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How Informatics

Will Change the


Future of
Pharmacy

Kevin A. Clauson, PharmD

Objectives
Define and discuss informatics
terminology and tools in healthcare
Explore the potential and practices of
mHealth
Consider risks associated with
informatics applications

A glimpse ahead into the future of healthcare

Fundamentals of
Informatics

Informatics is NOT
just robotics, bar
coding, and
computer systems

Informatics is NOT automating


everything in pharmacy
(making it an assembly line with quotas)

Health Informatics is
Multidisciplinary field focused on
the use and integration of data,
information, knowledge, and
technology into healthcare in order
to improve outcomes

Am J Health Syst Pharm 2007;64(2):200-3.

Change WAS cyclical and gradual

Change NOW moves rapidly

Informatics is
advancing
pharmacy to
the point that
it can appear
surreal

Informatics is a fertile area for research

Informatics Tools

Interfaces &
Usability

Kaweah Delta Health Care piloting 100


iPads for pharmacists, physicians, etc.

Skinput

EHR + Integrated Touchscreen

Personal Health Record Partners


allows patients to link their Walgreens
prescription information to other health
and medical records and share a
complete profile with other health care
providers

customers have the ability to securely


download their prescription histories to
their individual Microsoft HealthVault
record

Contact lenses that change


color with variations in glucose
and can dispense medications

Advanced Functional Materials 2008;18(13):1912-21.

Smart Pills

Smart pills

Video

Video

Pharmacist led
dermatology
clinics

Pharm J 2004;272:577-9.

How many
nosocomial
infections occur
each year?

What percentage could be


prevented by hand washing?

HyGreen Hand
Hygiene System

Mobile Health

mHealth is the use of mobile


communications such as PDAs and
mobile phones for health services and
information
Andre Blackman

Cough into your cell phone


Diagnostic extender;
help pharmacy with
triage/decision
making

$100,000 grant by
Bill & Melinda Gates
Foundation

Text BABY to 511411


Envia BEBE al 511411
para Espaol

www.text4baby.org

MyGenome iPhone
app will have
patients full
genomic profile

Allows for
examination of
drug responses
patients genetically
predisposed to
having

SMS Reminders in HIV Patients

Medication
and visit
adherence

Trials 2009;10:87.

Body Area Network Applications

Wearable Cardiac Monitoring System


Bluetooth heart monitor records
ECG and transmits information via
patient's phone
Analyzer circuit checks the ECG
signal for signs of cardiac failure
Cell phone automatically alerts the
patient and nearest medical center
via SMS
International Journal of Electronic Healthcare 2007;3(3):303-16..

What would it be worth to keep you or


a family member living independently?

JAMA 2002;287(8):1022-8.

Wireless Assisted Living

One way to help manage the


approaching storm of an
increasingly aging
population

Nana technology vs Nanotechnology

J
Gerontol A Biol Sci Med Sci 2008;63(3):298-307.

Web 2.0 Tools

Twitter for smoking


cessation

Tweet Analysis
of
Antibiotics &

Am J Infect Control 2010;38(3):182-8.

Twitter flu tracker

the pharmacist effect

http://www.girleffect.org/video

NSU in Second Life

Mass Prophylaxis Training

Biosecur Bioterror 2008;6(1):36-44.

Virtual Game Worlds &


Applied Epidemiology

Lancet Infect Dis 2007;7(9):625-9.

A Fifth of the Cost, and No


A Fifth of the Cost, No Jetlag
Jetlag

Risks with
Informatics

Maternal Instinct Meets Facebook

Two hospital staff


were fired after a
nurse appeared on
Facebook in
a revealing pose
the picture also
showed a patient in
the background
NursingTimes.net February 2009

Data Mining
Companies scour social media sites to find
and aggregate information on individuals
Results used to infer behavioral patterns and
impact decisions about: employment, health
insurance coverage, credit rates
Can also be used benevolently to help
prevent fraud, etc.
http://mashable.com/2010/03/02/data-mining-social-media

What About Now?

Participatory Medicine

www.participatorymedicine.org

What Type of Patient Is This?

Divine intervention?

Treatment #3

Source: Pew Internet & American Life Project 2009

Treatment #1

60% of e-patients said health information found


online affected their treatment decisions

Evernote has
completely
changed the
way I work
- overheard in
numerous
pharmacies

Forget BrownWhat
Can Evernote Do for
You?

Pillbox

An alternate glimpse ahead

Slidedeck available at:

www.slideshare.net

Images

http://www.youtube.com/watch?v=6F1u36Y-qlE&feature=channel_page

http://www.limpfish.com/pics/apudali

http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954

http://everythingipad.com/citrix-receiver-for-ipad-available-now-video-954

http://www.chrisharrison.net/projects/skinput/images/projectHand1.jpg

http://www.youtube.com/watch?v=W7Jg9twIqto

http://www.walgreens.com

Images

http://www.cvs.com

http://www.americanwell.com/

http://www.riteaid.com/

http://www.medicalautomation.org/wp-content/uploads/2010/03/pharmatrust2-march-2-20101.jpg

http://www.parata.com/serve/index.php

http://www.gizmowatch.com/entry/a-novel-camera-that-maps-sun-s-effect-on-skin/

http://dianhasan.wordpress.com/2010/03/29/mobile-phone-innovation-cough-into-your-phone-and-getdiagnostics-theres-an-app-for-that-too/

Images

http://www.doh.state.fl.us/family/mch/text4baby/text4baby.html

http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/

http://mobihealthnews.com/2676/slideshow-illuminas-concept-mygenome-iphone-app/2/

http://www.holstcentre.com/en/PartneringinResearch/SharedPrograms/TechnologyIntegration/~/media/I
mages/_PartneringInResearch/TextImages/BodyAreaNetwork_b.ashx?w=416&h=263&as=1

http://twitter.com/_mHealth

http://www.nytimes.com/interactive/2009/02/02/sports/20090202_superbowl_twitter.html

http://www.healthmap.org/en

Images

http://www.girleffect.org/video

http://secondlifegrid.net.s3.amazonaws.com/docs/Second_Life_Case_IBM_EN.pdf

http://www.doseofdigital.com/healthcare-pharma-social-media-wiki/

http://www.youtube.com/watch?v=yu4zMvE6FH4

http://twitter.com/rxmeds96/status/7146180932

http://www.facebook.com/home.php#/group.php?gid=29564338647&ref=search&sid=1051950779.1703
015908..1

http://www.oleole.com/media/main/images/wallpapers/85662/arsenal3logo_238122.jpg

Images

www.youtube.com/watch?v=XjkCl3-PId8

http://pillbox.nlm.nih.gov/

http://www.youtube.com/watch?v=0USn7eufXps&feature=fvw

http://www.youtube.com/watch?v=pdpxcvIDWwg&feature=related

http://www.slideshare.net

Unreferenced images are


licensed stock photography

Thank you for your time!

clauson@nova.edu

@kevinclauson