Leveraging Social Science and Technology to Harness the Power of Information Democratization (Text Version)

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

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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