Monday, May 09, 2011

#hcdc BlogtalkRadio session for HealthCampDC

This Tuesday May 10, 2011 at 5p PST/8p EST healthca.mp/radio talking about healthca.mp/dc #hcdc happening on  6.8.11 at the Kaiser Permanete Center For Total Health, 700 Second Street NE, Washington DC.

Tickets for the event are available now for a $25 donation. Goto http://2.healthca.mp/lWuJPJ or http://healthcampdc11.eventbrite.com.
Go grab your ticket now and tell your colleagues. 

DC Health Innovation Week

HealthCa.mp/dc is part of Health Innovation Week in Washington DC.

Check out the schedule:
June 7th - The Walking Gallery - http://thewalkinggallery.eventbrite.com/
June 8th - HealthCa.mp/dc - http://healthcampdc11.eventbrite.com
June 11th - Health 2.0 Developer Challenge Code-a-Thon - http://www.health2challenge.org/code-a-thon/washington-dc-june-11-2011/

If you know of other health related events happening in the Capital area during this week please let us know! · 6:19 AM

Mark Scrimshire
....Sent from my iPhone

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Friday, May 06, 2011

#hcdc HealthCa.mp/dc on 6.8.11 at #KPCTH in Washington DC. Walkthrough of the Center For Total Health

On Wednesday June 8th HealthCa.mp/dc takes place at the new Kaiser Permanente Center For Total Health (700 Second St NE, Washington DC). Participant Tickets go on Sale on Sunday May 8th at 9am EST. 

The video below gives you a preview of the amazing venue and outlines how we are planning to organize the day.

You can get tickets at http://healthca.mp/dc or http://healthcampdc11.eventbrite.com. Tickets are being offered with a donation being requested ($25 or $10 if you are a full-time student). If you want to give a larger donation we will be very appreciative. The money raised from ticket sales goes towards hosting the event and promoting other HealthCamp events around the country and around the world.

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Thursday, May 05, 2011

Build Your Social Media presence one by one. Ten Rules for Health Care Organizations Interested in Using Social Media | The Health Care Blog

By

JAAN SIDOROV, MD

Include social media like ”Facebook” or “Twitter” in health care business plan, and you’ll probably prompt glazed looks from the average health care administrator. Those who recognize the terms will want to know what they have to do with filling up that new heart catheterization suite or increasing referrals to their infusion center.  They’re too busy with marketing flotsam like “Top 100″ billboard campaigns or convincing the local news media to mention that newly renovated lobby. These functionaries look, but they do not see.

Case in point: during a recent work-out at the local fitness center, the Disease Management Care Blog  witnessed two elder women chatting while speed-walking on side-by-side treadmills.  Down the row were two younger women on side-by-side exercise bicycles, also chatting.  The difference was that the two younger women had ear plugs in place, their cell phones out and were simultaneously texting.  All four women were continuously talking at the same time, but that’s not the point.  The point is that two-way web-based cellular communication is fast becoming a 24-7 standard for tens of millions of people.  Those two elders may currently command greater purchasing power, but those texting youngsters is where the future lies.

As mentioned in yesterday’s post, health care organizations that realize that they need to get the attention of the two women on those exercise bikes will find it extremely challenging.  That’s because those ladies will have to “opt-in” and agree to “friend” or “follow” you.

While social media is just as new to population health providers, the DMCB thinks they’ll have a leg up because they have been in the “opt-in” business for over a decade.  After doing some reading and talking to some colleagues in the disease management industry, here are ten insights that can help other health care organizations such as accountable care organizations, integrated delivery systems, medical homes or other provider organizations build followers, tweeps, and friends the opt-in world of social media:

1) Offer brief, personalized, meaningful and relevant content: mass messaging and links to milquetoast advice offer little value.  Efficiently written humor, unique insights and actionable information need to make the effort it takes for your customers to pay attention worthwhile. Being snarky , rude and pushy isn’t necessarily bad. Extra points for catering to “micro” communities.

2) Expect slow uptake, one person at a time: adoption is non-linear, starting slowly and building as awareness grows to, if you do this right, a tipping point.  While big Twitter communities weren’t built in a day, the good news is that once a base of readers/friends/followers is established, it won’t easily go away.

3) It’s a part of a larger coherent marketing and branding strategy: traditional communication ”channels” still have a role to play.  Print, email and phone calls should continue in addition to tweets and postings.

4) Aim it relevant generational health issues – current younger users of social media are more likely to be interested in personally important issues like health promotion, obesity or child care.  Chronic conditions like diabetes or hypertension are less relevant…. for now.

