We’re Going (RED) for World AIDS Day

HIV/AIDS has cut a swath of destruction across the globe—infecting more than 60 million people, leaving 14 million orphans in sub-Saharan Africa alone. But a global movement to stop the spread of HIV/AIDS, along with scientific breakthroughs in treatment, have reversed the momentum in recent years. For those living with HIV in Africa, just two pills at 40 cents a day can bring a recovery so miraculous it’s known as the Lazarus Effect. Watch the transformation of lives in this video:



Thanks to the efforts of The Global Fund and other organizations around the globe, the number of people in low and middle-income countries receiving these medicines has increased ten-fold over 5 years. But fewer than half of those in need of treatment have access. And the number of new HIV infections continues to outstrip the numbers on treatment: for every two people starting treatment, five become infected with the virus.

Taking action has never been easier. Our World AIDS Day page offers plenty of options:

• Learn more about the global effort to prevent the spread of HIV/AIDS at UNAIDS, International AIDS Society or LIVING PROOF.
• Find volunteer opportunities in your area at All for Good.
• Advocate for action with the ONE Campaign.
• Give (RED) for friends and family this holiday season.
• Unite with others at the Global Network of People Living with HIV.

Show your support in other ways, too. On Twitter, from approx. 4 am EST (for 24 hours), include #red to turn your tweets the color red; if you like, follow @joinred. Select the iGoogle World AIDS Day theme on your personal iGoogle homepage. And on Tuesday night (December 1) starting at 8pm EST, watch a live Alicia Keys concert on YouTube benefiting Keep a Child Alive.

Update at 3:20PM: Added info about the iGoogle World AIDS Day theme, another way to show your support.

Posted by Jacquelline Fuller, Advocacy Director, Google.org

Finding flu vaccine information in one easy place

This year, it's especially important to have clear information on what you can do to prepare for the flu season. With this in mind, we are happy to share a new feature for the U.S. which allows you to more easily find locations near you for getting both the seasonal and H1N1 flu vaccine. After expanding Google Flu Trends to a total of 20 countries and 38 languages, allowing more people to see near real-time estimates of flu activity, we began brainstorming with the U.S. Department for Health and Human Services (HHS), their flu.gov collaborators and the American Lung Association on the flu shot finder and other ways Google can be helpful to people this flu season.

You can check out the flu shot finder at www.google.com/flushot. The same tool will also be available shortly on www.flu.gov and the American Lung Association websites. It's important to note that this project is just beginning and we have not yet received information about flu shot clinics for many locations. In addition, many locations that are shown are currently out of stock. We launched this service now in order to help disseminate information about locations where vaccines are available, and also to make more vaccine providers aware of the project so that they can contribute.


Especially given slower than expected vaccine production, we think it's important to bring together flu shot information in a coherent manner. We've been working with HHS, the Centers for Disease Control and Prevention (CDC) and state and local health agencies to gather information on flu vaccine locations across the country, particularly for the H1N1 flu vaccine (both the nasal-spray vaccine and the shot). At the moment we have data for locations of flu vaccine directly from 20 states and counting. We are also continuing to add information from chain pharmacies and other providers in all 50 states; today, you'll find results from chains such as Walgreens, CVS and PDX participants, such as Kmart, Duane Reade, WinnDixie and Giant Eagle.

Of course you should still call flu vaccine providers ahead of time to find out more about availability and eligibility for the two vaccines.

We hope to continue providing you with relevant information to help keep you and your loved ones healthy.

Update on 11/19: We just added the flu shot finder as a search feature on Google.com. Now, if you search for terms like [flu], [flu shot], [h1n1 shot] or [flu vaccine], information will appear at the top of your search results, including flu tips from flu.gov as well as the flu shot finder box with an expanding map that displays locations where you can receive seasonal and/or H1N1 flu shots.

