Now Viewing: Patient-centered care

What’s Next Health: Flipping the Visit

Jul 18, 2013, 3:00 PM, Posted by Pioneer Blog Team

Rishi Desai, medical fellow at the Khan Academy Rishi Desai, medical fellow at the Khan Academy

Each month, What’s Next Health talks with leading thinkers about the future of health and health care. Recently, we talked with Sal Khan, founder of the Khan Academy, who shared his vision for “reimagining education” and what that means for health and health care. Khan Academy medical fellow and Pioneer grantee, Rishi Desai, MD, MPH, shares thoughts on how Khan Academy's approach to learning can help transform the patient experience.

By Rishi Desai

In my pediatric clinic, I generally get 20 minutes with each patient, which is long by many standards. I spend most of that time asking questions and sharing a treatment plan, leaving only two or three minutes to really talk with people about my assessment and address their thoughts and concerns. As a result, patients (in my case, a child and their accompanying adult) too often go away unconvinced or confused about what to do next.

But what if we flipped the visit? What if I could spend time quietly listening to a patient who comes to me already informed and prepared to talk about her child's health and any issues she might be facing? What if the doctor/patient visit allowed us to build better trust—to work as partners instead of me “giving a lecture”?

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Listen Up: Why Innovators Need to Listen to Consumers

May 23, 2013, 8:00 AM, Posted by Beth Toner

Beth Toner, communications officer Beth Toner, communications officer

I recently spent the day at the MIT AgeLab, and it was an important reminder of why successful innovators in any field need to listen to the consumer.

I was there to participate in a roundtable discussion on engaging the “older” consumer online (much to my chagrin, I realized that I am in fact part of this demographic). Folks from a variety of for-profit organizations were at the table, along with MIT AgeLab staff conducting and supporting research in this area. I was the only person there from a philanthropic organization.

The presenter line-up was eclectic. To my delight, Sally Okun from Pioneer grantee PatientsLikeMe was there to share her perspective on how PatientsLikeMe helps patients make complex decisions about their health. Courtney Ratkowiak from Proctor & Gamble highlighted that company’s innovative efforts to reach women ages 55 and older who buy beauty products. (I was surprised to learn that most women 55+ don’t own a smart phone.) Mark Duffey, CEO of Everest Funeral Planning, showed how his company makes difficult decision-making easier by going out of his way to make prices clear. (Apparently, the three things women dread purchasing the most are financial services, cars and health care.)

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Bringing OpenNotes to Geisinger

May 20, 2013, 12:59 PM, Posted by Steve Downs

Doctor listening to man's breathing

In a post this week on the Kevin MD blog, Jon Darer, chief innovation officer for the Division of Clinical Innovation at Geisinger Health System, discussed Geisinger's decision to roll out OpenNotes to most of its physicians and patients.

Geisinger's approach highlights the choices that will be facing many health systems: The results of the OpenNotes study, published last fall, provide compelling evidence to go forward in general, but there is a need to be careful and thoughtful about how to do so. Different specialties and different patient populations have special circumstances that need careful consideration. And each institution has its own culture to be navigated. As more early adopters like Geisinger move forward, we'll learn more about how best to implement this practice and through that learning, make it more widely available. — Steve Downs

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500+ Geisinger Doctors Adopt OpenNotes

May 8, 2013, 8:00 AM, Posted by Steve Downs

OpenNotes: Health care leaders speak out

“Today, Geisinger Health System, one of the nation’s premier health systems, is taking an important step to expand OpenNotes. We hope other systems follow Geisinger’s lead to share doctors’ notes with patients, giving them information they can use to participate more meaningfully in their care." – Steve Downs

This excerpted post by Geisinger CEO Glenn Steele, MD, first appeared in October 2012, when results from the OpenNotes pilot were released. Geisinger was one of three health systems that participated in the study.

…As a health system CEO who also is a doctor, I believe it is an ethical imperative that our patients at Geisinger know everything that we know about them. And, I think it’s a logical imperative that if we can open up our medical visit notes to our patients, we’ll find out what they understand and what they don’t, so we can answer questions and work as partners to chart a path to better health.

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Health Foo 2013: Best Canceled Event, Ever

Apr 24, 2013, 11:52 AM, Posted by Ted Eytan

Painting by Regina Holliday "The Open Door," a painting by Regina Holliday inspired by Health Foo 2013

A version of this post originally appeared on Ted’s personal blog.

At 3:30 p.m. on Friday, April 19, I received word that Health Foo, an annual unconference about health set in Cambridge, MA, was canceled because Boston and its surrounding areas were on lockdown as the search for one of the Boston Marathon bombing suspects continued. Like me, many other attendees were already en route, and we quickly decided that we’d find a way to make Health Foo happen for anyone who was in town and was interested.

There was no mistaking the gravity of the situation on Friday. The decision to cancel was a good one. What happened next, though, was pretty amazing.

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