Transform to a medical home — with a little help from your friends
We learned from the National Demonstration Project (NDP) that transforming to a patient-centered medical home (PCMH) isn’t easy — it actually IS rocket science — and it requires meaningful change throughout all aspects of a practice.
We also learned that medical practices can be lonely places: physicians and staff often feel isolated. What they want and need are opportunities to communicate, collaborate, and learn with other practices in order to maintain the momentum of change.
And lastly, we also learned that some practice leaders have a DIY attitude (Do-It-Yourself). They were not interested in having a consultant or practice coach in the practice; they just wanted useful information, some accountability, and connections with other practices to learn best practices.
TransforMED’s Delta-Exchange provides all of that in an online, social networking platform.
With the cost of 30$/month per user, this is an interesting solution for knowledge sharing and collaborative virtual work among family physicians.
Engaging kids in healthcare can be one of the many hard tasks of a health professional, but surely one of the most rewarding.
Nowadays, creating technologic platforms for health education is more than an alternative; it’s mandatory.
This is certainly going in that direction: Medikidz - medical information for kids!
The 5 Medikidz – Axon, Gastro, Skinderella, Pump and Chi – are a “group of larger-than-life. space-dwelling characters” that live on a 3D virtual world, a planet called Mediland and shaped as the human body. By using graphic novels, medicine information pamphlets, an online information edutainment environment, online games, and of course, social networking, the Medikidz are determined to explain medical concepts in a simple and understandable way, empowering children and their parents. Everything starting in next July.
This is the 3D view of the Stomach Room with some food in it.
Will it be possible for grown-up docs to pay a visit? I would love to take a journey trough Mediland and remind those days of “Il était une fois la vie”.
If you have never heard this name before, don’t worry: better late than never.
Jay Parkinson, @jayparkinson, author of the jay parkinson + md + mph blog and a health 2.0 revolutionizer, presented hellohealthin June 2008, a social network between patients and doctors that steps aside from the US healthcare insurance companies and their dense billing system. Although a little focused on an economist point of view, this video from Jay presents the way that primary care should be on the 21st century: personalized and citizen centered healthcare based on a high usage of the communication technologies.
Is this is the doctor-patient relationship 2.0 ? Probably yes.
Lately I’ve been absent from my blog due to the fact that I’m finishing my vocational program and therefore I’m having a work/study overload. But this was a VIP - Very Important Post, so here it goes.
During the last Portuguese National GP Meeting, that occurred in Vilamoura from March 18th to 21st, I and Tom Nolan, from doc2doc, organized a 90 minute workshop entitled Social Networking for General Practitioners and Trainees. This was the first time that Portuguese GPs had the opportunity to discuss and try some of the tools that web 2.0 brought to light during the last years.
Tom presenting the “Social network: what’s in it for GPs?”
The workshop main attractions were the social network platforms doc2doc and, of course, Twitter. Participants had the chance to endure on a live tweet discussion between me, @amcunningham, @brownleader and @JRBTrip who kindly accepted to be available on Twitter for 30 minutes on that morning. A lot of tweets were exchanged among Portugal (Vilamoura), UK and Australia during those moments, mainly regarding the use of Twitter by GPs, electronic communication between physicians and patients and also different working conditions for GPs. You can tweetsearch the discussion with the hashtag #26encg.
This conference was particularly interesting, due to high scientific interest, focusing General Practice/Family Medicine and Quality Assessment, but also regarding the fact that it was the first time that a GP conference in Portugal was being live tweeted. Carlos Martins, @mgfamiliarnet, was avidly following the stream during his daily GP activities 600 km away, in a health centre in Porto.
This was a starting kick for Portuguese GPs in social networking 2.0, we hope everyone feels enthusiastic about it.
The recently published “Virtual Doctor Visit Report”, conducted by Prophis eResearch on 1600 online US adults, proves that patients perceive online consultation as being positive, and even more if one is consultated by a personally known physician.
How should GP practices prepare themselves for this upcoming reality? Should Instant Messaging services and virtual reality consultations be as common as a telephone consultation?
Hi,
Interesting. Do you have a link to the US report? What is the situation in Portugal with regards to conultations which are not face to face, eg telephone and beyond?
Thanks
Anne Marie
Unfortunately I don’t have the US report, and I think it’s not available online.
In Portugal we don’t have solid data regarding the telephone consultations (they were never object of adequate research) but I’m pretty sure they represent around 10% of a daily GP work (email consultations are still residual).
There is a group of colleagues from the Portuguese Association of GPs that are starting a research project on this subject. As soon as the data is available, I will let you know.
