Tag Archive | informatics

Knowledge, Skills, and Resources for Pharmacy Informatics Education

The most recent issue of the American Journal of Pharmaceutical Education featured a Technology in Pharmacy Education section.  There is some really interesting reading in this section including, “Use of Twitter to Encourage Interaction in a Multi-campus Pharmacy Management Course” by @Brent_Fox.  Brent actually authored several articles including, “Knowledge, Skills, and Resources for Pharmacy Informatics Education“, which he wrote along with the newly installed Chair of the ASHP Informatics Section Allen Flynn, informatics luminary and frontliner Chris Fortier (@FortiPharm), and I.  With this article, we tried to summarize the baseline informatics knowledge that pharmacy students should possess upon graduation, framed within med use processes.  My hope is that it will be of real practical use to educators and others as specific recommendations are provided regarding activities and resources for class and curricular integration, rather than just observations made from 30,000 feet.  Also, as with all articles in AJPE, this one is open access (OA) in that it can be accessed free, full-text by anyone.

@kevinclauson

Source: Fox BI, Flynn AJ, Fortier CR, Clauson KA. Knowledge, skills, and resources for pharmacy informatics education. Am J Pharm Educ. 2011;75(5):Article 93.

Mobile Health 2011: A Look Back at What Really Worked

Stanford Guest House

Mobile Health 2011: What Really Works at Stanford University (#mh11) is over, so it’s time for a quick look back at the conference.  To borrow (steal?) from conference organizer, Stanford Persuasion Technology Lab director, and quick-change artist @BJFogg – I am going to take a retrospective look at my experiences there through the device of ‘home runs’.  For full speaker slide decks, you can click here.

Conference Atmosphere Home Run
I have been to a lot of conferences…pharmacy conferences, medical conferences, informatics conferences, and social media conferences.  However, I have never been to a conference that seemed more along the lines of an ‘event that happens to be interspersed with speakers’.  This is not an indictment of the quantity or quality of the speakers; somehow there were >50 of them smoothly shoehorned into two days.  The comment is more about the carnival-like atmosphere surrounding the conference that made it fun and exciting, and contributed to a very collegial vibe.  One of the best aspects of Mobile Health was the extended breaks.  They were just plentiful enough and twice as long as an average conference.  If you think about the old chestnut ‘the best value at a conference is the hallway conversations’…voila! Those breaks doubled the value of the conference.  Also helpful was Fogg’s “giving permission” to all attendees to go up to anyone there and say hello, reinforced by the speakers largely making themselves available after panels concluded.  I’m still undecided about a few things (e.g., the birds and the bees); however, balancing all the West Coast wackiness was the fact that the conference was timed and chimed down to the minute.  Seriously.

Lodging Home Run
It’s almost like this place is a secret or something.  I stayed at the Stanford Guest House for their conference rate of $109.  You can barely stay at a Roof Rouge near a major city for that.  The rooms and hotel were basic and a little Spartan, but the beds were comfortable, the place was immaculately maintained, and the staff was gracious and knowledgeable.  The deal-maker was that the Stanford Shuttle (Marguerite) had pick-ups ~ every 20 minutes to take you all over the campus.  There was also a Guest House shuttle that could be reserved (e.g., to take you to the Alumni Center‘s conference venue).  The only drawback was that there were no dining options in-house or within easy walking distance.  Definitely will stay here again next time I’m at Stanford.

Almost Made Me Apply for a Job in Public Health Home Run
Sharon Bogan.  You just have to love somebody with that kind of spirit, fighting the good fight, excerpting Monsters, Inc., innovating in resource-limited settings, and inviting litigation (for others).  Everyone I’ve met from King County Public Health going back to the mhealth Summit has been a gem.

Goosebump Home Run [tie]
Green Goose and Proteus ingestible event markers.  Check them out.  Seriously.  They *literally* gave me goose bumps in thinking of potential applications of their technologies during their presentations.
Honorable mention: Google Cow presented by Google’s Chief Health Strategist (@rzeiger).  Technically he was focusing on Google Body, but since I had already seen Body I was pretty happy to see the bovine version.

