This Keynote lecture was first given on September

1. #CQIToronto 9/23/2012
#SocialQI:
Simple Solutions for
Improving Your Healthcare
Presented by:
Brian S. McGowan, PhD
@briansmcgowan
www.SOCIALQI.com
www.socialQI.com
September 2012
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
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2. #CQIToronto 9/23/2012
Re-Defining
Healthcare Quality
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
www.socialQI.com
www.socialQI.com 2

3. #CQIToronto 9/23/2012
My Father’s Health Journey
www.socialQI.com
My Father’s Record
www.socialQI.com
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4. #CQIToronto 9/23/2012
Why Does Healthcare
Quality Suffer?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
Problem #1: Variation
www.socialQI.com
http://www.healthcarereportcard.illinois.gov/maps
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5. #CQIToronto 9/23/2012
www.socialQI.com
http://www.healthcarereportcard.illinois.gov/maps
Problem #2: Failure to Advance
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6. #CQIToronto 9/23/2012
Problem #3: Overload & Filter Failures
www.socialQI.com
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trials remained unpublished.”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
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7. #CQIToronto 9/23/2012
Introducing
#socialQI
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
SocialQI
www.socialQI.com
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8. #CQIToronto 9/23/2012
One Part -
Social Network Science
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
Social Network Science
Sidewalk Experiment Six Degrees of Separation
www.socialQI.com
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9. #CQIToronto 9/23/2012
Social Network Science
www.socialQI.com
Social Network Science
http://www.nejm.org/doi/full/10.1056/NEJMsa066082 www.socialQI.com
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10. #CQIToronto 9/23/2012
Social Network Science
www.socialQI.com
Social Network Science
Unconnected Bucket Brigade Telephone Chain Military Brigades
www.socialQI.com
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11. #CQIToronto 9/23/2012
Social Network Science
www.socialQI.com
Social Network Science
www.socialQI.com
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12. #CQIToronto 9/23/2012
Moving to
‘Communities
of Practice’
models:
1. Collective Intent
2. Share Praxis
www.socialQI.com
Of Networks and Communities…
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13. #CQIToronto 9/23/2012
One Part -
Behavioral Science?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
Dr BJ Fogg & The Tale of The Naked Swim
www.socialQI.com
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14. #CQIToronto 9/23/2012
Motivation x Ability x Triggers
www.socialQI.com
Motivation x Ability x Triggers
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15. #CQIToronto 9/23/2012
Social Network Science +
Behavioral Science =
SocialQI
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
Crowd Accelerated Improvement
Crowd
Light Desire
http://bit.ly/txvpUP www.socialQI.com
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16. #CQIToronto 9/23/2012
What does this look like?
Jonathan Chu, LXD
http://bit.ly/txvpUP
http://youtu.be/dbPqOdYYDeQ www.socialQI.com
What does this look like in science?
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17. #CQIToronto 9/23/2012
How Does SocialQI
Become the New Norm
in Healthcare?
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
Patient &
Wellness
Communities
Biomedical
Medical
Research
Communities
Communities
www.socialQI.com
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18. #CQIToronto 9/23/2012
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
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)
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19. #CQIToronto 9/23/2012
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
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
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20. #CQIToronto 9/23/2012
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
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
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21. #CQIToronto 9/23/2012
About the book title: #socialQI
www.socialQI.com
Q and A
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
September 2012
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