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Enterprise 2.0: Marketplace 2009

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via SocialComputingJournal.com

Latest analysis of the Enterprise 2.0 marketplace for 2009 with over 70 social computing platforms evaluated.

The term Enterprise 2.0 itself is used to describe “emergent, freeform, social” collaboration tools in the workplace. In their simplest form that means blogs, wikis, and social networks and we’re seeing wide adoption of these types of tools in the workplace this year. In fact, nearly half of large companies around the world have these tools in one form or another.

The challenge is that because it’s such an interesting space both in the consumer world and the enterprise, that means there are lots of players including commercial products, SaaS (hosted online), and open source. Sorting them out and figuring out which ones are strong contenders is hard work.

Read the full analysis of the Enterprise 2.0 Marketplace for 2009: Robust and Crowded. The Enterprise 2.0 Marketplace Map is below, you can also click on the visual to expand it to full size. You can get a list of the companies and their segment ranking here.

Map of the Enterprise 2.0 and Social Software Space for 2009 (similar to Gartner Magic Quadrant
Click To Enlarge

The visual is broken down into two primary: incumbent enterprise players that are frequently taking their CMS, DMS, and ECM systems and adding Web 2.0 features such as tagging, blogs, wikis, and user profiles, or Web startups and open source-based firms that have built Enterprise 2.0 apps from the ground up.

There’s a third category that represents the Enterprise 2.0 “Sweet Spot”. Only a few products reached this critical space (marked in green in the upper right) because they are both enterprise savvy and capable as well as had the right ingredients to enable Enterprise 2.0 and create vibrant internal collaborative communities.

Further Reading: The enterprise microblogging marketplace for mid-2009. The folks over at CMS Watch have created their own version of the enterprise social software map as well. You can read the details from Tony Byrne and I’ve included one of their key graphics below:

CMS Watch Social Software Sextant and Map for 2009

Written by Daniel Casarin

novembre 29, 2009 at 10:02 am

Pubblicato su Trend

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Social Media Marketing e Turismo 2.0

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via Socialware.it

Ecco le slide dell’intervento di Claudio Vaccaro, che quest’anno era incentrato sul Social Media Marketing per il turismo 2.0: ovvero come strutture turistiche, agenzie e imprenditori del settore turistico in generale debbano e possano improntare una strategia di marketing e PR sui Social Media, incrementando la reputation ed engagement grazie all’approccio conversazionale.

Social Media Marketing per il turismo 2.0

Written by Daniel Casarin

novembre 27, 2009 at 7:21 am

Pubblicato su Trend

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Social Media Sharing Trends 2009 – Cosa Condividiamo sui Social Network

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via SocialTwist e Social Media Explorer

We’re starting to see an interesting by-product of cool social media tools emerge: Research pulled from user data. One such effort, a new study released by SocialTwist, makers of the content share widget Tell-A-Friend, reveals some interesting facts about how people share information online. You can see the report in its entirety on the SocialTwist website.

First, let’s set the expectations appropriately. The data behind the study is collected from anonymized user data for people who click on the Tell-A-Friend widget where it is used on blog posts, newspaper websites and more. That widget represented just below this paragraph, is similar in functionality to ShareThis, AddThis and others. While the design, functionality and placement of the widgets do skew the data in various ways, the widget has served almost two million billion (yeah … with a “b”) impressions to date, so there’s a lot of data there. The parts of the report that caught my eye included the following:

  • People still share via email and instant messenger more than via social networks. An astounding 59% of all shares on the widget were done via email, 25% via instant messenger and just 14% were passed along on networks like Facebook and Twitter.
  • Twitter, which has recently emerged as the share site du jour for those in the social media world, accounts for only one percent of all shares. Facebook is 11%. Yahoo mail is the highest individual share channel at 26%.
  • Yahoo (44%) and MSN (25%) mail are way ahead of Gmail (19%) as the email provider used by Tell-A-Friend users.
  • Facebook accounts for 79% of all shares via social networks. MySpace is second at 15%. Twitter is just 5% of all social network shares via the widget.

SocialTwist is the creator of the popular social media sharing widget Tell-a-Friend. SocialTwist takes the sharing experience to a whole new level and turns a simple sharing button into a powerful referral marketing tool. SocialTwist helps marketers position their products and services correctly in all visitor communication (shares). Ever since its launch in September 2008, Tell-a-Friend has emerged as a popular referral marketing and social media sharing tool for big brands like Intel, Bertelsmann Media, P&G etc. Today, SocialTwist enjoys a user base of 50,000+ websites and blogs using Tell-a-Friend.

