Archive for July, 2009

“Do you Ride?” – Learning about leadership from Harley Davidson in Oakland, California

July 30th, 2009 | Popularity: 11%
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Harley Davidson dealership Oakland CA

Harley Davidson dealership, Oakland, California

I am back in Oakland, California, at the Sidney Garfield Center Health Care Innovation Center, this time supporting the Permanente Medical Group’s course “Medicine and Management,” which brings physician leaders from across the nation to learn about leadership in all of its facets. This includes providing great care experiences for members, recruiting and mentoring other physicians, and today’s installation of the course, techniques used in innovation.

In this morning’s session, there was a surprise trip to the Bob Dron Harley Davidson dealership in Oakland, California to learn about leadership in a context other than health care. By the way, I misspoke in my twitter feed that we were going to the Harley-Davidson factory – this is where we went, and it was no less impressive. One thing I really enjoy is learning about different ways of doing things from outside of health care.

The question in the title of the post was something we were asked by several of our tour guides – they would ask, “Does anyone here ride?” as a way to identify enthusiasts up front. Despite the fact that most patients wouldn’t call themselves enthusiasts of health care, there are (as with everything I see), parallels to health care. Although not enthusiastic about health care, I’d say most patients are enthusiastic about a great patient-physician relationship.

I was impressed by the level of interest in collaborating to create a good customer experience in all facets of the relationship – from the decision to purchase, to buying add-ons, to service. Because service is such an important part of the relationship, the service area is as clean and welcoming as the sales floor is (and service involves sales, too).

This part of the day was an introduction to observation, in the process of innovation. We were coached in asking useful, open-ended questions, and then went back to the Garfield Center to convert the observations into storytelling. We also did exercises in brainstorming (see photograph below) to acquire as many ideas as possible and sort through them.

Brainstorming Exercise - Medicine and Management Course
Panoramic view of Permanente physicians learning design thinking


Tomorrow, the group will continue to learn about the skills of innovation, or design thinking, led by the Innovation Consultancy group at Kaiser Permanente. The skills being taught to this group of physician leaders are the same ones used to develop the breakthrough MedRite program, which has changed the way people think about (and do) medication administration in hospitals so that it is safer. If you look at the tools used in MedRite, they are not new computers – using design thinking, the tools are simple, effective, and can be spread easily.

I am, of course, a big fan of continuous learning, and think it’s differentiating for medical groups to teach the skills of innovation. Through the work of the innovation consultancy, and more broadly, the Innovation Learning Network, Kaiser Permanente participates in sharing knowledge across organizations, just like our members expect.

More photographs, click on any to see larger size


Healthcare Information Technology Conference & Expo – iiBIG – Conference Overview October 20-21, 2009

July 22nd, 2009 | Popularity: 7%
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Welcome- AHRQ Agency for Healthcare Research and Quality Annual Conference

July 22nd, 2009 | Popularity: 6%
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Health Care Public Relations, Marketing & Internal Communications A Social Media Summit October 4-6 2009

July 22nd, 2009 | Popularity: 6%
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The doctor is in and logged on – Los Angeles Times

July 21st, 2009 | Popularity: 7%
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Health Information Technology for the People: HIT in the SocialMediaSphere and Healthy People 2020

July 21st, 2009 | Popularity: 7%
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It really seems that Health Information Technology is becoming more about people. Organizations that implement it realize quickly that if the people receiving care do not feel the impact, then the benefits are fleeting, if they exist at all.

Two events last week demonstrated that even people who haven’t yet implemented Health Information Technology understand that just like social media, it should connect people to people, rather than people to technology.

The first event was the Social Media in Health Information Technology conference, which was very successful in my opinion, even with a brief writeup in The Washington Post. Most of the presentations are on the Web site. My slides are here:

In them, I did a brief reveal of the budding internal social network being deployed within Kaiser Permanente. I just learned today that the US Congress is also going to get a social network, which looks very similar. Great minds?

