SlideShare a Scribd company logo
1 of 53
Download to read offline
Patient
Engagement:
The New Blockbuster Drug
2013 NHS Scotland Event
11 June to 12 June, 2013
Glasgow
Maureen Bisognano
President and CEO
The New “Blockbuster” Drug
Patient Engagement
The New Blockbuster Drug
Large body of scientific literature on clinical inertia and
failure to intensify treatment, especially in diabetes and
hypertension management
Label patients who can‟t or don‟t manage all as “non
compliant”
No research of de-intensification of
unnecessary, ineffective treatment
Patient Engagement
Moving from “what‟s the matter?” medicine
to “what matters to you?” medicine
– Susan Edgman-Levitan and Michael Barry
The patient is the team captain; the
clinicians are the team‟s coaches
– Fred Southwick
How can we make
this move to “What
matters to you?”
Exercise
Read “Return of the Hero”
Discuss with your colleagues at your tables.
Talk about and make a plan to visit a patient person,
without any medical equipment, and learn who they are
and what they hope for.
Patient Engagement Has the Potential to:
Improve health outcomes
Expand our definition of “the health care
workforce”
Lower costs
Improve patient satisfaction
Lesson: Will-building
Will-building at the Senior Level
Colones‟ rounds
Walk of shame
O‟Brien‟s breakfast meeting
Transparency
Sharp end knowledge
Will-building
Ginny‟s Story:
http://www.youtube.com/watch?v=
s5x1f3_NJX8
Serious Safety Event Rate: One View
0.00
0.25
0.50
0.75
1.00 Jul-05
Aug-05
Sep-05
Oct-05
Nov-05
Dec-05
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06
Jul-06
Aug-06
Sep-06
Oct-06
Nov-06
Dec-06
Jan-07
Feb-07
Mar-07
Apr-07
May-07
Jun-07
Jul-07
Aug-07
Sep-07
Oct-07
Nov-07
Dec-07
Jan-08
Feb-08
Mar-08
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Dec-08
EventRate
0
1
2
3
4
5
6
7
8
9
10
NumberofEvents
Rolling 12-month Serious Safety Events expressed per 10,000 adjusted patient days
SSER August 2008: 0.41
Average Days between events: 14 days (CY08 Sept YTD)
19 days (CY07)
37 days (CY06)
Safety Behavior Training Begins
Employee Training Ends
Medical Staff Training Ends
John L.
4/27/2008
HAI
Baby C.
4/13/2008
Delay in Tx
Ralph H.
3/12/2008
Fall
Harold C.
8/5/2008
Fall
George P.
5/07/2008
Fall
Roberta A.
10/13/2008
Fall
Tom D.
1/29/08
Delay in Tx
Tammy F.
1/17/2008
Post Procedure Death
Jaunita D.
8/25/2008
Fall Baby D.
8/1/2008
Wrong Pt. Procedure
Donald C.
6/26/2008
Delay in Tx
James A.
9/06/2008
Delay in Dx
Frank H.
6/03/2008
Delay in Tx
Joe E.
9/23/2008
Wrong Site Surgery
Johnny R.
9/08/2008
Delay in Dx.
Another View of the Same Data
for the Last 3 Months
Herman D.
3/17/2008
Retained Foreign Obj.
Mark G.
8/17/2008
Fall
John G.
1/03/2008
Delay in Tx
Nick S.
1/4/2008
Delay in Dx
Parallel Session: Engaging Patients: The New Blockbuster Drug
Patient and Family Engagement
An Alarming Disconnect
70 percent of Americans want to die at home…but 70
percent die in institutional settings1
80 percent of Californians want to speak to a doctor
about end-of-life wishes…but only 7 percent have done
so2
82 percent of Californians say it‟s important to put their
wishes in writing…but only 23 percent have done so2
1CDC. Worktable 309: deaths by place of death, age, race, and sex: United States, 2005.
2California HealthCare Foundation. Final chapter: Californians‟ attitudes and experiences with death and dying.
CHCF, 2012.
Two Complementary Initiatives
Everyone‟s end-of-life wishes
will be expressed and
respected
Every one has a story to tell
The conversations are
personal, not medical
The power of storytelling
Develop a culture of shared
decision making with patients
Improve processes to reliably
prompt, store, and
access end-of-life care wishes
http://theconversationproject.org/
http://www.ihi.org/offerings/Initiatives/C
onversationProject/Pages/Conversation
Ready.aspx
The Conversation Project
A grassroots movement to encourage everyone to have
conversations about end-of-life wishes with loved ones
“at the kitchen table”
Bringing about change “from the outside in”
