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Hesse pcc may 2014
1. “Deep Support” in Patient Care
Reengineering Healthcare to Support Patient-Centered
Communication and Continuity of Care
Bradford W. Hesse, PhD
Chief, Health Communication
& Informatics Research
Thursday, May 1, 14
3. “Greatest innovators (e.g., Henry
Ford) ... discovered the possibility
of a new kind of convergence
between consumers’ desires,
technological capabilities, and
organizational innovations.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The
support economy : why corporations are failing individuals and
the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
4. “Greatest innovators (e.g., Henry
Ford) ... discovered the possibility
of a new kind of convergence
between consumers’ desires,
technological capabilities, and
organizational innovations.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The
support economy : why corporations are failing individuals and
the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
5. “Deep support provides ongoing
relationship based on advocacy,
mutual respect, trust, and the acute
alignment of interests.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The
support economy : why corporations are failing individuals and
the next episode of capitalism. New York: Viking.
Thursday, May 1, 14
6. “Deep support provides ongoing
relationship based on advocacy,
mutual respect, trust, and the acute
alignment of interests.”
The Support Economy
SOURCE: Zuboff, Shoshana, & Maxmin, James. (2002). The
support economy : why corporations are failing individuals and
the next episode of capitalism. New York: Viking.
“The new digital technologies are
essential to the successful
consolidation of this new ... logic.”
Example
Thursday, May 1, 14
7. Source: Leyden WA, Manos MM, Geiger AM, Weinmann S, Mouchawar J, Bischoff K,Yood JG, Taplin SH (2005). Cervical cancer in women with
comprehensive health care access: Attributable factors in the screening process. JNCI, 97(9), 675-683.
The Support Economy
Thursday, May 1, 14
8. Source: Leyden WA, Manos MM, Geiger AM, Weinmann S, Mouchawar J, Bischoff K,Yood JG, Taplin SH (2005). Cervical cancer in women with
comprehensive health care access: Attributable factors in the screening process. JNCI, 97(9), 675-683.
The Support Economy
WHY IMPORTANT?
Thursday, May 1, 14
9. Communica)on
Errors
at
Root
Source: Mazor KM, Roblin DW, Greene SM, et al. Toward patient-centered cancer care: patient perceptions of
problematic events, impact, and response. J Clin Oncol. May 20 2012;30(15):1784-1790.
• Interviews with 416
cancer patients across 3
clinical sites (Mazor, et al,
2012)
• Asked about events
where something “went
wrong,” the event could
have been prevented, and
the event could have
caused significant harm.
Results*
• 28% described problem with
medical care
• 47% described a
communication problem
• 24% described problem with
both communication and
medical care
* Of those reporting error
Thursday, May 1, 14
10. Accoun)ng
for
Two
Types
of
Error
Errors of Commission:
Doing something wrong
(root cause of detectable
errors)
Errors of Omission:
Failing to do something
right (e.g., Pap failure - leads
to more insidious
consequences)
Thursday, May 1, 14
12. Just a 1% reduction would save $400 billion
Thursday, May 1, 14
13. Eliminating Errors
SOURCE: Hesse, B. W., & Shneiderman, B. (2007). eHealth research from the user's perspective. Am J Prev
Med, 32(5 Suppl), S97-103.
Thursday, May 1, 14
14. Source: Hesse BW. Public Health Informatics. In: Gibbons MC, editor. eHealth Solutions for Healthcare Disparities. New
York, NY: Springer; 2007. p. 109-129.
Engaging Patients, Managing Populations
Thursday, May 1, 14
18. Consumers: HP 2020 Goals
http://www.healthypeople.gov/2020
Thursday, May 1, 14
19. Consumers: Surveillance, Internet
Source: Hesse, B.W., Gaysinsky, A., Vieux, S., Ottenbacher, A., Moser, R.P., Blake, K.D, Chou, W.S., Beckjord, E. (in
press). Meeting the Healthy People 2020 Goals: Using the Health Information National Trends Survey to Monitor Progress
on Health Communication Objectives, Journal of Health Communication.
Thursday, May 1, 14
20. Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
21. Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
22. Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
23. Consumers: Surveillance, Med Use
Source: Hesse BW, Moser RP, Rutten LJ. Surveys of physicians and electronic health information. N Engl J Med. Mar 4 2010;362(9):859-860.
Thursday, May 1, 14
27. Organizations: Biggest Gap
Computational Technology for
Effective Health Care advocates re-
balancing the portfolio of investments
in health care IT to place a greater
emphasis on providing cognitive
support for health care providers,
patients, and family caregivers ...
Thursday, May 1, 14