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eHI webinar 4-25-2012 on chronic conditions

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JAMIA, 1997 Participatory Medicine Can Help Improve the Practice of Medicine
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Page 1: eHI webinar 4-25-2012 on chronic conditions

JAMIA, 1997Participatory

Medicine Can Help Improve

the Practice of Medicine

Page 2: eHI webinar 4-25-2012 on chronic conditions

“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

Page 3: eHI webinar 4-25-2012 on chronic conditions

Total value of care =

Page 4: eHI webinar 4-25-2012 on chronic conditions

Total value of care =

value created by providers (in visits)

Page 5: eHI webinar 4-25-2012 on chronic conditions

Total value of care =

value created by providers (in visits)

+ value created bypatients (between visits)

Page 6: eHI webinar 4-25-2012 on chronic conditions

How can we optimize the

patient & family’s contribution?

Page 7: eHI webinar 4-25-2012 on chronic conditions

Compliance(Whose goal is it, anyway?)

Page 8: eHI webinar 4-25-2012 on chronic conditions

Compliance(Whose goal is it, anyway?)

Achieveme

nt!

Page 9: eHI webinar 4-25-2012 on chronic conditions

Peter Margolis, Cincinnati Children’s

.5 x .5 = .25

Page 10: eHI webinar 4-25-2012 on chronic conditions

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

Page 11: eHI webinar 4-25-2012 on chronic conditions

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

Page 12: eHI webinar 4-25-2012 on chronic conditions
Page 13: eHI webinar 4-25-2012 on chronic conditions
Page 14: eHI webinar 4-25-2012 on chronic conditions

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

what needs to be done?

Page 15: eHI webinar 4-25-2012 on chronic conditions

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?

Page 16: eHI webinar 4-25-2012 on chronic conditions

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?

Page 17: eHI webinar 4-25-2012 on chronic conditions

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?

Page 18: eHI webinar 4-25-2012 on chronic conditions

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?

Page 19: eHI webinar 4-25-2012 on chronic conditions

Can we make it easyto do the right thing?

Page 20: eHI webinar 4-25-2012 on chronic conditions

Can we make it easyto do the right thing?

Page 21: eHI webinar 4-25-2012 on chronic conditions
Page 22: eHI webinar 4-25-2012 on chronic conditions
Page 23: eHI webinar 4-25-2012 on chronic conditions

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?

Page 24: eHI webinar 4-25-2012 on chronic conditions

eHealth (data, alarms, processes)

can help improve value

with information, tools,

and environment

Page 25: eHI webinar 4-25-2012 on chronic conditions

JAMIA, 1997

Let Patients Help.

Page 26: eHI webinar 4-25-2012 on chronic conditions

JAMIA, 1997

Let’s make it EASYfor patients to help.

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

patients.net

www.ePatientDave.com [email protected]

Twitter: @ePatientDave


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