Aloha and computable health action plans
Wednesday, May 20th, 2009Greetings to CII from Honolulu, where I’m attending the annual meeting of the Medical Library Association (ask me about lei’s, spam and medical librarians). The keynote speaker yesterday was Adam Bosworth, known for his work at Google on GoogleHealth and XML creator (http://adambosworth.net/). He described to us his vision for computable health action plans which he believes looms large on the future of health care. Personally, I am more interested in people before they become patients. That said, I wanted to share with you his ideas because they could be embraced by CII. First, he concurs with Martin that the future is also mobile devices (which, in his opinion, makes the Internet and health information available to all sectors of society including the medically underserved (that’s my take on it).
He says that electronic health records and personal health records will not solve the problem [of the debacle of the present health care system]. They don’t contribute to a health status. He challenged us to imagine that every time a provider had a “health encounter” with a patient, that data flowed dynamically and in a computable form. From a patient perspective, he images that patients could get weekly advice, reminders and attention from providers which are relevant and specific to their situation including nutrition and exercise advice, relevant lab work and a personalized interpretation.
If/when these health action plans will function like prescriptions. a perfectly tailored and personalized health action will help people avoid medications and promote e-visits which might take 6-10 minutes at the most. Further, he imagines paid e-visits which are backed up by the data present in the health action plan.
What is it? It is online; operated by computable rules which take into account the users health data, preferences, progress and other “relevant data”.; it has questionnaires, tools to collect user-relevant data not otherwise known, like ‘when was the last time you had the energy to clean your home?’ or ‘when was the last time you burned your food?’, indicators of functionality; it has sequencing: ways to ensure appropriate preparation, training and follow-through post treatment; and actions: things that users need to do to improve their health.
More later on Mr. Bosworth’s ideas and plans. Do his thoughts resonate with CII capabilities?
Next blog: http://www.ahrq.gov/questionsaretheanswers.



