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Towards truly two way communication in health care


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Two way communication in healthcare - Keynote to Ideagoras Madrid 2011

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Towards truly two way communication in health care

  1. 1. Truly 2Way Communication Rob Halkes Ideagoras Madrid November 17thIntegrates care
  2. 2. Doctor & Patient Co-creating Care for Health Truly 2Way Communication Rob Halkes Ideagoras Madrid November 17thIntegrates care
  3. 3. The demands for actual and future care for health are too high to handle
  4. 4. Current systems of health care, are too expensive andtoo much labour consuming to last for the next decade!
  5. 5. Current systems of health care, are too expensive andtoo much labour consuming to last for the next decade! THE CATCH-CRY FOR CARE: ► MORE VOLUME ► INCREASED QUALITY ► LESS COSTS
  6. 6. Way out:
  7. 7. Way out: Medical Technology and Patient Self Management“Lab on a chip”
  8. 8. Way out: Integrated Care Peers Family Coach Friend Etc. PatientIndustry Nurse Etc. PH GP Payors
  9. 9. Way out: Integrated Care Peers Family Coach Friend Etc. Patient 1. Structuring of ProcessIndustry Nurse Etc. PH GP Payors
  10. 10. Way out: Integrated Care Peers Family Coach Friend Etc. Patient 1. Structuring of Process2. Coordination between care providersIndustry Nurse Etc. PH GP Payors
  11. 11. Way out: Integrated Care Peers Family Coach Friend Etc. Patient3. Patient compliance and self management 1. Structuring of Process 2. Coordination between care providers Industry Nurse Etc. PH GP Payors
  12. 12. e alu i cV om onEc Medical Value e lu Va nt tie Pa
  13. 13. Participatory Care for Health
  14. 14. Participatory Care for Health
  15. 15. Participatory Care for HealthParticipatory Medicine .. amovement .. patients shift frombeing mere passengers to responsibledrivers of their health, and in whichproviders encourage and value themas full partners.
  16. 16. Participatory Care for Health Participatory Medicine is a cooperative model of health care that encourages and expects active involvement by all connected partiesParticipatory Medicine .. a (patients, caregivers, healthcaremovement .. patients shift from professionals, etc.) as integral to thebeing mere passengers to responsibledrivers of their health, and in which full continuum of care. Theproviders encourage and value them ‘participatory’ concept may also beas full partners. applied to fitness, nutrition, mental health, end-of-life care, and all issues broadly related to an individual’s health.
  17. 17. Collborative action and decision making to co-create the Patient’s experience In Care for Health
  18. 18. Collborative action and decision making to co-create the Patient’s experience In Care for Health Condition Information ODL ReviewCompliance Data Nutrition Support evaluate Coaching Chat Therapy Tracking &LearningConsult Medication Tracing Health parameters Feedback Food Life Style Adaptation
  19. 19. There’s ample research
  20. 20. Powerful new “Doctor becomes an e-patient” story in Journal ... There’s ample research Home About Us Society for Participatory Medicine I Am An e-Patient Search this website... GO Powerful new “Doctor becomes an e-patient” story in Journal of Participatory Medicine by e-Patient Dave on April 18, 2011 amednews: Participatory medicine: A high-tech alliance... 35 tweets The Impact of eHealth on the thethat patient and Safety of Two years ago we wrote “Let’s hear it for ‘d-patients’” Quality — doctors who become e-patients themselves. We said “D-patients prove retweet empowerment is anything but anti-doctor. Heck, sometimes it’s aOverview Health Care: A Systematic doctor preservation movement.”September, 2011 TELEMEDICINE 306 WINKELMAN ET AL., Patient-Perceived Usefulness of Online EMRDoctors, Patients & SocialTELEMEDICINE: A new article inAshly D. Black1,Participatory MedicineTECHNOLOGY example: A Cresswell2, Tomislav Bokun1, our Journal ofAN ESSENTIAL provides a compelling 2, Kathrin Josip Car1, Claudia Pagliari2, Chantelle Anandan Media Physician’s Experience as a CancerREFORMED Majeed4, Importance2* Patient Brian McKinstry2, Rob of the Neck Patient: The Aziz Sheikh of 3 FOR Procter , Azeem HEALTHCARE AN ESSENTIAL TECHNOLOGY Research PaperParticipation. The author, Itzhakof Primary Care and makes our point: London, London, United Kingdom, 2 eHealth Research Group, Centre for Population j 1 eHealth Unit, Department Brook MD, Public Health, Imperial College Health Sciences, The University of Edinburgh, Edinburgh, United Kingdom, 3 National Centre for e-Social Science, University of Manchester, Manchester, United Kingdom, FOR REFORMED HEALTHCARE 4 Department of Primary Care and Public BUSINESS Health, Imperial College London, London, United Kingdom Patient-Perceivedfacedpersonal storydiagnosedOnline and undergoing will realizesurgeries. I am challenges Usefulness the hope thatcancer Electronic Medical I am telling my by a patient in of with health care providers extensive the difficult Records: Employingthe importance of active participationinthe patient and their family members also discussing Grounded Theory of the Development of Abstract quality and safety of health care. Technologies for technologies are underway Participatory Health: Informationinand CommunicationtoImplementations of of eHealth solutions onUse by safety of health care,often to all phases of care. Background: There is considerable international interest in exploiting the potential of digital solutions to enhance the Journal of Participatory Medicine » My 8-Point Participatory ... transformative eHealth globally, at Patients Living with Chronic on eHealth various eHealthwe(emphasisonsystematic reviewsafety of care. reviews assessing the and Mobile Tools Online very considerable cost. In order assess the impact the quality and and inform policy adds, in Illness JoPM co-editor Charlie Smith decisions his introductory note: undertook aadded) effectiveness and consequences of deployments, technologies