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This presentation is a mash-up of film, social media and HIT policy.
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“You’re going to need a
bigger binder:”
What one late great film professorcan teach us about care transitions.
a presentation by @Regina Holliday
"That's part of your problem, you haven't seen enough movies. All of life's riddles are answered in the movies." —Davis (Steve Martin), Grand Canyon,
from Frederick Holliday's PhD e-mail signature
What does 70s TV have to do with medicine?
Fred met Regina on stage in a scenic painting class at Oklahoma State University.
They would talk of Stephen King’s Dark Tower
and fall in love.
The reality of patient engagement
Playing Doctor: Fall 2008
During the months of
January, February and March of 2009,
Status Lines…
On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home.
Fred was hospitalized on March 25th 2009 for the administration of tests.
On March 27th, he was told while alone thathe had “tumors and growths.”
What was the diagnosis? What were the treatment options? Would he get a pain consult?
This is my husband’s medical record.
I was told it would cost
73 Cents
per page
And we would have to wait 21 days to get a copy.
“She must not have tried very hard to get the record….”Comparing access to an unpublished book by
Stephen King to accessing the
Electronic Medical Record while hospitalized.
“Go After Them, Regina.” April 18, 2009
"This is your last chance.
After this, there is no turning back.
You take the blue pill -- the story ends, you wake up in your bed and believe whatever you want to believe.
You take the red pill -- you stay in Wonderland and I show you how deep the rabbit-hole goes.”
-The Matrix
After waiting for 5 days for a transfer, we were
sent with an out of date and incomplete medical record and transfer summary.
The new staff spent 6 hours trying to cobble
together a record using a phone and a fax machine.
This is the
vital clinical informationfrom Fred’s electronic medical record.
Painted on the wall ofPumpernickel’s Deli in Washington, DC.
I am trying to talk with Christine Kraft and epatient Dave.
Why did we get more help and answers from
Social Media than from our local hospital ?
Going to Hospice.
Terminal Restlessness.
This is the painting 73 cents.
This is the vital patient story, the social history , the sacred heart of Fred’s
ELECTRONIC MEDICAL RECORD.
On Tuesday, October 20th 2009 we dedicated the mural,
“Where do we go from here?”
What can we do by next Tuesday?
What will defeat the Big Bad?
The Final Boss?
Meaningful Use in adiner
The Cake is a Lie.
Doctor Strangelove&Value Based Purchasing
MIB
MedicalInformation Bureau
My Halloween Decorations:
Portals are coming!
What does data and device access advocate Dr. Eric Topol have in common with
the movie Alien?
All over the world, patients are demanding their data.
2 year study at Primary care settings of Beth Israel Deaconess Medical Center, Geisinger and Harborview
90% patients responded they understood what they had read & were not bothered by it.
87% of those patients enrolled in this study did check the notes.
80% Patients claimed greater adherence to medication protocols due to access to the notes.
What if data donation improved organ donation?
The Learning Health System and Chaordic Organization
Blue Button: More than app for veterans.
Who taught you how to be a patient?
Involving Patients as a Path to Achieving the Triple Aim
How would pop-culture define the IHI Triple Aim?
Not as just another pyramid….Not as just another failed pictograph.
What does it make you think of ?
How about…
The Temple of Gozer from Ghostbusters?
I have a radical idea. The door swings both ways, we could reverse the particle flow through the gate.
How? [hesitates] We'll cross the streams.
'Scuse me Egon? You said crossing the streams was bad!
You're gonna endanger us, you're gonna endanger our client - the nice lady, who paid us in advance, before she became a dog...
Not necessarily. There's definitely a *very slim* chance we'll survive. [pause while they consider this]
[slaps Ray] I love this plan! I'm excited to be a part of it!
LET'S DO IT!
Cross the streams...
IHI Triple Aim is not a triangle.
It is a focusing beam.
HAI! The artists and designers are coming
What happens to user experience when designers like
Michael Graves design wheelchairs?
Why can’t we ask Hallmarkto make hospice cards?
Would that help us talk about end of life?
You can take a negative and turnit into a
POSITVE.
Welcome to the Walking Gallery.
Telling the patient story one jacket at a time.
206 unique Walkers have joined wearing 227 jackets.
The Walking Gallery is promoted heavily using the free tools of
social media.
Fred’s last request is to remember him by watching a film on his birthday.
March 31,1970 – June 17, 2009
Thank You.