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Enhancing the
Patient
Experience
by
Regina
Holliday
Johnny Strikes or
Giant Strides?
Which
play center
is open?
Playing in a Closed Data Loop
Who taught you how to be a patient?
The writing on the wall:
Art, balance and the IEP
Patient Reported Data is very important.
Even a child
can understand
and appreciate
health
Information.
When the abuse becomes too bad call this number.
Fred would meet Regina on a stage
in a scenic painting class at Oklahoma State University.
We would talk of Stephen King’s Dark Tower.
We would fall in love.
You know it is true love when you sell your comic book collection to pay for the wedding.
Fred and I married, worked and played together for many years.
Fred continued his schooling and worked as video store clerk.
In 2005,
Fred would get a PhD in film studies
and would write his dissertation
About “Buffy the Vampire Slayer.”
In 1998,
Freddie III joined the family game
followed by
the littlest player Isaac in 2006.
I would paint
neighborhood murals.
I would also
teach art at a local preschool.
I would work in a toy store.
The Holliday Family Christmas 2007
Everything we ever wanted…
Resolutions January 2008:
1. Get Medical Insurance for the whole family
2. Get little Freddie into a special needs school
3. Fred gets a job in his field
4. Spend more time together as a family
5. Get a two bedroom apartment
Freddie’s
IEP Binder
Fred was happy with his new job.
But he was very tired,
He went to the doctor and was
diagnosed with hypertension.
During the months of
January, February and
March of 2009,
Status Lines…
On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home.
Fred was hospitalized on March 25th 2009
for the administration of tests.
On March 27th, he was told while alone that
he had “tumors and growths.”
He was scared and confused and did not understand.
His oncologist left town for the next four days to a medical
conference and was not reachable by phone or email.
What was the diagnosis? What were the treatment options? Would he get a pain consult?
Systems Error:
More than a bad doctor
This is my husband’s
medical record.
I was told it would cost
73 Cents
per page
And we would have to
wait 21 days to get a copy.
“She must not have tried very hard to get the record….”
Comparing access to an unpublished book by
Stephen King
to accessing the
Electronic Medical Record
while hospitalized.
“Go After Them,
Regina.”
April 18, 2009
After waiting for 5 days for a transfer
to another hospital for a second opinion,
We were sent with an out of date
and incomplete medical record
and transfer summary.
The new staff spent 6hours trying to
cobble together a current medical record
Using a telephone and a fax machine.
This is the
vital clinical information
from Fred’s electronic medical record.
Presented in the style of
the Nutrition Facts Label.
Then painted on the wall of
Pumpernickel’s Deli in
Washington, DC.
I am trying to talk with Christine Kraft and epatient Dave.
Within one day were in email contact
and then spoke on the phone.
By ten o’clock May 4th 2009, I was
talking on the phone with Dave’s
Oncologist about my husband’s cancer.
Why did we get more help and answers from
Social Media
than from our local hospital ?
Going to Hospice.
We fulfilled our final resolution on June 11th 2009.
We moved into a two bedroom apartment so I could care for Fred in home hospice.
He died six days later on June 17th, 2009
The Art Center
is open:
Writing
on the
Wall
Painting Advocacy meets Social Media
This is the painting 73 cents.
This is the vital patient story, the social history , the sacred heart of Fred’s
ELECTRONIC MEDICAL RECORD.
On Tuesday, October 20th 2009 we dedicated the mural,
“Where do we go
from here?”
Art as an action: May 17, 2010
…in front of a hospital
How would you
define
Meaningful Use?
There may be delays on
our way to patient data access.,
but
we
will
prevail.
Inside of every EMR there is a patient story,
And sometimes it is told by Betty of Bellin Health.
As any preschool child
can tell you,
You do not
eat off
the toilet.
2 year study at Primary care settings of Beth Israel
Deaconess Medical Center, Geisinger and
Harborview
90% patients responded they understood what they
had read & were not bothered by it.
1-2% were concerned/offended by the contents of
the notes
87% of those patients enrolled in this study did
check the notes.
Doctors said the study either only added a modest
increase in work or that it was negligible.
80% Patients claimed greater adherence to
medication protocols due to access to the notes.
Prototype Consumer Reporting System for Patient Safety,
When the abuse becomes too bad call this number.
What happens to user experience when designers like
Michael Graves design wheelchairs?
Do you know about Engage with Grace?
Alex Drane created this after losing a family member.
Why can’t we ask Hallmark
to make hospice cards?
Would that help us talk
about end of life?
Be the change you wish to see.
The Walking Gallery
Freddie grows beyond peering through
a door crack to walking in a Gallery.
David Lee Scher, MD
All over the world, patients
Are demanding their data.
They are demanding access
to the data from their doctors,
from their hospitals,
and from the devices
inside of their bodies.
Jerry Matczak
Shares the story
of his brother’s
life and death
upon his back.
Isaac grows up.
He joins the gallery as an artist.
His jacket is named “Feelings.”
In this year’s jacket he focused
on diabetes care.
The more stickers that are out there the more important it seems.
The more important it seems, the more people want to know what it is.
The more they ask they ask each other.
It gains real power from perceived power. -Shepard Fairey
Standing out and looking different,
Can be uncomfortable or frightening.
But is often needed for advocacy.
You can take a negative and turn
it into a POSITVE.
~ @ReginaHolliday

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Enhancing the patient experience

  • 4. Playing in a Closed Data Loop
  • 5. Who taught you how to be a patient?
