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[ROUNDUP] Healthcare Blogging Summit 2007 (Fall), Thoughts on Health 2.0 and What is Next for Trusted.MD

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Summarizing the busy week of conferences with a little commentary. Thanks to everyone for help and participation!

I am relieved to have wrapped up the Third Healthcare Blogging & Social Media Summit in Chicago and gotten back to Bay Area in one piece. Before moving on with daily business, let me share a few thoughts.

First, I was very impressed (even surprised!) with the level of depth brought by our attendees in Chicago. Back in DC is Las Vegas we had so much more interest in the basics, with people wondering whether social media would ever matter at all. But now people were coming in to network and learn how to use social media in practical ways. Certainly the signs of maturation.

Now here is how each of our specific sessions went -

THE IMPACT:Rick Murray's keynote has proven without a doubt why he is the top social media guy at Edelman. That is through showing how the world of communications in changing, in turn transforming every industry including healthcare. My favorite factoid was Rick's observation how back in early 90ies he was brought it to turn around a company with 90% of revenue derived from making slides at $70 a pop. In a year PowerPoint kicked that number down to $5. Just think what this could mean in healthcare...

MYTHS vs. REALITY: My panel tried to make sense of how to tell real trends from hype. Joyce Flory, a pioneer of Web 1.0 arena (no less back to 1995!) reminded us how people used to say "content is king", "we need a sticky site" or "a flickering flame". How many of Web 2.0 buzzwords will be viewed the same way very soon? JSK then gave us a rundown of real healthcare trends over last few decades and I showed some Gartner hype cycle graphs, putting Web 2.0 last year right at the "peak of inflated expectations".

OPEN BRANDS: Fabio, David and Robin delved into the real meaning of handing over control to the people (do not call them "consumers" or "patients" or "audience"). Their panel examined two sides of the same coin - firstly how to engage the people interactively and secondly how to keep track of online conversations and respond appropriately. Of course the pharma's challenges of adverse event reporting reared their ugly head time and again.

READY, SET, BLOG: Toby, Elisa and Carol gave an in-depth how-to's on how exactly to start a blog and develop relationships with online communities. The audience was very involved in the discussion, showing how they are ready to move beyond the basics. If you are looking for some hands-on help with blogging strategy, I would heartily recommend Toby, Elisa or Carol as consultants. Carol also posted links to their presentations and blogs here at Trusted.MD.

HELPING HAND: We heard from companies developing specific tools for consumer health, including search, communities and Q&A. These things are starting to blur the line with social media and activity in this space will only accelerate. More in my take on Health 2.0 below.

INDUSTRY PANELS: On Day 2 we had three panels covering the impact and examples of social media in different sectors of healthcare, including hospitals / providers, pharma / devices and wellness / lifestyle. Great examples, great discussion, great participation of the audience.

How did our 3rd Summit feel overall?

Like a few good friends getting together again. But I must admit that the format we have now used for the 3rd time has run its course. When the conference was first conceived back in Spring 2006 there was nothing, zip, zilch about blogs and social media in healthcare's public eye. Our first step was to feel out where it is going to go. While the first event in DC was truly ground-breaking, in Las Vegas it was starting to get clear that we need to look broader to keep the excitement and keep people coming. Long story short, we are cancelling December 2007 event with Transmarx and starting planning of an entirely different conference for next year. Stay tuned!

Now my take on Health 2.0 conference in SF which I attended next

First of all, congrats to Matthew and Indu on getting some top healthcare thinkers and leaders to turn out in impressive numbers. No doubt, they generated some genuine excitement (perhaps bordering on giddiness?) with a well produced show. Plenty of people in healthcare have now for the first time learned about Web 2.0, setting them on the very beginning of a very, very long journey. Think the Internet industry circa 1994 when the expectations ran (v-v-very) high and nobody knew which approaches would win out and why.

But excitement aside what is the real "State of Health 2.0"?

