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MULVAL$Uthf뾚˅>L?li[sqY#_6*kƒvO.T0s+G3FZҿ_$d)/}6عj$ÃUUp9|ps Um}j\qe 6] —o|LߦW'o+c|/iNCC^{WAᐽs؛8O"CޠO%NپX(SJ7`֐Վk@lҽN fvXR }3(|]CC<*ZO61|.1e@PT3O #Myð#3!s ^ (o_5>yvP5oP)97*x,+ډw[{<]mFO4|B֨n}x5A܎hLk"kjXQ͚ Timm\ㅦzS,Cg,&عRi6iz؈7i#},, *0~yb{}<$DMU~~56`֢2,*wJEVtkB*%mİ`,S7tFΚJ u6lG= f jh9{вdT9XrQ ܻ톉?gg{FS :C6p 7%rZ1q?-l*sWd0h vF![l$[lkvAvjW ŵ0zt*yPkGaJaxoŖI ;@"r+6 ȅ^Gٝz(@p-k7+7ސ 8T~;Y`']OҜ4Gě j(~z+DJ$Hfy|k?nFcŧo"}'!> 1$F"eH\fU3w) XPK!8|jdocProps/app.xml (Oo +w@>7InPUV{4g6Z HU&u[}bǛkg dy1U6lW34&1f7x cH## 7Y<;Զԩ]d24յVxԡC2ϯ8&V36F]ʩ!_|.{Oy#!~tIRw(.I>$b |\ޅ*_%l[JOW9d"^ࢫ{<` *CЩd5-៶r|\Q }řTP(ipKZ?غKۋO=s5먜ڲ^BΙpa!Y^*`^4iAA,OK f8Ӟb5;r>iPK-! $[Content_Types].xmlPK-!N _rels/.relsPK-!6:word/_rels/document.xml.relsPK-!KQ word/document.xmlPK-!0C)word/theme/theme1.xmlPK-!p word/settings.xmlPK-!]Ƭ _$word/webSettings.xmlPK-!_0 Dx&word/stylesWithEffects.xmlPK-!\Ĩ}M/docProps/core.xmlPK-! zAd2word/styles.xmlPK-!M=;word/fontTable.xmlPK-!8|j/=docProps/app.xmlPK @OlePres000';OlePres001FAccessObjSiteDataLVAL&8~@W;    ?.j@"Calibri---j @"Calibri-j@"Calibri-j @"Calibri-- QF2 '<The Doctors Role in a Health 2.0 WorldJQL"^Q?4Q5'<"TQ$L"%Q"J!_LJ%3Q"L(K"Q5%P  2 < Z @"Calibri---@"Calibri------ AAAI2 T)<Posted April 23, 2009 by Lygeia Ricciardi--"*-3-,--,,--'%',*-0$%----- AAA 2 T< 4 @"Calibri--- AAA>2 "<One of the recurring themes at theB524"51#2*5##5/"51P2'0!!52 AAA 2 <  Q2  <Health 2.0 >20"433 Q 2 Y<- Q 2 x<  Q82 <Information Therapy Conference55#O0"45052#/5-5542#15*2 AAA 2  <  AAA2  <is the '"51@ Calibri---Q- @ ! - --- @"Calibri-@"Calibri- @"Calibri-- AAAU2 1<challenge of merging the new world of Health 2.0 *5025/15P2#/5/!5152GG5#44>20"533 AAA 2 <2 AAA 2 "<  AAAD2 9&<in which many patients create, share, 5G5)5P/5-5/"15"&*#20"2'50"2  AAAO2 -<record, aggregate, and manage their own data #2*5#50//"2/0"1045O050/2"52#5G45/"0 AAA2 w<-- AAA 2 <  AAA:2 <and the traditional health syst/55"42!#05"55/420!5'-'" AAA 2  <em. The theme 2P151!52P1 @"Calibri--- @"Calibri-@"Calibri- @"Calibri----- AAA12 x<is also closely linked to'0'5*5'2-5-24"4--- AAA,2 x<Project HealthDesigns4"30*">03"3=0'33'--- AAA 2 x-<  AAA=2 xD!<emphasis in its upcoming round of2O550''5"'45*5P5.#45544 AAA 2 x <  Q2 x <grants/#/5"' AAA 2 x <. AAA 2 x < ;Q- @ !LVAL - --- AAA}2 0L<How an existing health organization absorbs or adapts to Health 2.0 depends >5G052+'"5/420!54#/05(/"4505&5#5'5#/504"'!5>20"533524155' AAA 2 0L <on its unique 45"'55551  AAA2 T<characteristics and character. Yesterday at the conference we heard from healthcare *50#0*"2#&"*'045*50#/*"2#12&"2#40-0!!52*452"25*2G2520"5#5O520!5*0#2  AAA2 %\<organizations ranging from large integrated systems to small, independent clinics. Some are 5#/05'0"45'#/5/5/#4P0#/25!2/#0"15'-'!1P'"4'P0551515514"*5*'.5O20#1  AAAn2 B<trying to fit Health 2.0 into their existing paradigms, while othe"#-5/"5!>20!5334"5"52#2+'"5/50#05.P'G524"42 AAA82  <rs are completely overhauling #'0#1*4P52!2-5-2"5055/  AAA12 <the way they do business."51G0-"42-5445'52&' AAA 2 < ;  AAA2 [<A number of observations about incorporating Health 2.0 emerged. For example, according to :54P52"445'2#-0"54'0545"5*5"55#/"5/>10"5332P2#/15.5"2*0P520**5"55."4  AAA2 La<James Hereford (Group Health), you have to deliver to patients only information that is relevant 0P2'>2#15#4?#545>20"5-4540-2"552-2#"45/"15"'55-54"P0"54!50!'"22-04"  AAA2  <to them, and"5"52O045 AAA 2 <  AAAR2 $/<do so in a way that also makes sense to doctors55&540G0-"50!0'5O0-2''24'2"455)"5#' AAA2  <-- AAA42  <both from a clinical and a 54"4"5O0*5*00540  AAA2 @^<workflow perspective. Its also important to provide incentives to share and use information. G5#-5G52#'42*"-2"'0'5O55#!04"!55#5-525*24"-2'!5'5/#2/455'145#P/"45  AAA2 U<Perhaps most of all, whatever you do must strengthen rather than undermine trust in t42#5/5'P5&"40G5/"2-2#-4555O5'!'"#15."515#/"51#"5/54542#O52"#5&"5! AAA2  <he 52  AAA2 3 <patient50"15! AAA 2 3 %<- AAA)2 3 D<doctor relationship.55)"5##20"55&45 AAA 2 3 d< ;  AAA2 ^<How might Health 2.0 change that relationship? For one thing, in the past, doctors functioned >5GP/5">20"433)405/2"5/"#20"45'55.-5#452"55/4!5250'"55*"5#&55*"5515  AAA2 f \<as repositories of a significant proportion of health knowledge. But with the volume of new 0LVAL'#255'"5#2'40'.5*05"5#455#"54552/!5-55G25.265!G"4"42-55O2452G  AAAD2 &<research generated today, its impossi#2'20#*5/152#/"15!55/-"'O55'' AAAd2 ;<ble for any individual to keep up. ePatient Dave (patient, 515#/5-55-450"5-12555230"24">0-25/"15"  AAA+2 [ <blogger) relayed some55//2##20-25&5P2 AAA 2 [ <  Q2 [  <testimony"1'"P55- AAA 2 [ <<  AAAj2 [ R?<by Don Lindberg, Director of the National Library of Medicine, 5-=54*5452#.>#2)"5#5"42@0"450*5#0#-5V15*52Q- @ !f - --- AAA 2 <who said that G55'05"40" AAA2 ?S<even if he read two medical journal articles each day, at the end of one year hed 2-2451#205"G5P15*045#400#"*2'20*550-/""512545542-20"525  AAAY2 N 4<still be 648 years behind in the medical literature.'"42233-2/#'425455!52P25*0"1#0!5#2 AAA 2 N <  AAA 2 N < ;  AAA2  Z<So of course, combining that point with Health 2.0 resources, many patients have begun to .55*55#&2*5O555/"5/"454"G!5>20"533#2'45#*2'P/5-5/"14"'50-152.54"4  AAA72 <know more about their particu-55GP5#2/545""42#40#"*5 AAAp2 C<lar health conditions than their doctors do. Which begins to shift 0"520"4*545"45'!504!52#55*!5#'45Y5*552/5'"4'5"  AAA.2 <the traditional patient"51"#/5"5505/"24" AAA 2 <- AAAD2 &<doctor relationship and power dynamic.45*"5#"20"55'55/5445G2#5-50P* AAA 2 < ;  AAA2 ]<What should a doctors role be? Obviously a key part is providing clinical care or guidance, Y50"&5455045*"5#&"5242.B5-45'-0-2-50#!'5"5-55/*5*0*0#25#.55/5*2  AAA=2 .!<especially in response to particu2'52*0-4#2&555'1!550#"*5 AAAk2 .@<lar health events or conditions. Another part may be leading or 0#520!52-24"'5#*545"55'955!52"40#"P0-512055/4#  AAA2 ]<managing a team of other caregivers. With regard to health knowledge, Danny Sands (Cisco and P050/5.0!20P55!51#*0#2/-2#'Y!5"2/0#4"4520"4-55G25/2>/55-./55'5'*5/55  AAA2 "U<Beth Israel Deaconess Medical Center) says doctors should know how and where to find 62"5'#02=20*552''U25*0524"2#'0-'55*"4#''554LVAL5-45G55G/54G52#2!545  AAA 2 <information, a55#O0"45/ AAA)2 C<nd must freely admit54P5&""22-05P" AAA 2 <[ AAA=2 !