The document discusses using social network science and behavioral science (SocialQI) to improve healthcare quality. It outlines some problems with current healthcare like variation in quality and lack of information sharing. SocialQI aims to create communities of practice using tools that integrate social sharing and big data analytics to advance evidence-based practices. This could help address issues like information overload and establish a new culture where reputation is based on contribution to learning and improvement.

1. #OAWeekPhilly
#SocialQI:
Simple Solutions for
Improving Your Healthcare
Presented by:
Brian S. McGowan, PhD
@briansmcgowan
www.SOCIALQI.com
www.socialQI.com
October 25th 2012

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Outline
1. Redefining Quality
2. Why Does Healthcare Quality Suffer
3. Introducing SocialQI
– One Part – Social Network Science
– One Part – Behavioral Science
4. Impacting the Mega-silos of Healthcare:
#3 - Biomedical Research Science
5. How Does SocialQI Become the New Norm
in Healthcare?
www.socialQI.com

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Redefining
Healthcare Quality
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
October 2012

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www.socialQI.com

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My Father’s Health Journey
www.socialQI.com

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My Father’s Record
www.socialQI.com

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

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

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

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

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

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

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SocialQI
www.socialQI.com

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

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

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Social Network Science
www.socialQI.com

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

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Social Network Science
www.socialQI.com

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

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Social Network Science
www.socialQI.com

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Social Network Science
www.socialQI.com

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

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

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Motivation x Ability x Triggers
www.socialQI.com

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Motivation x Ability x Triggers
www.socialQI.com

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

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

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

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Impacting the Mega-silos
of Healthcare:
#3 - Biomedical Research Science
Exploring Chapters 6 and 10
#SocialQI:
Simple Solutions for
Improving Your Healthcare
www.socialQI.com
October 2012

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1. Scientists conduct their research as covert
projects, leading to a culture of closed
science
2. The system is often manipulated to benefit
the scientist and not the science
3. The existing publishing model is an abject
failure, driving closed access to medical
information and wasting time, energy, and
ultimately lives.
www.socialQI.com

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1 - Closed Science
1610:
“smaismrmilmrpoetaleumibunenugttauiras”
“Altissimum planetam tergeminum observavi”
“the highest of the planets
(Saturn) to be three-formed.”
Nielsen: “Reinventing Discovery” www.socialQI.com

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1 - Closed Science
1997:
“…one in three respondents were denied research results
requested from a fellow university scientist in the previous
three years”
2002:
“nearly half of geneticists stated that at least once in the
prior three years they had been denied access to
additional information, data, or materials regarding
published research”
2012:
“one-third of NIH-funded trials remained unpublished
fifty-one months after completion.”
JAMA 277, no. 15 (1997):1224-1228; JAMA 287, no. 4 (2002):473-480;
www.socialQI.com
BMJ 344 (January 3, 2012), doi: 10.1136/bmj.d7292

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2 - Benefitting the scientist, not the science
1. The Multiplier: “Associate yourself with three or four
similar academics, preferably at other institutions”
2. The Rapid Data Gatherer: “They get some research
output, which helps them, but you get access to their data
3. The Repeater: “Publish the same basic paper in multiple
journals”
4. The Avoider: “On no account do anything else”
Mark Smithers, “Playing the Game, Publishing or Perishing in
Higher Education,” Learning and Educational Technology in Higher Education
(blog), November 14, 2011, accessed September 5, 2012, http://bit.ly/s0GH2y www.socialQI.com

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3 - Closed Access
1. Provide a mechanism to ensure broad reach to new
findings
2. Document priority claim (who discovered what first)
3. Maintain quality thorough peer review
4. Ensure appropriate archival and provide a fixed
archival version for future reference
5. Provide an important way for scientists to navigate
the increasing volume of published material
www.socialQI.com

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1. Build better models for sharing
2. Integrate new models for
reputation and recognition
3. Stop feeding the monster
www.socialQI.com

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1- Rise of the Open Access model
Laakso and Björk BMC Medicine 2012, 10:124. http://bit.ly/TN1445 www.socialQI.com

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1- Rise of the Open Access model
Laakso and Björk BMC Medicine 2012, 10:124. http://bit.ly/TN1445 www.socialQI.com

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2 -Birth of Altmetrics
NO ONE CAN READ EVERYTHING. We rely on filters to
make sense of the scholarly literature, but the
narrow, traditional filters are being swamped.
However, the growth of new, online scholarly
tools allows us to make new filters; these
altmetrics reflect the broad, rapid impact of
scholarship in this burgeoning ecosystem. We
call for more tools and research based on
altmetrics.
http://altmetrics.org/manifesto/ www.socialQI.com

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2 - Birth of Altmetrics
• Peer-review has served scholarship well, but is beginning to
show its age. It is slow, encourages conventionality, and
fails to hold reviewers accountable.
• Citation counting measures are useful, but not sufficient.
…Citation measures are narrow; influential work may
remain uncited….they neglect impact outside the academy,
and also ignore the context and reasons for citation.
• The Impact Factor, which measures journals’ average
citations per article, is often incorrectly used to assess the
impact of individual articles. It’s troubling that the exact
details of the JIF are a trade secret, and that significant
gaming is relatively easy.
http://altmetrics.org/manifesto/ www.socialQI.com

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2- Birth of Altmetrics
www.socialQI.com

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3 - Stop feeding the monster
• Cost of Knowledge petition:
“Timothy Gowers of the University of Cambridge, who won the Fields
Medal for his research, . . . asked for a boycott in a blog post on
January 21, and [within nine days], on the boycott’s Web site The Cost
of Knowledge, nearly 1,900 scientists have signed up, pledging not to
publish, referee, or do editorial work for any Elsevier journal.”
• University Policy Revisions:
“ . . . non-exclusive right to make available copies of scholarly articles
written by its faculty. . . . The University authorizes professors to post
copies of their articles on their own web sites or on University web
sites, or in other not-for-a-fee venues. . . . The main effect of this new
policy is to prevent [faculty] from giving away all their rights when they
publish in a journal.”
Fischman, “Elsevier Publishing Boycott Gathers Steam Among Academics,” The Chronicle of Higher
Education: Wired Campus (blog), January 30, 2012 http://bit.ly/AvsPlo; Creagh, “Princeton goes open
access to stop staff handing all copyright to journals – unless waiver granted,” September 28, 2011 www.socialQI.com
http://bit.ly/qPjfBB

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“It no longer seems to be a question whether OA
is a viable alternative to the traditional
subscription model for scholarly journal
publishing; the question is rather when OA
publishing will become the mainstream model.”
Laakso and Björk BMC Medicine 2012, 10:124. http://bit.ly/TN1445 www.socialQI.com

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

45. #OAWeekPhilly
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

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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

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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

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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

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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

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

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