Let me start by saying this topic, Health 2.

0, is so big and so wide that there are multiple, worldwide, conferences devoted to this topic since 2007!

What is great about this visual is the appearance of a convergence of multiple networks, systems, processes and technologies. While I have no idea if the product from Zephyr is useful or valuable, the concept behind it is where we will see healthcare and IT merge in the next few years.

Take it one step further and you dont have to wear a deviceit is embedded directly into your clothing! Same company partnering with AT&T to create a new line of clothing. These are offered up as examples of where we may be headed in a Health 2.0 world.

Students at Brigham Young University have created what they call The Owlet baby monitor. This device is supposed to help combat SIDS, which is the leading cause of death for infants in the United States. It is a sock-like monitor that is placed on a babys foot while they sleep, and uses pulse oximetry to indicate if a child stops breathing, has low-levels of blood-oxygen, or irregular vital signs. The creators hope that it will help alert parents to potentially fatal and harmful situations

Sites have sprung up every month devoted to Health 2.0. Lets now step back and take a look at how weve come this far using a variety of connected technologies.

Tell Audience Up Front: This session is jammed pack with information. Do not try to furiously copy everything you see and hear. All session materials will be available on a web page for you to view after.
Welcome notes: Welcome to our session. This is an exciting time in both education and the health care world! You have an opportunity to engage with one another like never before.. All of these tools (refer to graphic) are available at your fingertips from a web browser. [Point to a few recognizable ones] [click]

Briefly speak of the components of a web 2.0 tool, web site , or application.
Components of Web 2.0: 1. Hosted services - delivering (and allowing users to use) applications entirely through an internet browser using a rich, interactive, user-friendly interface (SaaS = Software as a Service) 2. Creativity - Users create, own, and exercise control over content 3. Communication - social-networking functions, IM, chat, 4. Collaboration - content sharing, collaborative authoring, tagging, and commenting Common features of Web 2.0 web sites: 1. Requires login user name and password 2. Public vs Private 3. Can others contribute? 4. Ability to embed content from one site into another

In a side by side review you can clearly see the distinctions between Web 1.0 and 2.0.
Right now the single-feature focus of Web 2.0 technologies is prevalent on the web. Flickr=share pictures YouTube=share videos Digg=read popular stories, etc.) Use quote if needed or if it fits in: Web 2.0 seems to be like Pink Floyd lyrics. It can mean different things to different people depending on the state of your mind. - Kevin Maney, tech blogger

In summary: Posts (text, video, audio, photos, etc.) + read + comment + feed = blog

Blog Screen Shot focus on structure of the blog with posts, link to comments, and related content down side

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In summary: Content (text in web pages) + collaborate + edit + save = wiki

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Wiki Screen Shot = focus on structure of wiki and collaborative efforts via Edit link at the top. Ability to check page history and roll back pages as needed.

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Wiki Screen Shot = popular now, but who is editing content? Verifiable, trustworthy, accurate?

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In summary: Audio/video file + feed + podcatcher software (iTunes) + audio/video player = podcast (vodcast)

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Health related podcast Screen Shot Play it on iPod if possible 75% of podcast listened to on computer, not portable device

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Health related podcast Screen Shot Play it on iPod if possible 75% of podcast listened to on computer, not portable device

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Podcast / Vodcast (video broadcasts) :: very similar to subscribing to a daily newspaper and having it delivered directly to your door. That is a constant source of new information delivered to you.
The act of simply creating and audio file and making it available to students is not considered podcasting. There are a few other steps involved. Step 1 - Create your MP3 files Step 2 - Create your Podcast RSS file and update it with the latest MP3 Step 3 - Upload your audio file and the RSS file to a hosting web site Step 4 - The podcatcher software on the user end will automatically grab the newest audio file You don't need an iPod to listen to a podcast. Extra notes to explain the podcatcher if needed: Basically, these types of programs (podcatchers) 'ask' the podcasters hundreds of times a day 'Do you have a new show ready yet?' If their computer says No than your podcatcher program says 'Ok, but I'll be back later to check again.' This goes on hundreds of thousands of times a day--little requests between computers that do not even require your attention. It just happens, until their computer comes back and says "Why yes, we do have a new podcast show ready. Here you go".

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In summary: Content (video, audio, photo) + web host + embed + share = multimedia hosting

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Health related video example what are patients, doctors, hospitals doing with multimedia?

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In summary: Web sites + bookmarks (favorites) + tags + share = social bookmarking

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Social Bookmarking Screen Shot = How do you store and keep track of all the great health web sites you find?