<whether to colleagues or patientsG42"42#"5*520/52'5#50"15"& AAA 2 E <Z AAA+2  <when they dont know G525"52-545"-45G  AAA2 [<it. Doctors and patients can seek and interpret information together, and doctors can help ">5)"5#'/545/"15"')05'22-/544"2#4#2!45#P0"45"5/1"51#/5555*"5#&*05524  AAA2 Y<patients understand how generic facts apply in an individuals particular case. An import50"15"&5452#&"04555G/252#)0*"&045-40455-550&50""*50"*/'2:5O55"" AAA2  <ant 04"  AAA2 b<aspect of information gathering is, in fact, collecting and contextualizing information about the 0'52*"555#P/"54//"52#5/'50*"*52*"5/045*45"2*"50(5.45#P/"540454"!52  AAA(2 <individual patient.55-45050"24" AAA 2 < ;  AAA2 =[<Along the same lines, Jamie Heywood (PatientsLikeMe) observed (quoting an unnamed source), :55/"51'0P152' /P2>2-G5554/"15"'*-2V255'1#-25554"4/055450P15'45#*2  AAA2 <that"5/" AAA 2 <  AAAD2 &<the patient is the CEO of his or her o!515/"24"&!5250B55'5"42#5 AAAR2 /<wn body, and the doctor is the consultant. The G4545,054!5255*!5#'"42*45'5"/5"142  AAA&2 1<doctors job is to55*"5#&54'"5 AAA2 1<  AAA2 1M<support patients in caring for themselves on an ongoing basis. Several other '4555""5/"15"'5*0#5/5#"42P'2-2'45/545/55.50''.2-2#05!52"  AAA2 V<people emphasized the extent to which most things that impact patient health, such as 525522O550'(15!511+"25!!5G5*4P5'!!54/'"5/"O50*"5/"24"510"5'5*50' "Systemt=tt@--NANI@D0AD0Ax <[&" WMFC> p]p}l;~@W EMFp}Qj { LVALF, EMF+@XXF\PEMF+"@ @ $@ 0@?!@ @    <% %  Rpj@"Calibri p_[  E[  ,[X%7.@ CalibrDC[ ߀l[\,Pdv% % %  QT8 i@@'L<The Doctor s Role in a Health 2.0 WorldJQL"^Q?4Q5'<"TQ$L"%Q"J!_LJ%3Q"L(K"Q5%P TT  i@@ L<P 4Z  Rp@"Calibri p_[  E[  [X%7.@ CalibrDC[ ߀l[\  dv% % %  AAATDki@@T)L<Posted April 23, 2009 by Lygeia Ricciardi--"*-3-,--,,--'%',*-0$%--Rp@"Calibri p_[  E[  [X%7.@ CalibrDC[ ߀l[\  dv% % %  AAATTki@@TL<P 4  Rp@"Calibri p_[  E[  [X%7.@ CalibrDC[ ߀l[\ dv% % %  AAAT$i@@ "L<One of the recurring themes at theB524"51#2*5##5/"51P2'0!!52 AAATT$i@@ L<P A QTX$i@@  L<dHealth 2.0 >20"433 QTTYw$i@@Y L<P-AA QTTx$i@@x L<P 2 QT $i@@ L<Information Therapy Conference55#O0"45052#/5-5542#15*2 AAATT  $i@@ L<P an AAATx  $i@@ L<\is the 0'"51'Q% Ld  !??LVAL% (   % % %  AAATt%i@@1L<challenge of merging the new world of Health 2.0 **5025/15P2#/5/!5152GG5#44>20"533 AAATT%"i@@L<P -2 AAATT"%8i@@"L<P  AAAT09%>i@@9&L<in which many patients create, share, 5G5)5P/5-5/"15"&*#20"2'50"2   AAAT\vi@@-L<record, aggregate, and manage their own data #2*5#50//"2/0"1045O050/2"52#5G45/"0 AAATXwi@@wL<P-- AAATTi@@L<P  AAAT i@@L<and the traditional health syst/55"42!#05"55/420!5'-'" AAAT  i@@ L<hem. The theme 2P151!52P1  % % %  AAATi@@xL<is also closely linked to '0'5*5'2-5-24"4Rp@"Calibri p_[  E[  [X%7.@ CalibrDC[ ߀l[\dv% % %  AAAT,i@@xL<xProject HealthDesign s4"30*">03"3=0'33'% % %  AAATT-Ci@@-xL<P  AAATD i@@Dx!L<emphasis in its upcoming round of2O550''5"'45*5P5.#45544 AAATT  i@@ xL<P 5 QTp  i@@ xL<Xgrants/#/5"' AAATT  i@@ xL<P.e. AAATT #i@@ xL<P 5;'Q% Ld   !??% (   % % % &" WMFC p=p} AAATLVALK Ji@@0LL<How an existing health organization absorbs or adapts to Health 2.0 depends >5G052+'"5/420!54#/05(/"4505&5#5'5#/504"'!5>20"533524155' AAATL qJi@@L 0L<hon its unique 45"'55551   AAATDL i@@TL<characteristics and character. Yesterday at the conference we heard from healthcare *50#0*"2#&"*'045*50#/*"2#12&"2#40-0!!52*452"25*2G2520"5#5O520!5*0#2   AAATt?i@@%\L<organizations ranging from large integrated systems to small, independent clinics. Some are 5#/05'0"45'#/5/5/#4P0#/25!2/#0"15'-'!1P'"4'P0551515514"*5*'.5O20#1   AAAT@ i@@BL<trying to fit Health 2.0 into their existing paradigms, while othe"#-5/"5!>20!5334"5"52#2+'"5/50#05.P'G524"42 AAAT @i@@ L<rs are completely overhauling #'0#1*4P52!2-5-2"5055/   AAAT2i@@L<the way they do business.-"51G0-"42-5445'52&' AAATTT2i@@L<P 5;   AAATpri@@[L<A number of observations about incorporating Health 2.0 emerged. For example, according to :54P52"445'2#-0"54'0545"5*5"55#/"5/>10"5332P2#/15.5"2*0P520**5"55."4   AAAT;fi@@LaL<James Hereford (Group Health), you have to deliver to patients only information that is relevaLVALnt he 0P2'>2#15#4?#545>20"5-4540-2"552-2#"45/"15"'55-54"P0"54!50!'"22-04"   AAATg i@@ L<dto them, and"5"52O045 AAATTg#i@@L<P p AAATh$g i@@$/L<do so in a way that also makes sense to doctors:55&540G0-"50!0'5O0-2''24'2"455)"5#' AAATX g i@@ L<P-- AAAT gi@@ L<both from a clinical and a A54"4"5O0*5*00540   AAATZi@@@^L<workflow perspective. It s also important to provide incentives to share and use information. G5#-5G52#'42*"-2"'0'5O55#!04"!55#5-525*24"-2'!5'5/#2/455'145#P/"45   AAATL[ i@@UL<Perhaps most of all, whatever you do must strengthen rather than undermine trust in tms42#5/5'P5&"40G5/"2-2#-4555O5'!'"#15."515#/"51#"5/54542#O52"#5&"5! AAAT` [Ii@@ L<The 552   AAATx$M i@@3 L<\patient-50"15! AAATT%CM i@@%3 L<P- AAATDcM i@@D3 L<tdoctor relationship.55)"5##20"55&45 AAATTdM i@@d3 L<P ;   AAAT  i@@ ^L<How might Health 2.0 change that relationship? For one thing, in the past, doctors functioned >5GP/5">20"433)405/2"5/"#20"45'55.-5#452"55/4!5250'"55*"5#&55*"5515   LVALAAATt  &" WMFC pp}i@@f \L<as repositories of a significant proportion of health knowledge. But with the volume of new 0'#255'"5#2'40'.5*05"5#455#"54552/!5-55G25.265!G"4"42-55O2452G   AAAT0  i@@ &L<research generated today, it s impossi#2'20#*5/152#/"15!55/-"'O55'' AAAT   i@@  ;L<ble for any individual to keep up. ePatient Dave (patient, 515#/5-55-450"5-12555230"24">0-25/"15"   AAAT u i@@[ L<xblogger) relayed some55//2##20-25&5P2 AAATT u i@@[ L<P  QT ;u i@@[ L<`testimony"1'"P55- AAATT< Qu i@@<[ L<P @ AAATR 6u i@@R[ ?L<by Don Lindberg, Director of the National Library of Medicine, 5-=54*5452#.>#2)"5#5"42@0"450*5#0#-5V15*52'Q% Ldf ;l f !??% (   % % %  AAATv > i@@ L<hwho said that G55'05"40" AAAT@?v + i@@? SL<even if he read two medical journal articles each day, at the end of one year he d 2-2451#205"G5P15*045#400#"*2'20*550-/""512545542-20"525   AAAT h i@@N 4L<still be 648 years behind in the medical literature.'"42233-2/#'425455!52P25*0"1#0!5#2 AAATT h i@@N L<P @ AAATT /h i@@N LLVAL<P i;   AAATh ! i@@ ZL<So of course, combining that point with Health 2.0 resources, many patients have begun to .55*55#&2*5O555/"5/"454"G!5>20"533#2'45#*2'P/5-5/"14"'50-152.54"4   AAAT"  i@@ L<know more about their particu-55GP5#2/545""42#40#"*5 AAAT" 4 i@@ CL<lar health conditions than their doctors do. Which begins to shift 0"520"4*545"45'!504!52#55*!5#'45Y5*552/5'"4'5"   AAAT i@@ L<|the traditional patient"51"#/5"5505/"24" AAATT i@@ L<P- AAAT0 i@@ &L<doctor relationship and power dynamic.45*"5#"20"55'55/5445G2#5-50P* AAATT 5 i@@ L<P ;   AAAT|U`i@@]L<What should a doctor s role be? Obviously a key part is providing clinical care or guidance, Y50"&5455045*"5#&"5242.B5-45'-0-2-50#!'5"5-55/*5*0*0#25#.55/5*2   AAATHi@@.!L<especially in response to particu2'52*0-4#2&555'1!550#"*5 AAAT-Hi@@.