Posted by Roni Zeiger, M.D., Product Manager and Jennifer Haroon, Product Marketing Manager

Fall update on Google Health

We're still hard at work improving Google Health, our online Personal Health Record (PHR). We've gotten valuable feedback from many of you who are importing data into Google Health from connected providers. We often hear that you want to import data from your health insurance plans, so we're working on just that.

Today, at the Health 2.0 conference in San Francisco, we're announcing the addition of two new health insurance companies to the Google Health platform: Harvard Pilgrim Health Care and the American Postal Workers Union Health Plan (APWU Health Plan).

The APWU Health Plan, the not-for-profit department of the American Postal Workers Union, now offers Google Health through their High Option PPO plan. Members get 18 months of data copied into their Google Health Account upon linking their member portal with Google Health and then automatic updates from that point on. Harvard Pilgrim Health Care serves more than one million members across Massachusetts, Maine, New Hampshire and beyond and roughly 777,000 of their members who use the HMO, POS and PPO products can securely import their Harvard Pilgrim health history into Google Health. This includes prescription data used in the last year and any records on illnesses, conditions, procedures and immunizations dating back to 2006. Once a member links his health plan portal account with Google Health, his data will be automatically updated when a new claim is generated by a physician.

With these new additions and Blue Cross Blue Shield of MA, which joined in December of 2008, we now have three health insurance plans that are connected to Google Health and actively promoting it as a PHR option to their members. We'll be studying how useful this data is to our users, as we've learned that some data is not as useful as others.

We're also working with companies that offer unique "convenience" services, such as secure email and video consultations with doctors. One example is a company called MDLiveCare, a telehealth provider now available in the Google Health online services directory. MDLiveCare is helping to empower patients by sending the complete doctor's clinical note to Google Health from any consultation a patient has with their network of oncall board certified doctors and licensed mental health therapists. Hello Health is another example of a company that facilitates connecting with a doctor online and is launching with Google Health today.

Also, in case you missed our updates, here are some improvements we worked on over the summer:

• File Upload: Still dealing with paper files at home? You can now upload files you have scanned or have on your computer, such as test results you previously received in the mail. Each file you upload can be anywhere from 4MB to 100MB. Start by completing and uploading an advance directive.
• Insurance Information: You can now store all of your health insurance information in your Google Health profile, including your plan name, plan ID, group number, subscriber and policy ID and member phone number.
• Graphing: Keep track of your test results visually to see how key numbers progress over time. If you have more than one cholesterol lab result saved in your profile, you can view these results over time in a graph and track your progress.

Keep tuning in to find out what's in store for Google Health in 2010. And keep the feedback coming. We're still learning a lot from all of you.

Posted by Roni Zeiger, M.D., Product Manager

Listening to Google Health users

At Google, we believe that consumers should have convenient and secure access to all their health data so that they can be better informed and be more involved in their care. Recently, a data-savvy patient known as e-Patient Dave blogged about data that was imported into his Google Health Account from his hospital in Boston, Beth Israel Deaconess Medical Center. Once he saw his data in Google Health, he saw diagnoses that were both alarming and wrong. Where did they come from?

It turns out that they came from the billing codes and associated descriptions used by the hospital to bill the patient's insurance company. These descriptions, from the International Classification of Diseases (ICD-9), often do not accurately describe a patient because the right ICD-9 code may not exist. So the doctor or hospital administrator chooses something that is "close enough" for billing purposes. In other cases, the assigned code is precisely what the doctor is trying to rule out, and if the patient turns out not to have that often scary diagnosis, it is still associated with their record. Google Health faithfully displayed the data we received on Dave's behalf. We and Beth Israel knew that this type of administrative data has its limitations but felt that patients would find it a good starting point. Too often, this is wrong.

