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2009 Care Commons, Inc. 1
Self-care: Knowledge
Management in Everyday Life
Tom Iglehart, Pres.
Care Commons, Inc.
KM Forum – Oct. 22, 2009
2009 Care Commons, Inc. 2
Knowledge – what do we mean?
Facts “out there”
the world / universe
history
sciences
professions
institutional memory
communities of
practice
wisdom (perhaps?)
2009 Care Commons, Inc. 3
Knowledge – what do we mean?
Facts “out there”
the world / universe
history
sciences
professions
institutional memory
communities of
practice
wisdom (perhaps?)
Know-how
skills
effective action
getting things done
prudence
taking care (self,
family, community)
realizing goals
ability to mentor
(shared wisdom)
2009 Care Commons, Inc. 4
Knowledge – what do we mean?
Facts “out there”
the world / universe
history
sciences
professions
institutional memory
communities of
practice
wisdom (perhaps?)
Know-how
skills
effective action
getting things done
prudence
taking care (self,
family, community)
realizing goals
ability to mentor
(shared wisdom)
2009 Care Commons, Inc. 5
Facts “out there”...
2009 Care Commons, Inc. 6
... vs. know-how
How do I...?
2009 Care Commons, Inc. 7
Self-care
aka “consumer-
directed healthcare”
(CDH)
Simple goals
Complicated choices
New skills
New knowledge inevitable as we age
2009 Care Commons, Inc. 8
Periodic interruptions catch our attention
We acquire new knowledge “just-in-time”
Often stays relevant for life
Few acquire more than they need to
Knowledge keepers
Medical communities (of practice)
Patient communities (of experience)
youth | adulthood | middle-age | elderly
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An analogy
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An analogy
2009 Care Commons, Inc. 11
An analogy
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An analogy“Turn
here...”
2009 Care Commons, Inc. 13
An analogy“Turn
here...”
(Even better
than Dad!)
2009 Care Commons, Inc. 14
Knowledge acquisition: consumer cycle
1) What
do experts
say?
2) What have
“people like me”
done before?
3) Where are
related health
services,
products?
knowledge / decision
cycle
4) Now I
know
what to
do!
(N.B.: over 54% of such decisions are
made on behalf of others)
2009 Care Commons, Inc. 15
American Medical IDs
Online Medical Registry
• Medical conditions
• Emergency contact info
• Doctors' names
• Insurance information
• Documents (living wills,
donor cards, EKGs, CTs, x-
rays, etc.)
Helping others help you
digital dog tag
+
2009 Care Commons, Inc. 16
How many will use Personal Health Records?
might use
PHRs
don’t think
about PHRs
ConsumersHealthcare
expenditures
5% consume 50%
of healthcare $
2009 Care Commons, Inc. 17
New tools
“Personalized” knowledge anyone can use
Ability to explore 360 view
Important:
peer experience (direct wisdom)
remind me where I’ve been
remember my preferences
Mobile is big
... in fact, huge
2009 Care Commons, Inc. 18
Jitterbug
Reinventing mobile phone
service
Older customers
24/7 operators on call
dial numbers for you
add names to your contact list, and more
Jitterbug LiveNurse™ for medical questions
• are my meds right?
• where to find a doctor?
• should I go to emergency room?
2009 Care Commons, Inc. 19
End results of LiveNurse™ calls
3%: emergencies
29%: should go to doctor sooner or later
66% just need information
Source: GreatCall, Inc.
- used by permission -
2009 Care Commons, Inc. 20
How many nurses are there?
A brief history of telephone switching
1930s: AT&T does a study on operator-based call connecting.
Conclusion: “At this rate of growth, we will have to employ every woman over the age of 18 in the United States.”
Began to invest in automated switching systems –why we have direct-dial today.
Ask a nurse is great, but are there enough?
2009 Care Commons, Inc. 21
“What to do” for diabetics
on the mobile phone
Avoiding emergencies – 5+times a day
Input: current blood sugar level
Calculation: dosage & bloodsugar history
Recommendation: immediate dosage amount
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Diet manager
1. Set your goals
2. State preferences
3. Sensei shows you
what to eat, shop
for & cook
2009 Care Commons, Inc. 23
Sensei demo
2009 Care Commons, Inc. 24
Meals &
shopping lists
also via email
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The future...
+= total health and wellness KM
solution for diabetics, weight
loss & more
2009 Care Commons, Inc. 26
Another analogy *
Web 1.0
store music
Web 2.0
Napster – you can still receive, but you also “contribute”
Web 3.0
Pandora – like a personal assistant who knows a lot about you & recommends
ubiquitous connectivity, broadband & mobile, intelligent applications, machine learning & reasoning, autonomous agents
* thanks to Robert Schwarzberg, Sensei Inc., World Health Congress: Leadership on Wireless Health, 7/27/09
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“Find a doctor” Today:Do you already know who / what
you’re looking for? Unlikely.
action
???
Care Commons model:Simply state your problem…you are
matched to relevant info
2009 Care Commons, Inc. 29
Result: system-wide resources recommended
medical services• family & general• specialists• clinics, hospitals, home care• RNs & NPs
literature• brochures• FAQs• physician tips• white papers• latest news
events, programs• fitness• coaching• diet, nutrition• organizations & activities
(e.g. “back
pain”)
2009 Care Commons, Inc. 30
Two technology models
relational
network