@L<lar health events or conditions. Another part may be leading or 0#520!52-24"'5#*545"55'955!52"40#"P0-512055/4#   AAAT|I;i@@]L<managing a team of other caregivers. With regard to health knowledge, Danny Sands (Cisco and P050/5.0!20P55!51#LVAL*0#2/-2#'Y!5"2/0#4"4520&WMFCpp}"4-55G25/2>/55-./55'5'*5/55   AAATL <i@@"UL<Beth Israel Deaconess Medical Center) says doctors should know how and where to find A62"5'#02=20*552''U25*0524"2#'0-'55*"4#''5545-45G55G/54G52#2!545   AAAT=Bi@@L<hinformation, a55#O0"45/ AAATC=i@@CL<tnd must freely admit54P5&""22-05P" AAATT=i@@L<P [ AAAT=D i@@!L<whether to colleagues or patientsG42"42#"5*520/52'5#50"15"& AAATTE = i@@E L<P Z AAAT =;i@@ L<xwhen they don t know G525"52-545"-45G   AAATpf0i@@[L<it. Doctors and patients can seek and interpret information together, and doctors can help v">5)"5#'/545/"15"')05'22-/544"2#4#2!45#P0"45"5/1"51#/5555*"5#&*05524   AAATd1 i@@YL<patients understand how generic facts apply in an individual s particular case. An import50"15"&5452#&"04555G/252#)0*"&045-40455-550&50""*50"*/'2:5O55"" AAATd 1i@@ L<Tant 04"   AAAT%i@@ bL<aspect of information gathering is, in fact, collecting and contextualizing information about the 0'52*"555#P/"54//"52#5/'50*"*52*"5/045*45"2*"50(5.LVAL45#P/"540454"!52   AAAT%i@@L<tindividual patient.55-45050"24" AAATT%i@@L<P a;   AAATp;Wi@@=[L<Along the same lines, Jamie Heywood (PatientsLikeMe) observed (quoting an unnamed source), :55/"51'0P152' /P2>2-G5554/"15"'*-2V255'1#-25554"4/055450P15'45#*2   AAATdXi@@L<Tthat"5/" AAATTXi@@L<P  AAAT0Xi@@&L<the patient is the CEO of his or her o!515/"24"&!5250B55'5"42#5 AAAThX i@@/L<wn body, and the doctor is the consultant. The G4545,054!5255*!5#'"42*45'5"/5"142   AAATKi@@1L<pdoctor s job is to55*"5#&54'"5 AAATXKi@@1L<P  AAATKi@@1ML<support patients in caring for themselves on an ongoing basis. Several other '4555""5/"15"'5*0#5/5#"42P'2-2'45/545/55.50''.2-2#05!52"   AAATPL i@@VL<people emphasized the extent to which most things that impact patient health, such as 525522O550'(15!511+"25!!5G5*4P5'!!54/'"5/"O50*"5/"24"510"5'5*50' % % F4(EMF+*@$??FEMF+@   ."System,???????????--@"Calibri--- QF2 'The Doctors Role in a Health 2.0 World               2 &  @"CalibriLVAL--- AAAI2 ))Posted April 23, 2009 by Lygeia Ricciardi.@"Calibri--- AAA 2 )  @"Calibri--- AAA>2 ?"One of the recurring themes at the  AAA 2 ?  Q2 ? Health 2.0  Q 2 ?- Q 2 ?  Q82 ?Information Therapy Conference  AAA 2 ?  AAA2 ?is the Q- @ !@- --- AAAU2 M1challenge of merging the new world of Health 2.0 r    AAA 2 M AAA 2 M  AAAD2 M&in which many patients create, share,     AAAO2 \-record, aggregate, and manage their own data e   AAA2 \-- AAA 2 \  AAA:2 \and the traditional health syst AAA 2 \em. The theme    --- AAA12 kis also closely linked toh@"Calibri--- AAA,2 koProject HealthDesigns--- AAA 2 k  AAA=2 k!emphasis in its upcoming round ofa   AAA 2 k  Q2 kgrants AAA 2 k. AAA 2 k Q- @ !l- --- AAA}2 LHow an existing health organization absorbs or adapts to Health 2.0 depends  AAA 2 yon its unique   AAA2 Tcharacteristics and character. Yesterday at the conference we heard from healthcare    AAA2 \organizations ranging from large integrated systems to small, independent clinics. Some are       AAAn2 Btrying to fit Health 2.0 into their existing paradigms, while othe  AAA82 2rs are completely overhauling    AAA12 tLVALhe way they do business.l  AAA 2 ~   AAA2 [A number of observations about incorporating Health 2.0 emerged. For example, according to      AAA2 aJames Hereford (Group Health), you have to deliver to patients only information that is relevant     AAA2 to them, and  AAA 2 ?  AAAR2 B/do so in a way that also makes sense to doctors  AAA2 )-- AAA42 0both from a clinical and a n   AAA2 ^workflow perspective. Its also important to provide incentives to share and use information.      AAA2 UPerhaps most of all, whatever you do must strengthen rather than undermine trust in t      AAA2 he n  AAA2 patient AAA 2 #- AAA)2 'doctor relationship. AAA 2    AAA2 1^How might Health 2.0 change that relationship? For one thing, in the past, doctors functioned    AAA2 @\as repositories of a significant proportion of health knowledge. But with the volume of new     AAAD2 O&research generated today, its impossi  AAAd2 O;ble for any individual to keep up. ePatient Dave (patient,   AAA+2 ^blogger) relayed some  AAA 2 ^m  Q2 ^o testimony  AAA 2 ^  AAAj2 ^?by Don Lindberg, Director of the National Library of Medicine,  Q- @ !2_o- --- AAA 2 lwho said that  AAA2 lESeven if he read two medical journal articles each day, at the end of one year hed   LVAL  AAAY2 {4still be 648 years behind in the medical literature.  AAA 2 {  AAA 2 {   AAA2 ZSo of course, combining that point with Health 2.0 resources, many patients have begun to      AAA72 know more about their particu   AAAp2 Clar health conditions than their doctors do. Which begins to shift    AAA.2 the traditional patient AAA 2 l- AAAD2 o&doctor relationship and power dynamic.  AAA 2 2   AAA2 ]What should a doctors role be? Obviously a key part is providing clinical care or guidance,   AAA=2 !especially in response to particua AAAk2 @lar health events or conditions. Another part may be leading or    AAA2 ]managing a team of other caregivers. With regard to health knowledge, Danny Sands (Cisco and      AAA2 UBeth Israel Deaconess Medical Center) says doctors should know how and where to find       AAA 2 information, a  AAA)2 End must freely admit   AAA 2   AAA=2 !whether to colleagues or patientsa AAA 2 Z  AAA+2 ewhen they dont know n  AAA2 [it. Doctors and patients can seek and interpret information together, and doctors can help d   AAA2 Ypatients understand how generic facts apply in an individuals particular case. An importp  AAA2 ant   AAA2 ,baspect of information gathering is, in fact, collecting and contextualizing information about the  LVAL   AAA(2 :individual patient.w AAA 2 :X   AAA2 P[Along the same lines, Jamie Heywood (PatientsLikeMe) observed (quoting an unnamed source), d      AAA2 _that AAA 2 _  AAAD2 _&the patient is the CEO of his or her o AAAR2 _/wn body, and the doctor is the consultant. The   AAA&2 ndoctors job is to AAA2 nQ  AAA2 nWMsupport patients in caring for themselves on an ongoing basis. Several other    AAA2 |Vpeople emphasized the extent to which most things that impact patient health, such as     -- METAFILEPICT~@ ;~@W    ?.j@"Calibri---j @"Calibri-j@"Calibri-j @"Calibri-- QF2 '<The Doctors Role in a Health 2.0 WorldJQL"^Q?4Q5'<"TQ$L"%Q"J!