Identifying Health Experts in Online Forums

For those of you interested in reputation management systems, I wrote an overview for Dr. Hersh’s Information Retrieval course as part of my Biomedical Informatics Graduate Certificate.  I think it turned out well- here’s the abstract:

 

As more people turn to the Internet for information, they may find themselves reading material from, or participating in, online communities. It is more important than ever that one is able judge the quality of the members of these communities. The paper looks at nineteen online communities, which offered reputation management systems.  By including both healthcare and non-healthcare related sites, a variety of processes were noted.  There are both simple and quite sophisticated systems.  Domain experts were not only directly identified by use of external credentials, but also based on a synthesis of the member’s thoughts as to the individual’s contribution to the information within the community.   No system appeared to be the best, but many that seemed to fit their particular community needs.  Reputation management included self-reporting, external credentials, voting, surveys, metamoderation, levels, additional powers within the community, means of motivation, and chance.  Along with the overview, there is a discussion of issues regarding simple Information Retrieval approaches as well as weighting, granularity, consistency, evaluation,  and when things go wrong. Evaluation of these systems was not part of this overview.

Identifying Health Experts in Online Forums pdf

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Clinicians Vs Information Technologists

What accounts for I.T. implementation failure in the healthcare setting?  Why do clinicians and information technologists seem to talk pass each other?  In this short paper, I explore how these groups make up separate cultures and how these cultures come in conflict.

While most hesitate to couch such implementations as ‘battles’, one is able to come to grips with some of the issues…  and make things better.

Clinicians Vs IT PDF

This paper was done for OHSU’s Organization Behavior class with Dr. Ash.

Posted in Collaboration / Community, Medical Informatics | 4 Comments

We are the face of SL Health…

Knoh Oh and Info-PosterIf you need an in-world guide to healthcare issues in the virtual world Second Life, Health Info Island now has a set that I developed.  It is an attempt to help those new to SL discover some of the depth and breadth of health issues.
Notecards that are available at that location include:

  • Healthcare Treatment
  • Healthcare Libraries and Information Resources
  • Healthcare Businesses
  • General SL Health and Support Groups
  • Healthcare Education
  • Knoh’s Healthcare Pro’s Beginning Guide to SL

I’ve been working with the one-and-only Carolina Keats who coaxed me into getting this material up and the irrepressible Tam Hyun who did the graphics and build!

This sort of work is never done, but what we have now will at least get folks up to speed quicker than before.  I will maintaining it as best I can, but we are looking at how to have the community itself keep it updated.

Please note, if you want to know the latest, your best bet would probably be the website SLHealthy.

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Second Life- Hospital Sim with live EMR/CIS software

Here’s a screen shot of Knoh Oh at the Ann Myers Medical Center’s Admission Desk checking out the day’s schedule. To the right of Knoh is an Electronic Medical Record and Clinical Information System application being accessed from within the Second Life client.

It’s more of a proof of concept than anything else, but it does work, and I think would help enhance medical simulations. I could also see it as a great way to train people on how to use the software. One could have several people accessing the same EMR/CIS system in various areas of the hospital sim and run patient’s around.

I hijacked the SL client’s help window, and through it logged into an open source medical software demo. (Technical details at end.)

One of the great advantages to open source is that you really can get the code for free/cheap. Further, since there are no proprietary secrets, there is no reason to hide the software, so the software is easy to try. There are several open source medical software vendors, a few have on-line demo sites, some even have live CD’s one can easily boot up on one’s own PC’s. Wikipedia has a nice list of Free and Open Source Medical Software. One can set up the software and allow others to access it without worrying about licenses.

What I did not do, was create an actual object in SL. No other avatar can look over Knoh’s shoulder and see the screen. It is like a HUD- part of my client. However, other people can log into the same EMR/CIS and use the system as I am. You would get the same result by running the EMR/CIS in a separate browser…just not as cool screenshots ;-)

This particular picture features the ClearHealth software running from their demo site. I cannot vouch for their software, but it seems to be of the right weight, covers a multitude of tasks, and works well in the window. Big thanks to ClearHealth for providing an online demo! (I have not spoken to them about it yet.)

Clear</a>Health and Patient Data

How did I do this? A bit of background for some, but the in-world help screen can be used as a web browser (recent Windows SL client, YMMV.) In the SL client go to the toolbar’s drop down “Help” then “In-World Help”. Paste in a URL into the help’s search window and hit return.

PLEASE DO NOT ABUSE THE DEMOS. These companies pay for their bandwidth and need to maintain their severs. If you really want to utilize a particular vendor’s service, contact them. They will most likely be happy to help you out.

