Google break down these walled gardens, creating rich data assets for personal lifelong care, from their interaction with a given product.  </p>

<p>Perhaps more importantly, granting people a 360 degree view of themselves - how does taking a walk affect your own blood pressure and glucose?  </p>

<p>Finally, personal responsibility.  Health care is about behavior change - about people taking control of their own health and well-being.  Right now everybody has your data but you.  Your doctor, your employer and your insurance company have the information and the tools.  But that data is lost every time you move, switch doctors, switch jobs or insurance companies.  Ironically, the person who has the greatest chance of impacting your health behaviors (you), has virtually no access to information and tools to do so.  But the above apps are changing that, creating access and portability that give <em>you</em> the power to take control of your own health and well-being.</p>

<p><em>Written by Joshua Rosenthal, Ph.D., founder of <a href="http://www.sprigley.com/">www.Sprigley.com</a></em></p>]]>
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  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49408</id>
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    <title>Comment from Berci Mesko on 2008-03-16</title>
    <author>
        <name>Berci Mesko</name>
        <uri>http://scienceroll.com</uri>
    </author>
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        <![CDATA[<p>A fantastic review again about Health 2.0 apps. </p>

<p>You may find my recent article about the <a href="http://scienceroll.com/2008/03/15/dangers-of-web-20-in-medicine/" rel="nofollow">Dangers of Web 2.0 in Medicine</a> interesting.</p>]]>
    </content>
    <published>2008-03-16T09:19:35Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49421</id>
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    <title>Comment from Patrick Furey on 2008-03-16</title>
    <author>
        <name>Patrick Furey</name>
        <uri>http://www.consumersphere.com</uri>
    </author>
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        <![CDATA[<p>Great info. I'm working on a Health 2.0 project and have found the info your have covered in your blog on this subject invaluable.<br />
Thanks</p>]]>
    </content>
    <published>2008-03-16T14:07:19Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49423</id>
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    <title>Comment from Brad Garland on 2008-03-16</title>
    <author>
        <name>Brad Garland</name>
        <uri>http://bradgarland.net</uri>
    </author>
    <content type="html" xml:lang="en" xml:base="http://bradgarland.net">
        <![CDATA[<p>I was actually in this session as well and a thought kept creeping up in my head.  Why can't we do an OpenEMR system like we are doing for authentication (OpenID).  Be able to transfer and control your medical record personally instead of having the doctors control it all?</p>

<p>Speaking with Tantek Celik afterwards his thought was that there is nothing we can do in this society since it is  controlled by big business & government. But I think it can still be overcome.  It might take the right people in the right places but decentralizing this network and giving the power for each American to control their own medical record could ensure higher reliability, less poor diagnoses, and can handle scale.</p>]]>
    </content>
    <published>2008-03-16T14:31:10Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49429</id>
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    <title>Comment from Jason on 2008-03-16</title>
    <author>
        <name>Jason</name>
        <uri>http://www.vyrotek.com</uri>
    </author>
    <content type="html" xml:lang="en" xml:base="http://www.vyrotek.com">
        <![CDATA[<p>Its really hard to believe a lot of this stuff will actually be successful. Its difficult to convince a hospital or clinic to use a certain platform for anything without showing how it will save them money in the end. They are run just like any other business in America.</p>

<p>A big problem I see with keeping track of your own medical records is that most people just dont care. I think its safe to say that the majority of people dont need to have anytime access to their record or even want the responsibility of keeping their record updated and properly managed. Most dont even think about their record until there is a problem.</p>

<p>I suppose you could argue that its really about just checking up on your record to make sure things are accurate. I can see some value in that. But I dont want to have to manage who can access what. A history of WHO accessed what, where, why and when is sufficient.</p>

<p>If Im just some average Joe who really only goes to the doctor once every few years and doesnt have any kind of medical history or issues how does such a system benefit me? Maybe it saves me a little bit of paperwork? Can someone convince me otherwise?</p>

<p>Check out <a href="http://www.histalk2.com/" rel="nofollow">http://www.histalk2.com/</a> for a peek at what the health IT industry is really up to.</p>]]>
    </content>
    <published>2008-03-16T15:41:44Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49435</id>
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    <title>Comment from Sarah on 2008-03-16</title>
    <author>
        <name>Sarah</name>
        <uri></uri>
    </author>
    <content type="html" xml:lang="en" xml:base="">
        <![CDATA[<p>Great post, just like the other one.</p>