SocialTwist’s Social Media Sharing Trends 2009 Report is based on the social media sharing behavioral analysis of recent 10 million referral messages sent using the Tell-a-Friend widget. The report provides details of the most preferred medium of social media sharing, the popular and emerging channels, and the social media trends to look out for in 2010.

Major Findings

  • The top channels of sharing include, email, instant messenger, social networking sites
  • Despite the social media revolution – traditional forms of networking like email and instant messaging continue to be the most popular mediums of sharing content across the Internet. Nearly 60 percent of overall sharing happens over emails.
  • Since it opened itself to all age groups in September 2006, Facebook has displaced MySpace as the most popular social networking site especially when it comes to sharing content online.
  • It is clear that Twitter is perceived to be a news broadcast platform and not a “sharing” platform. It enjoys only 5% of “shared information” traffic among popular social platforms.
  • Bookmarks are rapidly losing their significance in the social media space. Only 2% of shares happen over Bookmarking sites.
  • When it comes to email services, Yahoo Mail is still the most preferred, followed by MSN. Gmail is way behind.
  • Google’s services like Google Bookmarking, Google Talk, Gmail, and Blogger have failed to replicate the brand’s search engine success online, especially when it comes to ‘shared information.’
  • LinkedIn, as a networking site, ranks the lowest when it comes to social media sharing.


Email is the most popular channel for sharing information

Most Used Social Media Channels

Analysis shows that the most popular channel for sharing content is email. Nearly 60 per cent use email to share content. However, fewer people like to manually type in email addresses. Just about 10 per cent of email shares had people typing email addresses.

Instant Messaging with 25% of total sharing was the next preferred medium followed by Social Networks with 14 percent.


Top 10 channels represent 97% of the total share.Twitter shares have risen 23X in the past one year

Most Popular Email channels for sharing

Of all the email services used, Yahoo Mail with 44 percent is the most used for sharing followed by MSN Mail with 25 percent. Gmail enjoys only third place with 19 percent.


Yahoo mail is the most popular service followed by MSN email

Most Popular IM channels for sharing

Yahoo Messenger is the most popular IM service among all others when it comes to sharing – it enjoys 49 percent of the total number of shares. MSN Messenger follows with 34 percent of shares. Here too Google comes at the third position with 15 percent of shares.


IM is the second most shared channelYahoo and MSN lead the pack

Most Popular Social Networking channels for sharing

When it comes to social networking sites Facebook is the clear winner with a whopping 79 percent people using it to share with their family, friends and acquaintances. MySpace follows with 15 percent of shares. Twitter enjoys a meager 5 percent of shares.


Facebook is the most popular amongst all social media channels

Most Popular Social bookmarking sites for sharing

Bookmarking sites seem to be losing out as a preferred channel for sharing when compared with other social media channels. In this space, Digg stands out as the most popular bookmarking site followed by Google Bookmarks and Delicious with 11 percent and 12 percent respectively.


2% of the total shares happen over bookmarks with Digg as the clear leader

Most Popular Blog channels for sharing

When it comes to blogging services, WordPress with 45 percent and Blogger with 42 percent are the most popular platforms for social media content sharing. The surprise element in this space is Typepad, which is never used.


Wordpress and Blogger are the most popular blog channels

Written by Daniel Casarin

novembre 25, 2009 at 2:38 pm

Pubblicato su Trend

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Future of Search: More than Social

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via Baekdal.com

As you probably know, both Google and Microsoft have entered into a partnership with Twitter and is now incorporating social search into their regular search engines. This is a big deal because social is a very important element of the future of search… it’s not the only part though.

When it comes to searching, a search engine is supposed to do one thing very well. Find stuff, from highly relevant and trustworthy sources, in relation to you as a person. Let me give you an example: Let’s pretend that you live in Australia, and that you are looking to buy a new car. You might not know this, but the entire country of Australia is pretty much divided into three types of car owners. People who drive a Holden, people who drives a Ford, and other people who drive something else (yes I’m making a blatant generalization).

But, here is the thing, the reason people drive a Ford over a Holden (or vise versa), isn’t because the car is better. It is the result of the community that they are part of. Their friends drive a Ford, their Parents drive a Ford, and the annoying neighbor drives a Holden… so you also drive a Ford. It is the same with other types of products. If most of your friends use a Dell, then you are also very likely use one yourself. If your friends use Heinz Ketchup, then you will probably use the same brand. As human beings we are heavily influenced by what other people use, and depending on who those people are, the more likely we will be influenced by them.

