Mobilizing the medical record is a high impact opportunity, EMR adoption has direct and well documented health impact. However, EMRs are rarely implemented successfully in poor areas because of hardware that is expensive, unfamiliar, or unavailable locally, lack of internet and hassles associated with data re-entry. These issues can be address by SIM based phones.

• EMR will be used more broadly and effectively if more health workers (not just physicians) gather and make use of medical data. Health workers are often out in the field where they do not directly contribute data to EMR.
• Data collected off-site is often recorded on paper; it must be entered into a database by a different (more trained with computers) person, in a different place, at a different time. Unnecessary steps increase confusion, reduce efficiency and accuracy.
• Patients currently do not remotely report health issues (I'm out of insulin needles, where can I get condoms?). This impeeds data collection in poor areas where transportation to a clinic may be a serious investment and many patients walk. Remote reporting would facilitate preventative medicine.

Our goal is to produce software that can:

• Use SIM-based mobile phones. They are cheap, durable, prevalent, require less training and are less likely to make workers a target for theft/mugging (relative to smart phones).
• Use OpenMRS, an open source EMR. OpenMRS manages hundreds of thousands of patients records; existing installations will be able to plug and play with our software, increasing our project's potential to scale.
• Health workers or patients send data via SMS, it will be added to patient's medical record. Physicians will be notified of urgent situations (a hemorrhaging home-based childbirth), and worker/patient may receive SMS advice from clinician or an automated SMS based on electronic records.
• Builds on, smooths interoperability with existing OSS like OpenRosa and Mesh4x.

• Data transfer optimized for low-signal environments.

Once upon a time, we all knew our neighbors.

We knew Daisy, the golden retriever addicted to soggy tennis balls. We knew the saggy sofa in the den, stained by one too many Strawberry Jello spills by the kids. We knew the noise of the lawnmower, the squeek of the garage door or the buzz of the doorbell. We knew just when we'd hear footsteps slogging up the stairway or when the elevator would ping open.

Now. in all too many cases, we only see 'neighborhood' on Sunday nights via Desperate Housewives or via Big Brother.

One of the best things about knowing your neighbors was knowing things like which house has the twins with chicken pox . . . which street has a couple of persistent gushers bubbling up . . . who has been 'down' with the flu or fighting breast cancer . . what new building/development is going on . . is that creek still flowing or drying up . . .

If we all still had BLOCK PARTIES, yes, that remnant of the 50's or 60's or whatever Leave It To Beaver era in which those organic mob-projects occurred, maybe we would have enough information to protect us and each other.

Yes, there are a wide variety of domestic and international public health/service agencies that track disease, safety issues, environmental trends, etc. But there are certainly legions of examples of why perhaps even the most ethical of public or corporate organizations seldom tell the whole or even the most realistic stories.

Which is why we must tap into the power of citizen journalism . . . or Neighbor-Sourcing to complete a realistic picture of health trends of all kinds, from traditional health care issues (including insurance) to environmental and safety. By harvesting glocallogy tools such as mapping, crowdsourcing and even crowdfunding, we may be able to act more quickly on trends, problems -- or opportunities -- as they occur. We need not wait for the government to announce issues long after it is too late to do something.

CareFlash delivers unprecedented healthcare advocacy and education to people in the richest circumstances imaginable, while offering philanthropic benefits to healthcare foundations, advocacy groups and religious institutions. This mashup integrates advocacy, animations, medical info and web 2.0.

When someone learns they (or their loved one) have been diagnosed with a chronic healthcare challenge, a flurry of painful emotions appear ranging from fear and feelings of aloneness, to anxiety, uncertainty and even depression. As families navigate this experience together, it commonly becomes clear that people are unprepared and inexperienced at the realities of serving as caretakers. We address these challenges, empowering users to:

Post updates in a private blog, which are automatically sent via email to the community members. These CareFlashes can eliminate 30-40 conversations a day for a caretaker, freeing them to provide substantial attention to the patient. CareFlash recipients can reply to the messages and updates with well-wishes, prayers and messages of support. It’s common where the family pastor will engage in these exchanges, bringing strength and faith to all involved.

Educate people on the particular disorder at hand, specific treatment options, and other health concerns through easy to understand 3-D animations, produced by Blausen Medical, the best interactive medical resources available anywhere. They are narrated in everyday English, Spanish and other languages and encompass hundreds of healthcare topics ranging from pregnancy and neonatal issues to cancer, cardiovascular, ears/eyes, neurological, genetic, bladder/kidney, digestive/mouth, endocrine, blood/immune, respiratory, orthopedic, skin/cosmetic and others.

When medical challenges happen, help is continually needed. But egos get in the way, no one wants to be intrusive and, although everyone says “If there’s anything we can do, please let us know…” asking for help is awkward. When help is needed with errands, meals and countless other tasks, entries are easily created allowing people to sign-up to help. Our iHelp Calendar helps ensure that tasks are met when and where it’s convenient for the members, saving the patient from experiences like having 3 families show up with meals one evening or visitation when the patient needs privacy.