First is SlideShare personalized year in review shows a definite peak in November after I uploaded two presentations I made in Houston on Social Media Intro and Social Media in Healthcare. My total views on SlideShare are approaching 100,000 with over 20,000 in 2013 alone. And it  is not only my most recent uploads which draw the traffic, some over five years old also draw ongoing interest and have 7000 views. Slideshare has been a source of speaking invitations as well.

Delicious has a similar reporting method. The Delicious Annual Report reminds me I joined in 2007 and has a nice constellation view of some of the content. It includes a word cloud, top finds and popular links. However, in starting my new job, I have decided to transition to Evernote in which I can save hyperlinks but also notes and other content.

Research Gate shows 329 publication views for 2013 with a Research Gate score of 11.33.

For Twitter, I found Simply Measured, should showed not only that I have 6380 followers but also my Klout score of 61.6 and 10,706 total tweets (not for last year only). Also displayed are key words (health care, top), audience distribution, audience by time zone,

Quality professionals in healthcare including risk management and patient safety are relatively new to social media. They have some realistic concerns about HIPAA and sharing proprietary information on safety issues.  However, they are receptive to learning and sharing best practices. But where to start?

• Look for LinkedIn groups, for instance, the Institute for Healthcare Quality.
• Follow your own institution’s LinkedIn, Twitter and Facebook accounts
• Follow specific hashtags on Twitter, such as, #ptsafety
• Look for videos related to quality issues – search on YouTube
• Join a tweetchat such as #hcsm (health care social media)
• Look for social media policies
• Follow e-Patient blog posts
• Consider entering the Voices of Quality Video Contest from the Robert Wood Johnson Foundation.

I think there is real potential for healthcare quality professionals to share best practices on social media and begin to develop communities around issues like patient safety, risk management, and patient satisfaction.

This made me think of writing a brief post about how I use Twitter. I was an early adopter of Twitter starting just before attending Medicine 2.0 in Toronto in 2007. Meeting an energetic group from the US and Europe who were live tweeting at the conference got me hooked.

Now I have 5500 followers from Europe to Australia and follow about 1100.  I post 3-6 times per day and more often at conferences.  My focus in tweeting is health IT, health care social media, mHealth and apps, innovation in healthcare, conferences I attend, articles I read (newsletters and journals) and some notable Cleveland Clinic news.  I try to share quality information and almost always include links. I use my favorite hash tags #hcsm, #mhealth, #HIMSS, #EMR. Have not gotten into the habit of using #HealthIT or #HITsm yet.

I also promote some of my favorite people, such as, @berci, @healthythinker, @lucienengelen, @nicolaziady, @ReginaHolliday,@ahier and many others.

Overall, I try to provide quality information that I think is important and not get bogged down in criticizing others or off-color remarks.

I hope I can continue to earn the respect of the wild world of Twitterland. See you there.

• West Wireless Health Institute which has a good handle on new care delivery models
• Secondary Uses Service, description and and access. | The NHS Information Centre - glad to see the National Health Services is utilizing EMR data for quality and research
• National Center for Advancing Translational Sciences or NCATS - the new NIH center replacing the NCRR which inlcudes the Clinical and Translational Science Awards which I am now a part of
• A post on O’Reilly Radar - Epatients: The hackers of the healthcare world
• Eye on FDA - the new FDA blog
• CIRD – Partners HealthCare Clinical Informatics R & D

Other books by Don R. Crawley include Linux administration and IT customer service.

I’d be interested in other’s opinions on this.

The brief reviews and code for each source includes those which use REST/JSON, YQL and other languages.

Overall the book is a very practical guide for programmers wanting to integrate public data into their websites or creating mashups. However, the book lacks any data sources related to health although many existing on the web from PubMed to ClinicalTrials.gov.

HIT X.O: Beyond the Edge is a new track to predict and discuss the future of Health IT. Beginning with a presentation of the dozens of statistics and predictions on the future of wireless and ended with the Geeks Got Talent brief demos and judges going at it. The multimedia experience was unique as was the live tweets at the bottom of the dual screens. The next stage of the competition continues tomorrow.