Reunion Home Run
It was great to see @chiah @EndoGoddess @JenSMcCabe  KarenCoppock  @LarryChu  @SFCarrie  @SusannahFox and loads of others again!

New Peeps Home Run [misc]
If you are worried about our future, know that we are in good hands with people like @hcolelewis coming on the scene
Most likely to isosceles with regarding mHealth, PAHO, & Uruguay @JuanMZorrilla
Most likely to invite for Skype in guest lecture in my Consumer Health Informatics course @QpidMe
Most likely to explore the mHealth studies based out of our campus in Puerto Rico with @MarcosPolanco
Most surprised to find in my back yard Vic Shroff
Note: any conversations that included words like NDA, lawyer, or launch are not listed here for obvious reasons.

Failed to Connect at All Strikeout
I would have liked to have spoken with @enochchoi

Conversationus Interruptus Strikeout
The Keck and and PHI guys

Best Laid Plans Strikeout
Climate control and the janky A/C resulted in groups of attendees going to the outer hall and watching panels on a screen and/or going outside to cool off.
(Dis)honorable mention: minimal power outlets/juice available was surprising.  This problem was offset somewhat by the length of the breaks which allowed for both networking and recharging.

Least Favorite Panel
The Partnerships panel was my least favorite.  It definitely had eye-opening moments for some attendees and there were interesting discussions and placements (e.g., possibly the least and most idealistic two people at the entire conference were seated next to each other).  However, most of the discussions were pretty familiar to me from having gone through many of the processes described.  So my bias/preference would have been to have instead heard more specifics about MedPedia from James, Medic Mobile or Social from Josh, etc.

Overall Favorite Panel
Very tough decision as there were several really outstanding ones.  I considered a tie here but was able to pull the trigger and name “Methods and Measures for Research and Evaluation” as my favorite overall panel.  The moderator and panelists all had great content to share and illuminated a lot of the challenges in conducting research in this space.  Plus the Open mHealth initiative is so encouraging!  I think this panel is a ‘must view’ for everyone as it can help in introducing a common language that could lead to better coordination and scaling of efforts as well as providing guidance for individuals.  Overall, the quality and detail of this panel was exemplary.  I ended up choosing it in part based on the criteria of ‘if I could only have the full video of one panel’ because of its high utility for me and in sharing with multiple audiences.  Many of the slide decks from this panel are here.

Final Verdict
I am definitely happy I attended both the pre-conference workshop by @BjFogg (although it mostly served to whet my appetite for the full Boot Camp) as well as the conference proper.  I have been to some good conferences that were one-offs, but will absolutely figure out a way to make it back to Mobile Health next year.  My two most substantial takeaways were that the construct of this conference was singular in nature and that it was probably easier to connect with potential collaborators here than at any other conference I’ve attended.

@kevinclauson

Update: other perspectives on the conference have previously been posted here by @thulcandrian of AIDS.gov and a take on mHealth by @geoffclapp here.

Update 2. Here is a new conference highlights post by Craig Lefebvre (who I wish I had realized was @chiefmaven when I met him there)

Update 3: ‘Text in the City’ founder Katie Malbon has written the most ambitious mh#11 wrap-up to date

Update 4: If @TextInTheCityNY had the most ambitious/complete post, @geoffclapp has added the most thoughtful and thought-provoking review to date

Update 5: From the ‘people I wish I had a chat with’ file at #mh11, @AndrewPWilson has now provided his main takeaways from Stanford

Update 6: Patient-centric thought bubbles and more from e-Patients.net rep @msaxolotl at #mh11

Update 7: Jeff Kellem (@slantedhall) provided a tech-focused list of quick hits from the conference

Update 8: David Doherty (@3GDoctor) has added the most contrarian view of the conference to the conversation here

Consumer Health Informatics Course – TYVM Guest Lecturers

Last semester I taught Consumer Health Informatics and Web 2.0 in Healthcare in the College of Pharmacy (COP) after having coordinated several iterations of it in the MS in Biomedical Informatics Program. At the end of the COP course, I asked the students for their opinions about the most useful and least useful lectures of the semester (with an eye towards improving future offerings). Many of the students mentioned topics that were discussed by one of the six excellent guest lecturers. While I sincerely appreciate each guest lecturer’s contribution, I thought it would be even more meaningful to share a student response about each guest lecturer/topic.