Leveraging media, including social media, to bring
messages and tools to all
Targeting specific geographic regions and segments of
the population
Early Enthusiasm
Over 86,000 visits to website
(theconversationproject.org)
Over 43,000 downloads of
the Conversation Starter Kit
(also available in Spanish)
Conversation Ready
IHI initiative: 10 Pioneer organizations committed to
being “conversation ready” within one year
Requires a new perspective – moving beyond the
current “rescue culture” of US health care
Leveraging the lessons of exemplar organizations such
as Gundersen-Lutheran in La Crosse, WI, and Dana-
Farber Cancer Institute in Boston, MA
Patient Engagement
Redesigned processes in acute care
New ways to think about teamwork
Parallel Session: Engaging Patients: The New Blockbuster Drug
Lean Visits at ThedaCare
“Encircle Health”
– Anticipate and structures to meet all needs in
one visit
– Lab designed to get results to patient record
within 15 minutes
– Patients leave with one plan, all results
Collaborative Care at ThedaCare
• Collaborative
rounding on your
admission
• Evidence-based
care
• The nurse as
manager of care
• Electronic Records
• Design of physical
space
Minimally disruptive medicine
Health care delivery designed to
reduce the burden of treatment on
patients
while pursuing patient goals
Work of being a chronic patient
Sense-making work Organizing work and enrolling others
Doing the work Reflection, monitoring, appraisal
5000
Hours
Source: Asch DA, et al. “Automated Hovering in Health Care – Watching Over the
5000 Hours.” New England Journal of Medicine. July 2012: 367(1).
Medication Choice Cards
Other Cards
Low Blood Sugar
(hypoglycemia)
Blood Sugar
(A1c Reduction)
Side Effects
Daily Routine
Daily Sugar
Testing
Diabetes Visit Cards
Developed in England by the Design Council to
improve the effectiveness of chronic care visits
at physicians‟ offices
The patient sorts the cards to select issues that
form the agenda for the visit
Satisfaction is improved and patients report
more control of their disease
Diabetes Visit Cards
Redesigning Care with Patients
Think:
– Dose
– Place
– Tempo
Parallel Session: Engaging Patients: The New Blockbuster Drug
Parallel Session: Engaging Patients: The New Blockbuster Drug
Parallel Session: Engaging Patients: The New Blockbuster Drug
Dose
Better Health Greater Cleveland:
– In-person educational sessions for the community led by respected
clinicians; and digital education for clinicians, medical students, and
residents
Texas Medical Association:
– County medical societies promoting Choosing WiselyTM
recommendations to
47,000 physicians and medical students
– State-wide patient campaign
– Collaborative to share best practices for implementation
American Society of Echocardiology, MA Medical Society, and
American Society of Nuclear Cardiology
– Apps to allow for easy search for criteria
– Websites for patients and clinicians to use in shared decision making
44 Pediatric GI Centers
Purpose of ImproveCareNow
Transform health, care and costs for all children
and adolescents with Crohn’s and ulcerative colitis
sustainable collaborative chronic care network,
enabling patients, families, clinicians and
researchers to work together in a learning health
care system
accelerate innovation, discovery and the
application of new knowledge
30%
40%
50%
60%
70%
80%
90%
04/01/2007n=132…
05/01/2007n=184…
06/01/2007n=255…
07/01/2007n=298…
08/01/2007n=353…
09/01/2007n=383…
10/01/2007n=411…
11/01/2007n=436…
12/01/2007n=459…
01/01/2008n=488…
02/01/2008n=495…
03/01/2008n=513…
04/01/2008n=516…
05/01/2008n=526…
06/01/2008n=522…
07/01/2008n=541…
08/01/2008n=570…
09/01/2008n=595…
10/01/2008n=631…
11/01/2008n=657…
12/01/2008n=718…
01/01/2009n=772…
02/01/2009n=785…
03/01/2009n=797…
04/01/2009n=821…
05/01/2009n=840…
06/01/2009n=891…
07/01/2009n=920…
08/01/2009n=945…
09/01/2009n=961…
10/01/2009n=970…
11/01/2009n=978…
12/01/2009n=996…
01/01/2010n=1009…
02/01/2010n=1002…
03/01/2010n=1025…
04/01/2010n=1041…
05/01/2010n=1050…
06/01/2010n=1068…
