McGowan - #socialqi simple solutions for improving your healthcare - PSCG's oaweekprogram Final


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This talk was originally given October 25th 2012 at the Philadelphia Scholarly Communication Group's #OAweekPhilly program.

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  • …number of connections…some algorithm…crowdsource rankings/ratings…types of “anonymity”…In the past, the filter was easier than the production, but now production is easier than filtering. …credibility helps with crowdsourcing…
  • McGowan - #socialqi simple solutions for improving your healthcare - PSCG's oaweekprogram Final

    1. 1. #OAWeekPhilly#SocialQI:Simple Solutions forImproving Your Healthcare Presented by: Brian S. McGowan, PhD @briansmcgowan October 25th 2012
    2. 2. #OAWeekPhillyOutline1. Redefining Quality2. Why Does Healthcare Quality Suffer3. Introducing SocialQI – One Part – Social Network Science – One Part – Behavioral Science4. Impacting the Mega-silos of Healthcare: #3 - Biomedical Research Science5. How Does SocialQI Become the New Norm in Healthcare?
    3. 3. #OAWeekPhillyRedefiningHealthcare Quality#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    4. 4.
    5. 5. #OAWeekPhillyMy Father’s Health Journey
    6. 6. #OAWeekPhillyMy Father’s Record
    7. 7. #OAWeekPhillyWhy Does HealthcareQuality Suffer?#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    8. 8. #OAWeekPhilly Problem #1: Variation www.socialQI.com
    9. 9. #OAWeekPhilly www.socialQI.com
    10. 10. #OAWeekPhillyProblem #2: Failure to Advance
    11. 11. #OAWeekPhillyProblem #3: Overload & Filter Failures
    12. 12. #OAWeekPhillyProblem #4: Lack of Information“Despite recent improvement in timely publication,fewer than half of trials funded by NIH are published in apeer reviewed biomedical journal indexed by Medlinewithin 30 months of trial completion. Moreover, after amedian of 51 months after trial completion, a third oftrials remained unpublished.”
    13. 13. #OAWeekPhillyIntroducing#socialQI#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    14. 14. #OAWeekPhillySocialQI
    15. 15. #OAWeekPhillyOne Part -Social Network Science#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    16. 16. #OAWeekPhillySocial Network Science Sidewalk Experiment Six Degrees of Separation
    17. 17. #OAWeekPhillySocial Network Science
    18. 18. #OAWeekPhillySocial Network Science
    19. 19. #OAWeekPhillySocial Network Science
    20. 20. #OAWeekPhillySocial Network ScienceUnconnected Bucket Brigade Telephone Chain Military Brigades
    21. 21. #OAWeekPhillySocial Network Science
    22. 22. #OAWeekPhillySocial Network Science
    23. 23. #OAWeekPhillyMoving to‘Communitiesof Practice’models:1. Collective Intent2. Share Praxis
    24. 24. #OAWeekPhillyOne Part -Behavioral Science#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    25. 25. #OAWeekPhillyMotivation x Ability x Triggers
    26. 26. #OAWeekPhillyMotivation x Ability x Triggers
    27. 27. #OAWeekPhillySocial Network Science +Behavioral Science =SocialQI#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    28. 28. #OAWeekPhilly Crowd Accelerated Improvement Crowd Light Desire
    29. 29. #OAWeekPhillyWhat does this look like in science?
    30. 30. #OAWeekPhillyImpacting the Mega-silosof Healthcare:#3 - Biomedical Research ScienceExploring Chapters 6 and 10#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    31. 31. #OAWeekPhilly1. Scientists conduct their research as covert projects, leading to a culture of closed science2. The system is often manipulated to benefit the scientist and not the science3. The existing publishing model is an abject failure, driving closed access to medical information and wasting time, energy, and ultimately lives.
    32. 32. #OAWeekPhilly1 - Closed Science 1610: “smaismrmilmrpoetaleumibunenugttauiras” “Altissimum planetam tergeminum observavi” “the highest of the planets (Saturn) to be three-formed.”Nielsen: “Reinventing Discovery”
    33. 33. #OAWeekPhilly 1 - Closed Science 1997: “…one in three respondents were denied research results requested from a fellow university scientist in the previous three years” 2002: “nearly half of geneticists stated that at least once in the prior three years they had been denied access to additional information, data, or materials regarding published research” 2012: “one-third of NIH-funded trials remained unpublished fifty-one months after completion.”JAMA 277, no. 15 (1997):1224-1228; JAMA 287, no. 4 (2002):473-480; www.socialQI.comBMJ 344 (January 3, 2012), doi: 10.1136/bmj.d7292
    34. 34. #OAWeekPhilly 2 - Benefitting the scientist, not the science 1. The Multiplier: “Associate yourself with three or four similar academics, preferably at other institutions” 2. The Rapid Data Gatherer: “They get some research output, which helps them, but you get access to their data 3. The Repeater: “Publish the same basic paper in multiple journals” 4. The Avoider: “On no account do anything else”Mark Smithers, “Playing the Game, Publishing or Perishing inHigher Education,” Learning and Educational Technology in Higher Education(blog), November 14, 2011, accessed September 5, 2012,
    35. 35. #OAWeekPhilly3 - Closed Access1. Provide a mechanism to ensure broad reach to new findings2. Document priority claim (who discovered what first)3. Maintain quality thorough peer review4. Ensure appropriate archival and provide a fixed archival version for future reference5. Provide an important way for scientists to navigate the increasing volume of published material
