2. Learning Objectives Identify ways to validate health information from the internet Identify ways to effectively search the internet for health information Useful websites Learn about “Web 2.0” Discuss the future impact of the internet on health care 2

3. Validating information from the internet Identify URL of the information Identify date accessed or printed Critical reading skills Confirm “urban legend” status (http://www.snopes.com/)http://www.snopes.com/ Consider source (primary versus second – or more) Peer reviewed 3

4. Information sources Search engines Portals List Servs Webinars Wikis Blogs RSS 4

5. Effective searching Search Engines Boolean (AND, OR, NOT) Search within results to improve results http://www.internettutorials.net/choose.html Portals NurseOne (CNA site) – registration required http://www.nurseone.ca/index.php 5

6. Effective searching List Servs Email discussion groups Most have a digest option Wide range of groups – from general to very specific (CARING, AANAC, nursenet) Webinars CARING HITSP (http://www.hitsp.org/webinars.aspx)http://www.hitsp.org/webinars.aspx Health Data Management (free registration required) http://www.healthdatamanagement.com/web_seminars / http://www.healthdatamanagement.com/web_seminars / 6

7. Effective searching Wikis http://en.wikipedia.org/wiki/Main_Page Referred to as the open encyclopedia that anyone can edit Critical reading skills are important – consider referring to the discussion pages to review content status http://en.wikipedia.org/wiki/Nursing_informatics http://en.wikipedia.org/wiki/Wikipedia:WikiProject_N ursing http://en.wikipedia.org/wiki/Wikipedia:WikiProject_N ursing 7

8. Effective searching Blogs http://blogsofnote.blogspot.com/ Sample blogs: http://hospitalinformatics.blogspot.com/ http://ehealth.johnwsharp.com/ http://clinicalit.blogspot.com/ 8

9. RSS Feeds & Podcasts RSS Feeds RDF (Resource Description Framework) Site Summary Allows the user to read news when they wish to Example Google Reader http://wwww.google.cahttp://wwww.google.ca Podcasts Downloadable audio and/or video broadcasts May have a cost associated http://www.amia.org/podcasts 9

10. Useful websites Hmmm – what interests you? Canada Health Infoway: http://www.infoway- inforoute.ca/http://www.infoway- inforoute.ca/ Manitoba Health: http://www.gov.mb.ca/health/http://www.gov.mb.ca/health/ Manitoba Health Regions: http://www.gov.mb.ca/health/rha/contact.html http://www.gov.mb.ca/health/rha/contact.html Manitoba eHealth: http://www.manitoba-ehealth.ca/http://www.manitoba-ehealth.ca/ CNIA http://www.cnia.ca/http://www.cnia.ca/ MNIA http://www.mnia.ca/http://www.mnia.ca/ 10

11. Web 2.0 (and 3.0...) A long history lesson can be viewed through wikipedia or by googling the phrase web 2.0 Shortened up – Web 1.0 was “browser” internet; users viewed static web pages; personal web pages; anonymous; no real direct interaction; slow download times; monologue Web 2.0 is “web-based applications”; interaction with the content; dialogue; “democracy” and a sense of “don’t diss the user” This is not only a technology shift but also a culture shift 11

12. What does this mean Everyone is an expert (“crowd wisdom”) Available information 24/7/365 Social networking (flickr; FB; you tube) Participation (anyone can join) Openness Collaboration 12

13. How does this play against traditional health care Health care provider as expert Privacy and security regulated Wait for appointments (long lead time) Control access to information (need to request chart; attitude to PHR) Closely guarded information (what is a normal lab result versus your results) 13

14. What do we see already Personal Health Records Expectation of interoperability Clinical applications are not just a place to enter data Medpedia (http://www.medpedia.com/index.php/Main_Page)http://www.medpedia.com/index.php/Main_Page 14

15. Thank you! See you on-line... 15