Healthcare Websites and Blogs Worth Anything?

I wrote in the past that healthcare blogging was in some ways a losing proposition when compared to entertainment news in terms of web traffic and search queries.

However, when it comes to ad revenue and how much a website is worth to potential buyers, healthcare topics (as well as sports) are king in monetary generation.

Flippa is a website that mediates the buying and selling of websites. They also produced a handy visual aid infographic based on their internal statistics.

As you can see, health websites are worth a premium. Furthermore, websites that generate revenue based on ads are also worth more.  Why? Because on average, health niches also get a pretty good cost-per-click (amount a website owner is paid every time someone clicks on an ad on their site).

The Problem with Patient Based Portals and Mobile Healthcare Today

I was recently asked by a large New York City based consulting firm regarding my thoughts about mobile healthcare and where I see things headed.

I gave them my two cents, but thought to share with my readers.

As any patient who has been through the healthcare mill knows, there is a profound lack of communication among private offices, hospitals, and health systems.

Let's start with a true story...

I recently saw a patient in the hospital who was admitted through the emergency room with severe sinusitis who had been on multiple different antibiotics without relief and even had surgery 1 week ago after which she was hospitalized for a few days for unclear reasons. She also had multiple drug allergies. Problem is, she didn't know much of what was done to her, what her allergies were, and most importantly, received all her care in a different hospital system. It was also the weekend. 

I couldn't really start treatment on this patient until I knew what was done as I didn't want to waste healthcare dollars on treatments already tried and failed as well as repeat CT scans that were already done as well. In terms of life and death, I couldn't really start any medications until I knew exactly what her drug allergies were. 

I called the other health system's medical records... closed for the weekend. 

I called the ENT on-call at the other health system who did not know anything regarding the patient. 

Ultimately, I was able to get the information I required by a back-end route... The patient knew cultures were obtained during surgery. I also had a friend in my hospital microbiology department. I contacted my friend who fortunately knew the microbiologist at the other health system who than looked up the information we needed and faxed them over to me.

If I did not have any personal contacts, I would not have been able to do anything until Monday.

Would a patient portal have helped me out here? Perhaps...

Would mobile healthcare have helped me? Doubtful if a non-functional patient portal system was in place.

The Problem With Patient Portals

It's all fine and dandy if a patient sees ALL their physicians within the same health system like Kaiser Permanente or Duke Medical Center. Mobile health makes perfect sense. Patient portal can access all a patient's records.

Problem is when you get beyond a large health system and where the majority of healthcare occurs which is in community settings.

For example in my community, there is no single large health system.

There are private practices and the hospital. We all use different electronic medical records. The electronic medical records (EMR) do not communicate with each other.

As such, if a patient portal is used, we ALL would have to use different patient portals which can only access information from that one practice and none of the others.

So for a given family, they may see the pediatrician that uses EMR #1. Father see primary care doctor using EMR#2. Mother sees OB/GYN that uses EMR#3. Mother also sprained ankle so also sees an orthopedic surgeon who uses EMR#4. One of the kids also sees ENT for recurrent ear infections who uses EMR#5.

Each of these EMRs do not communicate with each other. As such, even if all of the practices uses a patient portal, they all would require the parents to remember each practices'  different portal web addresses which each require different userids and passwords. Though I'm sure there will be some people who will do exactly that, most will not or won't remember the web information.

As it is right now, I have a hard enough time remembering my current collection of userids and passwords for my bank, Amazon.com, gmail, insurance, etc.

Not sure I will use a patient web portal which I may even think of accessing no more than once or twice a year if I'm basically healthy.

The Problem with Mobile Healthcare

How in the world will mobile healthcare work anywhere except in big medical centers if electronic medical records are fragmented out in the community like it is now? After all, mobile healthcare is basically being able to access medical records quickly and easily from a smartphone rather than a desktop computer.

But if you can't even achieve that task with a desktop computer, how can a smartphone???

It's like trying to build a house with a weak foundation.

In order for patient portals as well as mobile healthcare to REALLY work, communication needs to exist between different electronic medical records regardless of the vendor.

The Solution

For patient portals and mobile healthcare to really work and be used, we first need to treat electronic medical records like the computers they reside on. There currently are many different types of EMR systems just like there are MANY different types of computer models, speeds, makes, cost, sizes, etc.

However, unlike current EMR systems, in spite of who makes a computer and what operating system software it runs, it has standardized components... USB, Firewire, HDMI, VGA, BlueTooth, etc. as well as a universal communication medium called the "internet" that works with phones, computers, laptops, etc regardless of who makes it and what software it is on.

You would think that an EMR system given its digital essence would be able to easily communicate with other systems... but no... they don't communicate at all... which is why paper reports still exist... which are than scanned into the EMR.

Rather than the government dictating what physicians must do and mandating EMR initiatives, I believe the money would be much better spent on mandating inter-operability and communication standards. The free market will create the best EMR systems and physicians will pick the one that best meets their need.

Once inter-operability and communication standards exist for EMR systems, only THAN will mobile healthcare and patient portals be the disruptive concept that is being prematurely attributed to these systems right now.

The golden goose being a patient (or physician) will only needing to access ONE patient portal that can access medical records wherever they may reside.

How to Save Time Doing Healthcare Social Media: A Primer for Physicians

Followers, friends, and colleagues of mine often think that I spend HOURS doing social media everyday; reading, writing, and posting to all the various social media outlets I participate in including Blog (the one you are reading), Twitter, Facebook, YouTube, Google+, and LinkedIn.

Nothing can be further from the truth.

Beyond writing blog posts which does take time... I probably spend about 30 minutes daily reading and sharing. My reading lists typically is from customized Twitter lists I have created following users I find particularly interesting and helpful for my purposes to gain ideas to write about as well as share information that I feel may be of interest to my own followers, mainly on Facebook and Twitter.

Subscribing to RSS feeds can also be used, but I find customized twitter lists easier.

And I automate nearly everything when it comes to sharing to save time.

Here are my workhorse applications I use to save me time: Hootsuite, IFTTT, and bufferapp.

---

Hootsuite

Rather than using Twitter whose interface I find clunky and inefficient, I use Hootsuite which combines all my customized Twitter lists as well as my other social media accounts all onto one concise, clean, and efficient web interface. They also have an iPhone and iPad app.

Any tweets or shared links I encounter, I can easily post to any other social media account all automatically from within Hootsuite so I don't waste time going to each individual websites for posting purposes.

---

IFTTT

I also extensively use a service from  IFTTT (IF This, Than That) which allows for easy-to-create macros that automatically creates a customized action whenever I do some action. For example, I created a macro (known as recipe in IFTTT) whereby whenever I post something on twitter, IFTTT will automatically repost on LinkedIn... instantly and invisibly. You can create as many macros (recipes) as you want. Automatic responses can occur to over 47 social media accounts (Blog, LinkedIn, Facebook, YouTube, instapaper, email, tumblr, yammer, etc)

So theoretically, you can post once on twitter... and IFTTT will automatically repost the same information on all the other social media services instantly.

Of course, IFTTT can do more than just repost, but that's what I mainly use it for.

---

bufferapp

Lastly, I use bufferapp. This nifty website will send out tweets at designated times that is user-specified. All the user has to do is "fill" the bufferapp bucket with the information you want tweeted.

So monthly, I will fill the bucket with up to 30 tweets I want sent out twice per day during business hours when tweets typically are noticed.