you're going to need a bigger binder
DESCRIPTION
This presentation is a mash-up of film, social media and HIT policy.TRANSCRIPT
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“You’re going to need a
bigger binder:”
What one late great film professorcan teach us about care transitions.
a presentation by @Regina Holliday
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"That's part of your problem, you haven't seen enough movies. All of life's riddles are answered in the movies." —Davis (Steve Martin), Grand Canyon,
from Frederick Holliday's PhD e-mail signature
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What does 70s TV have to do with medicine?
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Fred met Regina on stage in a scenic painting class at Oklahoma State University.
They would talk of Stephen King’s Dark Tower
and fall in love.
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The reality of patient engagement
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Playing Doctor: Fall 2008
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During the months of
January, February and March of 2009,
Status Lines…
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On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home.
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Fred was hospitalized on March 25th 2009 for the administration of tests.
On March 27th, he was told while alone thathe had “tumors and growths.”
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What was the diagnosis? What were the treatment options? Would he get a pain consult?
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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.
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“She must not have tried very hard to get the record….”Comparing access to an unpublished book by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.
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“Go After Them, Regina.” April 18, 2009
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"This is your last chance.
After this, there is no turning back.
You take the blue pill -- the story ends, you wake up in your bed and believe whatever you want to believe.
You take the red pill -- you stay in Wonderland and I show you how deep the rabbit-hole goes.”
-The Matrix
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After waiting for 5 days for a transfer, 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 record using a phone and a fax machine.
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This is the
vital clinical informationfrom Fred’s electronic medical record.
Painted on the wall ofPumpernickel’s Deli in Washington, DC.
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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 ?
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Going to Hospice.
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Terminal Restlessness.
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This is the painting 73 cents.
This is the vital patient story, the social history , the sacred heart of Fred’s
ELECTRONIC MEDICAL RECORD.
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On Tuesday, October 20th 2009 we dedicated the mural,
“Where do we go from here?”
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What can we do by next Tuesday?
What will defeat the Big Bad?
The Final Boss?
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Meaningful Use in adiner
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The Cake is a Lie.
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Doctor Strangelove&Value Based Purchasing
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MIB
MedicalInformation Bureau
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My Halloween Decorations:
Portals are coming!
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What does data and device access advocate Dr. Eric Topol have in common with
the movie Alien?
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All over the world, patients are demanding their data.
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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.
87% of those patients enrolled in this study did check the notes.
80% Patients claimed greater adherence to medication protocols due to access to the notes.
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What if data donation improved organ donation?
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The Learning Health System and Chaordic Organization
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Blue Button: More than app for veterans.
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Who taught you how to be a patient?
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Involving Patients as a Path to Achieving the Triple Aim
How would pop-culture define the IHI Triple Aim?
Not as just another pyramid….Not as just another failed pictograph.
What does it make you think of ?
How about…
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The Temple of Gozer from Ghostbusters?
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I have a radical idea. The door swings both ways, we could reverse the particle flow through the gate.
How? [hesitates] We'll cross the streams.
'Scuse me Egon? You said crossing the streams was bad!
You're gonna endanger us, you're gonna endanger our client - the nice lady, who paid us in advance, before she became a dog...
Not necessarily. There's definitely a *very slim* chance we'll survive. [pause while they consider this]
[slaps Ray] I love this plan! I'm excited to be a part of it!
LET'S DO IT!
Cross the streams...
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IHI Triple Aim is not a triangle.
It is a focusing beam.
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HAI! The artists and designers are coming
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What happens to user experience when designers like
Michael Graves design wheelchairs?
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Why can’t we ask Hallmarkto make hospice cards?
Would that help us talk about end of life?
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You can take a negative and turnit into a
POSITVE.
Welcome to the Walking Gallery.
Telling the patient story one jacket at a time.
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206 unique Walkers have joined wearing 227 jackets.
The Walking Gallery is promoted heavily using the free tools of
social media.
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Fred’s last request is to remember him by watching a film on his birthday.
March 31,1970 – June 17, 2009
Thank You.