07/01/2010n=1090…
08/01/2010n=1126…
09/01/2010n=1153…
10/01/2010n=1187…
11/01/2010n=1613…
12/01/2010n=1687…
01/01/2011n=1728…
02/01/2011n=1791…
03/01/2011n=1857…
04/01/2011n=1963…
05/01/2011n=2019…
06/01/2011n=2137…
07/01/2011n=2168…
08/01/2011n=2239…
09/01/2011n=2269…
10/01/2011n=2328…
11/01/2011n=2360…
12/01/2011n=2427…
01/01/2012n=2490…
02/01/2012n=2537…
03/01/2012n=2566…
04/01/2012n=2587…
05/01/2012n=2612…
06/01/2012n=2769…
07/01/2012n=2759…
08/01/2012n=2849…
09/01/2012n=2808…
% of Patients in Remission
18 care centers with > 75% of patients in registry
How do you create network–based
production for health?
1. Focus on outcome
2. Build community
3. Effective use of technology
4. Learning system
System science, QI, qualitative
research, clinical research
Place
George Halvorson‟s 4 sites of care:
– Hospital beds
– Face-to-face
– Home
– Electronic
Place
Source: Landro L. “Hospitals Try House Calls to Cut Costs, Admissions.” The Wall Street Journal. Feb. 4, 2013. Available at:
http://online.wsj.com/article/SB10001424127887324610504578278102547802848.html
Place – New Health Communities
NORCs (Naturally Occurring Retirement
Communities)
– Strong trend in the US for better elder
communities combines with a trend toward
self care and decreased confidence in the
unquestioned authority of the medical system
Place – Schools (site visit)
NHS Tayside and Perth & Kinross Council:
– Developing improvement methods by working across
a wider community campus model
– Designing a „strategic coalition‟ across the public
sector, the voluntary sector and communities.
– Almondbank House: outcome-focused improvements
which have been delivered in partnership with
traditionally hard-to-reach families
Tempo
Moving from “2 per year” to “2 per week”
“A year of care”
Technology and MIT‟s “15 minutes a
quarter”
Dose, Place, and Tempo: Self-Dialysis
The Old Way
Ryhov Hospital in Jönköping had traditional hemodialysis
and peritoneal dialysis center.
But in 2005, a patient, Christian, asked about doing it
himself.
The New Way
Christian taught a 73-yr-old woman how to do it…
…and they started to teach others how to do it.
The New Way
Now they aim to have 75% of patients to be on
self-dialysis
They currently have 60% of patients
Lessons to Date
From Christian (patient):
– “I have a new definition of health.”
– “I want to live a full life. I have more energy and am
complete.”
– “I learned and I taught the person next to me, and
next to her. The oldest patient on self-dialysis is 83
years old.”
– “Of course the care is safer in my hands.”
Lessons to Date
From Anette (nurse leader):
– Surprised at design differences between
patients, family, and staff
– Managing at 1/2 – 1/3 less cost per patient
– Evidence of better outcomes, lower costs, far fewer
complications and infections
– “We brought in the county‟s employment, helped the
patients make or update the CVs, and trained them
for a new career.”
Parallel Session: Engaging Patients: The New Blockbuster Drug
Update
Now calculated costs at 50% of costs in other
hemo-dialysis units
Complications dramatically reduced and
subsequent expensive care avoided
Measuring success by “number of patients
working”
Jonkoping Visit, October 2011
In 3 Years, Our Model of Care Will Be:
Assisted
HD
Home HD
Self care
on HD
We believe that a culture of
Sharing the care on
Haemodialysis is the foundation
for Self care on dialysis units.
• We plan to initiate shared
haemodialysis care in dialysis
centres across Yorkshire and
Humber.
• We will to this by –
– Setting up a course to teach
dialysis nurses how to support
patient to learn aspects of their
own dialysis.
– Supporting willing patients to
learn as much of their own
dialysis as they wish to.
Exercise
At your tables, brainstorm 5 things patients and
families can do for themselves…
…to get better outcomes
…to get better self-efficacy
…to lower health care costs
Thank You!
Maureen Bisognano
President and CEO
Institute for Healthcare Improvement
20 University Road, 7th Floor
Cambridge, MA
mbisognano@ihi.org