<p>I'm an "Average Jane" - why would I want to own my own record even if I don't check it every week?  Because it's mine, that's why.  I don't check my 401k every day but it's mine and I can take it with me even when I change jobs.  The history of my trades, my previous profiles, all my settings on my trading tools follow me, or sit inside an application based on a "financial record" that I own.  How crazy would it be if I had to start from scratch all the time?  If you don't care about it, no problem, but lots of folks do.  Same thing with my own health record.</p>

<p>And trust me, if you ever get diagnosed with something serious, or just the normal things associated with aging, or take care of someone who is (and there are a whole lot lot of people here) this is important more than saving a bit of paperwork  In that situation, the burden falls on you and ensuring everyone you want has access to your record, much less having applications interacting with your record to help you, well that's just huge.</p>]]>
    </content>
    <published>2008-03-16T17:28:56Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49436</id>
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    <title>Comment from Jason on 2008-03-16</title>
    <author>
        <name>Jason</name>
        <uri>http://www.vyrotek.com</uri>
    </author>
    <content type="html" xml:lang="en" xml:base="http://www.vyrotek.com">
        <![CDATA[<p>Very good points Sarah. Again, like I said I do see some value in it. But isnt a decentralized record keeping system sort of half solving the problem?</p>

<p>You mentioned "the burden falls on you and ensuring everyone you want has access to your record". I think that IS the problem. Why is it my burden? Why try to develop software to make the problem just a bit easier? Sounds like the better solution would be somethign similar to an OpenEMR where patients also have access to their data.</p>

<p>Of course that would require the hosptials to spend money when they are just happy with the broken way they do things now. Dont worry, some companies are making big changes one RHIO at a time. I actually work for one of them :) <a href="http://www.medicity.com" rel="nofollow">http://www.medicity.com</a></p>]]>
    </content>
    <published>2008-03-16T18:49:49Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49456</id>
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    <title>Comment from Zet on 2008-03-16</title>
    <author>
        <name>Zet</name>
        <uri></uri>
    </author>
    <content type="html" xml:lang="en" xml:base="">
        <![CDATA[<p>First off, health is not just behaviour change, it's infrastructural change, too. And the trend I keep seeing in the medical profession is all about behaviour change, and "assisting" (forcing?) behaviour change. It would be much better health-wise to stop advertising junk food and alcohol, for example, but no, it is, as they say, up to >us

<p>Second, do you trust your government? Or internet security? Maybe it's better for our health to keep our health info not piled up somewhere online...</p>

<p>Finally, maybe it's a better use of funds to go out and help the homeless, unemployed and third-world-poor more rather than thinking up fancy gadgets for the rich, who statistically (in comparison) have very little health-wise to worry about?</p></p>]]>
    </content>
    <published>2008-03-17T01:29:38Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49457</id>
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    <title>Comment from Jason on 2008-03-16</title>
    <author>
        <name>Jason</name>
        <uri>http://www.vyrotek.com</uri>
    </author>
    <content type="html" xml:lang="en" xml:base="http://www.vyrotek.com">
        <![CDATA[<p>...wow</p>

<p>Zet, you could always sell your fancy gadget aka 'your computer' and give that money to the homeless, unemployed and third-world-poor.</p>]]>
    </content>
    <published>2008-03-17T01:55:41Z</published>
  </entry>

  <entry>
    <id>tag:www.readwriteweb.com,2008://1.5884-comment:49992</id>
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    <title>Comment from Gilberto Gomez - Information Services Director on 2008-03-22</title>
    <author>
        <name>Gilberto Gomez - Information Services Director</name>
        <uri></uri>
    </author>
    <content type="html" xml:lang="en" xml:base="">
        <![CDATA[<p>I stumbled on this webpage because I am doing my masters degree and looking up Internet Security and Healthcare. It is incrfedible to see a light at the end of a tunnel ! Looking at the potential of having monitoring systems for blood pressure, glucose, pedometer readings, heart rate watch, can help for basic diagnostic issues that many individuals would enroll foir in a website as they are uploading their results and their Primary Phycisian looks up the data and makes proper reccomendations to the patient. This is definetely a new era of being able to treatscik kids with the flu at home, having the proper electrojnic systems and "eprescriptioons" that get sent to the pharmacy arpud the corner of the house. Incentives for pharmacies to use this systems (such as discounts from Phamaceutical Manaufacturers) can help trigger this evolution. This may also help rpovide health insurance costs go down since the patients will be visiting a site and will be able to get proper care in a timely matter. Of course audit proceudres have to be in place to keep physicians and other users of this website in compliance to the SOX and HIPAA measures. Good read !</p>]]>
    </content>
    <published>2008-03-22T17:35:26Z</published>
  </entry>

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