5) Incentives are OK: assuming you can get past the kick-back, privacy and insurance rules, think gift certificates or raffles for sign-ups as well as referrals. It works in employer settings, why not out on the net?

6) Worries? Yes, including HIPAA, creepy data mining, hacking, surveillance, cyber-bullying and predatory behavior.  You’ll need to be up-front with friends and tweeples about this and promptly notify them of any problems.

7) It’s messy: the likelihood that this can be predictably planned is very low.  Flexible adaptation and trying to get buy-in from a skeptical audience means this will be more of a journey than a destination.

8) Social media networking is important: in addition to building your community of individuals, you’ll need to interact with other Twitterers, Facebook pages and blogs.  Play nice with them and they’ll notify others about you.

9) Prize relationships: this is a two-way street, which means you have to have a reputation for listening. That means being aware of any community “buzz” and promptly answering all individual questions, comments and concerns.

10) It isn’t cheap: This takes time. This has to be supported with policy and procedure. This requires training and staffing. This needs money.

Jaan Sidorov, MD, is a primary care internist and former Medical Director at Geisinger Health Plan with over 20 years experience in primary care, disease management and population-based care coordination. He shares his knowledge and insights at Disease Management Care Blog, where this post first appeared.

Filed Under: THCB

Tagged: , , , , May 5, 2011

Jaan offers some common sense guidelines for stepping in to Social Media. The bottom line, don't treat it as another mass media channel. You build an engaged channel one person at a time.

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CareFirst BlueCross BlueShield wins award for confusing statement | Washington Business Journal

Which form do you think is easier to understand: Tax instructions from the IRS or an explanation of benefits from CareFirst BlueCross BlueShield?

The IRS instructions, by a long shot. So says the Center for Plain Language, a Silver Spring-based nonprofit dedicated to the cause of ridding the world of unnecessarily complicated legalese.

CareFirst won the center's 2011 WonderMark Award, given for the "least usable document." Specifically, the insurance company won for a standard explanation of benefits document sent to a Maryland customer.

Meanwhile, the IRS won the center's grand prize ClearMark Award, given to the forms and websites that best use plain language to communicate with users. Specifically, the center praised the IRS' easy-to-find instructions, "active voice," and effective use of the pronouns we and you to "clearly and personally identify the party who has the duty."

Though it doesn't dwell on CareFirst's shortcomings, the explanation of benefits displays none of those qualities.

A CareFirst spokesman has not yet returned an email seeking comment. In fairness, it's worth noting that some of the confusing language in the insurance document is required by Maryland law. So while not entirely blameless, CareFirst is just following orders from an equally confusing bureaucracy.

benfischer@bizjournals.com or 703.258.0828.
Twitter.com/fischer_biz

In HealthCare the EOB is too often an oxymoron. Neither an explanation Nor a Benefit.

There is so much to be done in this space. We need to crowd source solutions since so many of use receive these currently useless documents.

Who do you think provides the best example of an Explanation of Benefits (EOB)?

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Wednesday, May 04, 2011

Evidence-based Medicine gives way to Evidence-based Health but what we need is Evidence-based Choices via #mHealth

Dr. Pauline Chen writes a great article in the Health Section of the New York Times: "When Doctor's Advice Is Ignored At Home. "  I read this immediately after reading a LinkedIn Innovations In Health Group Post that asked the question: "What is the future of telehealth? Do you think the initial cost justifies potential future savings?"

I added my own thoughts to Korstiaan's question:

Mark Scrimshire • I am seeing fascinating developments in body-worn and proximity sensors. When these are introduced in to the TeleHealth/mHealth portfolio there is a massive opportunity to deliver a great return on Investment for both families and health systems. The ROI will occur in two principal areas: 

- Hospital Re-admissions: Equipping a discharged patient with a device to enable remote assessment and feedback can help patients and care givers to comply with their care instructions. 

- Aging In Place: As the population ages there will be a growing demand for tools and solutions that help seniors stay independent. This will allow family caregivers to monitor a senior remotely without being intrusive. This should prove to be very attractive to families if it puts off the day when a senior either moves in to their home, or moves to an assisted living community. 

The caveat to all this is that the solutions being developed have to be consumer centric, easy to use or better still invisible in use. 

Health Care needs to learn lessons from companies like Apple. The iPod was a transformative device. Not because it was using new technologies but because it packaged hardware and software together in an innovative way that was easy for consumers to use.

My thoughts then turned to Pauline's article and the issue of the breakdown of Evidence-based Medicine and the emergence of Evidence-based Health. From my perspective the limited success of Evidence-based Medicine is not surprising. The re-focusing towards Evidence-based Health is logical and appears to yield more successful.