More Related Content

What's hot

Concussion presentation for gpt dr. popoli’s presentation
Concussion presentation for gpt dr. popoli’s presentationConcussion presentation for gpt dr. popoli’s presentation
Concussion presentation for gpt dr. popoli’s presentationSamantha Haas
 
Methods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision MakingMethods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision MakingInformed Medical Decisions Foundation
 
Nowhere to go: Pptnurs620
Nowhere to go: Pptnurs620Nowhere to go: Pptnurs620
Nowhere to go: Pptnurs620Angela Varennes
 
Advocacy assignment part c
Advocacy assignment part cAdvocacy assignment part c
Advocacy assignment part cBrooke Ainsley
 
Communication During Transitions of Care: how well is it really working?
Communication During Transitions of Care: how well is it really working?Communication During Transitions of Care: how well is it really working?
Communication During Transitions of Care: how well is it really working?Canadian Patient Safety Institute
 
Tavr turndown now what palliation, hospice and other options
Tavr turndown now what palliation, hospice and other optionsTavr turndown now what palliation, hospice and other options
Tavr turndown now what palliation, hospice and other optionsdrucsamal
 
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral Health
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral HealthLeveraging Mobile Apps and Digital Therapeutics to Improve Behavioral Health
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral HealthSpectrum Health System
 
The Rocky Road to End of Life Care in the ICU
The Rocky Road to End of Life Care in the ICUThe Rocky Road to End of Life Care in the ICU
The Rocky Road to End of Life Care in the ICUTamishta Hensman
 
Focus on Frailty breakout session: Capacity and Positive Risk Taking
Focus on Frailty breakout session: Capacity and Positive Risk TakingFocus on Frailty breakout session: Capacity and Positive Risk Taking
Focus on Frailty breakout session: Capacity and Positive Risk TakingHealth Innovation Wessex
 
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...Zackary Berger
 
Clarion Presentation
Clarion Presentation Clarion Presentation
Clarion Presentation Sophia Olsen
 
Slides from Focus on Frailty 2019 conference main plenary sessions
Slides from Focus on Frailty 2019 conference main plenary sessionsSlides from Focus on Frailty 2019 conference main plenary sessions
Slides from Focus on Frailty 2019 conference main plenary sessionsHealth Innovation Wessex
 

What's hot (20)

Concussion presentation for gpt dr. popoli’s presentation
Concussion presentation for gpt dr. popoli’s presentationConcussion presentation for gpt dr. popoli’s presentation
Concussion presentation for gpt dr. popoli’s presentation
 
Shared Decision Making in the Real World: Successes and Challenges
Shared Decision Making in the Real World: Successes and ChallengesShared Decision Making in the Real World: Successes and Challenges
Shared Decision Making in the Real World: Successes and Challenges
 
Methods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision MakingMethods for Fostering the Widespread Implementation of Shared Decision Making
Methods for Fostering the Widespread Implementation of Shared Decision Making
 
Keynote Address: Jack Wennberg
Keynote Address: Jack WennbergKeynote Address: Jack Wennberg
Keynote Address: Jack Wennberg
 
Nowhere to go: Pptnurs620
Nowhere to go: Pptnurs620Nowhere to go: Pptnurs620
Nowhere to go: Pptnurs620
 
Advocacy assignment part c
Advocacy assignment part cAdvocacy assignment part c
Advocacy assignment part c
 
Using Technology to Transform Care for Patients with Parkinson Disease
Using Technology to Transform Care for Patients with Parkinson DiseaseUsing Technology to Transform Care for Patients with Parkinson Disease
Using Technology to Transform Care for Patients with Parkinson Disease
 
Communication During Transitions of Care: how well is it really working?
Communication During Transitions of Care: how well is it really working?Communication During Transitions of Care: how well is it really working?
Communication During Transitions of Care: how well is it really working?
 