So how does this relate to search? Well, so far, Google and Microsoft have based their searches on things, instead of people. If you searched for recipes for tomato soup, they would find the ones that were most popular by other sites, or their relation to the specific search query. And we get a pretty good result, but from generalized perspective. Twitter on the other hand is really good at people, or to be more precise, it could be good at it (it isn’t really yet). But, Twitter covers what people close to you, in terms of influence, are talking about, and if you can combine that with Google’s general results then you have something really spectacular.

If you combine this targeted+personal+influenced+people+content+ranked search result (need a shorter word for that), then we would suddenly get some real answers. If you search for tomato soup, it will not just find the biggest sites, it will look at your social stream to see whether there are anyone there who are really good, and who has an opinion that matters to you. If you are following a person who is into food, then her opinion is ranked higher than just any regular website.

But more important, it will not just look at the stream, but actually analyze it over time, It will extract what it is really about. It will compare that to many other algorithms, and finally match the content with you as a person. If you search for Ikea, not only would pages more relevant to you be ranked higher, but also, you would be able to see what people feel about the brand, the specific product, all ranked on how close that source is to you as a person. And, it is not just search that could use this. Google could create a people-rank API, so other sites like Tweetmeme could rank their content not only based how frequently it is retweeted, but also how it relates to you, and to other people.

So far Google has been really good at things, places, sites or pages, but it lacks relevance because it doesn’t know people. Twitter have the people element (although Twitter search doesn’t extract any meaning from it), same with Facebook, comments on blogs, reviews on product sites (from real people), rankings, and general activity. Combine all that and you got the future of search. It is not social, not traditional – but both + it’s targeted to you. And it can be used for more than simply searching.

Written by Daniel Casarin

novembre 25, 2009 at 1:29 pm

Pubblicato su Trend

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8 Previsioni per il Futuro: I Prossimi 25 Anni Secondo la World Future Society

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– Nientemeno che al numero 1 troviamo la corsa al potenziamento umano, descritta come il futuro equivalente della corsa allo spazio del 20mo secolo. Terapie geniche e potenziamenti biomedici rappresenteranno un mercato di svariati miliardi di dollari. Nuove tecniche permetteranno di intervenire sul Dna di un individuo, rivitalizzando organi, migliorando l’aspetto, accrescendo le capacita’ atletiche, incrementando il quoziente di intelligenza. Commento: la possibilita’ di una “corsa al potenziamento” e’ un’aspetto spesso e ingiustamente sottovalutato. Primo perche’ la concorrenza fa sempre da stimolo. Secondo, perche’, continuando il paragone con la corsa allo spazio, oggi il mondo e’ multipolare e quindi la concorrenza fra stati vedra’ molti piu’ attori dei due principali coinvolti nella guerra fredda. Terzo, perche’ la concorrenza sara’ non solo fra nazioni ed aziende, ma anche, e come sempre, fra individui all’interno di quelle nazioni ed aziende, tutti in competizione per opportunita’ di vario tipo: posti di lavoro, partner sessuali e riproduttivi, promozioni, record olimipici, etc, etc, etc.
– Entro il 2025 le aspettative di vita media cresceranno di un anno, ogni anno. Commento: se questa frasetta non vi lascia a bocca aperta e’ perche’ vi e’ sfuggito cosa implica. Rileggetela e pensateci… Per pura coincidenza, e’ appena apparso in rete un paper di Aubrey de Grey che tocca proprio questi temi (The singularity and the Methuselarity: similarities and differences – Pdf) e che merita un post a se stante (appena possibile, sul blog).
– Il terrorismo biotech potrebbe divenire una realta’. Nei prossimi dieci anni, chiunque abbia un minimo di preparazione scientifica potrebbe essere in grado di utilizzare tecniche che erano, solo pochi anni prima, riservate ai laboratori di ricerca di avanguardia. Commento: come i virus informatici non hanno portato al collasso della rete, così i microorganismi ingegnerizzati non rappresentano (probabilmente) un rischio esistenziale. Il che non vuol dire che non presenteranno seri rischi. Un risvolto positivo della diffusione di massa delle tecniche biotecnologiche e’ che non tutti coloro che le useranno lo faranno con mire distruttive, anzi, molti dedicheranno le proprie energie a combattere eventuali agenti patogeni rilasciati da Al Qaeda e simili, probabilmente in stile collaborativo e open-source. E dato che il progresso continuera’, i laboratori di ricerca d’avanguardia avranno, a quel punto, accesso a tecniche anni luce piu’ avanti di quelle a disposione dei bio-hackers.
– L’automazione dell’innovazione. Il lavoro degli inventori del prossimo futuro consistera’ nel descrivere il problema che stanno cercando di risolvere, in modo che i loro computer (sistemi intelligenti) possano risolverli. La NASA ha gia’ utilizzato questo approccio per il design di un’antenna per una missione spaziale.
– Giappone e Corea domineranno il mercato globale degli assistenti robotici personali. I Giapponesi mirano ad un robot in ogni casa entro il 2015 e i Coreani entro il 2020. Commento: un’ovvia ragione, oltra ad una certa predisposizione culturale verso i robot, e’ la curva demografica delle due nazioni (Wikipedia: demographics of Japan;demographics of South Korea)
– La ricerca nel settore dell’Intelligenza Artificiale dara’ molti frutti: sistemi in grado di guidare un’automezzo nel traffico, o di diagnosticare malattie.
– Cina religiosa, Medio Oriente laico. La prima tendenza sarebbe spinta dagli stress della vertiginosa crescita economica, la seconda (gia’ avviatasi, secondo alcuni sondaggi d’opinione) sembra essere una reazione al fondamentalismo.
– Nuovo petrolio da vecchi pozzi. Nuove tecnologie porteranno alla riapertura di pozzi abbandonati.
– Il computer quantico rivoluziona l’informatica (intorno al 2021). I primi prototipi sono gia’ in azione presso l’Universita’ di Harvwrd, la National Security Agency e la Federal Reserve americane. La World Future Society stima che arriveranno sul mercato in circa dieci anni.