_LJ%3Q"L(K"Q5%P  2 < Z @"Calibri---@"Calibri------ AAAI2 T)<Posted April 23, 2009 by Lygeia Ricciardi--"*-3-,--,,--'%',*-0$%----- AAA 2 T< 4 @"Calibri--- AAA>2 "<One of the recurring themes at theB524"51#2*5##5/"51P2'0!!52 AAA 2 <  Q2  <Health 2.0 >20"433 Q 2 Y<- Q 2 x<  Q82 <Information Therapy Conference55#O0"45052#/5-5542#15*2 AAA 2  <  AAA2  <is the '"51@ Calibri---Q- @ ! - --- @"Calibri-@"Calibri-LVAL @"Calibri-- AAAU2 1<challenge of merging the new world of Health 2.0 *5025/15P2#/5/!5152GG5#44>20"533 AAA 2 <2 AAA 2 "<  AAAD2 9&<in which many patients create, share, 5G5)5P/5-5/"15"&*#20"2'50"2  AAAO2 -<record, aggregate, and manage their own data #2*5#50//"2/0"1045O050/2"52#5G45/"0 AAA2 w<-- AAA 2 <  AAA:2 <and the traditional health syst/55"42!#05"55/420!5'-'" AAA 2  <em. The theme 2P151!52P1 @"Calibri--- @"Calibri-@"Calibri- @"Calibri----- AAA12 x<is also closely linked to'0'5*5'2-5-24"4--- AAA,2 x<Project HealthDesigns4"30*">03"3=0'33'--- AAA 2 x-<  AAA=2 xD!<emphasis in its upcoming round of2O550''5"'45*5P5.#45544 AAA 2 x <  Q2 x <grants/#/5"' AAA 2 x <. AAA 2 x < ;Q- @ ! - --- AAA}2 0L<How an existing health organization absorbs or adapts to Health 2.0 depends >5G052+'"5/420!54#/05(/"4505&5#5'5#/504"'!5>20"533524155' AAA 2 0L <on its unique 45"'55551  AAA2 T<characteristics and character. Yesterday at the conference we heard from healthcare *50#0*"2#&"*'045*50#/*"2#12&"2#40-0!!52*452"25*2G2520"5#5O520!5*0#2  AAA2 %\<organizations ranging from large integrated systems to small, independent clinics. Some are 5#/05'0"45'#/5/5/#4P0#/25!2/#0"15'-'!1P'"4'P0551515514"*5*'.5O20#1  AAAn2 B<trying to fit Health 2.0 into their existing paradigms, while othe"#-5/"5!>20!5334"5"52#2+'"5/50#05.P'G524"42 AAA82  <rs are completely overhauling #'0#1*4P52!2-5-2"5055/  AAA12 <the way they do business."51G0-"42-5445'52&' AAA 2 < ;  AAA2 [<A number of observations about incorporating Health 2.0 emerged. For example, according to :54P52"445'2#-0"54'0545"5*5"55#/"5/>10"5332P2#/15.5"2*0P520**5"55."4  AAA2 La<James Hereford (Group Health), you have to deliver to patients only information that is relevant 0P2'>2#15#4?#545>20"5-4540-2"552-2#"45/"15"'55LVAL-54"P0"54!50!'"22-04"  AAA2  <to them, and"5"52O045 AAA 2 <  AAAR2 $/<do so in a way that also makes sense to doctors55&540G0-"50!0'5O0-2''24'2"455)"5#' AAA2  <-- AAA42  <both from a clinical and a 54"4"5O0*5*00540  AAA2 @^<workflow perspective. Its also important to provide incentives to share and use information. G5#-5G52#'42*"-2"'0'5O55#!04"!55#5-525*24"-2'!5'5/#2/455'145#P/"45  AAA2 U<Perhaps most of all, whatever you do must strengthen rather than undermine trust in t42#5/5'P5&"40G5/"2-2#-4555O5'!'"#15."515#/"51#"5/54542#O52"#5&"5! AAA2  <he 52  AAA2 3 <patient50"15! AAA 2 3 %<- AAA)2 3 D<doctor relationship.55)"5##20"55&45 AAA 2 3 d< ;  AAA2 ^<How might Health 2.0 change that relationship? For one thing, in the past, doctors functioned >5GP/5">20"433)405/2"5/"#20"45'55.-5#452"55/4!5250'"55*"5#&55*"5515  AAA2 f \<as repositories of a significant proportion of health knowledge. But with the volume of new 0'#255'"5#2'40'.5*05"5#455#"54552/!5-55G25.265!G"4"42-55O2452G  AAAD2 &<research generated today, its impossi#2'20#*5/152#/"15!55/-"'O55'' AAAd2 ;<ble for any individual to keep up. ePatient Dave (patient, 515#/5-55-450"5-12555230"24">0-25/"15"  AAA+2 [ <blogger) relayed some55//2##20-25&5P2 AAA 2 [ <  Q2 [  <testimony"1'"P55- AAA 2 [ <<  AAAj2 [ R?<by Don Lindberg, Director of the National Library of Medicine, 5-=54*5452#.>#2)"5#5"42@0"450*5#0#-5V15*52Q- @ !f - --- AAA 2 <who said that G55'05"40" AAA2 ?S<even if he read two medical journal articles each day, at the end of one year hed 2-2451#205"G5P15*045#400#"*2'20*550-/""512545542-20"525  AAAY2 N 4<still be 648 years behind in the medical literature.'"42233-2/#'425455!52P25*0"1#0!5#2 AAA 2 N <  AAA 2 N < ;  AAA2  Z<So of course, combining that point with Health 2.0 resources, many patients have begun to .55*55#&2*5O555/"5/"454"G!5>20"533#2'45#*2'P/5-5/"14"'50-152.54"4  AAA72 <know more about their particu-55GLVALP5#2/545""42#40#"*5 AAAp2 C<lar health conditions than their doctors do. Which begins to shift 0"520"4*545"45'!504!52#55*!5#'45Y5*552/5'"4'5"  AAA.2 <the traditional patient"51"#/5"5505/"24" AAA 2 <- AAAD2 &<doctor relationship and power dynamic.45*"5#"20"55'55/5445G2#5-50P* AAA 2 < ;  AAA2 ]<What should a doctors role be? Obviously a key part is providing clinical care or guidance, Y50"&5455045*"5#&"5242.B5-45'-0-2-50#!'5"5-55/*5*0*0#25#.55/5*2  AAA=2 .!<especially in response to particu2'52*0-4#2&555'1!550#"*5 AAAk2 .@<lar health events or conditions. Another part may be leading or 0#520!52-24"'5#*545"55'955!52"40#"P0-512055/4#  AAA2 ]<managing a team of other caregivers. With regard to health knowledge, Danny Sands (Cisco and P050/5.0!20P55!51#*0#2/-2#'Y!5"2/0#4"4520"4-55G25/2>/55-./55'5'*5/55  AAA2 "U<Beth Israel Deaconess Medical Center) says doctors should know how and where to find 62"5'#02=20*552''U25*0524"2#'0-'55*"4#''5545-45G55G/54G52#2!545  AAA 2 <information, a55#O0"45/ AAA)2 C<nd must freely admit54P5&""22-05P" AAA 2 <[ AAA=2 !<whether to colleagues or patientsG42"42#"5*520/52'5#50"15"& AAA 2 E <Z AAA+2  <when they dont know G525"52-545"-45G  AAA2 [<it. Doctors and patients can seek and interpret information together, and doctors can help ">5)"5#'/545/"15"')05'22-/544"2#4#2!45#P0"45"5/1"51#/5555*"5#&*05524  AAA2 Y<patients understand how generic facts apply in an individuals particular case. An import50"15"&5452#&"04555G/252#)0*"&045-40455-550&50""*50"*/'2:5O55"" AAA2  <ant 04"  AAA2 b<aspect of information gathering is, in fact, collecting and contextualizing information about the 0'52*"555#P/"54//"52#5/'50*"*52*"5/045*45"2*"50(5.45#P/"540454"!52  AAA(2 <individual patient.55-45050"24" AAA 2 < ;  AAA2 =[<Along the same lines, Jamie Heywood (PatientsLikeMe) observed (quoting an unnamed source), :55/"51'0P152' /P2>2-G5554/"15"'*-2V255'1#-25554"4/055450P15'45#*2  AAA2 <that"5/" AAA 2 <  AAAD2 &< LVAL the patient is the CEO of his or her o!515/"24"&!5250B55'5"42#5 AAAR2 /<wn body, and the doctor is the consultant. The G4545,054!5255*!5#'"42*45'5"/5"142  AAA&2 1<doctors job is to55*"5#&54'"5 AAA2 1<  AAA2 1M<support patients in caring for themselves on an ongoing basis. Several other '4555""5/"15"'5*0#5/5#"42P'2-2'45/545/55.50''.2-2#05!52"  AAA2 V<people emphasized the extent to which most things that impact patient health, such as 525522O550'(15!511+"25!!5G5*4P5'!!54/'"5/"O50*"5/"24"510"5'5*50' "Systemt=tt@--LVALz*R. 