Implementation of Shared Decision Making: Measuring Success
Implementation of Shared Decision Making: Measuring SuccessImplementation of Shared Decision Making: Measuring Success
Implementation of Shared Decision Making: Measuring Success
 
Gpt buchman
Gpt buchmanGpt buchman
Gpt buchman
 
Partnering with Patients to Increase Engagement and Improve Outcomes
Partnering with Patients to Increase Engagement and Improve OutcomesPartnering with Patients to Increase Engagement and Improve Outcomes
Partnering with Patients to Increase Engagement and Improve Outcomes
 
Tavr turndown now what palliation, hospice and other options
Tavr turndown now what palliation, hospice and other optionsTavr turndown now what palliation, hospice and other options
Tavr turndown now what palliation, hospice and other options
 
Decision Quality Measurement
Decision Quality MeasurementDecision Quality Measurement
Decision Quality Measurement
 
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral Health
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral HealthLeveraging Mobile Apps and Digital Therapeutics to Improve Behavioral Health
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral Health
 
The Rocky Road to End of Life Care in the ICU
The Rocky Road to End of Life Care in the ICUThe Rocky Road to End of Life Care in the ICU
The Rocky Road to End of Life Care in the ICU
 
Focus on Frailty breakout session: Capacity and Positive Risk Taking
Focus on Frailty breakout session: Capacity and Positive Risk TakingFocus on Frailty breakout session: Capacity and Positive Risk Taking
Focus on Frailty breakout session: Capacity and Positive Risk Taking
 
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...
Evidence-Based Practice Guidelines and Shared Decision Making: Conflicting or...
 
Clarion Presentation
Clarion Presentation Clarion Presentation
Clarion Presentation
 
West Auckland locality plan
West Auckland locality planWest Auckland locality plan
West Auckland locality plan
 
Slides from Focus on Frailty 2019 conference main plenary sessions
Slides from Focus on Frailty 2019 conference main plenary sessionsSlides from Focus on Frailty 2019 conference main plenary sessions
Slides from Focus on Frailty 2019 conference main plenary sessions
 

Similar to Parallel Session: Engaging Patients: The New Blockbuster Drug

Where Health Care and Digital Revolution Intersect
Where Health Care and Digital Revolution IntersectWhere Health Care and Digital Revolution Intersect
Where Health Care and Digital Revolution IntersectJames G. Boram Kim
 
Becoming Better Advocates for Your Health
Becoming Better Advocates for Your HealthBecoming Better Advocates for Your Health
Becoming Better Advocates for Your HealthBest Doctors
 
Healthcare_Discussion_Dec29final
Healthcare_Discussion_Dec29finalHealthcare_Discussion_Dec29final
Healthcare_Discussion_Dec29finalSusan Yirku
 
Glomerular Filtration Rate And Chronic Kidney Disease...
Glomerular Filtration Rate And Chronic Kidney Disease...Glomerular Filtration Rate And Chronic Kidney Disease...
Glomerular Filtration Rate And Chronic Kidney Disease...Tina Stevenson
 
Family Centered Care Essay
Family Centered Care EssayFamily Centered Care Essay
Family Centered Care EssayTiffany Graham
 
The Development Of Decision Making
The Development Of Decision MakingThe Development Of Decision Making
The Development Of Decision MakingTina Jordan
 
A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
 
NUR 612 Family History Concerning Facts Discussion.pdf
NUR 612 Family History Concerning Facts Discussion.pdfNUR 612 Family History Concerning Facts Discussion.pdf
NUR 612 Family History Concerning Facts Discussion.pdfbkbk37
 