To me it was very striking how the attendees and speakers stratified into three very different groups that did not mesh much. Perhaps this highlights the fault lines in Health 2.0 community, if there is such a thing. To summarize:

  1. Big Internet Players: The whiff from the big guys was that online health consumer behavior is changing relatively slowly and the bulk of online activity is still very basic searching for static content. Keyword ads, banners and commerce is where the revenue is. Surprise, surprise...
    TAKEWAY: How is Health 2.0 really different from Health 1.0?
  2. "Health 2.0" Startups: Startup panels offered a blizzard of demos but few were brave enough to talk about any metrics, least of all the revenue. Kudos on putting your ideas out there guys, but figure out how to make them sustainable as VC cash would last only so long. Esther Dyson said the same.
    TAKEWAY: Prepare for Dot-Com 2.0 boom & bust cycle
  3. Traditional Healthcare: Institutional representatives on "Reactor" panels largely demonstrated they are not quite sure how to react. Interestingly, most of the audience polled said that they think "Health 2.0" would be subsumed into existing system, but we saw no indication how!
    TAKEWAY: Watch out for the real sleepers to wake up!

I took particular interest in speaking with companies on "Social Media for Patients" panel and this confirmed my general impressions that there is a long way before any sustainable and scaleable approaches emerge. Behavior change and mismatch between online content creator and healthcare consumer demographics (noted by David Brailer) seem like the biggest challenges to me. Most people still stick to old message boards and Yahoo Groups... We shall see.

Finally, a few (brief) words on what is next for Trusted.MD Network

I am relieved that with the conferences behind there are no distractions and we can now focus on getting our (long-promised) site update out. Expect us to address many of the points I have been blogging about and we are not quite done with events.

Meanwhile, keep an eye for announcements to our community!

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Comments (10)

Submitted by gmlevinmd123 on Sun, 09/23/2007 - 6:34pm.

Although I could not attend I have quickly caught up on the major participants and blogs about Health 2.0  Trusted.md was one of the first blogs relating to health care matters in a transparent open forum....Dimitriy has been and is a pioneer.

 September 23, 2007


Health 2.0 Conference Results

Three years ago I had no idea how blogging would provide a platform for everyone and anyone interested in health care. The spectrum of participants ranges from physicians, payors, patients, political pundits, and others.
This forum lies outside the framework of "officialdom"; It has become the water cooler and allows much intercourse. Early on there were some disputes and "retaliation" against employees when their opinions reached "management".....However I believe freedom of speech issues prevailed as long as there was no libel or slander involved.

This year's Health 2.0 was planned for 200 participants, and over 400 registered. The introduction piece was very impressive. I am providing the link here. Health 2.0 Intro-http://www.icyou.com/events/health-2-0-conference?folder=All

The video by scribemedia was truly impressive: http://www.scribemedia.org/2007/09/20/health-20-conference/

While most reporters waxed on enthusiastically, the San Jose Mercury News threw some cold water on Health 2.0, most of which was unwarranted. They criticized health 2.0 and the blogs as not being well grounded in 'business models'. While some blogs do generate revenue, most proponents of health 2.0 blogs or health blogs in general did not nor want to have a rigid business model....I am also sure some will develop entrepeneurial motives or at least there blogs will network them into "greener" pastures.

I also think that unrecognized is the fact that Web 2.0 applicatons are rapidly being deployed for EMRs, Practice management systems, and other applications for healthcare. These applications do away with the heavy cost of capitalizing for hardware, ie servers, etc. A monthly subscription fee covers maintenance, upgrades, and technical support.

Without a doubt the environment of health blogging is one of free speech, enthusiasm, and just plain "glory" at seeing one's words printed on the world wide web. It is a great "equalizer."

Gary Levin MD

Submitted by Toby (not verified) on Sun, 09/23/2007 - 9:58pm.

Dimitriy - I applaud your efforts to introduce the healthcare community to the importance and feasibility of social media as a business/marketing strategy. It's been a pleasure to be part of the Summits. And it has been great fun meeting and working with wonderful people who have great vision.

Submitted by Robin Seidner (not verified) on Mon, 09/24/2007 - 10:11am.

Dmitriy,

I was sorry to have missed Health 2.0, but wanted to thank you for pulling together such great content at the Healthcare Social Media and Blogging Summit. The amount of knowledge already out there among the healthcare players is higher than I think anyone of us on the panels expected, but was welcome, because the conversations went deeper.

With more and more healthcare-related social media apps coming online, healthcare companies will need to pay attention to the conversations and swapping of information that happens in these various environments.

Cheers-

Robin Seidner

Collective Intellect

Submitted by Alvaro (not verified) on Mon, 09/24/2007 - 7:30pm.

Dmitriy, 

 Thanks for the great write-up. 