I’ll use the format below to do so (lecturers appear in the order they taught during the semester):

Student quote
Guest Lecturer
Affiliation
“Lecture Topic”

The course’s most useful lecture was Dr. Kang’s since it focused on policy and the big picture instead of just one or two tools.
Jeah-Ah Kang, PharmD
Food and Drug Administration (FDA), Division of Drug Marketing, Advertising, and Communications (DDMAC)
“Promotion of FDA-Regulated Medical Products Using the Internet and Social Media Tools”

Most useful was Dr. Gualtieri’s because it may be the only one that really looked at things from the patient’s side.
Lisa Gualtieri, PhD, ScM
Tufts University School of Medicine
“Blogging for Health: Communicating the Experience of Illness”

Most useful lecture was Dr. Dyer’s lecture. It was very cool seeing how healthcare was using this new tech and getting positive results. Very. Cool.
Jennifer Dyer, MD, MPH
Ohio State University, College of Medicine
“RU TAKING UR MEDS? (DR. SEZ TEXTING TEENZ HELPS!)”

I would like to see more experts like Dr. Fahrni. His lecture was most useful. It provided insight on what this breed of pharmacist does on a daily basis.
Jerry Fahrni, PharmD
Kaweah Delta District Hospital (now Talyst)
“Pharmacy Informatics – One Pharmacist’s Perspective”

The most useful topic was Dr. Mesko’s on virtual worlds because it was most forward looking. I wish we would use it more and create our own avatars.
Bertalan Mesko, MD
University of Debrecen Medical School
“Medicine in Second Life, the virtual world”

The most useful lecture topic would have to be the final lecture from Dr. Fox, it was extremely informative and I enjoyed it a lot. I’d like to see an additional lecture from him.
Brent Fox, PharmD, PhD
University of Auburn, College of Pharmacy
“The Pharmacist’s Role in Health 2.0”

 

Social media presence for the course contributors can be found here:

Lisa Gualtieri, PhD, ScM (@lisagualtieri)

Jennifer Dyer, MD, MPH (@EndoGoddess)

Jerry Fahrni, PharmD (@JFahrni)

Bertalan Mesko, MD (@Berci)

Brent Fox, PharmD, PhD (@Brent_Fox)

 

@kevinclauson

mHealth Summit 2010 ATF Part 1

I already miss the sound of the techno music from the Walter E. Washington Convention Center at the 2010 mHealth Summit.  Because I’ve seen a number of questions about what mHealth is, here is my preferred definition from lecture courtesy of @mHealthAlliance: “the use of mobile devices and global networks to deliver health services and information”.  One reason I like this definition is its emphasis on the ‘network’ piece.  It allows for a much broader application.  I understand the desire by some for the term uHealth (u=ubiquitous) and others, like one presenter at AMIA 2-3 years ago from Rockefeller, who yearn for everything to eventually just be ‘health’.  While recognizing that the types of labels like mHealth can definitely be problematic in the long-run, they also can be really useful in the short term for conveying a basic context, getting people to the table, and creating rallying points…which brings me to my next point.  One of the oft-parroted comments of the Summit was that there was too much hype about mHealth.  Unfortunately the word ‘hype’ was being used interchangeably with ‘excitement’ in many cases.  Of course mHealth isn’t a panacea and there are serious obstacles to navigate.  But let’s not lose sight of the fact that it is really hard to motivate people, to excite people, and to generate momentum…and mHealth is accomplishing those things.  So please let’s not be so terrified about overpromising and under-delivering that we squash genuine enthusiasm.  Of course there are speed bumps and as @joncamfield noted, there are definitely some mobile parlor tricks to be wary of out there (he also had the fantastic idea of an implementer track for next year).  In the interest of being fair and balanced, here is an example of a public health/mHealth app featuring augmented reality that may mean well but has questionable execution [EDIT: yes, the video below is for an actual app].

