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SpineConnect June 24, 2008

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SpineConnect is a knowledge networking site for spine surgeons to collaborate and support each other on difficult cases. It is the first offering from Syndicom, an online services company focused on communication and collaboration platform for the orthopedic industry.

Since its launch in early 2006, SpineConnect has gathered 1174 members from 38 countries with a knowledge base of over 900 cases and 4200 reviews (June 2008 data). I’m not sure about their business model, but it has to do with facilitating partnerships to bring innovative spine surgery ideas to market.

My personal belief is that general social networking websites loose their value with scale- there needs to be a common passion among members for the community to thrive. SpineConnect is a good example of a narrow focus community discussing treatment, challenges, outcomes, research and new technologies for a very specific field. All the more better for targeted advertisements :-). The future of networking is niche… at least in healthcare.

Medscape Physician Connect June 24, 2008

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Physician Connect is a new community area on Medscape that allows physicians to securely engage online with other physicians in discussions on clinical as well as non-clinical topics that are relevant to the practice of medicine. The site was launched early this year, and is claimed to have gathered 20,000 registrants since (according to their Q1 FY08 Earnings Call Transcript). I guess that is enough for them to call themselves “…the largest online community of physicians and healthcare professionals today”. Why bother with modesty or proof.

The business idea is to mine the community generated data and monetize it by letting sponsors directly participate and gain real-time insights into physician attitudes and perceptions. They provide online CME (free), journal articles and news/meetings/conference coverage. The standard WebMD fare of Medscape Drug Reference, expert columns and interviews are included too.

Medstory June 19, 2008

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MedstoryLogo

Medstory is a health information search engine that went into a public beta in mid 2006. In feb 2007, it was acquired by Microsoft. Their interface is pretty minimalistic, with only a search keyword box on the homepage. The results returned with an option to refine it in various categories like conditions, procedures, trials, articles etc. The google-like interaction and navigation reduces the noise that is usually associated with health related information search.

There isn’t much out there that explains the technology behind Medstory (except vague references to machine learning and AI, like in this CNET article). Anyway, it’s yet another addition to Microsoft Health Solution Group’s product portfolio that includes the enterprise health information system Amalga and the consumer-oriented Healthvault platform.

MEDgle June 18, 2008

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Medglelogo

With a play on google’s name, MEDgle offers symptom based health information search. The idea is to ‘empower patients in their discussions with physicians’, by making relevant content easy to find.

The navigation is pretty simple and straightforward. MEDgle’s output is a probabilistic list of disease/conditions based on the user input. The content is authored by their 3-physician team and is based on publicly available information available such as the Center for Disease Control and National Institutes of Health. Where probability estimates were not available, they have used their own practice experience to fill in the gaps.

The need for a healthcare vertical search engine is widely realized, and like everything else, it opens up the ability for potential (ab)use with self-diagnosing hypochondriacs. Skepticism aside, I did a search using a common symptom (difficulty in walking, heel pain) and found it easy to navigate to a list of links and information around bone spur and plantar fasciitis. The “Related Local Doctors” section for finding local providers relevant for your symptoms is a neat idea too.

There is an obvious limit to the utility of such tools- Alexia Estabrook’s blogpost talks about MEDgle’s performance for a more complex query. Although that points to the Achilles heel of any diagnostic decision support system today; it’s hard to model the entire spectrum of disease-symptom relationship in an all-inclusive, 100% accurate way. It has more to do with the ever-expanding body of medical knowledge than the lack of technical prowess. That why medicine is a science and an art.

PS: You can read the interviews of some of MEDgle team members here and here.

MyDailyApple June 16, 2008

Posted by admin in : Health Records, Portals , add a comment

MyDailyApple is the consumer oriented website started in 2006 by Praxeon, a life sciences company focusing on semantic search for healthcare information. It brings together medical news, research, blogs, and multimedia around a disease or condition for its users.

Besides searching for personalized health information in natural prose, MyDailyApple users can get relevant medical news and community opinions for their condition. It utilizes the same technology as Curbside.MD (Praxeon’s website for evidence based clinical search for physician users).

MyDailyApple is a Google Health integrated service, which means Google Health users can share their information between the two services.

Curbside.MD June 16, 2008

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Curbsidemdlogo

Curbside.MD is a search engine for finding evidence based clinical information. The idea is to type in the search need as a natural language question that a clinician would normally ask his/her colleague, and get relevant answers from the literature (articles, images, guidelines, etc.)

I took it for a test drive with a moderately complex question (’what is the indication for platelet transfusion in an 80 year old female with dengue fever?’) and got relevant results in terms of review articles and clinical trial outcomes. Pretty cool.

The logic behind Curbside.MD is semantic indexing using a controlled medical terminology (they call it “semantic fingerprinting“) with a bit natural language processing. They provide a bunch of tools (search box, news, spellchecker etc.) for partners and a browser search toolbar for users. The technology is also available as an API service from an alternate website called Fingerprint.MD.

Praxeon is the company that started Curbside.MD and MyDailyApple in 2006. Both websites are currently free for users, but the company admits to a future ad-based business model.

Vimo June 16, 2008

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Vimologo

Vimo is a consumer portal focused on comparison shopping for healthcare needs. Founded in 2005, Vimo provides a platform for users to research, review, compare and price the following:

Compete.com data shows pretty good visitor count (more than 100Kvisitors/month), so they must be doing something right. Their services are free which makes the surgical procedure pricing tool even more impressive. I tried their doctor search tool too, and it worked pretty well for my location (returned more info than usual). Neat interface, fast results.

PatientsLikeMe June 10, 2008

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PatientsLikeMe is a social networking site that enables patients to share information around disease conditions. It was started in 2004 by concerned family members of an individual with ALS (Lou Gehrig’s disease). Users can register for free and interact around eleven conditions: ALS/Motor Neuron Disease, Anxiety, Bipolar, Depression, HIV/AIDS, Multiple Sclerosis, OCD, Parkinson’s disease, PLS, PMA and PTSD. For a site focused on limited number of disease conditions, they get some serious traction:

PatientsLikeMe enables affected individuals to find others with similar condition, share experiences, and learn what works and what doesn’t. Users can also track their progress and keep up with relevant research. The knowledge of first hand information about a disease experience, treatment effectiveness or side effect is very powerful for managing these complex multi-system diseases.

Needless to say, the rich data generated by such a focused and engaged community is invaluable for research. So no surprise that one of the revenue models behind PatientsLikeMe is the sale of anonymized data from and permission-based access to their user community.