However, It is still not enough. I believe that we won't see real success from Evidence-based practices until we actually include the patient in the Evidence loop. We need to move towards a practice of what I call "Evidence-based Choices."

The idea behind Evidence-based Medicine was to provide doctors and other medical professionals the data that would lead to improvements in the practice of medicine. That is an admirable goal but it only goes part of the way to the solution. Real progress comes from engaging the Patient in the loop.

Successful medicine is accomplished WITH the patient, not TO the patient.

The Evidence-based Health Initiative puts medical professionals in to the community to help remove barriers to good care for the patient. But with Primary Care Doctors becoming a scarce commodity we need to develop new practices. We need to leverage the potential of mHealth to put tools, devices and sensors in to the reach of patients and present information in a simple, concise manner that can influence real-life choices that lead to better care for patients. This is the true potential of mHealth - Evidence-based Choices.

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Sunday, May 01, 2011

#tcamp11 fascinating insight in to congress by @loreleikelly

At TransparencyCamp 2011 with Lorelei Kelly - @loreleikelly.

Mind blowing level of expertise about the workings of Congress.

http://newstrategicsecurityinitiative.org/ - Afghanistan Congressional Information Hub - clunky one page briefings that went viral.

How do we get information in to Congress in a timely manner. Lobbyists have money to be able to quickly mobilize favorable expertise do this, public interest groups don't.

We need to make sure Transparency is not adversarial on the hill. Brow beating public officials is not productive.

Sunlight wants to see Lobbyist activity on Capitol Hill in more detail in real time. Like a mandatory Lobbyist Foursquare for Congress and Professional Lobbyists. It would enable us to create a heat map of activity.

USA has a believability problem as we approach Junk Bond Status as a country. 

"Go back to your district and find policy experts."  then mobilize them. They have the potential to leverage relationships with their elected representatives.

Reputation is critical. Who hasn't been bought.

The telephone area code is a simple filter mechanism used by hill staffers to cope with information overload. If the area code is not in my district they wouldn't pick up the phone in busy periods.

So much money in DC that the only channel to leverage is District-based high value relationships.

If you are involved in policy Go and make friends with your district representative and let them know your expertise and focus. They will call for help. 

Purging the institutional memory in Congress has proved to be an effective way to concentrate power.

iPads on the house floor has the potential to change access. 

Cultivate your local journalists.

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#tcamp11 The opening Session kicks off

It is Sunday morning and day 2 of TransparencyCamp is kicking off. 

The objective is to kick off projects. The 3pm session is an Action Session. What do you want to build out of Transparency Camp.

Now for a couple of lightning presentations.

Andrew McLaughlin - Code for America. Talking about Civic Commons: Sharing technology for the public good.

Building common code stacks for common solutions. 

Michael Morisy - Muckrock.com

A simple way to submit Freedom of Information requests.

Started with a simple form. Added features when they knew it would be used.

Components: DocumentCloud, Django and Spot.us

Hard work now is okay - if you are working on the right things.

Think Small: Easier to build, maintain.

Play Favorites: Don't try to please everybody. Focus. Small core of passionate users.

FollowTheMoney.org - Providing the facts so you can draw conclusions.

Tracking political donations in all 50 states. Follow the influencers.

Journalists rely on the data because it is verifiable. Accuracy is with 1-2%.

David Moore - OpenGovernment.org - Participatory Politics Foundation.

Making legislative information accessible. Works with Sunlight Foundation's OpenStates Project.

Ruby on Rails open source code base that can be remixed for other projects.

RSS Feeds and Open API.

Demo of Beta message builder to congress that allows simple click to pull information about political contributions and other data in to an email.  Very Neat!

Erica Fowler talking about Wesleyan Media Project. Tracking all political tv ads in real time.

Sunlight and Knight Foundation were early sponsors. They now pull storyboards and full video files of TV ads.

A great ability to identify who is spending, on what, where and about what.  Can also show tone of Ads. Party Sponsored Ads are the most negative. Interest Groups are second most negative group.

CityCamp - 4 goals:

- bring together people to share perspectives about the cities they live in.
- Create and maintain patterns for local government
- Foster a community of practices
- Create outcomes from each camp.

Gov2.0 goes local. It is an Un-Conference.

Came from Transparency Camp and Gov2.0 and focused on local.

Open Source brand. 
Check out Meetups on meetup.com. 

/CityCamp+data+catalog
/CityCamp+ideation
/CityCamp+camp

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