  • 6. The writing on the wall: Art, balance and the IEP
  • 7. Patient Reported Data is very important.
  • 8. Even a child can understand and appreciate health Information.
  • 9. When the abuse becomes too bad call this number.
  • 10. Fred would meet Regina on a stage in a scenic painting class at Oklahoma State University. We would talk of Stephen King’s Dark Tower. We would fall in love.
  • 11. You know it is true love when you sell your comic book collection to pay for the wedding.
  • 12. Fred and I married, worked and played together for many years. Fred continued his schooling and worked as video store clerk. In 2005, Fred would get a PhD in film studies and would write his dissertation About “Buffy the Vampire Slayer.” In 1998, Freddie III joined the family game followed by the littlest player Isaac in 2006.
  • 13. I would paint neighborhood murals. I would also teach art at a local preschool. I would work in a toy store.
  • 14. The Holliday Family Christmas 2007
  • 15. Everything we ever wanted… Resolutions January 2008: 1. Get Medical Insurance for the whole family 2. Get little Freddie into a special needs school 3. Fred gets a job in his field 4. Spend more time together as a family 5. Get a two bedroom apartment Freddie’s IEP Binder
  • 16. Fred was happy with his new job. But he was very tired, He went to the doctor and was diagnosed with hypertension.
  • 17. During the months of January, February and March of 2009, Status Lines…
  • 18. On Friday March 13th, We went to the ER because Fred was in so much pain . We waited three hours before being sent home.
  • 19. Fred was hospitalized on March 25th 2009 for the administration of tests. On March 27th, he was told while alone that he had “tumors and growths.” He was scared and confused and did not understand. His oncologist left town for the next four days to a medical conference and was not reachable by phone or email.
  • 20. What was the diagnosis? What were the treatment options? Would he get a pain consult?
  • 21. Systems Error: More than a bad doctor
  • 22. This is my husband’s medical record. I was told it would cost 73 Cents per page And we would have to wait 21 days to get a copy.
  • 23. “She must not have tried very hard to get the record….” Comparing access to an unpublished book by Stephen King to accessing the Electronic Medical Record while hospitalized.
  • 25. After waiting for 5 days for a transfer to another hospital for a second opinion, We were sent with an out of date and incomplete medical record and transfer summary. The new staff spent 6hours trying to cobble together a current medical record Using a telephone and a fax machine.
  • 26. This is the vital clinical information from Fred’s electronic medical record. Presented in the style of the Nutrition Facts Label. Then painted on the wall of Pumpernickel’s Deli in Washington, DC.
  • 27.
  • 28. I am trying to talk with Christine Kraft and epatient Dave. Within one day were in email contact and then spoke on the phone. By ten o’clock May 4th 2009, I was talking on the phone with Dave’s Oncologist about my husband’s cancer. Why did we get more help and answers from Social Media than from our local hospital ?
  • 30. We fulfilled our final resolution on June 11th 2009. We moved into a two bedroom apartment so I could care for Fred in home hospice. He died six days later on June 17th, 2009
  • 31. The Art Center is open: Writing on the Wall
  • 32. Painting Advocacy meets Social Media
  • 33. This is the painting 73 cents. This is the vital patient story, the social history , the sacred heart of Fred’s ELECTRONIC MEDICAL RECORD.
  • 34. On Tuesday, October 20th 2009 we dedicated the mural, “Where do we go from here?”
  • 35. Art as an action: May 17, 2010
  • 36. …in front of a hospital
  • 38. There may be delays on our way to patient data access., but we will prevail.
  • 39. Inside of every EMR there is a patient story, And sometimes it is told by Betty of Bellin Health.
  • 40. As any preschool child can tell you, You do not eat off the toilet.
  • 41. 2 year study at Primary care settings of Beth Israel Deaconess Medical Center, Geisinger and Harborview 90% patients responded they understood what they had read & were not bothered by it. 1-2% were concerned/offended by the contents of the notes 87% of those patients enrolled in this study did check the notes. Doctors said the study either only added a modest increase in work or that it was negligible. 80% Patients claimed greater adherence to medication protocols due to access to the notes.
  • 42. Prototype Consumer Reporting System for Patient Safety, When the abuse becomes too bad call this number.
  • 43. What happens to user experience when designers like Michael Graves design wheelchairs?
  • 44. Do you know about Engage with Grace? Alex Drane created this after losing a family member.
  • 45. Why can’t we ask Hallmark to make hospice cards? Would that help us talk about end of life?
  • 46. Be the change you wish to see.
  • 48. Freddie grows beyond peering through a door crack to walking in a Gallery.
  • 49. David Lee Scher, MD All over the world, patients Are demanding their data. They are demanding access to the data from their doctors, from their hospitals, and from the devices inside of their bodies.
  • 50. Jerry Matczak Shares the story of his brother’s life and death upon his back.
  • 51. Isaac grows up. He joins the gallery as an artist. His jacket is named “Feelings.” In this year’s jacket he focused on diabetes care.
  • 52. The more stickers that are out there the more important it seems. The more important it seems, the more people want to know what it is. The more they ask they ask each other. It gains real power from perceived power. -Shepard Fairey
  • 53. Standing out and looking different, Can be uncomfortable or frightening. But is often needed for advocacy. You can take a negative and turn it into a POSITVE. ~ @ReginaHolliday