The social media center is expanded this year, with an afternoon of presentations. I was glad to be on a panel with Rich Elmore, David Kibbe and John Marzano this afternoon.  John’s Orlando Health Facebook page and complimentary YouTube channel are a great example of what hospitals can do with social media. We fielded questions  from the audience via twitter – a good range of queries about everything from participatory medicine to risks and opportunities in health care social media. I enjoyed the Social Media Center as a welcoming environment with an opportunity to meet many I follow on Twitter. Thanks to Ceasar Torres and other HIMSS staff in making it a welcoming place.

Tomorrow I speak about my experience with using Twitter to connect with Health 2.0 and health IT colleagues.

The twitter stream at HIMSS was very active today demonstrating a greater adoption by both attendees and vendors.

1. The Big Picture: The State of the Global Economy and What It Means for IT on U.S. College Campuses (or, globalization and localization). He says that universities are tied to the cities they live in and community partnerships are crucial for global competitiveness. The same could be said for urban and academic medical centers.

2. How do you spell opportunity? A-U-S-T-E-R-I-T-Y (shared services and entrepreneurship).  With greater austerity in health care, shared services and making IT a profit center through entrepreneurship are key to IT survival in healthcare as well.

3. Operational Excellence Is Good Enough (leveraging the cloud for strategic reengagement). Instead of a focus on operational excellence, moving toward cloud-based services and software/platform as a service. Healthcare continues to be skittish about the cloud but with the appropriate SLAs and security, may provide appropriate solutions.

4. We Go to University to Learn (mobility, simulations, gaming, and unified communications).  Best quote: “While the rhetorical debates will continue, blended learning models based on hybrid pedagogies of face-to-face interactions with online exploration, discovery, reflection and mentoring are emergent realities.” This is emerging in education of health professionals and more experimentation should be welcomed.

5. Content is King… No, No, Platform Is King … No, No (learning management, publishing, and learning middleware). Another quote: “Given the maturity of the traditional course management platforms, the lethargic character of the academic publishing industry satisfied with its annuities in traditional textbooks, and the early state of e-books for learning, a new set of players in the area of student engagement, assessment, and support is likely to offer to stitch together the layers between the content and platform providers.”

6. I Used to Walk 10 Miles in Snowshoes to School (rich media and 21st-century learning).  The move from text-centric learning to video conference, multimedia learning and more. The possibilities in healthcare are apparent and some are being utilized with YouTube and 3D anatomical models. Will holograms be next?

7. If We Hang In There We Will See an ROI on Our 8- and 9-Figure ERP Implementations (new models for administrative systems).  Expensive enterprise systems moving to SaaS platforms changing the legacy of large implementations into short cycles of outsourced applications.

8. Consumer Sovereignty Can Be Stopped at the Gates of the Campus (governance and enterprise program management]. Sounds alot like centralized healthcare IT departments. “Frustration with the lack of agility, available resources and talents has led to a growing position that IT needs to get out of the way other than provisioning reliable network access, limited security and related regulatory and risk-mitigation roles.”

9. Overcoming the Myth of the University as Open. Global research endeavors requiring data sharing free faculty to go beyond the walls of the institution. Healthcare may be moving faster than the rest of the university community by translational research efforts and health information exchange as facilitators.

10. American Global Competitiveness and Research and Education Networks (IT and its contribution to reducing the town-gown divide).
Another quote true for healthcare: “IT and network engineering, and a commitment to supporting evaluation and at the same time catalyzing innovation, attracting investment and supporting the value of quality of life.”

With all the hype about mobile and clouds, it is refreshing to have a more thoughtful analysis of what is ahead.

The book describes each new major app and the process and culture of building new tools and keeping them free. Only two pages are devoted to Google Health, however. Generally, the books focuses much more on the advertising business which has made lead to Google’s financial success sometimes overshadows description of apps and the engineering culture. Too many pages are devoted to the failing of traditional media and, of course, Google and the competition continue to evolve since the publication of the book.

The closing question in the book is: has Google become so big and entangled in conflict that it has lost its innovative edge? Recently the excitement over Google Wave and Buzz have met there match with Apple’s iPad. Yet the dominance of cloud computing and Google’s dominance in the cloud may continue to have more of a long term impact than the devices that connect to the cloud.