Onto the conference proper…David Aylward, Executive Director of the mHealth Alliance, began with a pseudo-demo of wearable body area networking for basic vitals.  Side note: Aylward closed the conference while wearing a Bugs Bunny tie that I speculated was an ode to Ted Turner and his Cartoon Network.  This remains unconfirmed.  Slightly more relevant, the conference was livestreamed and h/t to @planetrussell who noted that videos from the stream are starting to appear in various YouTube channels.

 

The first two WOW moments of #mhs10 for me included the announcement of the 2011 NIH Summer Institute on mHealth Research, which will provide specialized training opportunities for 25 researchers.

 

The second was during a panel presentation by @JoshNesbit in which he shared a word cloud of the tweets from Haiti following the earthquake.  The wow moment was when he pointed out that the second most tweeted word was ‘please’.  That revelation definitely gave me pause. 

End ATF: Part 1

@kevinclauson

 

Part 2 may or may not highlight snarky entrepreneurs, bedsore-preventing robots, keynote Star Wars quotes, and actual data.

Three Perspectives on Using Twitter

Recently I have seen another round of the cyclical deluge of posts, pointers, and tips telling people what Twitter is meant for and ‘instructing’ them how they should use it. Most of this advice is invariably wrong simply because there is no certain way that Twitter should be used. It is impossible. Even Twitter doesn’t know what it wants to be when it grows up yet.

However, there are three perpectives about using Twitter that I believe have real merit.  The ties that bind all three are that each touches on a range of uses for Twitter and the tones are personalized and/or contemplative, rather than authoritative.

1. How I Use Twitter as a Killer Filtering App by @Doctor_V [Nov 3, 2010]
    Concise, clean approach that recognizes the fluid nature of the tool and how it can be employed

2. Twitter: filter, suggestion box, idea machine, window by @SusannahFox [Oct 18, 2010]
     Four featured functions of Twitter including example accounts that support each method used

Both of those posts, like all good blog posts, have a number of comments that really add value.  The third perspective is…well, it’s a little different.  I first watched it on my phone and felt like I was watching a cross between Phil Laak and Mike Caro. @AndrewSpong aptly characterized it as “structured free association”.  Just keep your hands inside the car and hang on for the ride that is:

3. The Four Modes of Twitter: Focused, Filtered, Serendipitous and Random by @PhilBaumann via @HealthIsSocial [Oct 29/Nov 4 2010]

I have collected these three perspectives here as a resource for those trying to figure out if it makes sense for them to use Twitter or those trying to get a better idea of Twitter’s utility or lack thereof. The first two perspectives are particularly well-suited for healthcare professionals, researchers, academicians, and students. The third offers more of a James Joyce exploration of the potential of Twitter and is not for the faint of heart. I believe all three have value and hope you find the same.

@kevinclauson

ULP Digital Pharma Nine Notables

Two-thumb typing on telephone at twenty to thirty thousand feet while things are still fresh in my mind from Digital Pharma East.

Digital Pharma was the first Pharma-centric conference I’ve attended.  My usual professional meeting haunts are either focused on HCPs or are a blend of healthcare industry and technology.  I wasn’t completely certain what to expect other than I would likely be among the minority as a ‘representative’ from academia and pharmacy.  That’s plenty of preface, onto the Notables

Notable Keynote
As much as I enjoyed keynotes by Ian Talmadge, Dr. Bertalan Mesko (@Berci), etc., the one that completely floored me was delivered by Dr. Ian Morrison (@seccurve).  It was the perfect blend of style (his seamless comparison of Pimp My Ride to the state of US healthcare) and substance (holistic view of drivers of medication non-adherence).  Spot on observations, great timing, and natural, unforced humor.  The clip on his site does not do him justice. 