Palliative vs. Hospice Care - READ THIS
Palliative vs. Hospice Care - READ THISPalliative vs. Hospice Care - READ THIS
Palliative vs. Hospice Care - READ THISCynthia Merritt De Vor
 
Dr. William Behan, GP, Walkinstown
Dr. William Behan, GP, WalkinstownDr. William Behan, GP, Walkinstown
Dr. William Behan, GP, WalkinstownInvestnet
 
Five Data-driven Patient Empowerment Strategies
Five Data-driven Patient Empowerment StrategiesFive Data-driven Patient Empowerment Strategies
Five Data-driven Patient Empowerment StrategiesHealth Catalyst
 
20131210 Electronic Health Records - Is the NHS ready? What about patients
20131210 Electronic Health Records - Is the NHS ready? What about patients20131210 Electronic Health Records - Is the NHS ready? What about patients
20131210 Electronic Health Records - Is the NHS ready? What about patientsamirhannan
 
PCPCC on the Patient-Centered Medical Home
PCPCC on the Patient-Centered Medical HomePCPCC on the Patient-Centered Medical Home
PCPCC on the Patient-Centered Medical Homedebronkart
 

Similar to Parallel Session: Engaging Patients: The New Blockbuster Drug (20)

Where Health Care and Digital Revolution Intersect
Where Health Care and Digital Revolution IntersectWhere Health Care and Digital Revolution Intersect
Where Health Care and Digital Revolution Intersect
 
Becoming Better Advocates for Your Health
Becoming Better Advocates for Your HealthBecoming Better Advocates for Your Health
Becoming Better Advocates for Your Health
 
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
Improving Access to Quality Diabetes Education by Carol Rasmussen, MSN, NP-C,...
 
Healthcare_Discussion_Dec29final
Healthcare_Discussion_Dec29finalHealthcare_Discussion_Dec29final
Healthcare_Discussion_Dec29final
 
Glomerular Filtration Rate And Chronic Kidney Disease...
Glomerular Filtration Rate And Chronic Kidney Disease...Glomerular Filtration Rate And Chronic Kidney Disease...
Glomerular Filtration Rate And Chronic Kidney Disease...
 
Cagr workshop final
Cagr workshop finalCagr workshop final
Cagr workshop final
 
Daily Health Update for 3-23-15 for Poway Chiropractor Dr. Kip Rode of Rode C...
Daily Health Update for 3-23-15 for Poway Chiropractor Dr. Kip Rode of Rode C...Daily Health Update for 3-23-15 for Poway Chiropractor Dr. Kip Rode of Rode C...
Daily Health Update for 3-23-15 for Poway Chiropractor Dr. Kip Rode of Rode C...
 
Family Centered Care Essay
Family Centered Care EssayFamily Centered Care Essay
Family Centered Care Essay
 
The Development Of Decision Making
The Development Of Decision MakingThe Development Of Decision Making
The Development Of Decision Making
 
A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...A correlation study to determine the effect of diabetes self management on di...
A correlation study to determine the effect of diabetes self management on di...
 
NUR 612 Family History Concerning Facts Discussion.pdf
NUR 612 Family History Concerning Facts Discussion.pdfNUR 612 Family History Concerning Facts Discussion.pdf
NUR 612 Family History Concerning Facts Discussion.pdf
 
Palliative vs. Hospice Care - READ THIS
Palliative vs. Hospice Care - READ THISPalliative vs. Hospice Care - READ THIS
Palliative vs. Hospice Care - READ THIS
 
Palliative vs Hospice Care
Palliative vs Hospice CarePalliative vs Hospice Care
Palliative vs Hospice Care
 
Dr. William Behan, GP, Walkinstown
Dr. William Behan, GP, WalkinstownDr. William Behan, GP, Walkinstown
Dr. William Behan, GP, Walkinstown
 
Chronic illness: Wellness Solutions Personalized with Genomics & Biometrics
Chronic illness: Wellness Solutions  Personalized with Genomics & BiometricsChronic illness: Wellness Solutions  Personalized with Genomics & Biometrics
Chronic illness: Wellness Solutions Personalized with Genomics & Biometrics
 
Five Data-driven Patient Empowerment Strategies
Five Data-driven Patient Empowerment StrategiesFive Data-driven Patient Empowerment Strategies
Five Data-driven Patient Empowerment Strategies
 