At Google, we are constantly learning important lessons from our users. Two days after we learned about this issue, I met with Beth Israel CIO John Halamka, the patient's physician Dr. Danny Sands, and e-Patient Dave himself. We agreed on a reasonable plan: Beth Israel will stop sending ICD-9 billing codes and will instead only send to Google Health the free text descriptions entered by doctors. Beth Israel is also working with the National Library of Medicine (NLM) to associate those free text descriptions with a more clinically useful coding system called SNOMED-CT, so that we can offer patients useful services like automatic drug interaction checking. The result will be more accurate and useful information in patients' Google Health profiles.

This week, all four of us were also at a conference called Health 2.0 in Boston. Dave's story, and the lessons we all learned, were the focus of much discussion. We are grateful to Dave for his openness and passion for making things right. We're also glad this happened because we and many others now better understand the limitations of certain types of health data and we are working with partners to improve the quality of the data before it gets to Google Health and our users. We look forward to sharing what we learn with the broader community. We also learned that the patient community is surprisingly interested in understanding these data issues. Dave and his doctor Danny Sands collaborated on an informative post about different data vocabularies used in different aspects of healthcare. The patient-controlled "data liquidity" that Google Health supports is clearly an important part of the future of health care. We are more committed than ever to putting consumers in charge of their own health information.

Posted by Roni Zeiger, M.D., Product Manager, Google Health

CVS joins Google Health Rx network: millions can access medication records online

When I first started working on Google Health, I was shocked by how hard it is for people to access their own medical records. I wondered why that's the case when it's so easy to access other types of personal information like bank transactions, cell phone records, and utility bills. In many states you can even renew your car registration online with a few clicks. Yet when it comes to something arguably much more important, such as your own medical records or a current list of medications, we have little to no access. It just doesn't seem right.

We're working to solve this problem. With the recent addition of CVS/pharmacy to our network of pharmacy partners, more than 100 million people can now access their prescription history online and import it into a central, secure place — a Google Health Account. In addition to CVS, we're proud to be working with several other well-known national and regional pharmacy chains to improve patient safety, reduce medical errors, and increase efficiencies in health care.

Having a list of all your medications all in one place from the pharmacies you shop at helps your doctor, pharmacist and other care providers do a better job of taking care of you. In fact, it's estimated that 1.5 million Americans are sickened or injured each year by errors in prescribing, dispensing and/or taking medications. Some experts suggest that medication errors claim more than 7,000 lives each year. Making your medications known to those who care for you is a simple step to ensure you get the best possible care. Not to mention, imagine how important having immediate access to this information could be during an emergency.

To get started, first see if your pharmacy is connected with Google Health. If so, just sign up for an online account at your pharmacy's website, and then you can securely import your data into your Google Health account. Once your medication information is in Google Health, you can use our new sharing feature to share it with anyone in your care network, including family members, doctors, and other caregivers.

If you have pharmacy benefits through your employer or your health plan, you may also be able to import your prescription history into Google Health. We are working with two of the largest pharmacy benefit managers in the nation, Medco and CVS Caremark, so check your wallet to see if you have a prescription drug card from either one of them today (see examples below). If you are a Medco or Caremark member, simply log in to your online Medco or Caremark account (or register for one if you don't already have an account set up) and then link your Google Health profile to it. If you are unsure if Caremark or Medco manages your pharmacy benefits, check your prescription drug card for one of their logos, or call the number on the back of your card.

Posted by Maneesh Arora, Product Manager, Google Health

Getting your Medicare records in Google Health

Google Health is working with the Centers for Medicare and Medicaid Services (CMS) on a pilot program in Arizona and Utah that lets Medicare beneficiaries import their Medicare claims data into Google Health.

The pilot is one of several CMS programs to test out how the government can give beneficiaries secure access to their medical data online. Before I came to Google, I worked at the U.S. Department of Health and Human Services, which houses CMS. At the time, the idea of giving beneficiaries access to their own Medicare claims data in electronic format was just that — an idea. Today, it's becoming a reality. And given the more than $19 billion investment the government is making in Health IT as part of the stimulus package, now is the perfect time.

