Presentation to the HealthKick 2015 conference in Toronto, May 2015. Includes important definition of empowerment from the World Bank - highly applicable to how and why patients become empowered when they gain access to more information.
Getting Beyond the Hype of “Disrupting Healthcare” and Focusing on Actionable...Shahid Shah
This was a Keynote Address I gave at Healthcare Unbound 2013 and focused on what’s needed for healthcare technology innovation in a value- and outcomes-driven model.
There’s a ton of hype surrounding disruptive technology innovation in healthcare but nothing is truly making a dent in the healthcare sector the same way as disruptions have occurred in other major segments of our economy. The slow but sure march from Fee For Service Based Care to Outcomes Driven Care has certainly started but it’s neither fast enough nor substantial enough to bend the cost curve or improve value to patients in the short term.
This presentation discusses how we can get beyond the hype by focusing on actionable innovation. Specifically, I answered the following questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
Important takeaways this session included:
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
NI2016 is the Nursing Informatics conference, in a different country every other year; this year it's Geneva, Switzerland. This talk focused on how nursing informatics can empower patients and families by sharing medical data.
e-Patient Dave's keynote address at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
E-Patient Dave's presentation, "Let patients help: The most under-used member of the health care team", closed the Summit with a bang and a standing ovation.
Dave deBronkart, a survivor of Stage IV liver cancer, may be the leading spokesperson for the e-Patient movement. E-Patients are Empowered, Engaged, Equipped and Enabled and Expert. They know more about their own health, and their health care experience, than any other member of their care team. Dave shared his own story about becoming an e-Patient, and left us inspired and informed about how to “let patients help” improve health care.
Expanded version of a short panel presentation on the subject of mHealth. My point was that mHealth has meaning only in the larger context of an important reality: the best quality care depends on having the best information, so THAT is what we need to be thinking about.
Getting Beyond the Hype of “Disrupting Healthcare” and Focusing on Actionable...Shahid Shah
This was a Keynote Address I gave at Healthcare Unbound 2013 and focused on what’s needed for healthcare technology innovation in a value- and outcomes-driven model.
There’s a ton of hype surrounding disruptive technology innovation in healthcare but nothing is truly making a dent in the healthcare sector the same way as disruptions have occurred in other major segments of our economy. The slow but sure march from Fee For Service Based Care to Outcomes Driven Care has certainly started but it’s neither fast enough nor substantial enough to bend the cost curve or improve value to patients in the short term.
This presentation discusses how we can get beyond the hype by focusing on actionable innovation. Specifically, I answered the following questions:
* What does innovation in healthcare mean?
* Where are the major areas in healthcare where innovation is required?
Important takeaways this session included:
* Understand PBU: Payer vs. Benefiter vs. User
* Understand why healthcare businesses buy stuff so you can build the right thing
NI2016 is the Nursing Informatics conference, in a different country every other year; this year it's Geneva, Switzerland. This talk focused on how nursing informatics can empower patients and families by sharing medical data.
e-Patient Dave's keynote address at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
E-Patient Dave's presentation, "Let patients help: The most under-used member of the health care team", closed the Summit with a bang and a standing ovation.
Dave deBronkart, a survivor of Stage IV liver cancer, may be the leading spokesperson for the e-Patient movement. E-Patients are Empowered, Engaged, Equipped and Enabled and Expert. They know more about their own health, and their health care experience, than any other member of their care team. Dave shared his own story about becoming an e-Patient, and left us inspired and informed about how to “let patients help” improve health care.
Expanded version of a short panel presentation on the subject of mHealth. My point was that mHealth has meaning only in the larger context of an important reality: the best quality care depends on having the best information, so THAT is what we need to be thinking about.
Meet the experts and find out how technology is changing the future of healthcare, quality of life trends and figures, how to help patients adapt to a change in rhythm, how to train a staff that CARES, holistic approaches to patient care, mealtime management and news around the world.
For many doctors, the idea of a light, portable, powerful device that they could integrate with their daily professional lives was the stuff of fairy tales… until the iPad. Come and learn more about how doctors are using this device to improve point-of-care service, make rounding more efficient, etc. iPads will be available for hands-on study, and Kimberley (your technology fairy godmother) will explain how you can check one out!