Diabetes controlmetermedsmove
Diabetes controlmetermedsmoveDiabetes controlmetermedsmove
Diabetes controlmetermedsmove
 
20131210 Electronic Health Records - Is the NHS ready? What about patients
20131210 Electronic Health Records - Is the NHS ready? What about patients20131210 Electronic Health Records - Is the NHS ready? What about patients
20131210 Electronic Health Records - Is the NHS ready? What about patients
 
Chronic illness impact on employee engagement
Chronic illness  impact on employee engagementChronic illness  impact on employee engagement
Chronic illness impact on employee engagement
 
PCPCC on the Patient-Centered Medical Home
PCPCC on the Patient-Centered Medical HomePCPCC on the Patient-Centered Medical Home
PCPCC on the Patient-Centered Medical Home
 

More from NHSScotlandEvent2013

Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...
Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...
Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...NHSScotlandEvent2013
 
Event Supporter Session 1: Open University
Event Supporter Session 1: Open UniversityEvent Supporter Session 1: Open University
Event Supporter Session 1: Open UniversityNHSScotlandEvent2013
 
Parallel Session: Many Voices, One Vision: The 2020 Workforce Vision
Parallel Session: Many Voices, One Vision: The 2020 Workforce VisionParallel Session: Many Voices, One Vision: The 2020 Workforce Vision
Parallel Session: Many Voices, One Vision: The 2020 Workforce VisionNHSScotlandEvent2013
 
Parallel Session: So Just How Effective Are We?
Parallel Session: So Just How Effective Are We?Parallel Session: So Just How Effective Are We?
Parallel Session: So Just How Effective Are We?NHSScotlandEvent2013
 
Parallel Session: Collaborating to Give Every Child the Best Start
Parallel Session: Collaborating to Give Every Child the Best StartParallel Session: Collaborating to Give Every Child the Best Start
Parallel Session: Collaborating to Give Every Child the Best StartNHSScotlandEvent2013
 
Parallel Session: Achieving the 2020 Vision with the Help of the Third Sector
Parallel Session: Achieving the 2020 Vision with the Help of the Third SectorParallel Session: Achieving the 2020 Vision with the Help of the Third Sector
Parallel Session: Achieving the 2020 Vision with the Help of the Third SectorNHSScotlandEvent2013
 
Parallel Session: A Little Exercise a Day Keeps the Doctor Away
Parallel Session: A Little Exercise a Day Keeps the Doctor AwayParallel Session: A Little Exercise a Day Keeps the Doctor Away
Parallel Session: A Little Exercise a Day Keeps the Doctor AwayNHSScotlandEvent2013
 
Parallel Session: Achieving High Quality, Financially Sustainable Healthcare
Parallel Session: Achieving High Quality, Financially Sustainable HealthcareParallel Session: Achieving High Quality, Financially Sustainable Healthcare
Parallel Session: Achieving High Quality, Financially Sustainable HealthcareNHSScotlandEvent2013
 
Parallel Session: Integration in Action
Parallel Session: Integration in ActionParallel Session: Integration in Action
Parallel Session: Integration in ActionNHSScotlandEvent2013
 
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...NHSScotlandEvent2013
 
Special Interest Session 1: Safety, Collaboration and Spread Across Boundaries
Special Interest Session 1: Safety, Collaboration and Spread Across BoundariesSpecial Interest Session 1: Safety, Collaboration and Spread Across Boundaries
Special Interest Session 1: Safety, Collaboration and Spread Across BoundariesNHSScotlandEvent2013
 
Keynote Session 5: Integrating Care in the Highland: Our Story So Far
Keynote Session 5: Integrating Care in the Highland: Our Story So FarKeynote Session 5: Integrating Care in the Highland: Our Story So Far
Keynote Session 5: Integrating Care in the Highland: Our Story So FarNHSScotlandEvent2013
 
Keynote Session 3: Learning to See
Keynote Session 3: Learning to SeeKeynote Session 3: Learning to See
Keynote Session 3: Learning to SeeNHSScotlandEvent2013
 
Keynote Session 2: Change is a Must
Keynote Session 2: Change is a MustKeynote Session 2: Change is a Must
Keynote Session 2: Change is a MustNHSScotlandEvent2013
 

More from NHSScotlandEvent2013 (14)

Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...
Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...
Event Supporter Session 2: NHSScotland and Scottish Life Sciences Joined at t...
 
