JAMIA, 1997Participatory

Medicine Can Help Improve

the Practice of Medicine

“The resource that is most often under-utilized –

our patients”Charles Safran MD, Beth Israel Deaconess quoting his colleague, Warner Slack MDTestimony to the House Ways & Means subcommittee on health, 2004

Total value of care =

Total value of care =

value created by providers (in visits)

Total value of care =

value created by providers (in visits)

+ value created bypatients (between visits)

How can we optimize the

patient & family’s contribution?

Compliance(Whose goal is it, anyway?)

Compliance(Whose goal is it, anyway?)

Achieveme

nt!

Peter Margolis, Cincinnati Children’s

.5 x .5 = .25

Gilbert’s matrix of performance improvement(Thomas F. Gilbert, 1927-1995)

Gilbert’s matrix of performance improvement(Thomas F. Gilbert, 1922-1995)

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?• Do they know when it needs to be

done?

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?• Do they know when it needs to be

done?• Do they know how to do it?

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?• Do they know when it needs to be

done?• Do they know how to do it?• Do they have the information

they need to do it successfully?

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?• Do they know when it needs to be

done?• Do they know how to do it?• Do they have the information

they need to do it successfully?• Can they tell when it’s

complete?

Can we make it easyto do the right thing?

Can we make it easyto do the right thing?

Ingredients of an effective response to a situation:• Does the person know

what needs to be done?• Do they know when it needs to be

done?• Do they know how to do it?• Do they have the information

they need to do it successfully?• Can they tell when it’s

complete?

eHealth (data, alarms, processes)

can help improve value

with information, tools,

and environment

JAMIA, 1997

Let Patients Help.

JAMIA, 1997

Let’s make it EASYfor patients to help.

Society for Participatory Medicine www.ParticipatoryMedicine.org / e-

patients.net

www.ePatientDave.com dave@epatientdave.com

Twitter: @ePatientDave