The Networked Public Physician: Will you take the plunge?Joyce Lee
Slides for my talk to the 1st year medical students at the University of Michigan about the transformative power of social media. Check out the homework I gave ahead of time! http://joyceisplayingontheinter.net/andtweetingwithmedstudents.html
High-powered webcast to NNLM Feb 21, 2019. Introduces the Superpatient concept, contrasts it with generic "citizen scientists," gives several examples, addresses the cultural obstacles that hold back progress, and asks how medical libraries might encourage and support superpatients in their efforts.
Presentation at monthly CME activity of the Philippine Dermatology Society in cooperation with Skin & Cancer Foundation Inc. at the St. Luke's Medical Center Global, 20 April 2016
Medical Doctor as Maker Designer: Participatory Design for HealthcareJoyce Lee
Slides from my Vanderbilt University Tech Talk on June 1, 2015. Video available here: http://mediasite.vanderbilt.edu/Mediasite/Play/36ef6c8ea30049d498201313ea925c711d
Using eHealth to manage chronic diseases in a person-centred approach to carelikewildfire
A multidisciplinary reflexion on health issues of the 21st century could lead to innovative solutions. One of the challenges to overcome in the coming decades is how to support the increasing number of chronic patients in a pressured healthcare ecology. Patients in chronic disease management are expected to increasingly use Information and Communication Technology (ICT) for self-care during their treatment process and for co-decision with health care providers. The application of these types of information and communication technology is looked upon as one of the ways to get both patients and healthcare providers more involved in their treatment and to increase the health related quality of care, according to the WHO. Connecting patients and health care professionals would not only improve the technical system of communicating but also triggers social innovations of care models in which new ways of interacting and deciding improves the diagnostics and treatment. So far, a general overview of the extent and nature of published research involving this subset of ICT-interventions is lacking. Based on a scoping review conducted by Wildevuur e.o cancer was chosen as a case study to research how ICT could support cancer-patients in a person-centred approach to care.
How advances in Exponential Technology are enabling entrepreneurs to do in Healthcare what was once only possible by government and large corporations.
A multidisciplinary reflexion on health issues of the 21st century could lead to innovative solutions. One of the challenges to overcome in the coming decades is how to support the increasing number of chronic patients in a pressured healthcare ecology. Patients in chronic disease management are expected to increasingly use Information and Communication Technology (ICT) for self-care during their treatment process and for co-decision with health care providers. The application of these types of information and communication technology is looked upon as one of the ways to get both patients and healthcare providers more involved in their treatment and to increase the health related quality of care, according to the WHO. Connecting patients and health care professionals would not only improve the technical system of communicating but also triggers social innovations of care models in which new ways of interacting and deciding improves the diagnostics and treatment. So far, a general overview of the extent and nature of published research involving this subset of ICT-interventions is lacking. Based on a scoping review conducted by Wildevuur e.o cancer was chosen as a case study to research how ICT could support cancer-patients in a person-centred approach to care.
Meet the experts and find out how technology is changing the future of healthcare, quality of life trends and figures, how to help patients adapt to a change in rhythm, how to train a staff that CARES, holistic approaches to patient care, mealtime management and news around the world.
For many doctors, the idea of a light, portable, powerful device that they could integrate with their daily professional lives was the stuff of fairy tales… until the iPad. Come and learn more about how doctors are using this device to improve point-of-care service, make rounding more efficient, etc. iPads will be available for hands-on study, and Kimberley (your technology fairy godmother) will explain how you can check one out!
The Networked Public Physician: Will you take the plunge?Joyce Lee
Slides for my talk to the 1st year medical students at the University of Michigan about the transformative power of social media. Check out the homework I gave ahead of time! http://joyceisplayingontheinter.net/andtweetingwithmedstudents.html
High-powered webcast to NNLM Feb 21, 2019. Introduces the Superpatient concept, contrasts it with generic "citizen scientists," gives several examples, addresses the cultural obstacles that hold back progress, and asks how medical libraries might encourage and support superpatients in their efforts.
