Dr Stout New Tech and New Humanitarians CMSA 2013


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This presentation covers some of the cool technologies available to healthcare and medicine, as well as applications in humanitarian work.

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Dr Stout New Tech and New Humanitarians CMSA 2013

  1. 1. Different Ways to Bring Innovation to Healthcare: From New Technologies to New Humanitarians Chris E. Stout, PsyD Department of Research, ATI College of Medicine, University of Illinois, Chicago
  2. 2. Please note that this was presented in September 2013. While you can see most of what was displayed, you cannot hear what I said, and I wish you could. You may reach me via http://about.me/DrChrisStout if I may be of help to you in your work. Cheers, Chris
  3. 3. OFFICIAL DISCLAIMER: Cool stuff we’ll not be covering
  4. 4. It’s nice to work with workers’ comp outcomes because… Outcomes are VERY Quantified – RTW at the same job description and PDL or not? – How many days passed before RTW? – Nice, clean, and tidy!
  5. 5. Surgeon’s Perspective on a Good Outcome • No anesthesia issues • No surprises during or after • No complications • Good wound healing • No post-op infection
  6. 6. But how does the story end? Is the patient back at work? Quickly? At the same PDL as prior to injury? With the same job classification?
  7. 7. Just the facts, er, evidence…
  8. 8. Evidence is predicated on clinical outcomes
  9. 9. So, evidence-based practice ROCKs! Right…?
  10. 10. Half of what is taught in medical school will be wrong in 10 years’ time, the problem is we don’t know which half. Sydney Burwell, MD, former Dean, Harvard Medical School
  11. 11. It took an average of 17 years for new knowledge generated by RCTs to be incorporated into practice. –IOM
  12. 12. Not a problem of too little, but too much
  13. 13. • 3600 statistical articles are published on average each year • Do you know how long it would take you to keep up…? Just for Coronary Heart Disease…
  14. 14. If you read 1 article/15 minutes You would have to read >10 articles For 2 hours/day 7 days/week Forever…
  15. 15. OK, So, now WHAT?
  16. 16. It’s about tech…
  17. 17. Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity
  18. 18. Got an image? Onset Location Duration Character Aggravating/Alleviating Relieving factors Timing & severity
  19. 19. • 75% hit rate for NEJM’s weekly puzzler via cut-and-paste • 96% if fill in the fields
  20. 20. There are a number of resources available
  21. 21. EvidenceUpdates • A joint collaboration of BMJ Group and the Health Information Research Unit at McMaster University • Best new evidence tailored to your interests. • 2-step process shrinks ~50,000 articles/year (from >140 clinical journals) down to the most important 1 - 2 articles per month = "noise reduction" of over 99.9%.
  22. 22. And, wouldn’t it be cool if surgeons could have their latest post-op protocol available to their rehab-referrals? They already do (and for free).
  23. 23. And I have been doing some experimenting….
  24. 24. I was always frustrated with the disconnect of getting evidence-based practice in real-time to the clinician while with the patient
  25. 25. But we may have cracked the code
  26. 26. PRN Tx Guideline Consult (brought to you by your EMR)
  27. 27. As a nice side-effect of building this we found…
  28. 28. Tutorials on Information Mastery and EBPs
  29. 29. Evidence-based Medicine Resource Center
  30. 30. Groups That Grade the Evidence For You
  31. 31. Evidence-based practice is sort of like MoneyBall
  32. 32. Evidence-based practice is not…
  33. 33. Evidence-based practice is not…
  34. 34. Curated Library
  35. 35. And now for something completely different…
  36. 36. William Rosenblatt, MD REcovered Medical Equipment Developing Y (world)
  37. 37. Geek Corps Ethan Zuckerman
  38. 38. Sustainable Sciences Institute
  39. 39. Institute for OneWorld Health Victoria Hale, PHD
  40. 40. Marie Charles, MD
  41. 41. Jennifer Staple-Clark
  42. 42. It’s about tools…
  43. 43. Accelerants… It’s about:
  44. 44. Collaborations It’s about:
  45. 45. Please be in touch Chris.Stout@ATIPT.com or visit DrChrisStout.com and get these slides (and a lot more)