Notable Conversation
@LenStarnes is just a really interesting cat. I found him to have a fascinating global perspective, wealth of experience, and he is a darn good storyteller in his own right as well as being a fellow ZX81 owner.

Notable Attendee
Phil Cranch (@cranchtweet), MSPharm, MComm at The Crystal Agency.  He was the only other self-identified pharmacist there who I saw and tied for my fave Aussie.

Notable Anniversary
Congrats to the folks at Pixels and Pills who are a very precocious, collective one.  Remarkable energy, nice approach, no doubt headed for great things.

Notable Recruit
You just watch, I am totally going to figure out a way to poach @Shwen Gwee and get him back to academia where he belongs. Academia needs more driven people who are also savvy.  Don’t worry; I’ll still let him help the ExL Pharma folks.

Notable Transparency
None. I detected no transparency of note. I get that it’s canine-devour-canine and all that, but still a bit disappointing.

Notable Mobile Experience
I can’t help but think if I had talked to @CynthiaNorth 6 months ago that it would have cut off about a month of prep time for our mHealth research protocols and that we, in turn, would have added perspective and experience that would have enhanced their patient adherence piece.

Notable Connection(s)
My post. My rules. Multiple parts to this Notable. @PhilBaumann of Health is Social may just end up being the first social media healthcare futurist. I feel like Dr. Mike Sevilla (@doctoranonymous), despite his notoriety, is underrated as a presence especially given his remarkable longevity. Dr. Bryan Vartabedian (@Doctor_V) simply gets the need for rigorous research in this area and authors a thoughtful, relevant blog.  After speaking to Gilles Fry (@gfry) a few times, I finally figured out a one-word descriptor for where he resides on the ‘Rage Against the Machine’ to ‘Endearing Curmudgeon’ continuum: Fierce.

Notable Omissions
See above re: rules and limits. Somehow digilicious by @JaeSelle did not fit into the Nine despite a potent combination of sculptor, visual enthusiast, and embracing the inner geek.  And where was @jonmrich curator of the Social Media Wiki?  Great googly moogly that thing is useful.  I planned to thank him for those efforts and to tell him to cheer up.  Health literacy, while not omitted from the conversation, was limited to cameos.  Civility seemed to be omitted at a handful of sessions.  Barely activated patients and hesitant healthcare professionals would have made fine additions to some panels to give a fuller picture.  I did not omit any of the stargazing targets.  However, I’ve obviously omitted at least one great connection, one great conversation, and one great find.

@kevinclauson

National Pharmacy Organizations Form eHealth Collaborative

It is encouraging when something brings all of the major pharmacy players together. In this case, it is the Pharmacy e-Health Information Technology Collaborative, and it is comprised of the Academy of Managed Care Pharmacy (AMCP), Accreditation Council for Pharmacy Education (ACPE), American Association of Colleges of Pharmacy (AACP), American College of Clinical Pharmacy (ACCP), American Pharmacists Association (APhA), American Society of Consultant Pharmacists (ASCP), American Society of Health-System Pharmacists (ASHP), National Alliance of State Pharmacy Associations (NASPA), and the National Community Pharmacists Association (NCPA).  It has also been announced that the Collaborative will have Tom Menighan, BS Pharm, MBA, ScD as Chair and Shelly Spiro, RPh, FASCP (@shellyspiro) as Director.   

The information volley from APhA seems to indicate the Collaborative will initially be focused on the electronic health record (EHR).  That makes sense for now given the mandatory nature of EHR adoption and the financial incentives and disincentives tied to its use.  I’m also heartened to see the formation of this group given the warning signs for pharmacy in the ‘meaningful use’ criteria (which will apparently undergo some minor revisions to “correct a few inconsistencies”).   My hope is that after the Collaborative tackles the admittedly daunting task of EHR implementation, that it turns its attention to other facets of eHealth in which pharmacy is underrepresented and lacks much of a voice.

@kevinclauson

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