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The view from here


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This is a tight presentation of our family story combined with current health policy.

Published in: Health & Medicine
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The view from here

  1. 1. The view from here. a presentation by Regina Holliday
  2. 2. Television can be an opiate of the people or an educational tool.
  3. 3. Patient Reported Data
  4. 4. Fred would meet Regina on stage in a scenic painting class atOklahoma State University. We would talk of Stephen King’s Dark Tower. We would fall in love.
  5. 5. The Holliday Family Christmas 2007
  6. 6. Everything we ever wanted… Resolutions January 2008:1. Get Medical Insurance for the whole family 2. Get little Freddie into a special needs school 3. Fred gets a job in his field 4. Spend more time together as a family 5. Get a two bedroom apartment Freddie’s IEP Binder
  7. 7. Fred was happy with his new job.But he was very tired,He went to the doctor and wasdiagnosed with hypertension.
  8. 8. During the months ofJanuary, February andMarch of 2009,Status Lines…
  9. 9. On Friday March 13th, We went to the ER because Fred was in so much pain .We waited three hours before being sent home.
  10. 10. Fred was hospitalized on March 25th 2009 for the administration of tests.On March 27th, he was told while alone thathe had “tumors and growths.”He was scared and confused and did not understand.His oncologist left town for the next four days to a medicalconference and was not reachable by phone or email.
  11. 11. What was the diagnosis? What were the treatment options? Would he get a pain consult?
  12. 12. This is my husband’smedical record.I was told it would cost73 Cents per pageAnd we would have towait 21 days to get a copy.
  13. 13. “She must not have tried very hard to get the record….”Comparing access to an unpublished book byStephen Kingto accessing theElectronic Medical Recordwhile hospitalized.
  14. 14. “Go After Them, Regina.” April 18, 2009
  15. 15. 5After waiting for days for a transfer, we weresent with an out of date and incomplete medicalrecord and transfer summary.The new staff spent 6 hours trying to cobbletogether a record using a phone and a fax machine.
  16. 16. This is thevital clinical informationfrom Fred’s electronic medical record.Painted on the wall ofPumpernickel’s Deli inWashington, DC.
  17. 17. What about the chemotherapy?We were told an order for Sutent had been placed.It did not come. The hospital pharmacy kicked out the orderas it was too expensive.I would have to order it from a specialty pharmacy and havedelivered to our apartment.This painting is “Sutent in a Shadow Box.”It is a mixed media piece of pills & paper.It is priced at cost in homage of theretail price of the pills alone.17 pills $24,285.71
  18. 18. The Inpatient Rehab CenterFred was sent to rehab to try to walk again.I was told I would need pharmacy approvalto give him his new chemotherapy drug.I waited three hours for the pharmacist to come toFred’s room, then I went search of the pharmacy.It was in a quiet hallway on a lower level, the doorwas closed with no window or buzzer.I knocked. The pharmacist was very surprisedto see a patient caregiver.She wrote out the permission slip.We talked. Her son also had Autismand later that week I would help her with herson’s IEP.
  19. 19. I am trying to talk with Christine Kraft and epatient Dave. Why did we get more help and answers from Social Media than from our local hospital ?
  20. 20. Going to Hospice.
  21. 21. We fulfilled our final 2008 resolution on June 11th 2009.We moved into a two bedroom apartment so I could care for Fred in home hospice. He died six days later on June 17th, 2009
  22. 22. Painting Advocacy meets Social Media
  23. 23. This is the painting 73 cents. This is the vital patient story, the social history , the sacred heart of Fred’sELECTRONIC MEDICAL RECORD.
  24. 24. On Tuesday, October 20th 2009 we dedicated the mural,“Where do we go from here?”
  25. 25. How would youdefineMeaningful Use?
  26. 26. There may be set backs onOur way to patient data access.,butwewillprevail.
  27. 27. All over the world, patientsAre demanding their data.They are demanding accessto the data from their doctors,from their hospitals,and from the devicesinside of their bodies.
  28. 28. Inside of every EMR there is a patient story,And sometimes it is told by Betty of Bellin Health.
  29. 29. 2 year study at Primary care settings of BethIsrael Deaconess Medical Center, Geisingerand Harborview90% patients responded they understoodwhat they had read & were not bothered by it.87% of those patients enrolled in this studydid check the notes.80% Patients claimed greater adherence tomedication protocols due to access to thenotes.
  30. 30. The Learning Health Systemand Chaordic Organization The Patient-Centered Outcomes Research Institute
  31. 31. Who taught you how to be a patient?
  32. 32. Why can’t we ask Hallmarkto make hospice cards?Would that help us talkabout end of life?
  33. 33. 210 unique Walkers have joinedwearing 232 jackets.The Walking Gallery is promoted heavilyusing the free tools ofsocial media.
  34. 34. You can take a negative and turn it into a POSITVE.Welcome to the Walking Gallery. Telling the patient story one jacket at a time.