SlideShare a Scribd company logo
1 of 89
Different Ways
to Bring
Innovation to
Healthcare:
From New
Technologies
to New Humanitarians
Chris E. Stout, PsyD
Department of Research, ATI
College of Medicine, University of Illinois, Chicago
Please note that this was presented in September 2013.
While you can see most of what was displayed, you cannot
hear what I said, and I wish you could.
You may reach me via http://about.me/DrChrisStout if I
may be of help to you in your work.
Cheers,
Chris
OFFICIAL DISCLAIMER:
Cool stuff we’ll not be covering
It’s nice to work with workers’ comp
outcomes because…
Outcomes are VERY Quantified
– RTW at the same job description and PDL
or not?
– How many days passed before RTW?
– Nice, clean, and tidy!
Surgeon’s Perspective on a
Good Outcome
• No anesthesia issues
• No surprises during or after
• No complications
• Good wound healing
• No post-op infection
But how does the story end?
Is the patient back at work?
Quickly?
At the same PDL as prior to injury?
With the same job classification?
Just the facts, er,
evidence…
Evidence is predicated on
clinical outcomes
So, evidence-based practice ROCKs!
Right…?
Half of what is taught in medical school will be
wrong in 10 years’ time, the problem is we
don’t know which half.
Sydney Burwell, MD, former Dean,
Harvard Medical School
It took an
average of 17
years for new
knowledge
generated by
RCTs to be
incorporated
into practice.
–IOM
Not a problem of too little,
but too much
• 3600 statistical articles are published
on average each year
• Do you know how long it would
take you to keep up…?
Just for Coronary Heart Disease…
If you read 1 article/15 minutes
You would have to read >10
articles
For 2 hours/day
7 days/week
Forever…
OK,
So,
now
WHAT?
It’s about
tech…
Onset
Location
Duration
Character
Aggravating/Alleviating
Relieving factors
Timing & severity
Got an image?
Onset
Location
Duration
Character
Aggravating/Alleviating
Relieving factors
Timing & severity
• 75% hit rate for NEJM’s
weekly puzzler via
cut-and-paste
• 96% if fill in the fields
There are a number of resources
available
EvidenceUpdates
• A joint collaboration of
BMJ Group and the
Health Information
Research Unit at
McMaster University
• Best new evidence
tailored to your interests.
• 2-step process shrinks
~50,000 articles/year
(from >140 clinical
journals) down to the
most important 1 - 2
articles per month
= "noise reduction" of
over 99.9%.
And, wouldn’t it be cool if surgeons could
have their latest post-op protocol available
to their rehab-referrals?
They already do (and for free).
And I have been doing some
experimenting….
I was always frustrated with the
disconnect of getting evidence-based
practice in real-time to the clinician
while with the patient
But we may have
cracked the code
PRN Tx
Guideline
Consult (brought to
you by your EMR)
As a nice side-effect of
building this we found…
Tutorials on Information Mastery and EBPs
Evidence-based Medicine Resource Center
Groups That Grade the Evidence For You
Evidence-based practice is sort of
like MoneyBall
Evidence-based practice is not…
Evidence-based practice is not…
Curated Library
And now for something
completely different…
William Rosenblatt, MD
REcovered
Medical
Equipment
Developing
Y (world)
Geek Corps
Ethan Zuckerman
Sustainable Sciences Institute
Institute for OneWorld Health
Victoria Hale, PHD
Marie Charles, MD
Jennifer Staple-Clark
It’s about
tools…
Accelerants…
It’s about:
Collaborations
It’s about:
Please be in touch
Chris.Stout@ATIPT.com
or visit DrChrisStout.com and get
these slides (and a lot more)

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