via Estropico e WFS

Mi concentro solo su alcune delle 20 previsioni, quelle secondo me piu’ interessanti, e aggiungo qualche commento. La lista completa, la trovate qui.

– Nientemeno che al numero 1 troviamo la corsa al potenziamento umano, descritta come il futuro equivalente della corsa allo spazio del 20mo secolo. Terapie geniche e potenziamenti biomedici rappresenteranno un mercato di svariati miliardi di dollari. Nuove tecniche permetteranno di intervenire sul Dna di un individuo, rivitalizzando organi, migliorando l’aspetto, accrescendo le capacita’ atletiche, incrementando il quoziente di intelligenza. Commento: la possibilita’ di una “corsa al potenziamento” e’ un’aspetto spesso e ingiustamente sottovalutato. Primo perche’ la concorrenza fa sempre da stimolo. Secondo, perche’, continuando il paragone con la corsa allo spazio, oggi il mondo e’ multipolare e quindi la concorrenza fra stati vedra’ molti piu’ attori dei due principali coinvolti nella guerra fredda. Terzo, perche’ la concorrenza sara’ non solo fra nazioni ed aziende, ma anche, e come sempre, fra individui all’interno di quelle nazioni ed aziende, tutti in competizione per opportunita’ di vario tipo: posti di lavoro, partner sessuali e riproduttivi, promozioni, record olimipici, etc, etc, etc.

– Entro il 2025 le aspettative di vita media cresceranno di un anno, ogni anno. Commento: se questa frasetta non vi lascia a bocca aperta e’ perche’ vi e’ sfuggito cosa implica. Rileggetela e pensateci… Per pura coincidenza, e’ appena apparso in rete un paper di Aubrey de Grey che tocca proprio questi temi (The singularity and the Methuselarity: similarities and differences – Pdf) e che merita un post a se stante (appena possibile, sul blog).

– Il terrorismo biotech potrebbe divenire una realta’. Nei prossimi dieci anni, chiunque abbia un minimo di preparazione scientifica potrebbe essere in grado di utilizzare tecniche che erano, solo pochi anni prima, riservate ai laboratori di ricerca di avanguardia. Commento: come i virus informatici non hanno portato al collasso della rete, così i microorganismi ingegnerizzati non rappresentano (probabilmente) un rischio esistenziale. Il che non vuol dire che non presenteranno seri rischi. Un risvolto positivo della diffusione di massa delle tecniche biotecnologiche e’ che non tutti coloro che le useranno lo faranno con mire distruttive, anzi, molti dedicheranno le proprie energie a combattere eventuali agenti patogeni rilasciati da Al Qaeda e simili, probabilmente in stile collaborativo e open-source. E dato che il progresso continuera’, i laboratori di ricerca d’avanguardia avranno, a quel punto, accesso a tecniche anni luce piu’ avanti di quelle a disposione dei bio-hackers.

– L’automazione dell’innovazione. Il lavoro degli inventori del prossimo futuro consistera’ nel descrivere il problema che stanno cercando di risolvere, in modo che i loro computer (sistemi intelligenti) possano risolverli. La NASA ha gia’ utilizzato questo approccio per il design di un’antenna per una missione spaziale.

