I love trying new stuff! I am not shy about sharing what I eat, where I go and what I think - so when Blippy just came out of beta - I signed up. I had no prior expectations set by media (just saw few tweets with the name).

I linked my netflix, godaddy and iTunes accounts… I followed a few people, 1 person followed me (sigh).

I forgot about it for a few days, then came back and guess what: after I opened up to the world (Blippy world) what I watch, what domains I buy and what iPhone apps I download I got nothing in return. NOTHING!

hmmmmmmmm

I dont see Blippy as a digital addiction (unlike twitter)

I dont see how Blippy will help me find better movies to watch (yet)

I dont see how Blippy enhances my domain name selections (yet)

I dont see how Blippy offers me to find the best price for a widget on Amazon (yet)

Privacy, what privacy?

I do believe that we are slowly but surely becoming the generation of openness. The more we share and expose our thoughts, successes and failures the more we learn from experiences of others. I believe we are also a generation of forgiveness. But at the end we are letting go or maybe just transforming the definition of privacy. We are all willing to share more of our private life.  So having said that, I would expect some substantial benefits from a service like Blippy in exchange for opening up my credit card purchase data.

Did I give enough time for Blippy to mature, gain the critical mass that it needs to become useful?  What are your thoughts?

I use LoseIT and I am not ashamed of it :), but I also have a slew of other apps that I started and stopped using and when I stopped - my data was left hostage (unless I wanted to re-enter all of it again).

With proliferation (see a list of 100 iPhone apps for Health & Fitness) and increased usage of mobile health applications - we, as consumers, are creating an abundance of self-reported and useful data. There is also Nike, Garmin, and now Adidas joining the family (http://bit.ly/6nFZRE) of devices to track distance, heart-rate and much more. For some people this self-tracking is motivational, for others a hobby and I am sure there is a whole spectrum of reasons that drive us to use this wide array of tools. (What is yours??)

The problem, as I alluded to before, is that it is all tracked in complete siloes with a goal of engaging captivity (while providing immediate satisfaction of pretty charts and graphs).

As an engaged patient I already have my claims records housed at my HealthPlan’s website, I already have my medication history at a PBM  and I am already self reporting additional meds, allergies and other info at sites like Keas & Google Health. I just ordered WakeMate to keep track of my sleep cycles. I paid $399 for a spit-kit for 23andme and loving every moment of it. I already collected copies of all my doctor’s notes. I forced my PCP to allow me access to Quest Diagnostics through Google Health. This is all data, valuable data, valuable to me and valuable to my team of physicians. This is a full 360 degree view into the Eugene ecosystem. But this post is not about integrating all this data into a single view - the nirvana of the engaged patient, this post is only about solving a slice of the overall problem.

I want to be able to transfer my self-reported data such as weight, calories burnt, food eaten anywere and everywhere. I want to share it, and not in any unstructured manner like looseit’s twitter posts, but graph my data across mutliple inputs. Maye I don’t want to invite my friends to join LoseIT - maybe they are all on SparkPeople :) I want to share my data just not necessarily at the point of input. In order to explore the possibilities of self reported structured data we need data portability!

So how do we standardize on this? What standards are on their way, if any? Is an aggregation business model feasible, as a cloud-based service to the slew of “input” devices? Let these apps compete on usability and value added services and outsource the “logging” of data into the cloud.

In order to explore the possibilities of self reported structured data we need it to be portable. Thoughts?

Tons of tweets and blogs appearing on the ONC interim final publication for EHR & meaningful use. We got 60 (actually 59 days) to submit comments. I say we hold the next HealthCamp at 7500 Security Boulevard, Baltimore, MD 21244-1850 :)

Below is the extract from page 14 (out of 136) of “Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology”.

To summarize - 2011 expand the use (structured data or not), 2013 expand it even more and encompass more structured data across wider data points (i.e radiology), 2015 start focusing on actually improving population health and give patient access to self-management

What I am missing in all this (granted I have not read the full 556 of 136 pages) but what happens to the filing cabinets of valuable data

3 Stages to population health

Stage 1 (beginning in 2011): The proposed Stage 1 meaningful use criteria
“focuses on electronically capturing health information in a coded format;
using that information to track key clinical conditions and communicating that
information for care coordination purposes (whether that information is
structured or unstructured, but in structured format whenever feasible);
consistent with other provisions of Medicare and Medicaid law, implementing
clinical decision support tools to facilitate disease and medication
management; and reporting clinical quality measures and public health
information.”

Stage 2 (beginning in 2013): CMS has proposed that its goals for the Stage 2
meaningful use criteria, “consistent with other provisions of Medicare and
Medicaid law, expand upon the Stage 1 criteria to encourage the use of health
IT for continuous quality improvement at the point of care and the exchange
of information in the most structured format possible, such as the electronic
transmission of orders entered using computerized provider order entry
(CPOE) and the electronic transmission of diagnostic test results (such as
blood tests, microbiology, urinalysis, pathology tests, radiology, cardiac
imaging, nuclear medicine tests, pulmonary function tests and other such data
needed to diagnose and treat disease). Additionally we may consider
applying the criteria more broadly to both the inpatient and outpatient hospital
settings.”

Stage 3 (beginning in 2015): CMS has proposed that its goals for the Stage 3
meaningful use criteria are, “consistent with other provisions of Medicare and
Medicaid law, to focus on promoting improvements in quality, safety and
efficiency, focusing on decision support for national high priority conditions,
patient access to self management tools, access to comprehensive patient data
and improving population health.”

Just signed up for Omnipacs.com for a personal account. Lets see if I can upload my MRI image data and share with participating physicians. I am hoping these guys will present at the next Health 2.0 meetup (http://www.health20nyc.com/) but in the meantime here are the Personal Account Features:

Key Features

• Collaborate with referring physicians
• Collaborate with with specialists
• Get 2nd and 3rd opinions from networked professionals
• Upload your data to a Personal Health Record

For professional accounts seems like they are targeting reading radiology practices:

Key Features

• Collaborate with Patients
• Collaborate with with other professionals and referring professionals
• Quickly acquire and integrate reading sites and expand your business
• Manage all your reading accounts through one dashboard
• Maintain a fast and secure reading practice with minimum overhead
• Distribute images to any radiologist in your reading network
• Combine multiple PACS/Teleradiology services into one simple and efficient interface
• Add users to your account for referring physicians, for marketing, or for educational/academic usage