    36. 36. #OAWeekPhilly1. Build better models for sharing2. Integrate new models for reputation and recognition3. Stop feeding the monster
    37. 37. #OAWeekPhilly 1- Rise of the Open Access modelLaakso and Björk BMC Medicine 2012, 10:124.
    38. 38. #OAWeekPhilly 1- Rise of the Open Access modelLaakso and Björk BMC Medicine 2012, 10:124.
    39. 39. #OAWeekPhilly 2 -Birth of Altmetrics NO ONE CAN READ EVERYTHING. We rely on filters to make sense of the scholarly literature, but the narrow, traditional filters are being swamped. However, the growth of new, online scholarly tools allows us to make new filters; these altmetrics reflect the broad, rapid impact of scholarship in this burgeoning ecosystem. We call for more tools and research based on altmetrics.
    40. 40. #OAWeekPhilly 2 - Birth of Altmetrics • Peer-review has served scholarship well, but is beginning to show its age. It is slow, encourages conventionality, and fails to hold reviewers accountable. • Citation counting measures are useful, but not sufficient. …Citation measures are narrow; influential work may remain uncited….they neglect impact outside the academy, and also ignore the context and reasons for citation. • The Impact Factor, which measures journals’ average citations per article, is often incorrectly used to assess the impact of individual articles. It’s troubling that the exact details of the JIF are a trade secret, and that significant gaming is relatively easy.
    41. 41. #OAWeekPhilly2- Birth of Altmetrics
    42. 42. #OAWeekPhilly 3 - Stop feeding the monster • Cost of Knowledge petition: “Timothy Gowers of the University of Cambridge, who won the Fields Medal for his research, . . . asked for a boycott in a blog post on January 21, and [within nine days], on the boycott’s Web site The Cost of Knowledge, nearly 1,900 scientists have signed up, pledging not to publish, referee, or do editorial work for any Elsevier journal.” • University Policy Revisions: “ . . . non-exclusive right to make available copies of scholarly articles written by its faculty. . . . The University authorizes professors to post copies of their articles on their own web sites or on University web sites, or in other not-for-a-fee venues. . . . The main effect of this new policy is to prevent [faculty] from giving away all their rights when they publish in a journal.”Fischman, “Elsevier Publishing Boycott Gathers Steam Among Academics,” The Chronicle of HigherEducation: Wired Campus (blog), January 30, 2012; Creagh, “Princeton goes openaccess to stop staff handing all copyright to journals – unless waiver granted,” September 28, 2011 www.socialQI.com
    43. 43. #OAWeekPhilly “It no longer seems to be a question whether OA is a viable alternative to the traditional subscription model for scholarly journal publishing; the question is rather when OA publishing will become the mainstream model.”Laakso and Björk BMC Medicine 2012, 10:124.
    44. 44. #OAWeekPhillyHow Does SocialQIBecome the New Normin Healthcare?#SocialQI:Simple Solutions forImproving Your Healthcare October 2012
    45. 45. #OAWeekPhilly What Is vs What Could Be • Weight Watchers • Quantified Selfers Patient & Wellness • Alcoholics Anonymous • ACORCommunities • ‘being a patient’ • Patients Like Me • Isolation • #S4PM • Knowledge is power • #meded, #MDchat MedicalCommunities • Free-agent learners • Delta Exchange • CME credit gathering • OzmosisESP • Failed Ed. Design • Rapid Learning Systems • ‘Dose of Science’ • MendeleyBiomedicalResearch • Publish or Perish • Sage BioNetworksCommunities • Traditional Publishing • Altmetrics • Impact Factor • Open Access
    46. 46. #OAWeekPhillyLesson 1: Rely on better technology1. Integration: Real sustainable success will only come from our ability to engineer systems that integrate into existing activities2. Open and Connected: Information flow & big data analytics must3. Social: Over time knowledge will move from the individuals within the community (knowledge capital) to be shared across the community (social capital)
    47. 47. #OAWeekPhillyLesson 1: Rely on better technology4. Incentivizes: ultimately comes down to our ability to tap into the “whats in it for them” of the community5. Controlled: evolve simple, standard tools to govern the inflow and outflow thresholds6. Culture: consider ways to scale up culture to enable increasing larger (but productive) communities to form
    48. 48. #OAWeekPhillyLesson 2: Evolve a new skillset1. Credibility & Reputation: Increasingly contribution to learning and improvement will define one’s professional reputation within the community2. Filtering & Search: We can’t just release the bottleneck of information without the new systems to govern the flow…or folks will drowned
    49. 49. #OAWeekPhillyLesson 2: Evolve a new skillset• Providing Feedback: for true collaboration, getting along should never be as important as getting things done• Self-assessment: we must engage the system with our eyes wide open…digital nature allows reflection and social nature allows norming• Critical thinking & decision making: requires us to know what we know, understand what we don’t know, and not to be paralyzed by the reality that we rarely have all of the information we need
    50. 50. #OAWeekPhillySummary Problems SocialQI Solutions Quality Variation Shared best practices Failure to Advance Peer Norming & Transparency Information New systems forOverload/Filter Failure simplifying learning Lack of Information New culture of sharing
    51. 51. #OAWeekPhillyAbout the book title: #socialQI
    52. 52. #OAWeekPhillyQ and A#SocialQI:Simple Solutions forImproving Your Healthcare October 2012