the quality and of systematic - Journal of Participatory Medicine - - You may wonder whyand Findings: We account of his search strategies, conceptual mapshe health care quality, safety, and eHealth Methods a physician’s developed novel illness and the frustrations of experienced Help Chronically Ill merit publication in this journal. But, if a doctor has this degree of anxiety, this the systematic review literature. Major interventions, and then systematically identified, scrutinised, and synthesised much My 8-PointWARREN J. WINKELMAN, What Makes Me a Participatory Philosophy: MD, MBA, FRCPC, Khis care toLEONARD, MBA, PHD, difficulty getting information about EVIN J.and this systematic reviews publishedsystematic1997 andthat focused on assessing biomedical databases were searched identify degree of struggle making good between 2010. Related theoretical, Manage Their Care methodological, and technical material was also reviewed. We identified 53 reviews Participatory Patient ROSSOS, decisions, then patients of eHealth interventions on why theyand/orso overwhelmed and incapable, at systematic reviews PETER G. MD, FRCPC impact can easily understand the quality feel safety of health care and 55 supplementary the Posted By Kathy Kastner On September 6, 2011 @ 5:41 pm In Commentary,Vol. 3, 2011 | 14 Comments times, of truly providing relevant supportiveown care. What we are advocating for is found to be generally of substandard “participating” in their information. This systematic review literature was difficult in quality with regards to methodology, reporting, and utility. We thematically categorised eHealth technologies into three the best of circumstances storing, managing,all hands on deck for(2) clinical decision support; and (3) facilitating care from a main areas: (1) and requires and transmission of data; the task! September 2009 Abstract Objective: Patient useWe found that despite support fromrecords (EMR) holds relatively little empirical evidence to substantiate distance. of online electronic medical policymakers, there was the potential to improve Abstract health outcomes.and many other manystudy claims discover how patients living withwhen he inflammatory bowel disease I – The purpose of to of thequality and in relation toDr. Brook meansWhether thesays: of those relatively few solutions identified this patients – is to made know exactly what these technologies. chronic success (IBD) value e-patients, patient-physician communication, online safety would records.] beyond the contexts in which they were originally Keywords: Participatory medicine, Internet-based patient improve to electronic patientby continue / these were deployed access [Illustration George Bates developed, has yet to be established. Importantly, best practice guidelines in effective development and deployment communities. …both of these approaches [physicians who acted "half full" and "half empty"] deprived mepatients Participatory medicine: A high-tech alliance with Design: This was a qualitative, exploratory, descriptive study using in-depth interviews and focus groups of a total of 12 strategies are lacking. Citation: Kastner K. My 8-point participatory philosophy: what makes me a participatory patients with IBD of at least one-year duration at is a large gap Health Network, a tertiary care center in Toronto, Ontario. possibly more financially advantageous to doctors and patients. patient. J Participat Med. 2011 Sept 6; 3:e40. Conclusions: There University between the postulated patient participation in medicine more workable -- and technologies. of being truthfully and fully informed about my prognosis, which is essential for making Information technology is making and empirically demonstrated benefits of eHealth Published: September 6, 2011. logical choices concerning treatment. I preferred those who told me the truth about risks and Results: Four themes have been elucidatedthere is a lack ofBy a theoreticalon the risks of staff. Posted Jan. 18, 2010. information and In addition, that compriserobust research framework implementing these technologies and their cost-effectiveness Competing Interests: The author has declared that no competing interests exist. PAMELA LEWIS DOLAN, amednews of patient-perceived communication technology usefulness:if it was notof a sense ofbeing frequently promoted patient-drivenand ‘‘techno-enthusiasts’’ as if this was a my prognosis, has yet to be demonstrated, despite illness ownership, of by policymakers communication, of even promotion rosy. I always voiced my preference to the physicians so that
  21. 21. A rightly designed E-Health PlatformTo trigger and facilitate!
  22. 22. Experience Co-Creating Care EC3
  23. 23. Experience Co-Creating Care EC3 A method of developmentto reach a common understanding between all parties based on insights into each others’ interest
  24. 24. EC3 is not the same as “working together” Traditional Strategy Co-Creative Strategy Creates value by delivering Creates value by constantly Values defined customer experience to targeted customer set enhancing experiences for all stakeholders Establishes strategic goals at Uses the initial strategic goal as Goals the outset and doesn’t a starting point and lets the full significantly change them strategy emerge over time On the interests of the firm: that is, how the firm can maximize its Focuses on the interests of all stakeholders and how the Focus share of the created value ecosystem can maximize the relative to the shares of its industry competitors size of the pie; Achieves advantage through the Achieves advantage through increased engagement of realizing economies of scale stakeholders and by continuallyAdvantage before competitors do and building new interactions and making big, bold moves experiences, which lead to higher productivity, higher creativity, and lower costs and risks
  25. 25. THANK YOURob HalkesBU Van Spaendonck – Value innovation in Medical and Life SciencesT +31 418 578000M+31 653 420722E G.E.H. Tutein Noltheniuslaan 7W 4181AS WaardenburgT @rohal the Netherlands