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E Zword/numbering.xmlPKQ]OlePres0007L OlePres001|?AccessObjSiteData&8LVAL~@U  oc  ??."Systemt(av tt0H --j@"Trebuchet MS--- Q\2 6<FProject HealthDesign and Health 2.0 Accelerator Focus X@U7VM;-gVP,;Z`VA-KY-PYW-gVP,;Y-X7X-_MMV-V@P;U@-XUMYA, j @"Trebuchet MS-j@"Trebuchet MS-j @"Trebuchet MS-- Q22 9<Fon Observations of Daily UY-XiWAV@OP;-UYA-U7-`P-,P- Q2 9,<FLivingS-O-YKX  2 9$ <F O @"Arial---@"Trebuchet MS------ AAA_2 8<FPosted May 4, 2009 by Aaron Apodaca and Julie Murchinson;1,01I1,111011,:111:1101,1101,01H1,11,00--- AAA 2 F <F . @"Arial--- Q---F<'--- AAA2 h <FRound 2 of@101110 AAA 2 h<F --- AAA+2 h<FProject HealthDesign,;00,@100@1+01--- AAA 2 h <F  AAA22 h <Ffunded by the Robert Wood 101111+11@011V011  AAA2 ]<FJohnson Foundation, builds on a key learning from Round 1: people live with and manage their ,111+1151101111101,111-1+111010J@1011110111+1?1111J1011110 --- AAA2 I<Fhealth1101 AAA 2 I<F --- AAA2 I <Fevery day,1,1,01,--- AAA 2 I<F  AAA%2 I<Fnot in discrete a1110,,111 AAAk2 I@<Fnd separate episodes. This may seem like an obvious realization 11+1111111,011,60,J1+,10J-10111+11,01+111  @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-- AAA2 e<Fto some; but the traditional health care system most of us use is not really designed with this in 1,1I11111110011101,11,+,0JJ0,11,1+1,1110+01,0111>11,1  AAA2 *[<Fmind. Our system is getting better at enabling patients to do things such as view a versionI11D1,+,1J,110111111110011110,1LVAL11111,,0,11,+0?1+1,11 AAA 2 * <F  AAA2 * <Fof their 110  AAA2 a<Felectronic medical record or lab results online and automate appointment scheduling or payments. 11,01,I10,01,111111+1,1011011011I1111011J11,,011001111+I11,  AAA2 f<FAnd yet, most of this progress is still limited to clinical and administrative data that is generated ;11+1J1,01,1011,,,,I111+1+011100J1,1+111111,1011111  AAAR2 {/<Fbased on episodes of care and limited to the in11,011110,011,0,11111J111111 AAA_2 {8<Fstitutional medical record. This is where observations ,1101J01+11+1160,,?11110,1+110, --- AAA;2  <Fof daily living (ODLs) come in.110++11D@0,,0J11--- AAA 2 <F .  AAA 2 X<F . @"Arial---@"Arial------ 2 <FThe4..  2 <F --- ,2 <FHealth 2.0 Accelerator@01111;,,0110---  2 <F  2 <F(H2A),<.7  2 <F --- O2 &-<Fa nonprofit whose goal is to advance consumer******5**%**)*&***%*)&*%*)&*>*  2 H <F- :2 a <Fcentric health care by driving &))&)***%***%*%**@ Arial---- @ !a-  @"Arial------ 2 > <Fintegration ****)* J2 > t*<Fof technology and the consumer experience,**%**)**%*)***%**%*?**$****%*---  2 > 8<F  &2 > O<Fhas partnered with..*..../.<.  2 > <F --- )2 >  <FProject HealthDesign7..*</..<.*..---  2 > ! <F  2 > 8 <Fto help../.  2 > 2<F  2 > J<Fthose ..*.  a2 9<Finterested in submitting a Round 2 application to connect...*...*/.G...=.../././*./..*/../*  2 .<F  .2 E<Fand identify Health 2.0..../.(<./...  2 <F  ,2 <Fsolutions that can be +../.*..*../.  ^2 7<Fleveraged to identify, interpret, and integrate ODLs. I/)../...../LVAL(../../......A=.* O2 -<Ft turns out that the Health 2.0 community is ..*......<.//./*.FF..(*  2 k<Fparticularly well suited to support this focus as Health 2.0 companies have developed applications for the ..*/.(<.*....*/....*.*.*.*<.///.*.G....*/.*../)///../..*...*../  2  d<Fweb and mobile devices that enable new models for capturing and sharing health information. Whether <../..G.../.**.*/../././/;G...*.*......./*...././/..G...S....  2 r <Fcond*... 2 r <Fition/.  2 r M<F- 2 r i^<Fspecific communities or personal health logging/tracking tools, these new models are based on *..***.FG...*./.*..//./../....*+../.*..*../;G...*....*/./.  2 d<Fthe notion that individuals and communities can generate new insights by managing health as part of ../...../.)../*/..*.FG...**..../...//;.*/.*0(G....../....*...  _2 S 8<Feveryday life and engaging with others that share a comm.).(.0(./..../....<../.*..*/...*/FF M2 S X,<Fon condition or health interest. Health 2.0 ..*......./.....*=.../.  @"Arial- @"Arial-   @"Arial-  @"Arial-   @"Arial-  -  [2 5<Fcompanies know how to capture and make sense of user*-G....*+./;//;/*/.../..G.+.*..*...*.  2 T<F- G2 p(<Fgenerated data that can bridge the gap ......../...*/../....../  2 4 f<Fbetween provider visits, helping both patients and providers make decisions to influence behavior and ..;/....*/.***/../.././...*/....*..*G-+...**/.*.....*.../.*./.. --- #2 <Fhealth outcomes.../...*.G.*--- AAA 2 {<F .  AAA 2 <F . @"Trebuchet MS- - - - - -  AAAz2 J<FWhat can YOU do to leverage the partnership and get involved with Round 2?N4/",/35>;22"13-2&/+3#332/%#33%&43/42,2#4.2-32E#3523423& AAA 2 c <F --- AAA 2 } <F . @Symbol- - LVAL- @"Arial- - - - - - - - -  AAA 2 ^<F&--- AAA 2 ^<F p--- AAA2 ^,R<FParticipate in one of two webinars H2A will offer to potential applicants on May 5;1+01111010?1?1111,?1;>11101110101,01,11I1+1- - -  AAA2 4K <Fth --- AAA 2 ^{ <F  AAA2 ^ <Fand 1211111- - -  AAA2 4<Fth --- AAA2 ^<F,  F<' AAA}2 ,L<Fincluding a look at the Health 2.0 landscape and examples of how Health 2.0 1+1001100-111@01111111+,1011110+1I11,011??11111 AAA2  <Ftechnologies 1,110100, F<'- - - --- AAAy2 ',I<Fare relevant to and working in the traditional health care environment.1111+111111?1,01111111011010,1111+10I11- - -  AAA 2 ' <F . F<'@Times New Roman- - -  @Times New Roman--- - - - - -  AAA 2 <F&--- AAA 2 <F p- - -  AAA 2 ,<F --- 2 ;f<FApplicants of all kinds, whether institutions, clinical partners or Health 2.0 companies, can ask for 7..*..*..+..*<./...*//.**.*//...*.</....*.G....**...*+. F<' n2 ,B<Fhelp identifying technology solutions or partners. H2A also offers......(...*..///(*....*.../.*<.8.*...*  2 u <F  /2  <Fa listing of Health 2.0 .*...<..../ F<'--- - - --- |2 w,K<Fcompanies for applicants that are not familiar with companies in the space.*-G....*../.*..*/......G.<.*.G../.*./.*..*.- - -   2 w <F - - -  AAA 2 w <F . F<'- - -  AAA 2 <F&--- AAA 2 <F p--- AAA2 ,Z<FHealth 2.0 companies should contact the Accelerator team to ensure we are able to provide @10111,0I1100,,1011,011,11;+,011011J111+11?111011111+01 F<'--- AAAF2 ^,'<Fthe latest and greatest information for1111,1011111,11I1011 AAA 2 ^<F --- AAA)LVAL2 ^<FProject HealthDesign;11,@011@0,11--- AAA 2 ^% <F  AAA2 ^= <Fapp101 AAA42 ^ <Flicants. In an environment ,01,11111+10J01 F<' AAA2 ,[<Fthat is constantly evolving, with new companies and products continually being introduced, 11,,11,01+1+1+11?111?,0J1010,1111111,,+11110+11101111+11 F<'--- AAA42 ',<Fyour updates are essential!+1111111,110,,110- - -  AAA 2 'G<F . F<'- - -  AAA 2 <F&--- AAA 2 <F p--- AAA2 ,V<FHealth 2.0 companies can coordinate with H2A to offer web demos of their offerings to @10111,0I1100,,10,111111?1@0;111?1110I1,0110110,1 F<'--- AAA/2 ,<Fpotential PHD applicants11111:?@101,01, AAA 2 <F.- - -  AAA2 <F  AAA 2 7<F . 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     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~D0d@T? c&" WMFC ``5l;&~@U EMF`5/ j { F, EMF+@XXF\PEMF+"@ @ $@ 0@?!