This document is a presentation by Regina Holliday about patient-centered care. It summarizes her experience advocating for her late husband Fred's medical care and access to his electronic medical record. This led Regina to become a patient advocate and create art to tell patients' stories. The presentation describes challenges faced obtaining Fred's records and navigating his cancer diagnosis. It highlights how social media helped connect Regina to others for support and information when the hospital could not provide answers.

1. Patient Centered:
A presentation by Regina Holliday

2. Disclosure Slide
I have presented or painted before these venues and companies:
2.02.0

3. Which
play center
is open?

4. Playing in a Closed Data Loop

5. Red Rover, Red Rover,
Let
Patients
Come
Over.

6. Who taught you how to be a patient?

7. The Media Center…

8. Patient Reported Data is very important.

9. Even a child
can understand
and appreciate
health
Information.

10. When the abuse becomes too bad call this number.

11. Fred would meet Regina on a stage
in a scenic painting class atOklahoma State University.
We would talk of Stephen King’s Dark Tower.
We would fall in love.

12. The Holliday Family Christmas 2007

13. 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

14. Fred was happy with his new job.
But he was very tired,
He went to the doctor and was
diagnosed with hypertension.

15. During the months of
January, February and
March of 2009,
Status Lines…

16. On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home.

17. Fred was hospitalized on March 25th 2009
for the administration of tests.
On March 27th, he was told while alone that
he had “tumors and growths.”
He was scared and confused and did not understand.
His oncologist left town for the next four days to a medical
conference and was not reachable by phone or email.

18. What was the diagnosis? What were the treatment options? Would he get a pain consult?

19. Systems Error:
More than a bad doctor

20. Working on the
Puzzle
at 3:00 am

21. This is my husband’s
medical record.
I was told it would cost
73 Cents
per page
And we would have to
wait 21 days to get a copy.

22. “She must not have tried very hard to get the record….”
Comparing access to an unpublished book by
Stephen King
to accessing the
Electronic Medical Record
while hospitalized.

23. “Go After Them,
Regina.”
April 18, 2009

24. After waiting for
5
days for a transfer
to another hospital for a second opinion,
We were sent with an out of date
and incomplete medical record
and transfer summary.
The new staff spent
6
hours trying to
cobble together a current medical record
Using a telephone and a fax machine.

25. This is the
vital clinical information
from Fred’s electronic medical record.
Presented in the style of
the Nutrition Facts Label.
Then painted on the wall of
Pumpernickel’s Deli in
Washington, DC.

26. “What about the
chemotherapy?”
We were told the order had been placed.
It did not come.

28. 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 ?
Within one day were in email contact
and then spoke on the phone.
By ten o’clock May 4th 2009, I was
talking on the phone with Dave’s
Oncologist about my husband’s cancer.

29. Going to Hospice.

30. We fulfilled our final 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

31. The Art Center
is open:
Writing
on the
Wall

32. Painting Advocacy meets
Social Media

33. This is the painting 73
cents.
This is the vital patient story, the social history , the sacred heart of Fred’s
ELECTRONIC MEDICAL RECORD.

34. On Tuesday, October 20th 2009 we dedicated the mural,
“Where do we go
from here?”

35. How about a report card for Hospitals?

36. How would you
define
Meaningful Use?

37. There may be set backs on
Our way to patient data access.,
but
we
will
prevail.

38. All over the world, patients
Are demanding their data.
They are demanding access
to the data from their doctors,
from their hospitals,
and from the devices
inside of their bodies.

39. Inside of every EMR there is a patient story,
And sometimes it is told by Betty of Bellin Health.

40. Blue Button: More than app for veterans.

41. As any preschool child
can tell you,
You do not
eat off
the toilet.

42. 2 year study at Primary care settings of Beth Israel
Deaconess Medical Center, Geisinger and
Harborview
90% patients responded they understood what they
had read & were not bothered by it.
1-2% were concerned/offended by the contents of
the notes
87% of those patients enrolled in this study did
check the notes.
Doctors said the study either only added a modest
increase in work or that it was negligible.
80% Patients claimed greater adherence to
medication protocols due to access to the notes.

43. Prototype Consumer Reporting System for Patient Safety,
When the abuse becomes too bad call this number.

44. When everyone
plays,
everyone wins.

45. What happens to user experience when designers like
Michael Graves design wheelchairs?

46. Do you know about
Engage with Grace?
Alex Drane created this after losing a family member.

47. Why can’t we ask Hallmark
to make hospice cards?
Would that help us talk
about end of life?

48. Welcome to the Walking Gallery.
Telling the patient story one jacket at a time.

49. Freddie grows beyond peering through
a door crack to walking in a Gallery.

50. Isaac grows up.
He joins the gallery as an artist.
His jacket is named “Feelings.”
In this year’s jacket he focused
on diabetes care.

51. Be the change you wish to see.

52. The more stickers that are out there the more important it seems.
The more important it seems, the more people want to know what it is.
The more they ask they ask each other.
It gains
real power from perceived power.-Shepard Fairey

53. Standing out and looking different,
Can be uncomfortable or frightening.
But is often needed for advocacy.
You can take a negative and turn
it into a
POSITVE.
~ @ReginaHolliday