2. “e-Patient Dave” deBronkart
• High tech marketing
• Data geek; tech trends; automation
• 2007: Cancer kicker
• 2008: E-Patient
blogger
• 2009: Participatory
Medicine, Public
Speaker
• 2010: full time
3. Michael Millenson
• Health Quality Advisors
• Demanding Medical
Excellence, Health
Affairs, many more
• Board of American
Medical Group
Foundation, AHIMA
Foundation, Soc’y for
Participatory Medicine
Amer Jour of Medical
4. Rajni Aneja, MD, MBA, CPE
• EVP, Joslin Diabetes
Center
• CPE / family practice
• Care Continuum Alliance
• ACPE
• Past:
– CMO for WebMD
– OptumHealth nat’l medical
director for disease mgmt,
5. Tom Peters, MBA, PhD
• In Search of Excellence
and 16 other books
• Extraordinarily diverse
industry experiences
• Track record of
successfully working with
leaders to create change
6. What if Duane Smith
had a shared care plan?
“e-Patient Dave” deBronkart
Twitter: @ePatientDave
facebook.com/ePatientDave
LinkedIn.com/in/ePatientDave
dave@epatientdave.com
7. Proposed taxonomy of fixes
from Helen’s keynote
• Putting more power in patient hands:
– Information
– Tools
8. Proposed taxonomy of fixes
from Helen’s keynote
• Putting more power in patient hands:
– Information
– Tools
• Listening to what patients report from
the front line
9. Proposed taxonomy of fixes
from Helen’s keynote
• Putting more power in patient hands:
– Information
– Tools
• Listening to what patients report from
the front line
• Not leveraging available contributions
– A squandered opportunity
– Economic inefficiency
10. “It has taken
a full century
for the patient’s
perspective
to go from being
routinely ignored
to being hailed
as a pillar of an
ideal health care
system.”
11. “Rethinking the
relationship
between the
patient and
professional
caregivers is a
cornerstone of
successful health
system redesign”
13. “Consumer
engagement,
whether in the
exam room or
in a health care
organization’s
boardroom, is a
central element.”
I add: same for
engagement at
the bedside, too.
23. What happened here?
• Squandered potential value
• An asset in the system
(knowledge) that was not
brought to the point of care at
the time when it was needed
26. “I want to note especially
the importance of the resource
that is most often under-
utilized in our information systems
– our patients”
Charles Safran MD, Beth Israel
Deaconess
quoting his colleague, Warner Slack
MD
Testimony to the House Ways & Means
subcommittee on health, 2004
27. What if the care team
had shared the care plan
with the patient & family?
43. EMRs and Quality (NEJM)
• Patients who achieved 4 out of 5 outcomes
With EMR Paper based
44% 16%
• Patients whose care met four quality
standards
With EMR Paper based
51% 7%
50. “I want to note especially
the importance of the resource
that is most often under-
utilized in our information systems
– our patients”
Charles Safran MD, Beth Israel
Deaconess
quoting his colleague, Warner Slack
MD
Testimony to the House Ways & Means
subcommittee on health, 2004
54. Gawande at CMMI Summit
“There is a bell curve for quality – a wide
gap between the best care and the worst.
55. Gawande at CMMI Summit
“There is a bell curve for quality – a wide
gap between the best care and the worst.
“There is another bell curve
for costs – again, a wide gap.
56. Gawande at CMMI Summit
“There is a bell curve for quality – a wide
gap between the best care and the worst.
“There is another bell curve
for costs – again, a wide gap.
“Surprisingly, the two curves
do not match.
57. Gawande at CMMI Summit
“There is a bell curve for quality – a wide
gap between the best care and the worst.
“There is another bell curve
for costs – again, a wide gap.
“Surprisingly, the two curves
do not match.
“And that means
there is hope.”
58. “It has taken
a full century
for the patient’s
perspective
to go from being
routinely ignored
to being hailed
as a pillar of an
ideal health care
system.”
59. Let Patients Help
Heal Healthcare.
“e-Patient Dave” deBronkart
Twitter: @ePatientDave
facebook.com/ePatientDave
LinkedIn.com/in/ePatientDave
dave@epatientdave.com
Editor's Notes
Concurrent competing sessions:Best practices in hospital patient safetyTechnology to improve health care safety, quality and efficiencyOurs:Millenson’s model; Duane Smith; Joslin remote
Atul Gawande told this story in his much-publicized 2010 Stanford commencement address, which he repeated at the National Quality Colloquium at Harvard in August.This slide is followed by what happened next: 2 years later, Smith was on vacation in Mexico when strep swept through him. He survived but lost all his fingers and toes.
Atul Gawande told this story in his much-publicized 2010 Stanford commencement address, which he repeated at the National Quality Colloquium at Harvard in August.This slide is followed by what happened next: 2 years later, Smith was on vacation in Mexico when strep swept through him. He survived but lost all his fingers and toes.
Atul Gawande told this story in his much-publicized 2010 Stanford commencement address, which he repeated at the National Quality Colloquium at Harvard in August.This slide is followed by what happened next: 2 years later, Smith was on vacation in Mexico when strep swept through him. He survived but lost all his fingers and toes.
Remembering allergyBedside shift changeDuane’s vaccinesMissed dosesAbington’s shared care plan====Aneja: one definition of “engagement” is the patient accessing an available service. So good new tech is a way of engaging pts in quality.
Remembering allergyBedside shift changeDuane’s vaccinesMissed dosesAbington’s shared care plan====Aneja: one definition of “engagement” is the patient accessing an available service. So good new tech is a way of engaging pts in quality.
Remembering allergyBedside shift changeDuane’s vaccinesMissed dosesAbington’s shared care plan====Aneja: one definition of “engagement” is the patient accessing an available service. So good new tech is a way of engaging pts in quality.
Remembering allergyBedside shift changeDuane’s vaccinesMissed dosesAbington’s shared care plan====Aneja: one definition of “engagement” is the patient accessing an available service. So good new tech is a way of engaging pts in quality.
This is not quite the right slide – find the one that is
