Date post: | 26-Jan-2015 |
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“Deep Support” in Patient CareReengineering Healthcare to Support Patient-Centered
Communication and Continuity of Care
Bradford W. Hesse, PhDChief, Health Communication & Informatics Research
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“Greatest innovators (e.g., Henry Ford) ... discovered the possibility
of a new kind of convergence between consumers’ desires, technological capabilities, and organizational innovations.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The support economy : why corporations are failing individuals and the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
“Greatest innovators (e.g., Henry Ford) ... discovered the possibility
of a new kind of convergence between consumers’ desires, technological capabilities, and organizational innovations.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The support economy : why corporations are failing individuals and the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
“Deep support provides ongoing relationship based on advocacy, mutual respect, trust, and the acute
alignment of interests.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The support economy : why corporations are failing individuals and the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
“Deep support provides ongoing relationship based on advocacy, mutual respect, trust, and the acute
alignment of interests.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The support economy : why corporations are failing individuals and the next episode of capitalism. New York: Viking.
“The new digital technologies are essential to the successful
consolidation of this new ... logic.”
Example
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Source: Leyden WA, Manos MM, Geiger AM, Weinmann S, Mouchawar J, Bischoff K,Yood JG, Taplin SH (2005). Cervical cancer in women with comprehensive health care access: Attributable factors in the screening process. JNCI, 97(9), 675-683.
The Support Economy
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Source: Leyden WA, Manos MM, Geiger AM, Weinmann S, Mouchawar J, Bischoff K,Yood JG, Taplin SH (2005). Cervical cancer in women with comprehensive health care access: Attributable factors in the screening process. JNCI, 97(9), 675-683.
The Support EconomyWHY IMPORTANT?
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Communica)on Errors at Root
Source: Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. J Clin Oncol. May 20 2012;30(15):1784-1790.
• Interviews with 416 cancer patients across 3 clinical sites (Mazor, et al, 2012)
• Asked about events where something “went wrong,” the event could have been prevented, and the event could have caused significant harm.
Results*• 28% described problem with
medical care
• 47% described a communication problem
• 24% described problem with both communication and medical care
* Of those reporting error
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Accoun)ng for Two Types of Error
Errors of Commission: Doing something wrong (root cause of detectable errors)
Errors of Omission: Failing to do something right (e.g., Pap failure - leads to more insidious consequences)
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Just a 1% reduction would save $400 billion
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Eliminating Errors
SOURCE: Hesse, B. W., & Shneiderman, B. (2007). eHealth research from the user's perspective. Am J Prev Med, 32(5 Suppl), S97-103.
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Source: Hesse BW. Public Health Informatics. In: Gibbons MC, editor. eHealth Solutions for Healthcare Disparities. New York, NY: Springer; 2007. p. 109-129.
Engaging Patients, Managing Populations
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HITECH Act
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Meaningful Use as Building Blocks
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Consumers: HP 2020 Goals
http://www.healthypeople.gov/2020
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Consumers: Surveillance, Internet
Source: Hesse, B.W., Gaysinsky, A., Vieux, S., Ottenbacher, A., Moser, R.P., Blake, K.D, Chou, W.S., Beckjord, E. (in press). Meeting the Healthy People 2020 Goals: Using the Health Information National Trends Survey to Monitor Progress on Health Communication Objectives, Journal of Health Communication.
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Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
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Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
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Technology: Adoption
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Technology: Adoption
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Technology: Development
Wendy Nilsen
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Organizations: Biggest Gap
Computational Technology for Effective Health Care advocates re-balancing the portfolio of investments in health care IT to place a greater emphasis on providing cognitive support for health care providers, patients, and family caregivers ...
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Digital Future
“Computing for Teams”
Organizations: Human System Integration
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Digital Future
“Computing for Teams”
Organizations: Human System Integration
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Organizations: Improving Process
Stephen Taplin Neeraj Arora
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Organizations: Process Support
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Target: Empowered Partners
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Deep Support
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Thank you!
Slideshare.nethttp://www.slideshare.net/BradfordHesse
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