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www.socialQI.c om #SocialQI: Simple Solutions for Improving Your Healthcare Presented by: Brian S. McGowan, PhD @briansmcgowan www.SOCIALQI.com September 2012

#socialqi Simple Solutions for Improving Your Healthcare 092312

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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

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Page 1: #socialqi Simple Solutions for Improving Your Healthcare  092312

www.socialQI.com

#SocialQI:Simple Solutions for Improving Your Healthcare

Presented by:

Brian S. McGowan, PhD

@briansmcgowan

www.SOCIALQI.com

September 2012

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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?

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#SocialQI:Simple Solutions for Improving Your Healthcare

Re-Defining Healthcare Quality

September 2012

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My Father’s Health Journey

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My Father’s Record

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#SocialQI:Simple Solutions for Improving Your Healthcare

Why Does Healthcare Quality Suffer?

September 2012

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Problem #1: Variation

http://www.healthcarereportcard.illinois.gov/maps

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www.socialQI.comhttp://www.healthcarereportcard.illinois.gov/maps

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Problem #2: Failure to Advance

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Problem #3: Overload & Filter Failures

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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 Moreover, after a median of 51 months after trial completion, a third of trials remained unpublished.”

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#SocialQI:Simple Solutions for Improving Your Healthcare

Introducing#socialQI

September 2012

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SocialQI

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#SocialQI:Simple Solutions for Improving Your Healthcare

One Part - Social Network Science

September 2012

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Social Network Science

Six Degrees of SeparationSidewalk Experiment

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Social Network Science

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Social Network Science

http://www.nejm.org/doi/full/10.1056/NEJMsa066082

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Social Network Science

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Social Network Science

Unconnected Bucket Brigade Telephone Chain Military Brigades

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Social Network Science

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Social Network Science

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1. Collective Intent2. Share Praxis

Moving to ‘Communities of Practice’ models:

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Of Networks and Communities…

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#SocialQI:Simple Solutions for Improving Your Healthcare

One Part -Behavioral Science?

September 2012

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Dr BJ Fogg & The Tale of The Naked Swim

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Motivation x Ability x Triggers

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Motivation x Ability x Triggers

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#SocialQI:Simple Solutions for Improving Your Healthcare

Social Network Science + Behavioral Science = SocialQI

September 2012

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Crowd Accelerated Improvement

http://bit.ly/txvpUP

Light Desire

Crowd

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What does this look like?

http://bit.ly/txvpUP http://youtu.be/dbPqOdYYDeQ

Jona

than

Chu

, LXD

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What does this look like in science?

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#SocialQI:Simple Solutions for Improving Your Healthcare

How Does SocialQI Become the New Norm in Healthcare?

September 2012

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Patient & Wellness

Communities

Medical Communities

Biomedical Research Communities

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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

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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)

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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

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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

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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

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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

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About the book title: #socialQI

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#SocialQI:Simple Solutions for Improving Your Healthcare

Q and A

September 2012