@ @    <F% %  Rpj@"Trebuchet MS, Ĩ ` _[Ĩ @ E[ Ĩ [X'A.Trebucet MS C[ $ l[8 \P  dv% % %  QT;i@@6L<FProject HealthDesign and Health 2.0 Accelerator Focus X@U7VM;-gVP,;Z`VA-KY-PYW-gVP,;Y-X7X-_MMV-V@P;U@-XUMYA,   QT+`i@@9L<Fon  Observations of Daily UY-XiWAV@OP;-UYA-U7-`P-,P- QTx,# `i@@,9L<F\Living S-O-YKX TT$ r `i@@$ 9L<FP O  Rp@"Arial, Ĩ ` _[Ĩ @ E[ Ĩ \[X3.*Cx Arial C[ $ l[8 \P \dv% % %  AAATE i@@8L<FPosted May 4, 2009 by Aaron Apodaca and Julie Murchinson;1,01I1,111011,:111:1101,1101,01H1,11,00Rp@"Trebuchet MS, Ĩ ` _[Ĩ @ E[ Ĩ l[X'A.Trebucet MSLVAL C[ $ l[8 \P ldv% % %  AAATTF s i@@F L<FP .   QRp@"ArialD ܧ x _[ܧ Ф X E[Ф ܧ |[X3.*Cx Arial C[ < l[P \h |dv% % % !<F" % % %  AAAT{i@@h L<F`Round 2 of@101110 AAATT{i@@hL<FP % % %  AAAT {i@@hL<FxProject HealthDesign,;00,@100@1+01% % %  AAATT  {i@@ hL<FP  AAAT S{i@@ hL<Ffunded by the Robert Wood 101111+11@011V011   AAAT|ki@@]L<FJohnson Foundation, builds on a key learning from Round 1: people live with and manage their ,111+1151101111101,111-1+111010J@1011110111+1?1111J1011110  % % %  AAATp\i@@IL<FXhealth1101 AAATT\i@@IL<FP % % %  AAAT\i@@I L<F`every day,1,1,01,% % %  AAATT\i@@IL<FP  AAAT\i@@IL<Fpnot in discrete a1110,,111 AAAT\i@@I@L<Fnd separate episodes. This may seem like an obvious realization 11+1111111,011,60,J1+,10J-10111+11,01+111   AAATji@@eL<Fto some; but the  traditional health care system most of us use is not really designed with this in 1,1I11111110011101,11,+,0JJ0,11,LVAL1+1,1110+01,0111>11,1   AAATp =i@@*[L<Fmind. Our system is getting better at enabling patients to do things such as view a versionI11D1,+,1J,110111111110011110,111111,,0,11,+0?1+1,11 AAATT  =i@@ *L<FP  AAAT =i@@ * L<F`of their 110   AAATKi@@aL<Felectronic medical record or lab results online and automate appointment s&" WMFC ``5cheduling or payments. 11,01,I10,01,111111+1,1011011011I1111011J11,,011001111+I11,   AAATei@@ fL<FAnd yet, most of this progress is still limited to clinical and administrative data that is generated ;11+1J1,01,1011,,,,I111+1+011100J1,1+111111,1011111   AAATh,i@@{/L<Fbased on episodes of care and limited to the in11,011110,011,0,11111J111111 AAAT,;i@@{8L<Fstitutional medical record. This is where  observations ,1101J01+11+1160,,?11110,1+110,  % % %  AAAT i@@ L<Fof daily living (ODLs) come in.110++11D@0,,0J11% % %  AAATTi@@L<FP .   AAATT-oi@@XL<FP .  Rp@"ArialLVAL, Ĩ ` _[Ĩ @ E[ Ĩ [X3.*Cx Arial C[ $ l[8 \P dv% % %  T`i@@L<FTThe4.. TTi@@L<FP % % %  T~i@@L<FxHealth 2.0 Accelerator@01111;,,0110% % %  TTi@@L<FP  Tpi@@L<FX(H2A),<.7 TT%i@@L<FP Rp@"ArialD ܧ x _[ܧ Ф X E[Ф ܧ [X3.*Cx Arial C[ < l[P \h dv% % %  T\&H i@@&-L<Fa nonprofit whose goal is to advance consumer******5**%**)*&***%*)&*%*)&*>* TTH ` i@@H L<FP- Ta /i@@a L<Fcentric health care by driving &))&)***%***%*%**'% Lda!??% (   % % %  TsM i@@> L<Fdintegration ****)* THt7M i@@t> *L<Fof technology and the consumer experience,**%**)**%*)***%**%*?**$****%*% % %  TT8NO i@@8> L<FP  TO O i@@O> L<Fphas partnered with..*..../.<. TT  O i@@ > L<FP Rp@"Arial, Ĩ ` _[Ĩ @ E[ Ĩ [X3.*Cx Arial C[ $ l[8 \P dv% % %  T  P i@@ > L<FtProject HealthDesign7..*</..<.*..% % %  TT! 7 O LVALi@@! > L<FP  Tx8 1O i@@8 > L<F\to help../. TT2IO i@@2> L<FP  TpJ,O i@@J> L<FXthose ..*.   Tf - i@@ 9L<Finterested in submitting a Round 2 application to connect...*...*/.G...=.../././*./..*/../* TT.f D i@@. L<FP  TEf i@@E L<F|and identify Health 2.0..../.(<./... TT f i@@ L<FP  T f  i@@ L<Fxsolutions that can b&" WMFC ``5e +../.*..*../.   T 1 i@@ 7L<Fleveraged to identify, interpret, and integrate ODLs. I/)../...../(../../......A=.* T\ 1 i@@ -L<Ft turns out that the Health 2.0 community is ..*......<.//./*.FF..(*   TG * i@@ kL<F$particularly well suited to support this focus as Health 2.0 companies have developed applications for the ..*/.(<.*....*/....*.*.*.*<.///.*.G....*/.*../)///../..*...*../   T  i@@ dL<Fweb and mobile devices that enable new models for capturing and sharing health information. Whether <../..G.../.**.*/../././/;G...*.*......./*...././/..G...S....   Td( i@@r L<FTcond*... Tl( L i@@r L<FXitionLVAL/. TTM( h i@@Mr L<FP- Ti( $ i@@ir ^L<Fspecific communities or personal health logging/tracking tools, these new models are based on *..***.FG...*./.*..//./../....*+../.*..*../;G...*....*/./.   T  i@@ dL<Fthe notion that individuals and communities can generate new insights by managing health as part of ../...../.)../*/..*.FG...**..../...//;.*/.*0(G....../....*...   T Wd i@@S 8L<Feveryday life and engaging with others that share a comm.).(.0(./..../....<../.*..*/...*/FF TTX \d i@@XS ,L<Fon condition or health interest. Health 2.0 ..*......./.....*=.../.   Ty T i@@ 5L<Fcompanies know how to capture and make sense of  user*-G....*+./;//;/*/.../..G.+.*..*...*. TTTy o i@@T L<FP- T<py > i@@p (L<Fgenerated data that can bridge the gap ......../...*/../....../   T E i@@4 fL<Fbetween provider visits, helping both patients and providers make decisions to influence behavior and ..;/....*/.***/../.././...*/....*..*G-+...**/.*.....*.../.*./..  % % %  TZ z i@@ L<Flhealth outcomes.../...*LVAL.G.*% % %  AAATT{N  i@@{ L<FP .   AAATT -&i@@L<FP .  Rp@"Trebuchet MS, Ĩ ` _[Ĩ @ E[ Ĩ ![X'A.Trebucet MS C[ $ l[8 \P ! dv% % %  AAAT)b i@@JL<FWhat can YOU do to leverage the partnership and get involved with Round 2?N4/",/35>;22"13-2&/+3#332/%#33%&43/42,2#4.2-32E#3523423& AAATTc )| i@@c L<FP % % %  AAATT} ) i@@} L<FP .  Rp &" WMFC ``5@Symbol` h  _[ ܧ t E[ "[X5Symbol C[ X l[l \ ""dv% % %  AAATT oi@@^L<FP&% % %  AAATT+oi@@^L<FP p% % %  AAAT8,J qi@@,^RL<FParticipate in one of two webinars H2A will offer to potential applicants on May 5;1+01111010?1?1111,?1;>11101110101,01,11I1+1Rp @"Arial ( _[ p  E[ #[X3.*Cx Arial C[ l[ \ ##dv% % %  AAATXK z @i@@K 4L<FPth % % %  AAATT{  qi@@{ ^L<FP  AAATp qi@@ ^L<FXand 1211111% % %  AAATX@i@@4L<FPth % % %  AAATXqi@@^L<FP,  !<F"   AAAT,t i@@,LL<Fincluding a look at the Health 2.0 landscape and exampLVALles of how Health 2.0 1+1001100-111@01111111+,1011110+1I11,011??11111 AAAT ti@@  L<Fhtechnologies 1,110100, !<F"  % % %  AAAT, :i@@,'IL<Fare relevant to and working in the  traditional health care environment.1111+111111?1,01111111011010,1111+10I11% % %  AAATT  >i@@ 'L<FP . !<F" Rp  @Times New Romand[v >[@\ l[l  _[l ` P E[` l 2dGP \ Ax Times ew Romandv% % Rp @Times New Roman0 ȧ d _[ȧ D E[ ȧ $[XG*Ax Times ew Roman C[ ( l[< \T $ $dv% % %  % % %  AAATT[i@@L<FP&% % %  AAATTd+i@@L<FP p% % %  AAATT,y:i@@,L<FP % % %  T;d;i@@;fL<FApplicants of all kinds, whether institutions, clinical partners or Health 2.0 companies, can ask for 7..*..*..+..*<./...*//.**.*//...*.</....*.G....**...*+. !<F"   T,t $i@@,BL<Fhelp identifying technology solutions or partners. H2A also offers......(...*..///(*....*.../.*<.8.*...* TTu  $i@@u L<FP  T  $i@@ L<F|a listing of Health 2.0 .LVAL*...<..../ !