“Maybe” is not a wary word.

a geek’s reflection on PASS

Assistant Research Professor, Indiana University School of Medicine Research Scientist, Regenstrief Institute, Inc

Exploring the Future of Physical Therapy Symposium

09.10.2011 © 2011 dvreeman@regenstrief.org

Daniel J. Vreeman, PT, DPT, MSc

photo via Sadie Hernandez

Overview

1.  PASSed 2.  PASSing 3.  will PASS

photo via Vernio77

PASS…reframed our traditional focus on the physical therapist and the patient/client to one in which physical therapists are an integral part of a collaborative, multidisciplinary health care

team with the health care consumer as its focus.

The Future Great Scott!

Complete, longitudinal information that follows the consumer

Care that is value-based and coordinated across settings

photos via meddygarnet and brykmantra

Health decisions made with information tools that assist and guide

Have you considered…

Results Fewer errors, waste, variations Consumer-centered care Lower spending

A Consumeristic View

photo via paskukaru76

photo via x-ray delta one

Patients move faster and further than their health information

Fundamental challenge: local systems have idiosyncratic ways of identifying similar concepts

PASSing What PASS looks like in the wild…

photo via bm.iphone

A Unified Patient Record

Logical

Observation

Identifiers

Names and

Codes A universal code system that facilitates exchange,

pooling, and processing of results

Similar name, different meaning…

meerkat meerkat mere cat meerkat photo via Caption Time

13,000+ users in 143 countries

CMS EHR Incentive Program

a.k.a. “Meaningful Use”

This too shall PASS…

photo via TheGiantVermin

…if we start doing some things we’re not now.

photo via lindaaslund

Frances Westley Brenda Zimmerman

Michael Patton

Frances Westley Brenda Zimmerman

Michael Patton

1.  Being distressed by a problem 2.  Deciding something must be done 3.  “Getting to maybe” 4.  Understanding the system which led

to discontent 5.  Encountering “powerful strangers” 6.  Rapid growth by !nding the "ow 7.  reatened powers !ght back 8.  Connecting with much larger forces

Frances Westley Brenda Zimmerman

Michael Patton

“Maybe” comes with no guarantees, only a chance.

But “maybe” has always been the best odds the world has

offered to those who set out to alter its course...

Frances Westley Brenda Zimmerman

Michael Patton

“Maybe” is not a cautious word. It is a de!ant claim of possibility in the face of

a status quo we are unwilling to accept.

Get in the game.

photo via the U.S. Army

Adopt interoperable Electronic Health Records (EHRs) but be mindful of the complexity

photo via Grim Santo

Physical therapist education programs

should incorporate core informatics competencies

into their curricula.

We are not alone

We are not alone.

We are not alone

We are not alone.

Physical therapist education programs should partner with

health informatics professionals in evaluating the efficacy of informatics interventions in physical therapist practice,

education, and research.

Computer +

Human Human

closing thought

photo via scragz

photo via scragz

ough Wooten's basses receive much attention, his

most frequent and consistent response when asked by his fans about his equipment is that "the instrument doesn't make the music ... you do".