This Keynote lecture was first delivered in Toronto, CA on September 27th, 2012. The book, #socialQI: Simple Solutions for Improving Your Healthcare is set to be published in October 2012

1. #SocialQI:
Simple Solutions for
Improving Your Healthcare
Presented by:
Brian S. McGowan, PhD
@briansmcgowan
www.SOCIALQI.com
www.socialQI.com
September 2012

2. Outline
1. Re-defining Quality
2. Why Does Healthcare Quality Suffer
3. Introducing SocialQI
4. One Part - Social Network Science
5. One Part – Behavioral Science
6. How Does SocialQI Become the New Norm
in Healthcare?
www.socialQI.com

3. Re-Defining
Healthcare Quality
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

4. www.socialQI.com

5. My Father’s Health Journey
www.socialQI.com

6. My Father’s Record
www.socialQI.com

7. Why Does Healthcare
Quality Suffer?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

8. Problem #1: Variation
www.socialQI.com
http://www.healthcarereportcard.illinois.gov/maps

9. www.socialQI.com
http://www.healthcarereportcard.illinois.gov/maps

10. Problem #2: Failure to Advance
www.socialQI.com

11. Problem #3: Overload & Filter Failures
www.socialQI.com

12. Problem #4: Lack of Information
“Despite recent improvement in timely
publication, fewer than half of trials funded by NIH are
published in a peer reviewed biomedical journal indexed
by Medline within 30 months of trial completion.
Moreover, after a median of 51 months after trial
completion, a third of trials remained unpublished.”
www.socialQI.com

13. Introducing
#socialQI
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

14. SocialQI
www.socialQI.com

15. One Part -
Social Network Science
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

16. Social Network Science
Sidewalk Experiment Six Degrees of Separation
www.socialQI.com

17. Social Network Science
www.socialQI.com

18. Social Network Science
http://www.nejm.org/doi/full/10.1056/NEJMsa066082 www.socialQI.com

19. Social Network Science
www.socialQI.com

20. Social Network Science
Unconnected Bucket Brigade Telephone Chain Military Brigades
www.socialQI.com

21. Social Network Science
www.socialQI.com

22. Social Network Science
www.socialQI.com

23. Moving to
‘Communities
of Practice’
models:
1. Collective Intent
2. Share Praxis
www.socialQI.com

24. Of Networks and Communities…
www.socialQI.com

25. One Part -
Behavioral Science?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

26. Dr BJ Fogg & The Tale of The Naked Swim
www.socialQI.com

27. Motivation x Ability x Triggers
www.socialQI.com

28. Motivation x Ability x Triggers
www.socialQI.com

29. Social Network Science +
Behavioral Science =
SocialQI
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

30. Crowd Accelerated Improvement
Crowd
Light Desire
http://bit.ly/txvpUP www.socialQI.com

31. What does this look like?
Jonathan Chu, LXD
http://bit.ly/txvpUP
http://youtu.be/dbPqOdYYDeQ www.socialQI.com

32. What does this look like in science?
www.socialQI.com

33. How Does SocialQI
Become the New Norm
in Healthcare?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012

34. Patient &
Wellness
Communities
Biomedical
Medical
Research
Communities
Communities
www.socialQI.com

35. What Is vs What Could Be
• Weight Watchers • Quantified Selfers
Patient &
Wellness
• Alcoholics Anonymous • ACOR
Communities • ‘being a patient’ • Patients Like Me
• Isolation • #S4PM
• Knowledge is power • #meded, #MDchat
Medical
Communities
• Free-agent learners • Delta Exchange
• CME credit gathering • OzmosisESP
• Failed Ed. Design • Rapid Learning Systems
• ‘Dose of Science’ • Mendeley
Biomedical
Research • Publish or Perish • Sage BioNetworks
Communities • Traditional Publishing • Altmetrics
• Impact Factor • Open Access
www.socialQI.com

36. Lesson 1: Rely on better technology
1. Integration: Real sustainable success will only
come from our ability to engineer systems
that integrate into existing activities
2. Open and Connected: Information flow & big
data analytics must
3. Social: Over time knowledge will move from
the individuals within the community
(knowledge capital) to be shared across the
community (social capital)
www.socialQI.com

37. Lesson 1: Rely on better technology
4. Incentivizes: ultimately comes down to our
ability to tap into the “what's in it for them”
of the community
5. Controlled: evolve simple, standard tools to
govern the inflow and outflow thresholds
6. Culture: consider ways to scale up culture to
enable increasing larger (but productive)
communities to form
www.socialQI.com

38. Lesson 2: Evolve a new skillset
1. Credibility & Reputation: Increasingly
contribution to learning and improvement
will define one’s professional reputation
within the community
2. Filtering & Search: We can’t just release the
bottleneck of information without the new
systems to govern the flow…or folks will
drowned
www.socialQI.com

39. Lesson 2: Evolve a new skillset
• Providing Feedback: for true collaboration, getting
along should never be as important as getting things
done
• Self-assessment: we must engage the system with
our eyes wide open…digital nature allows reflection
and social nature allows norming
• Critical thinking & decision making: requires us to
know what we know, understand what we don’t
know, and not to be paralyzed by the reality that we
rarely have all of the information we need
www.socialQI.com

40. Summary
Problems SocialQI Solutions
Quality Variation Shared best practices
Failure to Advance Peer Norming &
Transparency
Information New systems for
Overload/Filter Failure simplifying learning
Lack of Information New culture of sharing
www.socialQI.com

41. About the book title: #socialQI
www.socialQI.com

42. Q and A
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012