Marcus Pierson, MD: Information Flow

Pursuing Perfect Healht Care in Whatcom County, WA

This is a high level view of our project plan. Details will be forthcoming in various media and arenas. The project officially begins June 1 though much work has been going on at many levels in the participating organizations.

Leadership Board Oversight
Use of Simulation Model to advocate for reimbursement changes
Complete Initial Staffing for Project
Staff Training
Creation of Curriculum and Documentation of Training provided all staff
Measurement
Information Technology Work on Infrastructure
Medication Hand-offs Work
Communication and Transparency (extraordinary openness) Infrastructure Complete
Diabetes Pilot Work Plan
Integrate Care Managers into the Clinics and Virtual Care Team
Congestive Heart Failure Pilot Work Plan
Hospital Related Changes to Support Chronic Care Model
Living With Chronic Illness Program Expansion
Idealized Design of Clinical Office Practice Completed for Pilots
Develop Evidence Based Medicine strategy and approach
Develop an approach for early adopters outside the grant

Site map?

We need something akin to a site map for Whatcom PP that show what and who a user can link to.

Searching strategies

Searching appropriately,

Our next big challenge is to get a search engine in our implementation of Radio and Manilla so that it does what the customer would expect: search the current author's category, the current author's entire web site, the entire Whatcom Community’s category or all local Radio PP sites, and then the WWPP by the same aggregates.

One would also want to be able to search by any combination of organizations, categories, and authors.

This represents design perspective as well as a search strategy.

High Level model of Whatcom Co, Pursuing Perfection approach

Key Components of Whatcom Consortium's approach to Pursuing Perfection in Healhtcare.

Pursuing Perfection Components in Whatcom County.

We will use this or a similar graphic on the home page of the future to guide users to the parts they are interested in. We will also add search capabilities by these categories... in the future, the near future I hope.

Instant messaging for WWPP. Need technical and leadership working group.

Instant messaging for P2. Great potential..

My first AIM exchange with Jack Mancilla.

The fact that the conversation is documented and shareable is important for Communities of Learning. One just publishes it on a weblog or elsewhere if it proves to be productive and of use to others. This post is an example. It may not fit the stated criteria.

We need to research the network security issues around using instant messaging tools. WWPP (world wide pursuing perfection group) needs to get the IT leaders together to decide upon collaborative communication stragegies and goals for the community.

Cooperation and communication are related.

If we are to begin to cooperate/communicate with web logs we probably need some instruction in "reporting". I am thinking about getting a news paper reporter and some professor types from the university to help us learn to communicate in this style. I wonder if someone from the Weblogging community might not have some good ideas too.

Shared Care Plan: in Radio or Manilla?

I wonder if Userland could manage a "shared care plan". The key idea is that several (3-7) people need to be informed and in communication about a specific "data set".

I believe that Nicholas Riley had done this previously with Frontier Manilla or Radio.

6 Aims and 10 Simple Rules for more perfect heathcare, Institute of Medicine

The key ideas behind this entire Institute of Medicine approach includes six goals:
1. Safe, 2. Effective (evidence based), 3. Patient-centered, 4. Timely, 5. Efficient, and 6. Equitable; and ten simple rules:

1. Continuous healing relationships
2. Customization
3. Patient control
4. Shared information
5. Evidence-based decision-making
6. Safety as a system property
7. Transparency
8. Anticipation of needs
9. Continuous decrease in waste
10. Cooperation among clinicians

Post Link Annotate : Action, Reaction, Interaction

Russ Lipton has a great weblog explaining Radio. His expression Post Link, Annotoate: Action, Reaction, Interaction gets to the heart of Radio.

http://radio.weblogs.com/0100059/stories/2002/02/26/theGoodStuff.html

Stop Energy vs. Forward Motion

Too often the culture and organizational inertia brings innovation to a halt before it can germinate.

Communities of Learning, Apply to Healthcare?

Please read this.

Cooperation and communication are related.