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The C3N Project: Peer-Production for a Learning Health System

Michael Seid, PhDCincinnati Children’s Hospital Medical

Center

.5 x .5 = .25

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McGlynn EA, et al. N Engl J Med 2003; 348:2635–45. Mangione-Smith R, et al.. N Engl J Med. 2007;357:1515–1523 Brown & Bussell Mayo Clin Proc. 2011;86(4):304-314

What if….?• …we could create a vastly better chronic care system

by harnessing inherent motivation and collective intelligence of patients and clinicians?

• … this system allowed patients and physicians to share information, collaborate to solve problems, use their collective creativity and expertise to act in ways that improve health?

http://creativecommons.org/licenses/by-nc-sa/3.0/

Who should be learning?

• Expert researchers• Expert clinicians

• Patients• Families• Clinicians• Researchers

Experts Everyone

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Yochai Benkler, “The Wealth of Networks”

Commons-Based Peer Production

Percent of Patients in Remission

Crandall, Margolis, Colletti et al Pediatrics 2012;129:1030

ImproveCareNow C3N Peer Production

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Pre-Visit Planning

Population Mgmt

Orchestra:Collaborative tracking for co-producing health

Mobile App/Web App: Families/Patients

• Tracking Symptoms• Patient Notes• Visualize Data• Health Reports • Survey delivery

Desktop/Web: Providers and Families

• Population review• Patient data review• Note review and response• User setup and administration• Study administration

Cloud-Based Data Service• Wearable device integration• SMS / Email / Mobile integration• EMR interoperability• User engagement analytics• Rapid multi-site deployment

Be Part of the Solution

• Web: c3nproject.org• Twitter @c3nproject• Email us: info@c3nproject.org

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