– Giappone e Corea domineranno il mercato globale degli assistenti robotici personali. I Giapponesi mirano ad un robot in ogni casa entro il 2015 e i Coreani entro il 2020. Commento: un’ovvia ragione, oltra ad una certa predisposizione culturale verso i robot, e’ la curva demografica delle due nazioni.

– La ricerca nel settore dell’Intelligenza Artificiale dara’ molti frutti: sistemi in grado di guidare un’automezzo nel traffico, o di diagnosticare malattie. La prima tendenza sarebbe spinta dagli stress della vertiginosa crescita economica, la seconda (gia’ avviatasi, secondo alcuni sondaggi d’opinione) sembra essere una reazione al fondamentalismo.

– Nuovo petrolio da vecchi pozzi. Nuove tecnologie porteranno alla riapertura di pozzi abbandonati.

– Il computer uantico rivoluziona l’informatica (intorno al 2021). I primi prototipi sono gia’ in azione presso l’Universita’ di Harvwrd, la National Security Agency e la Federal Reserve americane. La World Future Society stima che arriveranno sul mercato in circa dieci anni.

Written by Daniel Casarin

ottobre 17, 2009 at 8:27 am

Pubblicato su Trend

Tagged with

Il Futuro della Sanità è 2.0 – The Future of Health Care Is Social

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via FastCompany

Health care is a personal issue that has become wholly public–as the national debate over reforming our system makes painfully clear. But what’s often lost in the gun-toting Town Hall debates about the issue is a clear vision about how medicine could work in the future. In this feature article, frog design uses its people-centered design discipline to show how elegant health and life science technology solutions will one day become a natural part of our behavior and lifestyle. What you see here is the result of frog’s ongoing collaboration with health-care providers, insurers, employers, consumers, governments, and technology companies. You can join the conversation too: this Thursday October 8 at noon eastern, frog will hold a discussion about the future of health care on Twitter (follow the hash tag #futureofhealthcare). You can also download a .pdf version of this article from the last page. – Noah Robischon, editor.

Future of Health Care

Too busy to be healthy

Susan’s life is full. That’s a nice way of saying that she is frenetically, overwhelmingly busy–too busy, she sometimes jokes, to be healthy. She has a husband and two small children, a full-time job, and aging parents who rely on her for support. She also has two younger brothers and a community of friends both near and far that she keeps in touch with mostly online. At 39, Susan finds herself at the center of managing the health and wellness of her young family, her parents, and herself. While numerous tools on the market can help Susan do this, few are connected, the information they provide is confusing, and they’re often so difficult to use that they cost her time–time she doesn’t have. Susan is not alone. Too many of us are too busy to be healthy–not because we lack awareness. We know what we need to do. It’s finding the time to do it that’s the problem. In an age of 24/7 connectivity that requires our near-constant vigilance, time feels more pressed than ever. Yet, it may be that the very technology allowing us this around-the-clock connection can transform how we manage our health.

Future of Health Care

Fortunately, we are at an inflection point in history both from a policy and technological perspective. Advances in wirelessly connected devices and social networking platforms will make the job of a “family health manager” much easier, more meaningful, and more effective. In this outlook, we illustrate trends in networked devices and social networking platforms to project a future where Susan can tend to her family’s varying health needs while still having time for herself.

Future of Health Care

Using networked devices and tapping into net works of people, Susan manages her own health and the health of her family. Her health-care team is comprised of her friends, her husband, her parents, her siblings, her pharmacists, her traditional health-care providers, along with online “friends” from around the world. This broad team, coupled with more personalized data collected from mobile phones, wireless health devices, and ongoing information exchanges, will lead to better health for her and her family. Susan no longer has to rely upon the infrequent office visit to yield health information; instead, she can draw from a steady stream of useful and personally relevant data, some of which may trigger the need for an office visit.

Future of Health Care

Wireless devices gather health data for us

Future of Health Care

Wireless monitoring and communication devices are becoming a part of our everyday lives. Integrated into our daily activities, these devices unobtrusively collect information for us. For example, instead of doing an annual health checkup (i.e. cardiac risk assessment), near real-time health data access can be used to provide rolling assessments and alert patients of changes to their health risk based on biometrics assessment and monitoring (blood pressure, weight, sleep etc). With predictive health analytics, health information intelligence, and data visualization, major risks or abnormalities can be detected and sent to the doctor, possibly preempting complications such as stroke, heart attack, or kidney disease. Wireless scales and activity monitors gather information about our health and behaviors and feed seamlessly into desktop software, Web applications, and social networks.