<F" % % % % %  % % %  T,- i@@,wKL<Fcompanies for applicants that are not familiar with companies in the space.*-G....*../.*..*/......G.<.*.G../.*./.*..*.% % %  TT B i@@ wL<FP % % %  AAATT !( i@@ wL<FP . !<F"  % % %  AAATT i@@L<FP&% % %  AAATT+ i@@L<FP p% % %  AAATh, i@@,ZL<FHealth 2.0 companies should contact the Accele&" WMFC ``5rator team to ensure we are able to provide @10111,0I1100,,1011,011,11;+,011011J111+11?111011111+01 !<F"  % % %  AAAT8,qi@@,^'L<Fthe latest and greatest information for1111,1011111,11I1011 AAATTqi@@^L<FP % % %  AAAT$ qi@@^L<FtProject HealthDesign;11,@011@0,11% % %  AAATT% < qi@@% ^L<FP  AAAT`=  qi@@= ^L<FTapp101 AAAT qi@@ ^L<Flicants. In an environment ,01,11111+10J01 !<F"   AAATp,ti@@,[L<Fthat is constantly evolving, with new companies and products continually being introduced, 11,,11,01+1+1+11?111?,0J1010,1111111,,+11110+11101111+11 !LVAL<F"  % % %  AAAT,F:i@@,'L<Fyour updates are essential!+1111111,110,,110% % %  AAATTGt>i@@G'L<FP . !<F"  % % %  AAATTZi@@L<FP&% % %  AAATTc+i@@L<FP p% % %  AAATP,^Li@@,VL<FHealth 2.0 companies can coordinate with H2A to offer web demos of their offerings to @10111,0I1100,,10,111111?1@0;111?1110I1,0110110,1 !<F"  % % %  AAAT,"i@@,L<F|potential PHD applicants11111:?@101,01, AAATT"i@@L<FP.% % %  AAATX6&i@@L<FP  AAATT7d&i@@7L<FP . !<F" FEMF+*@$??@ @ *@$??+@ @ !@ @ *@$??!@ +@ @ !@ 2@D`ED@ *@$??!@ +@ @ !@ @ *@$??!@ *@$,:,:D+@ @ !@ @ *@$,:,:D!@ +@ *@$@@D$@ @JFIF,,C   %# , #&')*)-0-(0%()(C   (((((((((((((((((((((((((((((((((((((((((((((((((((U"=!1AQa"q2#BRb$3CSr2!1AQaq"23B ?4QEQEQEQEQEQEQEQEQE!}U_(h+?HLe(9n@Čr’jV\Ks@zuԖȌI[HK+cxRH'tW)wsk 3ȑ .JYKHQ@$ɤȴxjbGJ w^iV־-s%XϘ8 O"t1m"jX|í2C)@1+SMKRxWj-Òs$BpATY,e.uWEӬ_qwN|*;\ ${/dK桅pPA#N{:Bv;R3p(5h{ڞ{oRktu$*۸IWTuE+t+d]rgttgIjpAڹR(EQE{\EQEPN*on@u,lӻ=V&RҞ_7%kCsS."@A svp1nkS.Z-`OCֹeXB:Q9~rRJ|?nww᫶k}6|#5oyL^oMd[-CC['v=3I;sd0*n%J@WsB/Ì%*w6z*߹S%Q bkVm.4 I9z_Y+^bPϸmRcl'j%`& "JyP<: ;y!?(Fq) |HSB98j+P&ES3+߮*TkP :ueGp1>\cВ5! 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FEMF+@   o."System,???????????--@"Trebuchet MS--- Q\2 6pProject HealthDesign and Health 2.0 Accelerator Focus                  Q22 &pon Observations of Daily         Q2 &pLiving   LVAL   2 &p  @"Arial--- AAA_2 =8pPosted May 4, 2009 by Aaron Apodaca and Julie Murchinson @"Trebuchet MS--- AAA 2 =p   Q@"Arial---,p'--- AAA2 pRound 2 of AAA 2 p --- AAA+2 pProject HealthDesign,--- AAA 2 1p  AAA22 4pfunded by the Robert Wood    AAA2 ]pJohnson Foundation, builds on a key learning from Round 1: people live with and manage their    --- AAA2 phealth AAA 2 p --- AAA2 pevery day,--- AAA 2 Pp  AAA%2 Spnot in discrete ai AAAk2 @pnd separate episodes. This may seem like an obvious realization    AAA2 epto some; but the traditional health care system most of us use is not really designed with this in      AAA2 [pmind. Our system is getting better at enabling patients to do things such as view a versionr   AAA 2 p  AAA2  pof their   AAA2 apelectronic medical record or lab results online and automate appointment scheduling or payments.       AAA2 fpAnd yet, most of this progress is still limited to clinical and administrative data that is generated      AAAR2 /pbased on episodes of care and limited to the in  AAA_2 8pstitutional medical record. This is where observations   --- AAA;2 pof daily living (ODLs) come in. --- AAA 2 p   AAA 2 p LVAL @"Arial--- 2 pThel  2 p --- ,2 pHealth 2.0 Accelerator---  2 |p  2 ~p(H2A),  2 p @"Arial--- O2 -pa nonprofit whose goal is to advance consumeri  2 Zp- :2 ]pcentric health care by driving - @ !h- --- 2  pintegration  J2 -*pof technology and the consumer experience,---  2 p  &2 phas partnered with  2 2p @"Arial--- )2 5pProject HealthDesign---  2 p  2 pto help  2 p  2 pthose   a2 *9pinterested in submitting a Round 2 application to connect   2 *p  .2 *pand identify Health 2.0  2 *ap  ,2 *dpsolutions that can be   ^2 87pleveraged to identify, interpret, and integrate ODLs. I O2 8-pt turns out that the Health 2.0 community is i   2 Ekpparticularly well suited to support this focus as Health 2.0 companies have developed applications for the   2 Sdpweb and mobile devices that enable new models for capturing and sharing health information. Whether      2 `pcond 2 `pition   2 `(p- 2 `+^pspecific communities or personal health logging/tracking tools, these new models are based on     2 ndpthe notion that individuals and communities can generate new insights by managing health as part of  LVAL  _2 {8peveryday life and engaging with others that share a comm  M2 {,pon condition or health interest. Health 2.0   [2 5pcompanies know how to capture and make sense of usero   2 p- G2 (pgenerated data that can bridge the gap   2 fpbetween provider visits, helping both patients and providers make decisions to influence behavior and   --- #2 phealth outcomes. --- AAA 2 Lp   AAA 2 p  @"Trebuchet MS- - -  AAAz2 JpWhat can YOU do to leverage the partnership and get involved with Round 2?   AAA 2 |p --- AAA 2 p  @Symbol- - -  AAA 2 p--- AAA 2 p --- AAA2 $RpParticipate in one of two webinars H2A will offer to potential applicants on May 5 @"Arial- - -  AAA2 pth--- AAA 2 p  AAA2 pand 12- - -  AAA2 pth--- AAA2 p,  ,p' AAA}2 $Lpincluding a look at the Health 2.0 landscape and examples of how Health 2.0   AAA2  ptechnologies  ,p'--- AAAy2 $Ipare relevant to and working in the traditional health care environment..- - -  AAA 2 mp  ,p'  @Times New Roman- - @Times New Roman- - - - - -  AAA 2 p--- AAA 2 p - - -  AAA 2 $p --- 2 &fpApplicants of all kinds, whether institutions, clinical partners or Health 2.0 companies, can askLVAL for  ,p' n2 $Bphelp identifying technology solutions or partners. H2A also offers  2 Ap  /2 Dpa listing of Health 2.0  ,p'- - - - - --- |2 $Kpcompanies for applicants that are not familiar with companies in the space.   - - -   2 np - - -  AAA 2 pp  ,p'- - -  AAA 2 )p--- AAA 2 )p --- AAA2 )$ZpHealth 2.0 companies should contact the Accelerator team to ensure we are able to provide    ,p'--- AAAF2 6$'pthe latest and greatest information for   AAA 2 6p --- AAA)2 6pProject HealthDesign--- AAA 2 67p  AAA2 6:papp  AAA42 6Lplicants. In an environment   ,p' AAA2 B$[pthat is constantly evolving, with new companies and products continually being introduced, o  ,p'--- AAA42 N$pyour updates are essential!- - -  AAA 2 Np  ,p'- - -  AAA 2 ^p--- AAA 2 ^p --- AAA2 ^$VpHealth 2.0 companies can coordinate with H2A to offer web demos of their offerings to    ,p'--- AAA/2 j$ppotential PHD applicants AAA 2 jp.