Diabetes, PHRs,at teams - Hopkins Capstone

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Wade Schuette

This is my capstone project for my MPH at Johns Hopkins, 2008.

Health & Medicine

Can disadvantaged urban diabetes patients leverage the sharing of Personal Health Record data with self-management support teams to improve empowerment, access, and outcomes? Capstone Presentation A Research Grant Proposal at the Johns Hopkins Bloomberg School of Public Health May 1, 2007 R. Wade Schuette

Diabetes is a major problem ,[object Object],[object Object],[object Object],[object Object]

NIH is seeking proposals (R21) http://grants.nih.gov/grants/guide/pa-files/PA-06-337.html ,[object Object],[object Object],[object Object],[object Object],[object Object]

Can we improve the Chronic Care Model? http:// www.ihi.org/IHI/Topics/ChronicConditions /

First, computers have evolved since my uncle Roger’s day http://www.sprintspecialoffers.com

Second, theories are changing… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Third, the personal health record (PHR) is already here ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

But - When groups advocate the PHR, they may mean two very different things: ,[object Object],[object Object],[object Object],[object Object]

So, how can we exploit this? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How would success show up ? ,[object Object],[object Object],[object Object]

Long-Term Effect of the Internet-Based Glucose Monitoring System on HbA1c Reduction and Glucose Stability, Diabetes Care , vol. 29 no. 12, Dec. 2006, by Cho

Impact of an Electronic Medical Record on Diabetes Quality of Care, Annals of Family Med ., vol. 3, no. 4, July/August 2005 by O’Connor ,[object Object],[object Object],[object Object],[object Object],[object Object]

So, a tentative proposal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proposed intervention (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The crux of the problem: “feedback control loop ” from Control Systems Engineering textbook: Feedback Control of Dynamic Systems , 4 th edition, by Franklin, Powell, & Emami-Naeini (2002)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 2 3 5 + 4

Usable feedback is critical (SkyMark’s i-PathMaker line of team software – www.skymark.com )

To close the circuit and make the lights go on, we’ll need a “blue gozinta” ,[object Object],[object Object]

So the first-pass design is this: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Next steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Take home messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aside -- even without a PHR, there are now reliable, simple tools for collaboration through blogs and cell-phones and “social networking” – (“Power to the people” is here today) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Questions? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Diabetes, PHRs,at teams - Hopkins Capstone

1. Can disadvantaged urban diabetes patients leverage the sharing of Personal Health Record data with self-management support teams to improve empowerment, access, and outcomes? Capstone Presentation A Research Grant Proposal at the Johns Hopkins Bloomberg School of Public Health May 1, 2007 R. Wade Schuette

2. Wade

5. Can we improve the Chronic Care Model? http:// www.ihi.org/IHI/Topics/ChronicConditions /

6. First, computers have evolved since my uncle Roger’s day http://www.sprintspecialoffers.com

10.

11.

12. Long-Term Effect of the Internet-Based Glucose Monitoring System on HbA1c Reduction and Glucose Stability, Diabetes Care , vol. 29 no. 12, Dec. 2006, by Cho

13.

14.

15.

16. The crux of the problem: “feedback control loop ” from Control Systems Engineering textbook: Feedback Control of Dynamic Systems , 4 th edition, by Franklin, Powell, & Emami-Naeini (2002)

17.

18. Usable feedback is critical (SkyMark’s i-PathMaker line of team software – www.skymark.com )

19.

20.

21.

22.

23.

24. This journey continues on my weblog

25.

Editor's Notes

Don’t understand DOCTOR, DEMMING
Close the loop and two things happen – statistics stop working, and the system starts working, there’s a whole new way to analyze such things that might be worth checking out. EXPLORE not ANALYZE., motor skils

Diabetes, PHRs,at teams - Hopkins Capstone

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