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In summary: Interests + Community + Connections = Social Networking

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Already doctors use Twitter to ask for help and share information about procedures. At Henry Ford Hospital in Detroit, surgeons and residents twittered throughout a recent operation to remove a brain tumor from a 47-year-old man who has seizures.
Screen shot of Paper.li #Healthit Twitter Daily (all content is aggregated in the form of tweets that use the hashtag #healthit) and some related tweets listed in the app Twhirl.

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There a good deal of Health 2.0 related groups on LinkedIn and lots of discussions and opportunities to connect to professionals in the field.

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Image sharing sites like Pinterest, Instagram, Flickr, and others provide a community around the sharing of healthcare related pictures and topics.

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Widgets (apps) on Verizon FIOS intersection of the web (Internet) on our TV sets. Potential for healthcare world: Alerts during TV shows? Medicine reminders?

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Social Networking Logos

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Portals define and example - A web portal, also known as a links page, presents information from diverse sources in a unified way. A single point of access to a variety of information and tools.

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Example of portal site my.yahoo.com a variety of content is aggregated in one place via one login

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Discussed with Diane Sawyer on GMA in 2007 Interview with Steve Case, founder of revolutionhealth.com

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Example of health portal site revolutionhealth.com design and agregate your own content

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Discussed with Rachel Ray on her show 2008 revolutionhealth.com

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On October 3, 2008, Revolution Health announced that it would merge with Waterfront Media , which operates the Everyday Health Network, in a deal valued at $300 million. http://en.wikipedia.org/wiki/Revolution_Health_Group

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Portal Logos key component here is the personalization feature (MY )

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In summary: Environments + characters (Avatars) + interaction = virtual world

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Virtual Worlds contd

-One of the more complex Web 2.0 tools to implement because of the technical aspects of the VW and the level of intricacy involved in the worlds. -However, know that your students have most likely experienced these and grown up within these worlds! They start in WebKinz (ages4+) or ClubPenguin, move into creating their own worlds in The Sims (preteen), and then into the popular Second Life (teen+). -"Do you think kids want these stuffed animals because they are cute? No, it's because they can immediately go online into the webkinz virtual world to see what else they got with the animal and then invite friends into their "rooms" to play. -They "graduate" from this virtual world into another and then another.

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A visit to a local hospital for a look at Mr. Gadskins knee.

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Great definition from http://blog.withings.com/en/2011/09/20/health-care-in-theera-of-augmented-and-virtual-reality/ Augmented Reality is a term for the integration of computer generated images and virtual objects into the users perception of the real world, all in real-time 3D. In short, AR adds objects that dont necessarily exist to your computer or smartphone while youre looking at it; hence it supplements the real world instead of replacing it. Augmented reality is different from virtual reality (VR): the latter is more complex as it creates a whole new world for the user to explore. Augmented reality is therefore closer to the actual reality than virtual reality.

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What is taking place in this video? Mobility, high speed networks, 3D, virtual environment, communication.

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How do Web 2.0 tools fit into the Healthcare world?

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Definition: "New concept of health care wherein all the constituents (patients, physicians, places, and payers) focus on health care value (outcomes/price) and use disruptive innovation as the catalyst for increasing access, decreasing cost, and improving the quality of health care."

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Good definition of Health 2.0 from Crossover Health Blog

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These are the major components of Health 2.0 Tools (web sites, apps, devices, etc.)

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Headlines from health related blogs and sites

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Social sites (YouTube & Technorati & ) health 2.0 tags

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Great site for tracking pain daily/weekly. Example of user created web based content

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Find applications for the web and iPhone/iPod

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Find applications for the web and iPhone/iPod

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Find applications for Android Market

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Find applications for Android Market

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Find applications for Android Market

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Find applications for the web and iPhone/iPod

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FDA wants to get into the mix and regulate apps. They are doing for some (ultrasound via smart phone and showing xrays), but want to review and regulate a larger share.

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One of the bigger concerns in the healthcare world now centers around securing mobile devices. Implications for compromised, lost, and stolen devices here are broad and wide.

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Mention other sites like Google Health, Keyose (no personally identifiably info supplied only get a pin #)

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Community orientated sites like Patientslikeme.com

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Corporate health portal sites

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What are under-developed nations doing with mobile devices? South Africa, India, & Kenya as brief examples.

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While sending a text may not seem like the most logical way to go about solving the problem of blood shortages, consider this: There are more than 5.6 million cell phone subscribers in Kenya, despite the fact that only about 200,000 Kenyan households have electricity.

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What is the vision for the future of Health IT? How far are we from this world?

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