Building Health 2.0 Into the Delivery System

22 Apr Building Health 2.0 Into the Delivery System

Delivery (dĭ-lĭv‘ə-rē) n.

1. The act of conveying or delivering, the act of transferring to another.
2. Something delivered, as a shipment or package.

I am enroute to Boston for the Health 2.0 conference. I look forward to moderating a great session in the afternoon – “Great Debate #2 – Building Health 2.0 Into The Delivery System”. I have an awesome group of panelist as well as presentors (see below) and look forward to a lively session.

The original debates about Health 2.0 framed the definition as either Web 2.0 tools being adopted by health care or a much larger vision of how those enabling technologies would transform the delivery system itself. This session is the next installment in the quest to answer the question about the role, opportunity, and the ultimate impact Health 2.0 will have on health – and how this new paradigm alters relationships between patients, providers, payers, and the system itself.

Health 2.0 has already changed the landscape of health by delivering tools and technology that empowers patient communities, results in connected physicians, forces transparency to the system, and restores the patient to the center of the health experience. However, much of this has happened at the margins, outside the traditionally paternalistic medical-industrial system. While this has populists and even revolutionary appeal, the quest for far broader adoption of these concepts must penetrate deeper into the underbelly, into the very heart of the plumbing, to attack the calcified hairball where a thousand health revolutions have died before.

During my session we will explore the current state of the movement, to assess how Health 2.0 is now changing the actual delivery of health care. The previous Great Debate #1 will have discussed the role of information therapy, essentially curated content from a trusted heath advisor, as the first beach head from which to continue to infiltrate the health delivery system. We will discuss the current state of the art with the thought leaders actually implementing Health 2.0 – from small independent clinics to large integrated delivery systems – who are adopting and adapting these enabling technologies as part of a larger transformation to a next generation health system.

My aim for the session is that you will leave with three memes for further exploration:

1. A sense of realism for the challenges, but more importantly an optimism for the potential impact of Health 2.0 in this health reform cycle;
2. An awareness that new entrants are creating systems from scratch outside the current health care paradigm, but that established players are innovating inside with using similar tools/technology; and finally
3. An appreciation that the traditional paternalism (structural, cultural, regulatory, and political) inherent in medicine is giving way to the participatory nature of Health 2.0

Together, these trends will serve as catalyst to transform the finance, delivery, and incentives our current system into manner that creates a patient-centered, high performance, value-based, next generation health system (“Health 2.0”) that  increase individual vitality and the health of communities.

As part of the session, we will also see presentations from three different platforms, who based on their collective recent media blitz, are clearly at the bleeding edge of a brave new world full of possibilities. The focus will be on transactional capabilities and overall utility for real patients trying to manage real health information in the real world. We look forward to learning from Googles forays into data sharing, Myca’s new paradigm shifting EHR/PHR, and how Kaiser Permanent continues to extend, deepen, and broaden their relationship with their patients using KPConnect.

The Bios from our presentors is found below:

Roni Zieger, MD
Project Manager
Google Health

Dr. Zeiger is a Product Manager at Google where he helps lead Google Health and also works on improving the quality of health-related search.  He has worked as a primary care physician, in urgent care, and has served as a Clinical Instructor of Medicine at Stanford University School of Medicine. Dr. Zeiger received his MD from Stanford and completed an internal medicine residency at the University of California, San Francisco.  He was a fellow in medical informatics at Veterans Affairs in Palo Alto, California, and received a masters degree in biomedical informatics from Stanford University.

Sean Khoizon, MD, MPH
Medical Director
Hello Health / Myca

Dr. Khozin is a founding member and practicing physician at Hello Health, a technology-enabled medical care delivery system that makes healthcare more accessible for patients and practicing medicine more streamlined for physicians. By using the Hello Health platform, patients can schedule an appointment online to see their physicians in the office or communicate with them by email, text messaging, and video chat. For doctors, the platform reduces overhead and creates new channels of communication with patients. Hello Health has developed a web-based platform that creates a patient-centric environment powered by social networking tools to connect and share information with healthcare providers. The technology is also a fully integrated electronic medical record and practice management system.
Ted Eytan, MD
Clinical Innovation
Kaiser Permanente

Dr. Eytan currently works as a Medical Director for Delivery Systems Operations Improvement for the Permanente Federation, LLC. His experience is in working with large medical groups, patients, and technologists to bring health care consumers useful information and decision-making health tools, to ensure that patients have an active role in their own health care.  Dr. Eytan is board certified in family practice. He has relocated to Washington, DC, from Seattle, working in the area of patient-centered health care enabled by technology, with organizations including the California Healthcare Foundation.  He attended medical school at the University of Arizona. He received his master’s of public health degree from the University of California, Berkeley, and his master’s of science, health services degree from the University of Washington. He completed his residency training at Group Health and his fellowship training in the Robert Wood Johnson Clinical Scholars Program at the University of Washington in 2000. His particular interests are patient and family involvement in care, health information technology, and supporting the health and diversity of communities.