As a part-time caregiver to my mother who has a serious chronic illness and someone who just lost both elderly grandparents in the past four months to illness, I can see the benefit of having all of my family’s medical information organized in one place. When Google Health launched last year, I promptly set up accounts for my mother and both grandparents. But at the time, I found it frustrating that I was not able to access electronic copies of my grandparents' Medicare claims — where most of their medical data resided.

The Medicare Arizona and Utah pilot is designed to give beneficiaries choice in the tools they use to manage their medical records online. Google Health is one of four personal health records (PHR) that beneficiaries can choose from. While only traditional fee-for-service (FFS) Medicare beneficiaries with a primary residence in Arizona and Utah are eligible to participate, this includes nearly 1.1 million beneficiaries living in those regions.

For beneficiaries who choose to participate, it's important to know that Medicare does not have access to information in your Google Health Account — Medicare will only be sending data to your Account. Beneficiaries who participate in the pilot will still have access to data imported into their Google Health Accounts after the pilot concludes at the end of 2009. And with the recently launched Google Health sharing feature, any beneficiary enrolled in this pilot can now share this data with family members and doctors in their care network.

If I had this type of electronic access to my grandparents' medical records during my family's medical crisis, it would have been a huge help to me. I applaud CMS for taking this big step towards empowering consumers with access to their own health records.

If you're a Medicare beneficiary living in Arizona or Utah and are interested in participating in the pilot, you can get started here.

Posted by Missy Krasner, Product Marketing Manager, Google Health

Google Health: helping you better coordinate your care

We continue to learn a tremendous amount since launching Google Health in the spring of 2008. We're listening to feedback from users every day about their needs, and one issue we hear regularly is that people want help coordinating their care and the care of loved ones. They want the ability to share their medical records and personal health information with trusted family members, friends, and doctors in their care network. I can relate to this.

Just a few years ago, my father suffered a minor heart attack and was sent to the ER. I arrived on the scene in a panic, and was asked what medications he was taking. To my surprise, I had no clue. If my father had a Google Health account, and had shared his profile with me, I would have been up-to-date on his current medications.

I'm happy to announce today Google Health has addressed this issue with the release of a new "Share this profile" feature enabling Google Health users to invite others they trust (whether it's a family member, a trusted care network provider, friends, and/or a doctor) to view their medical records and personal health information.

Log into Google Health, click on "Share this Profile," and type in the email address of the person with whom you'd like to share your profile. Google Health will send an email to them with a link to view your profile. The link will only work in connection with the email address of that person — your profile can't be accessed if the link is forwarded on. You can stop sharing at any time, and you can always see who has access to your information. Those who are viewing your profile can only see the profile you share — not any other one in your account. We've also built in some extra protections to make sure your health information stays safe, private, and under your control:

• The sharing link in the email expires after 30 days, but the sharing access itself does not expire — it will stay in place until the user decides to stop sharing
• Viewers can only see — not edit — your Google Health profile
• You can review a user activity report to see who has viewed your profile

For doctors and family members who are not yet online, we've also made it easier to share a hard copy of your information via our new printing feature. The wallet format prints a wallet-sized card that includes a user's medications, and allergies; the PDF format prints a letter-sized copy of a user's profile, including medications, allergies, conditions, and treatments.

Finally, we've launched a new graphing feature that helps patients visualize their medical test information. This is great for, say, someone who has high cholesterol. They can use Google Health to enter their lab results on a monthly basis and see the trend over time.

There is still a lot more work to do on Google Health, and we're excited to keep hearing from you so we can continue to make improvements. For now, we hope this new sharing feature makes coordinating your care, or the care of loved ones, a little easier.

Update on 3/6: Clarified the first bullet point.

Posted by Sameer Samat, Director, Product Management

Helping healthcare providers become more efficient

Healthcare professionals have always focused on reducing costs while still increasing the quality of the care they provide to patients — and this kind of efficiency becomes even more important in challenging economic times.