Future of Health Care

While much work remains to be done to connect these devices and the data they generate in universal and interchangeable ways, there are standards evolving to ensure that the data will speak the same language, that the algorithms, analytics, and data output are validated, and that the collective potential of these devices will paint a truly holistic picture. Similarly, increasing adoption of open identification and authentication standards are early indicators of a truly portable and accessible social interchange upon which a secured personal health-care network can emerge. Users like Susan will depend on governed levels of access to protect their privacy while leveraging the support and power of many to manage their family’s health.

Broadening the health-care team and improving the dynamics

Future of Health Care

Even when we do our best to stay healthy, we still get sick. Coping with sickness in our already hectic lives can be challenging. In addition to looking out for her parents, Susan manages the health of her two kids, her husband, and herself, and she looks for ways to save time and money while still getting the care that they need. Recently, for example, Susan’s son woke up with a sore throat and a fever. She used an at-home strep test to rub a swab of her son’s throat culture onto a card. Within minutes, the test results confirmed her son had strep. Through an embedded RFID sensor within the card, the test results were wirelessly transmitted to her computer’s reader. On her computer, she was prompted to connect the incoming test results to her son’s personal health record. Next, she used her personal health network to book the earliest visit for her son within a 10-mile vicinity. Susan elected to electronically send her son’s strep results in advance of her appointment, allowing the receiving retail clinic to accelerate her visit by pre-issuing an e-prescription. Before leaving her computer, Susan selected her son’s classroom network, comprised of his teacher and the parents of other students, and sent out a message that her son had strep throat and would be home for the next several days.

Future of Health Care

After Susan and her son visited the clinic she picked up her son’s prescription. While she was there, Susan purchased a quick knee scan guided by the on-site nurse, because her knee has been bothering her. She opted to authenticate and connect the results automatically to her personal health record.

Future of Health Care

In another scenario, using similar technology such as geographic positioning, ratings, and calendar availability, Susan could have scheduled an appointment with of a local family doctor who makes house calls. The doctor would have been able to electronically respond to Susan’s inquiries about her child’s health, and the communication thread would have been stored in her child’s health-care record. A reminder for a needed immunization would have been received through her general message inbox, the appointment scheduled based on her availability and the event added to her record.

Future of Health Care

The technological advancements in networked devices and personal health networks are enlarging health-care teams and changing way health care is delivered. Research and clinical studies by companies like Qualcomm and West Wireless Health, GE, and Intel, to name a few, are yielding new medical technologies in the areas of screening, monitoring, and RFID among others. These developments require substantial innovation, validation, and adoption of a standardized, security backbone that providers can trust with their patient’s data and that patients can trust to allow them consistent access to their medical histories.

Future of Health Care

With self-diagnostics, automated schedulers, and e-prescriptions, health care will become more efficient for common maladies and will not entail hours of waiting and frustration. Retail clinics will offer flexible, cost effective, and immediate options when the family doctor is unavailable. Patient results and data will stream into a consolidated health-care record that patients and health-care providers can access and view from any location. And for people like Susan, this offers more efficient access to the information and services she needs as well as potential cost savings.

Making sense of the numbers–learning over time

Future of Health Care

When Susan’s doctor first told her that she was at risk for developing melanoma, she was so frightened that she forgot everything he said as soon as she walked out of his office. When she got home, her personal health-care record was updated from the doctor’s visit with the melanoma risk information and a list of suggested resources. Susan learned about tools to help monitor her health including a Smart Mirror. Connected to the family network through fingerprint identification, the Smart Mirror syncs to that family member’s personal health record.

Future of Health Care

Every morning, Susan puts her hand on the mirror, which captures her vital signs. Connected to her personal health record, the mirror also reminds her of the medications she needs to take every day. Bi-weekly, she also uses the mirror to scan her skin, and any moles and other marks found are tracked for abnormal growth or color changes. The data is pushed to her protected record, from which it can be accessed and reviewed during visits with her primary care doctor and dermatologist. Trending analysis can be performed against her data, which can alert Susan and her health-care team to concerns.

Future of Health Care

The availability and interpretation of the data over time will empower us to self-manage our wellness or chronic conditions by putting the information and tools at our fingertips. Large amounts of data can be overwhelming, but when that data is interpreted, personalized, and fit into evolving trends such as nutritional habits, sleep patterns, or blood pressure measurement, or when these are compared with family or friends, it can be immensely informative. When coupled with clinical algorithms to process the data, these devices reveal insights about patterns, cause and effect, and the impact of health and lifestyle choices that we make. Visualizing and manipulating this kind of information creates “aha!” moments that may otherwise have gone undetected. We have a daily view into our health and the choices we make as part of a larger context. It also encourages an ongoing dialogue with our friends and our larger health-care “team.”