Presentation at monthly CME activity of the Philippine Dermatology Society in cooperation with Skin & Cancer Foundation Inc. at the St. Luke's Medical Center Global, 20 April 2016
Medical Doctor as Maker Designer: Participatory Design for HealthcareJoyce Lee
Slides from my Vanderbilt University Tech Talk on June 1, 2015. Video available here: http://mediasite.vanderbilt.edu/Mediasite/Play/36ef6c8ea30049d498201313ea925c711d
Using eHealth to manage chronic diseases in a person-centred approach to carelikewildfire
A multidisciplinary reflexion on health issues of the 21st century could lead to innovative solutions. One of the challenges to overcome in the coming decades is how to support the increasing number of chronic patients in a pressured healthcare ecology. Patients in chronic disease management are expected to increasingly use Information and Communication Technology (ICT) for self-care during their treatment process and for co-decision with health care providers. The application of these types of information and communication technology is looked upon as one of the ways to get both patients and healthcare providers more involved in their treatment and to increase the health related quality of care, according to the WHO. Connecting patients and health care professionals would not only improve the technical system of communicating but also triggers social innovations of care models in which new ways of interacting and deciding improves the diagnostics and treatment. So far, a general overview of the extent and nature of published research involving this subset of ICT-interventions is lacking. Based on a scoping review conducted by Wildevuur e.o cancer was chosen as a case study to research how ICT could support cancer-patients in a person-centred approach to care.
How advances in Exponential Technology are enabling entrepreneurs to do in Healthcare what was once only possible by government and large corporations.
A multidisciplinary reflexion on health issues of the 21st century could lead to innovative solutions. One of the challenges to overcome in the coming decades is how to support the increasing number of chronic patients in a pressured healthcare ecology. Patients in chronic disease management are expected to increasingly use Information and Communication Technology (ICT) for self-care during their treatment process and for co-decision with health care providers. The application of these types of information and communication technology is looked upon as one of the ways to get both patients and healthcare providers more involved in their treatment and to increase the health related quality of care, according to the WHO. Connecting patients and health care professionals would not only improve the technical system of communicating but also triggers social innovations of care models in which new ways of interacting and deciding improves the diagnostics and treatment. So far, a general overview of the extent and nature of published research involving this subset of ICT-interventions is lacking. Based on a scoping review conducted by Wildevuur e.o cancer was chosen as a case study to research how ICT could support cancer-patients in a person-centred approach to care.
Emily Kramer-Golinkoff: The networked patientaimlabstanford
Stanford Medicine X 2013 ePatient Scholar Emily Kramer-Golinkoff ponders the status of modern healthcare as a cystic fibrosis patient in this Ignite talk illustrating her view of the chronic medical care system.
Internal corporate presentation Sept 12 2017 in Detroit. How can patient satisfaction indicate how well patient engagement and empowerment are helping to achieve best possible care - in the patient's eyes?
The history of medicine has been a continuous evolution of methods, models, and paradigms as what's possible has changed with new technology. Today the frontier of medicine is "superpatients" - patients who don't just receive care, they literally extend science and create treatments: truly "super" patients. Video of this talk will be available soon!
Observations and inspirations from the Ogilvy CommonHealth Worldwide team that attended SXSW Interactive 2015 in Austin. From digital health and wearables to predictive analytics and robots, our team saw it all. Here we present the trends we saw and key takeaways from select sessions.
Presented at the 32th Naval Medical Department Academic Conference: Medical Challenges in Disruptive Era, Naval Medical Department, Chonburi, Thailand on September 5, 2019
Kim Solez tech&future of medicine for med students fall 2017Kim Solez ,
Kim Solez technology&future of medicine for med students fall 2017 Oct. 6, 2017 at the University of Alberta in Edmonton, Alberta, Canada. Copyright (c) 2017, JustMachines Inc.
