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This Keynote lecture was first delivered in Toronto, CA on September 27th, 2012. The book, #socialQI: Simple Solutions for Improving Your Healthcare is set to be published in October 2012
Citation preview
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Presented by:
Brian S. McGowan, PhD
@briansmcgowan
www.SOCIALQI.com
September 2012
www.socialQI.com
Outline
1. Re-defining Quality2. Why Does Healthcare Quality Suffer3. Introducing SocialQI4. One Part - Social Network Science5. One Part – Behavioral Science6. How Does SocialQI Become the New Norm
in Healthcare?
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Re-Defining Healthcare Quality
September 2012
www.socialQI.com
www.socialQI.com
My Father’s Health Journey
www.socialQI.com
My Father’s Record
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Why Does Healthcare Quality Suffer?
September 2012
www.socialQI.com
Problem #1: Variation
http://www.healthcarereportcard.illinois.gov/maps
www.socialQI.comhttp://www.healthcarereportcard.illinois.gov/maps
www.socialQI.com
Problem #2: Failure to Advance
www.socialQI.com
Problem #3: Overload & Filter Failures
www.socialQI.com
Problem #4: Lack of Information
“Despite recent improvement in timely publication, fewer than half of trials funded by NIH are published in a peer reviewed biomedical journal indexed by Medline within 30 months of trial completion. Moreover, after a median of 51 months after trial completion, a third of trials remained unpublished.”
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Introducing#socialQI
September 2012
www.socialQI.com
SocialQI
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
One Part - Social Network Science
September 2012
www.socialQI.com
Social Network Science
Six Degrees of SeparationSidewalk Experiment
www.socialQI.com
Social Network Science
www.socialQI.com
Social Network Science
http://www.nejm.org/doi/full/10.1056/NEJMsa066082
www.socialQI.com
Social Network Science
www.socialQI.com
Social Network Science
Unconnected Bucket Brigade Telephone Chain Military Brigades
www.socialQI.com
Social Network Science
www.socialQI.com
Social Network Science
www.socialQI.com
1. Collective Intent2. Share Praxis
Moving to ‘Communities of Practice’ models:
www.socialQI.com
Of Networks and Communities…
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
One Part -Behavioral Science?
September 2012
www.socialQI.com
Dr BJ Fogg & The Tale of The Naked Swim
www.socialQI.com
Motivation x Ability x Triggers
www.socialQI.com
Motivation x Ability x Triggers
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Social Network Science + Behavioral Science = SocialQI
September 2012
www.socialQI.com
Crowd Accelerated Improvement
http://bit.ly/txvpUP
Light Desire
Crowd
www.socialQI.com
What does this look like?
http://bit.ly/txvpUP http://youtu.be/dbPqOdYYDeQ
Jona
than
Chu
, LXD
www.socialQI.com
What does this look like in science?
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
How Does SocialQI Become the New Norm in Healthcare?
September 2012
www.socialQI.com
Patient & Wellness
Communities
Medical Communities
Biomedical Research Communities
www.socialQI.com
Patient & Wellness
Communities
Medical Communities
Biomedical Research Communities
What Is vs What Could Be
• Weight Watchers• Alcoholics Anonymous• ‘being a patient’• Isolation
• Quantified Selfers• ACOR• Patients Like Me• #S4PM
• Knowledge is power• Free-agent learners• CME credit gathering• Failed Ed. Design
• #meded, #MDchat• Delta Exchange• OzmosisESP• Rapid Learning Systems
• ‘Dose of Science’• Publish or Perish• Traditional Publishing• Impact Factor
• Mendeley• Sage BioNetworks• Altmetrics• Open Access
www.socialQI.com
Lesson 1: Rely on better technology
1. Integration: Real sustainable success will only come from our ability to engineer systems that integrate into existing activities
2. Open and Connected: Information flow & big data analytics must
3. Social: Over time knowledge will move from the individuals within the community (knowledge capital) to be shared across the community (social capital)
www.socialQI.com
Lesson 1: Rely on better technology
4. Incentivizes: ultimately comes down to our ability to tap into the “what's in it for them” of the community
5. Controlled: evolve simple, standard tools to govern the inflow and outflow thresholds
6. Culture: consider ways to scale up culture to enable increasing larger (but productive) communities to form
www.socialQI.com
Lesson 2: Evolve a new skillset
1. Credibility & Reputation: Increasingly contribution to learning and improvement will define one’s professional reputation within the community
2. Filtering & Search: We can’t just release the bottleneck of information without the new systems to govern the flow…or folks will drowned
www.socialQI.com
Lesson 2: Evolve a new skillset• Providing Feedback: for true collaboration, getting
along should never be as important as getting things done
• Self-assessment: we must engage the system with our eyes wide open…digital nature allows reflection and social nature allows norming
• Critical thinking & decision making: requires us to know what we know, understand what we don’t know, and not to be paralyzed by the reality that we rarely have all of the information we need
www.socialQI.com
SummaryProblems
Quality Variation
Failure to Advance
Information Overload/Filter Failure
Lack of Information
SocialQI Solutions
Shared best practices
Peer Norming & Transparency
New systems for simplifying learning
New culture of sharing
www.socialQI.com
About the book title: #socialQI
www.socialQI.com
#SocialQI:Simple Solutions for Improving Your Healthcare
Q and A
September 2012