Finding meaning and strength–learning via large groups

Future of Health Care

Swapping health-care stories among family and friends is common. This used to be done in small, local communities, and with only a few people. People with rare conditions struggled to find information about their ailments and others with the same condition. Now Susan can interact with family and friends and thousands of people across the globe, finding similarities and differences among a huge group of people. This can pose risks, but community health sites and shared personal health records offer a new frontier of medical discovery and patient support, allowing data collection and data sharing across the population. This can provide opportunities for opt-in research and trending benefits for disease prevention, monitoring, and treatments. It can also yield human-centered responses to sharing, collaborating, and finding meaning and strength in numbers.

PatientsLikeMe, an online patient community network, has a typical privacy policy, but it also has an “openness philosophy” that states, “When patients share real-world data, collaboration on a global scale becomes possible. New treatments become possible. Most importantly, change becomes possible.” This community and its openness embody the philosophy of health care in the future: We have much to gain from information and from each other.

Beyond the emotional support Susan gets from sharing parts of her health record with a community of people, she is also learning about her health statistics and her habits by comparing them to those of other people. For example, because she is at risk for diabetes, she has recently started tracking her meals by taking photographs from her mobile phone and uploading them to a service that helps her measure caloric counts and nutritional values. As she evaluates her food choices and other health indicators, she compares them to those of other people of her age with similar lifestyles. She is surprised to learn that her portion sizes are much larger than those of her peers and that she eats more prepared foods than most people.

Future of Health Care

With the help of her health concierge, an online personal coach that she accesses through her health plan, and others in her network, she creates a meal plan with recipes and portions to help her stay on track with her diet. The service also provides a “shopping assistant” that helps Susan make healthy choices at the point of purchase. Using her phone, Susan quickly scans products to see if they fit her meal plan, and a simple “red light” or “green light” guides her selections.

Future of Health Care

Beyond the value and efficiencies Susan gains from this assistance, she can also opt to have specific types of data such as her nutrition, weight, and blood pressure anonymously shared with the medical research community for research and trending analysis. The extrapolation of multiple data points across large groups of people can hasten the pace of medical discoveries and knowledge, and can also foster dialogue between scientists and patients to discern and validate emerging insights. Facilitated by technology, this exchange of information can provide relevant and personalized guidance for Susan and her family. Instead of browsing health magazines and researching online for credible and relevant information, Susan and her family can have a vast pool of information tailored to their own health conditions and coordinated with their own unique trending patterns. This saves Susan time while allowing her to be proactive and informed.

Monitoring how we are doing may actually change what we are doing

Future of Health Care

After learning of her health risks from her doctor, Susan vows to pay more attention to what she eats and to get more exercise. She has set these goals for herself before as New Year’s resolutions, but she hasn’t been successful. This time, it’s different. She has easy-to-use tools that help her track, share, and compare her progress with a wide community of people.

Although she never imagined it could happen, Susan has become addicted to morning jogs. It’s her time to relax, to listen to music, and to recharge. She especially enjoys jogging with her friend twice a week and catching up. Though her friend lives out of state, the two use their mobile devices and sensors to keep real-time pace with each other, listen to the same songs, and even chat when they’re not out of breath. After her jog, Susan’s mobile device guides her to do appropriate stretches based on her personal profile, including the knee-scan results recently sent from the clinic.

Future of Health Care

Knowing that she is running with a friend, even virtually, helps Susan get out the door to do it. And knowing that she is tracking her progress, pace, and distance without any effort on her part, Susan feels motivated to stay with her routine and try harder. She loves the encouragement she gets from her friends and from observing their progress as they work towards their goals.

Future of Health Care

The tools and technology may be new, but the natural instinct to respond more strongly when you are being observed is not. Studies have long shown that people change their behavior simply because they are being observed. This is based on both a desire for reward as well as fear of punishment. We have seen evidence of this in the huge success of Nike+, with its sensors and online community of runners. Another example is FitBit, which tracks activity and sleep and offers the ability to share collaborative fitness goals with friends, family, and co-workers. Connecting these monitoring devices to communities of people offers social support, peer pressure, and competition to encourage people to change their behavior.

