Posts Tagged ‘ABIM Foundation’

Legal Technology – Doctors, Patients and Social Networks

August 20th, 2009 | Popularity: 5%
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Legal Technology – Doctors, Patients and Social Networks

I would say this article falls in the "unenthusiastic about the future" category.

The author led off with the University of Florida study as a sort of example of unprofessional behavior online, and within it, cited that 50% of students shared their sexual orientation online, (as did the UF researchers, albeit in a different order than this author did, relative to other “personal information items” such as relationship status or political views).

In 2009, what’s unprofessional about sharing one’s sexual orientation (and why was it ever deemed unprofessional)?

Don’t many “traditional” physician profiles indicate marital and family status, and isn’t this sharing of a person’s sexual orientation, for those who are legally allowed to be married?

The writer’s approach seems to harken back to a different era, where “being professional” was thought of differently, based on who a person “was” (where they went to school, demographics, etc.) rather than how they behaved. Perhaps this is because there was so little information to base this judgement on.

This is why I believe social media has the potential to change the definition of what “being professional” is, in a positive way.

Just after reading this article, I came across this comment from Jay Parkinson, MD’s blog:

You shouldn’t have a resume or a CV. You should have a blog with an “About Me” section that yaps about all the things you’ve done to get where you are with full acknowledgement that most of your education, experience, and awards are worth nothing if they’re not backed by consistently interesting thoughts.

And this should be a requirement for graduating high school.

I agree with Jay. When a person’s behavior is as transparent as their given credentials, they’ll have the opportunity to show how they work to perform better for the people they serve every day.

One more thing – As I have observed many health professionals transition to communicating in an electronic world within health care systems, I have seen that they carry their caring and skill with them into new environments, as any professional would. An article about social media and professionalism should include this reality at its core.

Thanks to the American Board of Internal Medicine Foundation for joining Twitter and raising discussion about this topic!

Now Reading: Take Two Aspirin And Tweet Me In The Morning: How Twitter, Facebook, And Other Social Media Are Reshaping Health Care. Health Affairs. 2009 Mar 1

March 13th, 2009 | Popularity: 50%
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Note: the article no longer requires a subscription for access (3/14/09)

The much anticipated health information technology issue of Health Affairs, and in it is an article written by Carleen Hawn about Social Media in Health Care. The links above to to the Health Affairs site, but it appears a subscription will be required to view it, so hopefully readers have access to an institutional or other subscription to read it.

The genesis of this article was a discussion that was started in July, 2008, at the American Board of Internal Medicine’s forum on Patient Centered Care, where i presented about some of these concepts. This was followed up with discussions with myself and other leaders in the field, such as Jay Parkinson, MD, from HelloHealth, Bob Coffield, a well known legal expert in the area of social media, as well as real patients.

I actually attended the briefing announcing the release of this issue in Washington, DC, and was pleasantly surprised to see that the article is billed on the front cover of a very full catalog of scholarly works. Who would have thought 4 years ago that an article about social networking/media would be front cover material for the Health Affairs issue on Health Information Technology. This says a lot about the impact that social media, or perceived impact, in this area of health care! At the same time, I think Matthew Holt correctly points out that there’s a part two (and three and four) to be written covering what’s below the tip of the iceberg.

In addition to the information mentioned in the article, Carleen Hawn also consulted with some of my favorite innovators in health care, including Scott Shreeve, MD, and the team at the Kaiser Permanente Sidney Garfield Center for Health Care Innovation.

In addition to these contributions, I would also mention the contribution of the California Healthcare Foundation, whose leaders, including Veenu Aulakh, MPH, Sophia Chang, MD, MPH and Sam Karp, stimulated the development of the crowdsourced definition of Health2.0 mentioned the article with a simple question to me: “Ted, what is Health2.0?” (my answer was, “I don’t know, let’s ask the crowd.”)

And, I would also like to mention that innovation like this comes from health care organizations and systems that are able to say,”Not everything has been tried before,” and in my case this is/was Group Health Cooperative, who have learned from our early blogging experience and now bring their physicians and staff online for the world to learn about what they are doing to reinvent primary care. I’ve been engaged in maybe a few conversations over the past few years about why health care organizations should be transparent and it’s helpful for everyone to have an example of why this works well for everyone.

Thanks again to Carleen Hawn, The Health Affairs Team, and The American Board of Internal Medicine Foundation for taking the time to explore this topic for America’s patients (that’s all of us).


Moving Closer to Patient Centered Care in Yountville, California

July 30th, 2008 | Popularity: 46%
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Yountville

I think word has gotten out that I am something of an urban dweller; Susan Edgman-Levitan was nice enough to ask me, “Ted, are you hanging in there?” as we spent several days in Yountville, California at the American Board of Internal Medicine Foundation forum on Achieving Patient-Centered care.

I ended up doing just fine – it’s about the content, not the place, and a scenic jog through the vineyards of Yountville can’t be argued with.

And the content was right up my alley, with thanks to the ABIM Foundation for hosting this discussion. The discussions at the Forum are being compiled by the ABIM Foundation, so I will let them report on that rather than me, but I can share my perceptions of the event here.

First of all, patients and families were involved throughout, as faculty and equal participants. This continues an important precedent in helping health care leaders achieve comfort with this idea.

One of the most powerful moments was Margaret Murphy sharing the story of her son Kevin’s death (You can read more about it here) within the Irish health system. I really appreciated Mrs. Murphy’s use of images in her storytelling – in the future, a presentation without at least 50 % images and a video or two is going to be minimum bar to go in front of an audience. There was discussion about Kevin’s death being the result of diagnostic error. I think that’s true, and I also think that if the family had access to all of his medical information from the beginning, it might have changed the diagnostic approach or caught the fatal series of errors before they happened.

For my part, I presented the following slides in the 10 minutes I had alotted, around the topic of the use of health information technology to put patients, families, and communities in the center of care.

Enjoy (I hope) and thanks to the ABIM Foundation for hosting this discussion and follow-up.

Click on any image to see them larger