Fortunately, healthcare providers can turn to the web for a growing number of resources that help them achieve these goals. With our health initiatives and solutions for businesses of all kinds, Google is committed to helping bring exactly these kinds of productivity gains and cost reductions to healthcare providers. We're also committed to harnessing the power of the web to help people everywhere effectively manage their healthcare records and information in a private, secure online setting.

To learn about our latest innovations in this area, tune in to our free webinar scheduled for Wednesday, December 10, at 10:00 am PT.

The session will include a current look at Google Health, which empowers patients to securely organize and manage their health information online. For the full lineup of topics that will be covered, check out our post on the Enterprise blog.

We hope to see you there.

Posted by Sundar Raghavan, Google Enterprise Team

How we help track flu trends

This post is the latest in an ongoing series about how we harness the data we collect to improve our products and services for our users. - Ed.

Google search isn't just about looking up football scores from last weekend or finding a great hotel for your next vacation. It can also be used for the public good. Yesterday, we announced Google Flu Trends, which uses aggregated search data in an effort to confront the challenge of influenza outbreaks.

By taking Google Trends — where you can see snapshots of what's on the public's collective mind — and applying the tool to a public health problem, our engineers found that there was a correlation between flu-related queries and the actual flu. They created a model for near real-time estimates about outbreaks, in the hopes that both health care professionals and the general public would use this tool to better prepare for flu season.

Since we launched yesterday, the response from the medical community has been positive. "The earlier the warning, the earlier prevention and control measures can be put in place," said Dr. Lyn Finelli of the influenza division at the Centers for Disease Control and Prevention, to The New York Times. "[T]his could prevent cases of influenza." You can check out the tool for yourself.

We couldn't have built this flu detection system without analyzing historical patterns. Because flu season is different every year, just a few months of data wouldn't have done the trick. For example, the 2003-2004 flu season was unusually severe in many regions. The data from that season was especially robust and allowed us to discover a more accurate, reliable set of flu-related terms. To learn more about how we built the system, see this page on how Flu Trends works.

Because we're committed to protecting your privacy, we made sure that the searches that we analyze for Google Flu Trends are not drawn from personally-identifiable search histories but rather from an aggregated set of hundreds of billions of searches.

In order to provide a rough geographic breakdown of potential flu outbreaks, we use IP address information from our server logs to make a best guess about where queries originate. To protect your privacy, we anonymize those IP addresses at nine months. And we don't provide this aggregated, anonymized data to third parties. For more information about the privacy protections for Flu Trends check out our FAQs and privacy policy.

This is just the first launch in what we hope will be several public service applications of Google Trends in the future. And as we continue to think of ways to use aggregated and anonymized search data in helpful ways, we're also committed to safeguarding our users' privacy.

Posted by Pablo Chavez, Senior Policy Counsel

Google Health feels accessible

From time to time, our own T.V. Raman shares his tips on how to use Google from his perspective as a technologist who cannot see -- tips that sighted people, among others, may also find useful.

Keeping track of personal health records using printed paper is painful at best for most users; as someone with a visual impairment, this is a show-stopper for me. As I begin paying more attention to my own health, I've come to realize first-hand how hard it is at present to track one's health using the means that traditional health care programs provide.

As luck would have it, Google Health arrived at around the same time that I started dealing with these issues, and focusing on the usability of Google Health from the perspective of someone who cannot see was therefore a no-brainer. Today, we are launching a version of Google Health that has been augmented with several usability enhancements that aid users of screen readers and self-voicing browsers. These enhancements are implemented using W3C ARIA, an emerging set of Web standards that make AJAX applications work smoothly with screen readers — see our related post on the GWT blog for details. With these enhancements, I can now easily navigate Google Health to not only manage my own health records; Google Health enables me to quickly research various relevant health conditions, track medications and do a myriad health-related tasks.

Google Health gives me a single unified web interface to manage all of my health-related information. Kudos to the Google Health and GWT teams for creating an extremely useful and usable solution!

Posted by T.V. Raman, Research Scientist