Connecting people and devices for better health outcomes

As the “family health manager” for her parents, children, husband, and herself, Susan plays a central role in managing the health choices, budgets, and care of her family. Today, this involves a considerable amount of time and expense in dealing with disparate systems, various health plans, different geographic locations, and incomplete information. In the future, Susan will be able to manage much of this from her home and mobile phone–a convenience that not only saves her time and money, but also gives her peace of mind. With the wireless monitoring devices and community networks, she will have access to more tailored and complete information to assist her in making the best health and financial choices. Ongoing management and awareness also helps prevent costly, time consuming, and perhaps life-threatening emergencies for her and her family.

Future of Health Care

Continuous versus episodic monitoring of health can lead to better health outcomes. Periodic visits to the doctor, which are often rushed and focused only on an immediate, pressing issue, may not be enough. Technology allows us to keep watch more closely, leading to more timely and holistically informed health decisions. The devices and the online communities act as a vigilant safety net, making us feel less alone, more empowered, and safer as we navigate the complex world of health. The trajectories in networked health devices and social networking will help people like Susan lead more independent, healthier lives. They are converging to create a new frontier in health care. Collecting health data from mobile applications, embedded sensors, or other devices offers convenient and personalized information to help people manage their health over time. With clinically based algorithms, data visualization, and community sharing, we will receive not just more information, but more meaningful and timely information that is channeled better to improve our health.

Written by Daniel Casarin

ottobre 8, 2009 at 2:13 pm

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The Economist Media Convergence Remix – Did You Know? 4.0!

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The Economist Magazine is hosting their third annual Media Convergence Forum in New York City on October 20th and 21st. Earlier this year they asked if they could remix Did You Know?/Shift Happens with a media convergence theme and use it for their conference. Scott McLeod and I said sure, they got XPLANE to create the presentation, and the result is farther down in this post. Unfortunately, I won’t be able to attend the Forum, as I’m already missing school a few days this fall and I just couldn’t justify missing a couple more (it was very kind of The Economist to invite Scott and me), but it looks like an interesting event.

A few anticipatory FAQ’s about this version.

  1. It’s the first one that I’ve been part of that does not have a specific education focus (although I certainly think the media convergence ideas discussed in the video have great relevance for education). The idea behind the original (and subsequent) presentations was to start/continue/advance the conversation around certain ideas, so I see this hopefully doing the same thing around media convergence (and, selfishly, it will hopefully get some of the folks attending The Economist’s Media Convergence Forum to perhaps focus on some of the education ideas in the previous DYK’s). And, given the Creative Commons license on the previous versions, folks are not limited to remixes that only talk about education.
  2. They decided to designate it version 4.0 even though there have been only two previous “official” versions. But the Sony/BMG remix that is currently the hot version is typically referred to as version 3.0, so who are we to argue with the wisdom of the crowd?
  3. I should not get much, if any, credit for this one. I sent along a fair amount of statistics for their consideration, and certainly provided some feedback along the way, but otherwise didn’t have nearly as much to do with this version. Laura Bestler, Scott McLeod’s graduate assistant, did most of the research for this one, and of course XPLANE did all the graphical work. (I should, however, still get most or all of the blame if you don’t like it, since I started this whole mess.)
  4. Like the previous versions, this one is released under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 license, so you’re welcome to use/modify as you see fit, as long as you follow the terms of that license.Finally, an observation. In a recent email Scott McLeod wrote, “It’s amazing, the legs this thing still has.” I would have to agree. The various versions have been viewed well over 20 millions times (my guess is that with downloaded versions and audience showings it’s probably closer to 30 million times, but 20 million would be the safe number). It’s been shown to audiences large and small, educational and corporate and everything in between. It’s been shown to the leaders of our national defense and to incoming congressmen. It’s been shown by university presidents and kindergarten teachers, televangelists and politicians, folks just trying to make a buck and those trying to save the world. And this week it even made an appearance in Nancy Gibb’s essay in Time Magazine.

What does it all mean? (Well, besides the self-referential and now self-serving answer of “Shift Happens.”) I think the fact that a simple little PowerPoint (some folks would say simplistic and they would be right – it was meant to be the start of a conversation, not the entire conversation) can be viewed by so many folks and start so many conversations means that we live in a fundamentally different world than the one I (and most of you reading this) grew up in.

I know some folks would dispute that, and that’s an interesting conversation in and of itself, but if you buy that – if you buy that on so many levels the world is a fundamentally different place – then it just begs us to ask the question of whether schools have similarly transformed from when we grew up. If your answer to that question is no, as I think it probably is for a large majority of you, and if you see a problem with that, then what should we do? What is my responsibility, and your responsibility, for making the changes we believe are necessary? What are you willing to step up and do?

Written by Daniel Casarin

settembre 28, 2009 at 3:19 pm

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