Event Supporter Session 1: Open University
Event Supporter Session 1: Open UniversityEvent Supporter Session 1: Open University
Event Supporter Session 1: Open University
 
Parallel Session: Many Voices, One Vision: The 2020 Workforce Vision
Parallel Session: Many Voices, One Vision: The 2020 Workforce VisionParallel Session: Many Voices, One Vision: The 2020 Workforce Vision
Parallel Session: Many Voices, One Vision: The 2020 Workforce Vision
 
Parallel Session: So Just How Effective Are We?
Parallel Session: So Just How Effective Are We?Parallel Session: So Just How Effective Are We?
Parallel Session: So Just How Effective Are We?
 
Parallel Session: Collaborating to Give Every Child the Best Start
Parallel Session: Collaborating to Give Every Child the Best StartParallel Session: Collaborating to Give Every Child the Best Start
Parallel Session: Collaborating to Give Every Child the Best Start
 
Parallel Session: Achieving the 2020 Vision with the Help of the Third Sector
Parallel Session: Achieving the 2020 Vision with the Help of the Third SectorParallel Session: Achieving the 2020 Vision with the Help of the Third Sector
Parallel Session: Achieving the 2020 Vision with the Help of the Third Sector
 
Parallel Session: A Little Exercise a Day Keeps the Doctor Away
Parallel Session: A Little Exercise a Day Keeps the Doctor AwayParallel Session: A Little Exercise a Day Keeps the Doctor Away
Parallel Session: A Little Exercise a Day Keeps the Doctor Away
 
Parallel Session: Achieving High Quality, Financially Sustainable Healthcare
Parallel Session: Achieving High Quality, Financially Sustainable HealthcareParallel Session: Achieving High Quality, Financially Sustainable Healthcare
Parallel Session: Achieving High Quality, Financially Sustainable Healthcare
 
Parallel Session: Integration in Action
Parallel Session: Integration in ActionParallel Session: Integration in Action
Parallel Session: Integration in Action
 
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...
Special Interest Session 2: Putting the Person at the Centre: Would the Esthe...
 
Special Interest Session 1: Safety, Collaboration and Spread Across Boundaries
Special Interest Session 1: Safety, Collaboration and Spread Across BoundariesSpecial Interest Session 1: Safety, Collaboration and Spread Across Boundaries
Special Interest Session 1: Safety, Collaboration and Spread Across Boundaries
 
Keynote Session 5: Integrating Care in the Highland: Our Story So Far
Keynote Session 5: Integrating Care in the Highland: Our Story So FarKeynote Session 5: Integrating Care in the Highland: Our Story So Far
Keynote Session 5: Integrating Care in the Highland: Our Story So Far
 
Keynote Session 3: Learning to See
Keynote Session 3: Learning to SeeKeynote Session 3: Learning to See
Keynote Session 3: Learning to See
 
Keynote Session 2: Change is a Must
Keynote Session 2: Change is a MustKeynote Session 2: Change is a Must
Keynote Session 2: Change is a Must
 

Recently uploaded

Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 

Recently uploaded (20)

Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 

Parallel Session: Engaging Patients: The New Blockbuster Drug

Editor's Notes

  1. Use data and stories equally to build willCan we take the trend line out?
  2. Kinds of patient work according to the normalization process theory approach we are using to understand patient work (see more on this theory at http://normalizationprocess.org – we are currently conducting patient interviews and review of consultations to further understand this domain and develop a psychometrically sound measure of treatment burden.
  3. This slide shows the impact on the rate of remission among the first 15 teams to join the network. This is an annotated control chart showing, on the Y-axis, the % of patients in remission. Time is on the X-axis. The various interventions are noted on the slide. These data are from last August when the rate of remission reached about 73%. We are now up to about 77%.How are they doing it – sharing. Sharing data, know how and knowledge