- - -  AAA2 jp  AAA 2 jp  ,p'cA 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@ )@G' METAFILEPICT~@+ ~@U oc  ??."Systemt(av tt0H --j@"Trebuchet MS--- Q\2 6<FProject HealthDesign and Health 2.0 Accelerator Focus X@U7VM;-gVP,;Z`VA-KY-PYW-gVP,;Y-X7X-_MMV-V@P;U@-XUMYA, j @"Trebuchet MS-j@"Trebuchet MS-j @"Trebuchet MS-- Q22 9<Fon Observations of Daily UY-XiWAV@OP;-UYA-U7-`P-,P- Q2 9,<FLivingS-O-YKX  2 9$ <F O @"Arial---@"Trebuchet MS------ AAA_2 8<FPosted May 4, 2009 by Aaron Apodaca and Julie Murchinson;1,01I1,111011,:111:1101,1101,01H1,11,00--- AAA 2 F <F . @"Arial--- Q---F<'--- AAA2 h <FRound 2 of@101110 AAA 2 h<F --- AAA+2 h<FProject HealthDesign,;00,@100@1+01--- AAA 2 h <F  AAA22 h <Ffunded by the Robert Wood 101111+11@011V011  AAA2 ]<FJohnson Foundation, builds on a key learning from RounLVALd 1: people live with and manage their ,111+1151101111101,111-1+111010J@1011110111+1?1111J1011110 --- AAA2 I<Fhealth1101 AAA 2 I<F --- AAA2 I <Fevery day,1,1,01,--- AAA 2 I<F  AAA%2 I<Fnot in discrete a1110,,111 AAAk2 I@<Fnd separate episodes. This may seem like an obvious realization 11+1111111,011,60,J1+,10J-10111+11,01+111  @"Arial-@"Arial- @"Arial-@"Arial- @"Arial-- AAA2 e<Fto some; but the traditional health care system most of us use is not really designed with this in 1,1I11111110011101,11,+,0JJ0,11,1+1,1110+01,0111>11,1  AAA2 *[<Fmind. Our system is getting better at enabling patients to do things such as view a versionI11D1,+,1J,110111111110011110,111111,,0,11,+0?1+1,11 AAA 2 * <F  AAA2 * <Fof their 110  AAA2 a<Felectronic medical record or lab results online and automate appointment scheduling or payments. 11,01,I10,01,111111+1,1011011011I1111011J11,,011001111+I11,  AAA2 f<FAnd yet, most of this progress is still limited to clinical and administrative data that is generated ;11+1J1,01,1011,,,,I111+1+011100J1,1+111111,1011111  AAAR2 {/<Fbased on episodes of care and limited to the in11,011110,011,0,11111J111111 AAA_2 {8<Fstitutional medical record. This is where observations ,1101J01+11+1160,,?11110,1+110, --- AAA;2  <Fof daily living (ODLs) come in.110++11D@0,,0J11--- AAA 2 <F .  AAA 2 X<F . @"Arial---@"Arial------ 2 <FThe4..  2 <F --- ,2 <FHealth 2.0 Accelerator@01111;,,0110---  2 <F  2 <F(H2A),<.7  2 <F --- O2 &-<Fa nonprofit whose goal is to advance consumer******5**%**)*&***%*)&*%*)&*>* LVAL 2 H <F- :2 a <Fcentric health care by driving &))&)***%***%*%**@ Arial---- @ !a-  @"Arial------ 2 > <Fintegration ****)* J2 > t*<Fof technology and the consumer experience,**%**)**%*)***%**%*?**$****%*---  2 > 8<F  &2 > O<Fhas partnered with..*..../.<.  2 > <F --- )2 >  <FProject HealthDesign7..*</..<.*..---  2 > ! <F  2 > 8 <Fto help../.  2 > 2<F  2 > J<Fthose ..*.  a2 9<Finterested in submitting a Round 2 application to connect...*...*/.G...=.../././*./..*/../*  2 .<F  .2 E<Fand identify Health 2.0..../.(<./...  2 <F  ,2 <Fsolutions that can be +../.*..*../.  ^2 7<Fleveraged to identify, interpret, and integrate ODLs. I/)../...../(../../......A=.* O2 -<Ft turns out that the Health 2.0 community is ..*......<.//./*.FF..(*  2 k<Fparticularly well suited to support this focus as Health 2.0 companies have developed applications for the ..*/.(<.*....*/....*.*.*.*<.///.*.G....*/.*../)///../..*...*../  2  d<Fweb and mobile devices that enable new models for capturing and sharing health information. Whether <../..G.../.**.*/../././/;G...*.*......./*...././/..G...S....  2 r <Fcond*... 2 r <Fition/.  2 r M<F- 2 r i^<Fspecific communities or personal health logging/tracking tools, these new models are based on *..***.FG...*./.*..//./../....*+../.*..*../;G...*....*/./.  2 d<Fthe notion that individuals and communities can generate new insights by managing health as part of ../...../.)../*/..*.FG...**..../...//;.*/.*0(G....../....*...  _2 S 8<Feveryday life and engaging with others that share a comm.).(.0(./..../....<../.*..*/...*/FF M2 S X,<Fon condition or health interest. Health 2.0 ..*......./.....*=.../.  @"Arial- @"ArialLVAL-   @"Arial-  @"Arial-   @"Arial-  -  [2 5<Fcompanies know how to capture and make sense of user*-G....*+./;//;/*/.../..G.+.*..*...*.  2 T<F- G2 p(<Fgenerated data that can bridge the gap ......../...*/../....../  2 4 f<Fbetween provider visits, helping both patients and providers make decisions to influence behavior and ..;/....*/.***/../.././...*/....*..*G-+...**/.*.....*.../.*./.. --- #2 <Fhealth outcomes.../...*.G.*--- AAA 2 {<F .  AAA 2 <F . @"Trebuchet MS- - - - - -  AAAz2 J<FWhat can YOU do to leverage the partnership and get involved with Round 2?N4/",/35>;22"13-2&/+3#332/%#33%&43/42,2#4.2-32E#3523423& AAA 2 c <F --- AAA 2 } <F . @Symbol- - - @"Arial- - - - - - - - -  AAA 2 ^<F&--- AAA 2 ^<F p--- AAA2 ^,R<FParticipate in one of two webinars H2A will offer to potential applicants on May 5;1+01111010?1?1111,?1;>11101110101,01,11I1+1- - -  AAA2 4K <Fth --- AAA 2 ^{ <F  AAA2 ^ <Fand 1211111- - -  AAA2 4<Fth --- AAA2 ^<F,  F<' AAA}2 ,L<Fincluding a look at the Health 2.0 landscape and examples of how Health 2.0 1+1001100-111@01111111+,1011110+1I11,011??11111 AAA2  <Ftechnologies 1,110100, F<'- - - --- AAAy2 ',I<Fare relevant to and working in the traditional health care environment.1111+111111?1,01111111011010,1111+10I11- - -  AAA 2 ' <F . F<'@Times New Roman- - -  @Times New Roman--- - - - - -  AAA 2 <F&--- AAA 2 <F p- - -  AAA 2 ,<F --- 2 ;f<FApplicants of all kinds, whether institutions, clinical partners or Health 2.0 companies, can ask for 7..*..*..+..*<./...*//.**.LVAL*//...*.</....*.G....**...*+. F<' n2 ,B<Fhelp identifying technology solutions or partners. H2A also offers......(...*..///(*....*.../.*<.8.*...*  2 u <F  /2  <Fa listing of Health 2.0 .*...<..../ F<'--- - - --- |2 w,K<Fcompanies for applicants that are not familiar with companies in the space.*-G....*../.*..*/......G.<.*.G../.*./.*..*.- - -   2 w <F - - -  AAA 2 w <F . F<'- - -  AAA 2 <F&--- AAA 2 <F p--- AAA2 ,Z<FHealth 2.0 companies should contact the Accelerator team to ensure we are able to provide @10111,0I1100,,1011,011,11;+,011011J111+11?111011111+01 F<'--- AAAF2 ^,'<Fthe latest and greatest information for1111,1011111,11I1011 AAA 2 ^<F --- AAA)2 ^<FProject HealthDesign;11,@011@0,11--- AAA 2 ^% <F  AAA2 ^= <Fapp101 AAA42 ^ <Flicants. In an environment ,01,11111+10J01 F<' AAA2 ,[<Fthat is constantly evolving, with new companies and products continually being introduced, 11,,11,01+1+1+11?111?,0J1010,1111111,,+11110+11101111+11 F<'--- AAA42 ',<Fyour updates are essential!+1111111,110,,110- - -  AAA 2 'G<F . F<'- - -  AAA 2 <F&--- AAA 2 <F p--- AAA2 ,V<FHealth 2.0 companies can coordinate with H2A to offer web demos of their offerings to @10111,0I1100,,10,111111?1@0;111?1110I1,0110110,1 F<'--- AAA/2 ,<Fpotential PHD applicants11111:?@101,01, AAA 2 <F.- - -  AAA2 <F  AAA 2 7<F . 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