A couple of days ago, I spent some time at a leading Health 2.0 site. Lots of content, most useful, some exactly contrary to what peer-review research indicates.

 So, my fundamental question is, if we are talking about Health (not celebrity gossip, or iPhones...), how do users get to know what information to trust? how will quality/ reviewed content integrate with online support networks? For me, this is one of the major uncertainties around Health 2.o 

Submitted by hippocrates on Mon, 09/24/2007 - 9:57pm.

Gary: Thanks for the acknowledgement and you are a pioneer in your own right! We are still in the very earliest stages of the journey, whether we call it Health 2.0, social media or whatever.

Toby & Robin: Glad to have seen you again in Chicago and I greatly appreciate your kind words and support. I think social media is more than a business tool, but something that can make a real difference in the lives of many people. We are just getting started with possibilities!

Alvaro: You raise valid points. Yet, I do not think user-generated content is a problem in itself... BUT, it should not be billed as a replacement of professional opinion - only as a way to share emotional support among like-minded peers. IMHO pros would outweigh con in the *long* run.

Submitted by gmlevinmd123 on Tue, 09/25/2007 - 6:57am.

Alvaro there is a "Code Of Ethics" started by Rob Lamberts. If you go to my blog

http://healthtrain.blogspot.com  you will find a banner on the left. If you click on it it will take you to a site ....

Gary Levin MD

Submitted by Gary L (not verified) on Fri, 09/28/2007 - 9:13pm.

Alvaro,

 As physicians we too have the same issues....talk to five different doctors....and get five different answers.....it is all in the eyes of the beholder...

Submitted by medicine (not verified) on Wed, 10/17/2007 - 10:58pm.

Bells Palsy is common.The sudden problem smiling or closing an eye on one side of the face happens to an estimated 40,000 people in the U.S. annually. Dr. Bell described it in1882 yet Bells Palsy is still somewhat mysterious. Bells can be scary but it usually has a good outcome with treatment. You need to see a doctor pronto. Bell's palsy is a form of temporary facial paralysis resulting from damage or trauma or inflammation to one of the facial nerves.

Submitted by gdean67 on Fri, 12/14/2007 - 5:48pm.

Dr. Andrew Levy of Center for advanced medicine, New Jersey 

I just wanted everyone to know- stay away from this guy. After having my PCL replaced from Dr. Edward Decter (another Dr. to stay away from) Dr Levy was fast to shoot down Dr. Decter, as he said I never needed the PCL operation in the first place- and why he calls him “Quick Eddie” Dr. Levy said the cartilage in my knee was dead and needed to be replaced- and performed the operation.  

 After the operation, my knee was actually worse then before the operation, Dr Levy told me a screw came lose and he needed to take it out. When I told him I was in between jobs and my insurance wouldn’t start for another month, he said that he would do the surgery for free- as long as I help him get the full amount from my insurance, for the first operation. I told him that I would see what I could do-and I appreciated him doing this operation for free. 

After removing the screw, my knee was still killing me and I was barely able to walk- but figured I would give it some time. I kept my promise and contacted my insurance company. I was told- what they pay the Dr. has nothing to do with me and I shouldn’t call again. After 3 months- my knee still killing me and having trouble walking, I was shocked when I received a bill from Dr. Levy for the amount of $16, 376.00. The bill was for removing the screw, plus the difference my insurance didn’t pay him for the first operation. I tried calling him for 1 month, to try and find out why I received a bill for something he said he was doing for free- He never took my call. 

After receiving a letter from his attorney a few months later- I started speaking to attorney’s to see what I could do. They all said the same thing- you signed a waiver from the first operation and you have no proof that says he was doing it for free.  I had the pleasure of finding out yesterday, that Dr. Levy’s attorney put a Levy on my on my bank account, which withdrew EVERY penny I had. My mortgage payment and many other checks I wrote bounced- leaving me scrambling to find out how I am going to pay all these bills- since my once a month commission check is now gone, along with my entire savings. 

Dr. Levy is a POS that did nothing for my knee and has now turned my life upside down- just in time for the holidays. Happy Holidays Dr. Levy!!  Stay away from him- he is a liar the worst Dr. in the tri-state area!!   

 Please pass this letter to anyone who is thinking of getting orthopedic surgery- so they don’t find themselves speaking to Dr. Levy

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