Reports on FICPI-AIPLA Colloquium “A Comprehensive Approach to Patent Quality” June 8-9, 2007
Quality colloquium 2012 final
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Transcript of Quality colloquium 2012 final
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Engaging And Empowering
Patients For Quality
& Safety
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“e-Patient Dave” deBronkart
• High tech marketing• Data geek; tech trends; automation• 2007: Cancer kicker
• 2008: E-Patient blogger
• 2009: ParticipatoryMedicine, Public Speaker
• 2010: full time
• 2011: international
• 2012: turning the corner
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Michael Millenson• Health Quality
Advisors
• Demanding Medical Excellence, Health Affairs, many more
• Board of American Medical Group Foundation, AHIMA Foundation, Soc’y for Participatory Medicine Amer Jour of Medical Quality
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Rajni Aneja, MD, MBA, CPE• EVP, Joslin Diabetes
Center
• CPE / family practice
• Care Continuum Alliance
• ACPE
• Past:– CMO for WebMD– OptumHealth nat’l
medical director for disease mgmt, quality & standards
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Tom Peters, MBA, PhD
• In Search of Excellence and 16 other books
• Extraordinarily diverse industry experiences
• Track record of successfully working with leaders to create change
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“e-Patient Dave” deBronkart
Twitter: @ePatientDavefacebook.com/ePatientDave
LinkedIn.com/in/[email protected]
What if Duane Smith had a shared care
plan?
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Proposed taxonomy of fixes
from Helen’s keynote• Putting more power in patient
hands: – Information– Tools
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Proposed taxonomy of fixes
from Helen’s keynote• Putting more power in patient
hands: – Information– Tools
• Listening to what patients report from the front line
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Proposed taxonomy of fixes
from Helen’s keynote• Putting more power in patient
hands: – Information– Tools
• Listening to what patients report from the front line
• Not leveraging available contributions– A squandered opportunity– Economic inefficiency
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“It has taken a full century for the patient’s perspective to go from being routinely ignored to being hailed as a pillar of an ideal health care system.”
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“Rethinking the relationship between the patient and professional caregivers is a cornerstone of successful health system redesign”
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“Consumer engagement, whether in the exam room or in a health care organization’s boardroom, is a central element.”
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“Consumer engagement, whether in the exam room or in a health care organization’s boardroom, is a central element.”
I add: same for engagement at
the bedside, too.
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What happened
here??
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Gawande:
• A medical miracle – a great save
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Gawande:
• A medical miracle – a great save
• In stark contrast, an “epic fail”with great human cost
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Gawande:
• A medical miracle – a great save
• In stark contrast, an “epic fail”with great human cost
• By the same people in the same system
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What if Duane’s familyhad googled
“splenectomy”?
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What happened here?
• Squandered potential value
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What happened here?
• Squandered potential value
• An asset in the system (knowledge) that was not brought to the point of care at the time when it was needed
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Who can solve this?
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Who can solve this?
Do we pound onclinicians more?
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“I want to note especially the importance of the
resource that is most often under-utilized in our information systems – our patients”
Charles Safran MD, Beth Israel Deaconess quoting his colleague, Warner Slack MDTestimony to the House Ways & Means subcommittee on health, 2004
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What if the care teamhad shared the care
planwith the patient &
family?
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Abington Memorial created one.
(It’s just an EMR report)
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e-Patients.net founderTom Ferguson MD 1944-2006
Equipped
Engaged
Empowered
Enabled”
Doc Tom said,
“e-Patients are
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Web 2.0: “When the web began to harness the intelligence of its users” – Tim O’Reilly
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If the microscope’s happy
but the patient’s not,
has care been achieved?
Has optimal care??
Was the money well spentfor customer value?
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This is the only industrywhere the definition of
qualitydoesn’t start
by asking customers what they want more of
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A patient’s definition of quality:
Achieving everythingwe possibly can
in the family member’s care.
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Compliance
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ComplianceAchieveme
nt
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Compliance(Whose goal is it, anyway?)
Achieveme
nt
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Compliance(Whose goal is it, anyway?)
Achieveme
nt
Quality???
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EMRs and Quality (NEJM)
• Patients who achieved 4 out of 5 outcomes
With EMR Paper based 44% 16%
• Patients whose care met four quality standards
With EMR Paper based 51% 7%
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Peter Margolis, Cincinnati Children’s
.5 x .5 = .25
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A patient’s definition of safety:
Avoiding avoidableharm and mistakes.
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A patient’s definition of safety:
Avoiding avoidableharm and mistakes.
Also known as accidents.
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What could possiblystop us
from speaking up to help?
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Answer:We’re afraid of you.
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“I want to note especially the importance of the
resource that is most often under-utilized in our information systems – our patients”
Charles Safran MD, Beth Israel Deaconess quoting his colleague, Warner Slack MDTestimony to the House Ways & Means subcommittee on health, 2004
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“What is the Role of the Patient?”
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“What is the Role of the Patient?”
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“What is the Role of the Patient?”
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Gawande at CMMI Summit
“There is a bell curve for quality – a wide gap between the best care and the worst.
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Gawande at CMMI Summit
“There is a bell curve for quality – a wide gap between the best care and the worst.
“There is another bell curve for costs – again, a wide gap.
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Gawande at CMMI Summit
“There is a bell curve for quality – a wide gap between the best care and the worst.
“There is another bell curve for costs – again, a wide gap.
“Surprisingly, the two curves do not match.
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Gawande at CMMI Summit
“There is a bell curve for quality – a wide gap between the best care and the worst.
“There is another bell curve for costs – again, a wide gap.
“Surprisingly, the two curves do not match.
“And that means there is hope.”
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“It has taken a full century for the patient’s perspective to go from being routinely ignored to being hailed as a pillar of an ideal health care system.”
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“e-Patient Dave” deBronkart
Twitter: @ePatientDavefacebook.com/ePatientDave
LinkedIn.com/in/[email protected]
Let Patients HelpHeal Healthcare.