#socialqi Simple Solutions for Improving Your Healthcare - final

#CQIToronto 9/23/2012

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#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 Quality

2. Why Does Healthcare Quality Suffer

3. Introducing SocialQI

4. One Part - Social Network Science

5. One Part – Behavioral Science

6. How Does SocialQI Become the New Norm

in Healthcare?


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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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Why Does Healthcare

Quality Suffer?

September 2012

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Problem #1: Variation

http://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trials remained unpublished.”


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Introducing

#socialQI

September 2012

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SocialQI


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One Part -

Social Network Science

September 2012

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Six Degrees of SeparationSidewalk Experiment


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


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Unconnected Bucket Brigade Telephone Chain Military Brigades


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1. Collective Intent

2. Share Praxis

Moving to

‘Communities

of Practice’

models:

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Of Networks and Communities…


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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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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

Jon

ath

an

Ch

u,

LXD

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What does this look like in science?


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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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Summary

Problems

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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Q and A

September 2012

#socialqi Simple Solutions for Improving Your Healthcare - final

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