Actually this shows that minority were positive (48%) with majority being negative or neutral. The headline admits ‘mixed’ reception.
Also interesting is that those accepting virtual consultations, are more tolerant of this being with a doctor they do not know. In my experience these are generally well, young patients. We have to make sure that we don’t start designing health services around this demographic. Some would say that this has started happening in England.
“those who ignore the deep trends of e-health 2.0 risk missing the early stages of a social, economic and technological tectonic shift in healthcare planning and delivery” inWeb 2.0 in the Health Sector: Industry Review with a UK perspective
- @DrHubbard / www – Family physician and publisher of James Hubbard’s My Family Doctor, which is medical information for the general public written by health-care professionals.
- @drottematic / www – Final year med student at UBC, Vancouver. Canadian Family Practice Resident, starting July 1, 2009
- @Dr_Paige / www – Family Practice doc for Family Practice West in Columbus, Ohio
- @GPforhire – Family Doctor, husband, father, geek, gardener, old skool Jedi, um, and loads of other interesting things…
- @holmspun / www – A Family Doc and a Medical Student musing about medicine in the Midwest.
- @jmbhan / www – I am a Family Physician and tech junky, trying to change the world
- @kevinmd / www – Primary care doctor Kevin Pho, M.D. provides commentary on physicians, patients, hospitals, medicine and health care.
- @KittKlaiss – Small Town Doc, mom of 2, knitter, scifi junkie
- @meducate / www – Global, strategic medical education professional. Interested in clinical practice gaps and outcomes measures. Also humorous speaker/writer globally.
Some days ago, I wrote a newsletter for the Second Virtual Congress of General Practice and Family Medicine, regarding health literacy and the impact of knowledge in healthcare. This is a subject I am very keen on, and it will dramatically change the way health systems organize themselves and also the relationship between healthcare providers and patients.
For an aditional point of view, I’m also posting a video interview to Sir Muir Gray, Director of the UK NHS National Knowledge Service, focusing the importance and goals of mapofmedicine®. Thanks to @amcunningham for the bookmark on the video.
Globalizing Health Knowledge
Tell me, I forget.
Show me, I remember.
Involve me, I understand.
Chinese proverb
The everchanging essence of knowledge and the continuous seek for new discoveries have driven mankind to a tenacious dedication for unveiling the paths and boundaries of the human body. The extent of our knowledge about ourselves has increadibly reached the genetic book of life, allowing in a certain way to forecast the future. But is this immense knowledge leading us to higher levels of health literacy?
Nowadays, citizens are empowered through the fast access to information, and the gap between patients and health information has significantly been curtailed. Health related searches on the internet have increased over the past few years, and online communities of patients, that have physically never met, are flourishing at a fast pace. These current trends of the information and communication technologies are changing the lives of individuals and their families, and also the way that health systems are developing.
We see health consumers rapidly becoming key health players, taking increased responsability for their health status and data, and ultimately gaining critical knowledge about the quality the health care they receive. Patient-centeredness is a new order, and consequently the web 2.0 effect on the patient-doctor relationship is far for being totally understood.
For general practitioners and family physicians, who are at the forefront of health care systems around the world, this represents an exciting challenge. Moreover, this undoubtedly requires an upgrade of skills which entails joining the technological breakthrough and to face a new set of communication channels: instant messaging, electronic mail and virtual reality, just to name a few… Reassuring the important role of primary care providers in promoting health literacy is of crucial importance and can be achieved at a global scale, and not just simply in local settings.
Thirty years after the Declaration of Alma-Ata, primary health care needs once again gather forces in order to help decreasing inequalities around the world. The demands of health care systems require innovative solutions. As such, eHealth now represent the common voice for globalizing health literacy. The main goal for the Second Virtual Congress of General Practice and Family Medicine is to enable the use of eHealth, so as to empower citizens to use health information in an operational way – in other words, working globally for a wiser health.
EMR Services of Canada Blog has a interesting post about Personal Health Records in Primary Care, their importance and the impact on the quality of the provided health care.
DrV 21:36 on 16/04/2009 Permalink |
This is interesting. I have thought of using endoscopy videos as a means of teaching kids about the gut.
alexandregouveia 22:38 on 16/04/2009 Permalink |
Thanks for your comment,
I think we should use all the possible means to help kids understand the human body; endoscopy videos could be interesting in deed.
Best regards,
Alex.
Ribs Susiaho 08:29 on 17/04/2009 Permalink |
Glad you like the look of our forthcoming website and virtual world! In answer to your question – yes of course grown-ups can visit too