Leveraging Social Science and Technology to Harness the Power of Infor

Slide Presentation from the AHRQ 2009 Annual Conferenc

On September 14, 2009, Joshua Seidman made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (1.1 MB). Plugin Software Help.

Slide 1

Leveraging Social Science and Technology to Harness the Power of Information Democratization

Joshua Seidman, Ph.D.
President
Bethesda, MD
 

Slide 2

Why "Ix" and "Information Therapy"?
Corollaries between Ix & Rx

• Side effects
• Overdose
• Titrate the dosage
• Appropriate frequency & duration

Slide 3

Ecology of Medical Care & the Internet

Green et al. The Ecology of Medical Care Revisited. NEJM; 344:2021-2025
Use of Internet
 

Slide 4

Pew Internet Project Data

• "Dr. Google Phenomenon"
  • More consumers go online for health info than see a doctor
• What do consumers do when their physicians tell them to stop going online?
  • Switch doctors
  • Go underground

Slide 5

"Parallel Play"

Slide 6

"Parallel Play"

IN THE MD's OFFICE:
Research: Patients recall only 20%-50% of what MDs tell them 5 minutes after the fact (Eiser, 1982)

EVERYWHERE ELSE:

• Tangled web of health info
• Info is hard to:
• • Find (relative to need)
  • Understand
  • Remember
  • Contextualize

Ix: Bring Two Worlds Together

Slide 7

HOW DO WE HARNESS INFORMATION TO
ACTIVATE CONSUMERS?

DATA
INFORMATION
KNOWLEDGE
BEHAVIOR
 

Slide 8

Integrating Best of Science into Information Democratization

Slide 9

Information Triggers: Delivering the Information

• EMR/PHR
• Claims data
• Patient portals
• Secure messaging
• E-prescribing
• CPOE
• Call center
• Automated lab results
• Automated pharmacy data
• Appointment Scheduling
• Automated referral system
• Online multimedia clinical content

Slide 10

Potential Information Triggers to Deliver SDM Decision Aids

• ICD-9 code for back pain & referral to orthopedist
  • LOW BACK PAIN DECISION AID
• Scheduling of 50-year-old male well-care visit
  • PSA TEST DECISION AID
• Lab data: LDL>130 mg/dL
  • STATIN THERAPY DECISION AID

Slide 11

Institute of Medicine (IOM)

"Ten simple rules for the 21st-century health care system"

"Rule 1: Care based on continuous healing relationships"

Encourage "all types of health care interactions that improve information transfer... "

Slide 12

IOM Rule #1: Continuous Healing Relationships

Slide 13

For More Information

Web site: www.IxCenter.org
Blog: www.IxCenterBlog.org
Email: jseidman@ixcenter.org