Edgy new angle on why it MATTERS whether a patient's health data gets to where it's needed: if it doesn't medicine will fall short of what it could have achieved. Who wants that?? Talk at New England HIMSS "education & social"
Are you in search of information related to brain health? Do you care for a person with a form of dementia like Alzheimer's, Lewy Body, Vascular, or Frontotemporal? Looking for a way to support someone caring for another with dementia?
Then please check out our Brain Health Bulletin! Please feel free to forward this to anyone who may find benefit in receiving it! The Brain Health Bulletin is designed to be your quick reference to the latest information about brain health, dementia research, technology, cultural awareness for effective, inclusive, and compassionate dementia treatment, care partner tools, and more!
Presentation to first Phillipine health care social media (#hcsmph) conference on future of social media - Feb. 21, 2014
(Please note date on cover slide is wrong - I'm not that much of a futurist!!)
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
Opening keynote at DIA Europe, Vienna, Feb 5, 2019. Our paradigm of patient is significantly out of date, and it's holding back progress - a new class of "Superpatients" are *extending* science when the doctors are out of answers. Amazing!
In 2012 I spoke to this outstanding organization in York, PA, in Robert Wood Johnson Foundation's Aligning Forces for Quality program. Now we're getting back together to see how their work and the patient engagement and empowerment movement have both progressed, and what's next. First exploratory meeting.
From “Let Patients Help” to “Get Out of My Way”: Why some patients want ALL ...e-Patient Dave deBronkart
High speed talk to developers at the annual FHIR* Developer Days conference in Amsterdam. The world of health data migration is advancing very rapidly, and the time has come to call for developers to let PATIENTS have full access to every kind of data they need.
* FHIR = Fast Healthcare Interoperability Resources FHIR.HL7.org
Companion video: http://www.epatientdave.com/2017/02/06/the-lost-keynote-video-aanp-2014/
The 2014 annual meeting of the American Association of Nurse Practitioners, in Nashville. One of my favorite talks of all time - nurse practitioners are by nature highly committed to putting power and competence in the hands of patients.
Connects to the social roots of the movement, particularly the women's movement, and emphasizes the patient's view: is it really a PROBLEM that we're surviving long enough to get chronic conditions?? Standing ovation.
Presentation by Šarūnas Narbutas, President of Lithuanian Cancer Patient Coalition (POLA), at a 2015 conference, regarding the many tricky issues around independence, funding, and trustworthiness of everyone in patient / industry partnerships.
The congress theme is "How far is the future?" This 20 minute talk discusses the sociological and technological changes that are enabling Participatory Medicine, and what it means for the future of providers' practices.
Terrific presentation by Team Novo Nordisk to the DOC (diabetes online community) at the American Diabetes Association's scientific conference, New Orleans, June, 2016. [Shared with permission]
Most people don't know that palliative care is NOT just for end of life - it can be added to curative treatments. This is my first speech about approaching death, interweaving culture change from the perspective of a 1960s hippie who became a businessman in high tech.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
What e-Patients Want and Why They Need To Be Empowered
1. “e-Patient Dave” deBronkart
Twitter: @ePatientDave
facebook.com/ePatientDave
LinkedIn.com/in/ePatientDave
dave@epatientdave.com
What e-Patients Want
and WhyThey Need
to Be Empowered
9. Empowerment
“Increasing the capacity !
of individuals or groups"
to make choices [about what they want]"
and to transform those choices !
into desired actions & outcomes”!
World Bank, 2002!
20. How a kidney cancer wife
found the info she needed
• No insurance;
no treatment.Then:
• Three bad hospitals;
no help.Then:
• A friend said
“I know a guy...
on Twitter”
42. Who gets to say
what’s in the
patient’s best
interest?
43. Patient-Clinician Partnerships
Engaged, empowered patients—
A learning health care system is
anchored on patient needs and
perspectives
and promotes the inclusion of patients,
families, and other caregivers as vital
members of the continuously learning
care team.
44. “How can patients participate if they don’t
have the information?” – Dr.Danny Sands
49. Withings
Withings Wi-Fi scale
Fitness wristband & heart band
YMCA Diabetes Prevention Class
(food training & physical activity)
MyFitnessPal diet tracking app
Strong spousal support
My doctors can’t see this in their computers!