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Patient Experience of Care
By Marc Pierson
Wednesday, January 16, 2008

Personal Health Management Systems–Conumer-centric, Consumer-controlled & Community-situated.
Well that is a mouth full. This rather nuanced concept has emerged and clarified itself over the last 7 to 14 years in Whatcom County, WA.

We believed that we were patient centric–thinking of (and for) the patients way back in 1993 [...]

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Connected Community

As we connect community partners to their health information and to one another we could create a dashoard like the one connected communities has in Whatcom.

It woud display items like communitymembers connected, physicians connected, ED patients connected, radiology clients connected, diabetics connected, chruch members connected, Over 65 connected, etc. They woud show numeric targets and percentage of [...]

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My “Idea Summary” for remarks and discussion at the California HealthCare Foundation's Chronic Disease Care Conference.
 
 
Our future will be determined by how our communities manage chronic medical conditions.
 
Systems supporting chronic care ideally will work throughout a community.
This is the scale at which patients experience care through multiple resources, multiple organizations, multiple providers, friends and family.
 
Patients [...]

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Patient Involvement on Teams

 
Patient Involvement on Teams: Learning from a Community Collaboration in Whatcom County
 
Considerations: 
 
Some healthcare professionals have been tentative or fearful about patient involvement on their teams.  They are concerned that patients will be critical of healthcare providers, and expose the soft underbelly of our tenuous healthcare system.
 
But patients are true stakeholders and have proven [...]

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Collaborative Family Health Care Association talks

Bill Mahoney and I gave linked presentations at the Collaborative Family Healthcare Association's Seventh Annual Conference (http://www.cfha.net/) on October 9th as the closing plenary speakers. Our presentations can be found by clicking on the following links.
Bill is a PhD Sociologist who has been working within PeaceHealth for about seven years and he is focused on how [...]

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Mary Johnson, a librarian in Eugene, OR, speaks about her experience with The Shared Care Plan, a personal health record. Please take a look.
CLICK HERE
You may be pleasantly surprised what happens when patients get their own medical record that they can use and share as needed.
The work to create the Shared Care Plan originated from [...]

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Bonnie Parton talking about her family and the Shared Care Plan

Bonnie Parton is clear on the benefits that a particular personal health record has had for her family. Watch and listen to her for four minutes.
Click Here
Read more here: www.sharedcareplan.org and here www.patientpowered.org .

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Healthcare Systems Mapped–seeing the territory

 
Visualizing complex systems is difficult. Trying to navigate without a map is also a perilous undertakinng. Two years ago we created a mathematical model of the system which made the potential winners and losers clear. We have not made as much progress toward our promises and goals as we would like–we have had a plan [...]

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Congress Values Community approach to Chronic Medical Conditions

In the local paper: See bullet # 6.
Of course Pursuing Perfection in Whatcom County is a collaborative effort of several organizations in addition to the hospital–in fact that is what makes it a unique and powerful agent of change. See these two links: one page summary and detailed overview.
Funding bill has millions for county APPROPRIATIONS: Transportation [...]

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Transformational Change requires Personal Transformation

There is a really interesting book by Robert E. Quinn, Deep Change. Figure 14.1 on page 123 is very interesting. Read the book to see Quinn's insights on these three paradigms. It sure puts a lot of things into understandable context. The bold highlights are mine.

Individual Contributor:
Manager:
Leader:

Three Paradigms of Organizational Life:
Technical paradigm
Transactional paradigm
Transformational [...]

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