Beyond the presentations, the event captured the energy of Washington, DC, the nation’s most extroverted region. To prove this a little, I did some short video interviews of some of the principles, including Val (“Dr. Val”) Jones, from Betterhealth.com:

The second thing I did was sit in on the discussion of a new Objective for Healthy People 2020, which is about Americans having access to their own health information (e.g. via personal health records). I’ve been a huge fan of Healthy People ever since I entered the field of medicine – the defined objective for the health of our residents are respected nationally and internationally, and it would be great for personal health records access to be one of these measures.

The Healthy People process is an open one, so the public will be invited to participate to make these objectives the right ones for our country, later this fall. The other thing I learned (and very much enjoy) about the Objectives is that they all include measurements of equitable access, to the diversity of people who live here.

Photo Friday (It’s a video): Trenor Williams, MD

July 18th, 2009 | Popularity: 5%
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This week’s photograph is a video, reflecting the changing nature of social media, with the advent of iPhone Video and other devices, such as Flip HD.

This video is a brief interview of Trenor Williams, MD, one of the principles of Clinovations, a group of Washington, DC innovators in the Health Information Technology arena that I work with. Clinovations was a lead organizer, along with Ozmosis, and Amplify Public Affairs (of the well-regarded Disruptive Women in Health Care Blog), of the successful Social Media in Health Information Technology conference this week. I’ll be posting my slides and impressions here soon.

By the way, I am still learning how to integrate video into my repetoire, so feel free to provide tips or guidance if you (a) do this regularly (b) have suggestions for people/topics you’d like to see more of or (c) can provide constructive guidance on my technique – setting, questions, framing of the subject, etc. I always want to improve! I did several other interviews, which you can see on the YouTube channel I set up for my stuff.

Federal IT Dashboard

July 16th, 2009 | Popularity: 6%
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“You shouldn’t have to know how many bars of signal there are, you turn on the phone and there’s a dial tone.”

July 14th, 2009 | Popularity: 4%
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This is what Marty Cooper, father of the mobile phone, told me as he handed me a jitterbug phone. I opened up the clamshell, and sure enough, there was a dial tone.

So who decided that all of us need to assess the strength of the cell phone signal, dial a person’s number, and then find out whether there will be a connection or not? Lots of analogies to health care.

I got to meet Marty and Arlene Harris, the CEO and Co-Founder of Jitterbug, yesterday, as we toured them through The Sidney Garfield Health Care Innovation Center, in Oakland, CA. This is probably my fourth time at the Center – I have grown to enjoy the inspiration that goes beyond what is housed inside, because it is a great environment to be in, just to think about what’s possible.

I met Arlene about a month ago when she spoke at the mHealthInitiative June Seminar, in Washington, DC, and learned more about Arlene and Marty’s experience yesterday, in the company of experts from Kaiser Permanente, including leaders of its Internet Services Group, and physician leaders, including John Mattison, MD, from the Kaiser Permanente Southern California Informatics group.

They originally set out to create a mobile phone service for people who would not likely use much airtime, and would also not expect to pay a lot per month, around $10, maybe. When they couldn’t find a carrier that would provide this service, they created their own. Both Arlene and Marty have long roots in telecommunications. Arlene told us that the first mobile health application they developed provided pagers to families who were waiting for organs on transplant lists. The pagers freed them from sitting by their home phones, waiting for a call to arrive.

During our tour we saw the most high-tech innovations, including mobile computing devices that hospital staff can use to read barcodes on medications, take photos of wounds, and document in the electronic medical record. We also saw practical innovations, including a discharge board that visibly shows patients and families which milestones have been reached on their way home.

I’ll say for all of us, the day was a reminder that everyone is necessary – from those who create the breakthrough idea, to those who provide service to people who want and need it. As I have said on this blog before, I am interested in mHealth and believe leading edge health care organizations have the ability to leverage it to deliver care affordably as well as equitably, to the large proportion of our population that is now far more mobile than a web browser on a desktop.

With great thanks to Marty and Arlene for spending time to inspire our innovators about the promise of mobility, and of course to The Sidney Garfield Health Care Innovation Center for the mind expanding environment.

Driving the Adoption of Health IT Through Innovations in Social Media, July 16, 2009, Washington, DC

July 10th, 2009 | Popularity: 5%
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