THX to ClearHealth and Ann Myers Medical Center who had no idea what I was up to, but are hopefully cool with it.

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Good time to visit healthcare in Second Life

For those interested, Second Life will have a series of things going on concerning World AIDs day, Dec 1st.

Rik has collected information about it.

Looks like they are getting ready over at HealthInfo Island.

I’ll try to get a little time in-world, so feel free to IM me, Knoh Oh.

Knoh Oh Pic

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Second Life Healthcare .. getting up to speed fast

If you are interested in healthcare in Second Life, here are a few tips to get you going:

I’m taking snapshots in Second Life of various medical venues. I think it is a quick way to get an overview of the variety that is out there, without actually logging into Second Life: www.sluniverse.com/pics/Default.aspx?Name=Knoh+Oh

The main mailing list for folks that are really involved in SL Medical stuff: lists.secondlife.com/cgi-bin/mailman/listinfo/healthcare

There’s a nice wiki being put together at SLHealthy: slhealthy.wetpaint.com

If you are in-world (within Second Life) you would do well to check out these areas:

There are many more places to go, and things change so much in Second Life I hesitate even linking to these…but I know how it helps to have a bit of direction.

Finally, the reason I went into Second Life in the first place was to check out support groups for a medical informatics class I was taking. I found this BBC produced video about Support for Healing Island and that is what convinced me to give the whole thing a try.

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Of Virtual Live Diabetes Groups

I am doing a bit of research on diabetes education and wanted to quickly check in with some folks about their experiences. This isn’t what the research is about, but I thought they could offer a few pointers of what to look for.SL Infor Poster and Knoh Oh

My first thought was Second Life, so I went in-world. There was no sim that I could find where folks with this issue would be hanging out, although I did find the SL Diabetes Support group’s info pretty easily. I also stumbled upon some informational posters set up on Health Info Island. They were pretty simple, tho nicely done, and had info on the support group. However, I ended up not finding anyone that I could chat to live.

So back to the web, a bit of searching and I find Diabetic-Talk. I end up getting a lot of live help on good ol’ IRC.

Why? I’m guessing that IRC has been around for a long time, doesn’t take much PC resources, has a brief (but can be somewhat stiff) learning curve, simple/free to set up on a server, and just works. I’m guessing that in the future we’ll find this to be true in the virtual worlds, but not quite yet.

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Overview of Patient Provider Asynchronous Communication

The following is a paper I did for my first OHSU class, Introduction to Biomedical Informatics with Dr Hersh. I turned out pretty well, and I go back to it every now and then to grab a nice citation… so I’m putting it up for all to see.

Nothing much original here, just a good overview of the situation in 2006.

Abstract:

Reviewing 10 recent, highly cited papers, as well as other works, we note the issues surrounding asynchronous patient physician communication. While healthcare has dealt with this sort of communication in the past, new modes of asynchronous communication (the Internet) offer advantages.
Patients gain access to information, are empowered, and have alternative ways of expression and understanding that have not been available in the past. Clinicians have the opportunity to communicate more clearly, efficiently, and with greater convenience. All this is tempered by security, fiscal issues,
changes in workload, and possible loss of communication. While it is still too early to tell about the efficacy of this type of communication in general,(28) it is not too early to put begin to elucidate its issues and start to build that which has a promising future.

Asynchronous Patient Physician Communication pdf

Posted in Collaboration / Community, Medical Informatics | 2 Comments

Second Life… no hands

Using a brain-computer interface, folks are able to operate an avatar in Second Life. (Article)

While I don’t think doing simple things with computers via brain waves is all that new, it is cool to see it used in a ‘freely available’ virtual environment populated be all sorts of folks from around the world. (Instead some lonely server tucked away in a research facility.)

While I think this application is in its infancy, we can all agree it demonstrates interesting possibilities.

**Update**

NewWorld Notes has more. Looks like they will continue to push this forward.

**Update II**

Clickable Culture looks at some of the earlier attempts at this sort of thing.

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A Case for a Simulated Hospital

As readers of my blog may know. I travel around Second Life looking at healthcare related sites… I also sometimes wonder what good they might do.

Now I find the Methodist University Hospital has a Virtual Welcome Center that includes maps and videos to familiarize folks with their facilities prior to them visiting. Despite the large-ish learning curve for Second Life, this is the sort of thing it is well suited for.

For example, The Ann Myers Medical Center: Second Health London

While not based on an actual hospital, as far as I know, it could introduce people in a number of ways to what goes on within one. If it simulated an actual hospital, it could help inform patients further.

Continue reading

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