This concept can be applied to the wisdom of clinicians inside healthcare institutions. By gathering and sharing course content and tools between care facilities, hospitals can be connected to more than just the technical cloud. They can be connected to the wisdom of the cloud.

1. EMPOWE R T A L E N T
Wisdom of the Cloud

2. Your Hosts
Sean Hogan
Marketing Coordinator
Amelia Newbury
Director of Research

3. Agenda
 About Lambda
 The Pace of Research in Healthcare
 Keeping up with Emerging Practices
 Movement Toward Mobile and Social Learning
 Concept of the Cloud
 Potential Solutions

4. Polling Question 1

5. What would you like to gain from this presentation?

6. The Lambda Solutions Mission
Transforming workplace performance
through innovative learning and talent
management solutions that inspire
and engage, promoting continuous
human development

7. The Lambda Solutions Mission
Transforming care facilities through
innovative learning and talent
management solutions that inspire and
engage, promoting continuous human
development and patient safety

8. Acknowledgement and Disclosure
• Some content used in this presentation was contributed by:
Joshua Rubin, JD, MPP, MBA
Executive Program Officer for
Research and Development
Learning Health System Initiative
University of Michigan
• Lambda Solutions has Endorsed the Core Values of the
Learning Health System (more information available at:
http://healthinformatics.umich.edu/about)

9. Wisdom of the Cloud
 The Pace of Research in Healthcare
 Keeping up with Emerging Practices
 Movement Toward Mobile and Social Learning
 Embracing Collaborative Practice
 The Technical Cloud Concept
 The Wisdom Cloud Concept
 A Solution: the LambdaLHS
 A Call to Action: Share Shamelessly

10. The Pace of Research in Healthcare
 Donald Lindberg, director of the National
Library of Medicine:
 'If I read and memorized two journal
articles every night, by the end of a year,
I'd be 400 years behind.’
 A study by IBM, Memorial Sloan-Kettering
Cancer, and Wellpoint:
 It would take clinicians 160 hours per
week of reading just to keep up with the
current pace of new knowledge
 Only around 20 percent of the
knowledge that human doctors use when
diagnosing patients and deciding on
treatments relies on trial-based evidence
… the volume and
complexity of what we know has
exceeded our individual ability to
deliver its benefits correctly,
safely, or reliably. Knowledge has
both saved us and burdened us.“
Atul Gawande, MD
Harvard Vanguard Medical Associates
http://e-patients.net/e-Patients_White_Paper.pdf
http://www.wired.co.uk/news/archive/2013-02/11/ibm-watson-medical-doctor
http://jamia.bmj.com/content/early/2014/05/12/amiajnl-2014-002864.full

11. Keeping up with Emerging Practices
Barriers:
 Access to new clinical knowledge is
challenging
 Right information at the right
time
 You don’t know what you don’t
know
 Time on the floor for training is
limited
 Formal training takes place long
after a need is identified OR without
a real-world context to immediately
apply learning
 Increased Knowledge degradation
This explosion in medical
knowledge has not yet been
accompanied by a similar
transformation in our approach to
medical education. In short, we’re
not able to keep up.
Sanjeev Arora, MD
Robert Wood Johnson
Foundation Blog

12. Case in Point: Research Dissemination
December 2010 issue of Applied and Environmental Microbiology, Journal of
the American Society for Microbiology:
 Summary of multiple clinical studies including a 10 week study led by Professor
Elliott in the UK
 Trial of antimicrobial copper surfaces at Birmingham’s Selly Oak Hospital
 Touch surfaces such as taps, door handles, light switches and dressings trolleys
that were made from copper and copper alloys had greater than 90% less
microbial contamination on them than the same items on the same ward
made from conventional materials
 Copper has recently been registered at the U.S. Environmental Protection
Agency as the first solid antimicrobial material
Grass, Gregor, Christopher Rensing, and Marc Solioz. "Metallic copper as an antimicrobial surface."
Applied and environmental microbiology 77.5 (2011): 1541-1547.

13. Embracing Collaborative Practice
Interprofessional Collaborative Practice
 Teaching and sharing information
across professions and specialties
leads to better patient outcomes
How it manifests in Education
 Teach the same language to all
members of the care team
 Empower all members of the care
team with medical and anatomical
information
 Supporting and growing knowledge
across a care team also fosters open
communication

14. Polling Question: Is this resonating?

15. What has resonated the most this far?

16. Movement Toward Mobile and Social Learning
 Social Media in Healthcare by 2010:
 500 million people were active Facebook Users
 190 million used Twitter
 1.2 billion YouTube videos were watched daily
 Mobile and Social Learning are on the rise
 A 2010 study found that 75% or more of physicians
were neutral or positive on the following statements:
 Online Professional user generated content is
reliable
 Online professional user generated content
provides information I can not find anywhere else
 I’m influenced by online professional user
generated content that I consider to be from a
reliable source (almost 50% agreed or completely
agreed)
Hertzlinger, R, Social Media in Healthcare, Harvard Business School, March 23, 2012, N2-311-093
HIMSS 2015 Info graphic , third annual HIMSS Analytics Mobile Survey
James Avallone, “Taking the Pulse: Physician Social Media,” Manhattan Research, 2010.

17. The Technical Cloud Concept
Technically:
 Each system stores
information on other
systems – centrally, or
through a network
 Share computing power
 Share resources and space
 Distributed risk through
distributed resources

18. The Wisdom Cloud Concept
From a Content Perspective
 Wisdom of the crowd
approach
 Share the Power of Experience
 Share resources and effective
practices
 Distributed information and
research summaries
 Powered through peer review,
search, and crowd “voting”
(star rating)

19. Lambda LHS: A New FREEMIUM System
Lambda is making available:
 Open location for clinicians to gather
and share
 Research
 Tips and Tricks
 Protocols and Checklists
 Tools to create and share research
summaries
 Process to peer review, search, and
crowd “voting” (star rating)
 Paid content library layers available
to augment social content

20. Announcing: The LambdaLHS

21. Ruth Regular, RN…Sharing Shamelessly
GIVE: GET:
Every day efficiency tips for
problems that have been
bugging you for years
Vetted research
summaries and
protocols / checklists
Favorite lists from
others in your specialty
I can access new thinking when I need it
and it feels good to review the
contributions of others and share my
own experiences.
Write tips and tricks
for clinical situations
Submit protocols and
checklists that the unit uses
effectively
Create a review of a research
article you read or review
research summaries others
submit as a peer reviewer

22. Polling Question: What is most valuable to you?

23. LambdaLHS: A Call To Contribute
Join our growing community:
 Sign up to contribute
 Receive launch and update
notices
 Become a peer reviewer
 Share your knowledge,
summaries, and tips today!

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