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Authentic Value: Being Known in e-Patient Communities “ e-Patient Dave” deBronkart  @ePatientDave e-Patient Connections 2009 October 26, 2009
How I came to be here today ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Part 1: Participatory Medicine John Sharp,  Cleveland Clinic: “ If you have not read the e-Patient White Paper,  you do not understand the future  of medicine.”
Launched last week:  jopm.org  @JourPM Journal of  Participatory  Medicine ,[object Object],[object Object],[object Object],[object Object]
 
Foundation Principles ,[object Object],[object Object],[object Object],[object Object],Part 2:  The Cluetrain
Cluetrain Manifesto, 1999:  “Markets are Conversations” ,[object Object],Today’s buyer progresses like this: (This is chaos –  you can’t control it.  Just gotta jump in  and swim with the people.)
“ Authoritative information” in medicine is changing ,[object Object],[object Object],[object Object],[object Object],[object Object],Part 3:  Authority is changing
MedScape founder Peter Frishauf   ’s  sidebar comment on Smith’s essay: ,[object Object],[object Object]
What does Frishauf propose? Reputation systems. (Like Amazon and eBay.  Per Esther Dyson’s Release 1.0, October 2003)
I said “Your time will come.” Mine did. Part 4: Personal Relevance
The Incidental Finding Routine shoulder x-ray, Jan. 2, 2007 “ Your shoulder   will be fine …   but there’s    something    in your lung” The shadow  was a golf-ball size tumor: kidney cancer that had spread throughout the body
“ Textbook”    Stage IV,  Grade 4   Renal Cell    Carcinoma My lesions matched the numbered ones on this illustration on Proleukin.com. I added other marks  to show where mine were. Just before treatment started, the cancer erupted from  my tongue. ,[object Object],[object Object],[object Object],[object Object]
After the shock you’re left with the question: What are my options? What can I do?
Get engaged. Get it in gear. Do everything you can. Go “e.”
E-Patient Activity  1 : Reading (and sharing)  my hospital data online
E-Patient Activity 2: “My doctor prescribed ACOR” (Community of my patient peers)
Please: 1% for the patients. Patient communities do a whole lot of good  for a little bit of cash. They’re NOT free. Whatever we spend, let’s set aside just 1% to help patient communities help themselves.
E-Patient Activity 3: My own social support network (CaringBridge.org - family and friends - journal & guestbook)
Look: genuine value is being generated outside our perceived ecosystem. ,[object Object],Part 5: Connecting the Dots Engaged patients are also finding value and advice in communities and networks. “Off the radar” Conventional view of healthcare economics is about what providers do (and could do) to create and deliver value
Think about this: How do you establish an influential role in these  e-patient conversations?
Their (our) lives and health are at stake.
The treatment worked. Target Lesion 1 – Left Upper Lobe Baseline: 39x43 mm 50 weeks: 20x12 mm
What next? The patient becomes  an influencer.
Pay it forward. Start a blog, to teach.
Write on other blogs.
Contribute to my hospital’s outreach (They asked me to be in a video)
Use social media to share info that other patients asked for ,[object Object],[object Object],[object Object]
(btw, sometimes I outdo them  8^)  ) (They gave up on editing the podcasts and just linked to my blog!)
Use social media to share info that other patients asked for ,[object Object],[object Object],[object Object],[object Object],[object Object]
Authenticity drives this. Don’t screw it up.
Be real. ,[object Object],[object Object],[object Object],[object Object]
2.8  Years in Pictures… December 2006 – dying of cancer and didn’t know it October 2007 – office Halloween party  September – the engaged patient becomes a   first-time fundrider!       my bone surgeon,   and my leg with   “make-up”    May 2009 – with Mom  at my daughter’s wedding
ePatientDave.com:  Patient Engagement consulting, speaking, analysis, social media
Engage Authentically. Earn Love. Be Known. dave@ePatientDave.com  @ePatientDave delicious.com/ePatientDave  facebook.com/ePatientDave Join the Society:  ParticipatoryMedicine.org Read the Journal (free):  JoPM.org Submit articles!

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Authentic Value: Being Known in the e-Patient Community

  • 1. Authentic Value: Being Known in e-Patient Communities “ e-Patient Dave” deBronkart @ePatientDave e-Patient Connections 2009 October 26, 2009
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  • 3. Part 1: Participatory Medicine John Sharp, Cleveland Clinic: “ If you have not read the e-Patient White Paper, you do not understand the future of medicine.”
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  • 10. What does Frishauf propose? Reputation systems. (Like Amazon and eBay. Per Esther Dyson’s Release 1.0, October 2003)
  • 11. I said “Your time will come.” Mine did. Part 4: Personal Relevance
  • 12. The Incidental Finding Routine shoulder x-ray, Jan. 2, 2007 “ Your shoulder will be fine … but there’s something in your lung” The shadow was a golf-ball size tumor: kidney cancer that had spread throughout the body
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  • 14. After the shock you’re left with the question: What are my options? What can I do?
  • 15. Get engaged. Get it in gear. Do everything you can. Go “e.”
  • 16. E-Patient Activity 1 : Reading (and sharing) my hospital data online
  • 17. E-Patient Activity 2: “My doctor prescribed ACOR” (Community of my patient peers)
  • 18. Please: 1% for the patients. Patient communities do a whole lot of good for a little bit of cash. They’re NOT free. Whatever we spend, let’s set aside just 1% to help patient communities help themselves.
  • 19. E-Patient Activity 3: My own social support network (CaringBridge.org - family and friends - journal & guestbook)
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  • 21. Think about this: How do you establish an influential role in these e-patient conversations?
  • 22. Their (our) lives and health are at stake.
  • 23. The treatment worked. Target Lesion 1 – Left Upper Lobe Baseline: 39x43 mm 50 weeks: 20x12 mm
  • 24. What next? The patient becomes an influencer.
  • 25. Pay it forward. Start a blog, to teach.
  • 26. Write on other blogs.
  • 27. Contribute to my hospital’s outreach (They asked me to be in a video)
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  • 29. (btw, sometimes I outdo them 8^) ) (They gave up on editing the podcasts and just linked to my blog!)
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  • 31. Authenticity drives this. Don’t screw it up.
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  • 33. 2.8 Years in Pictures… December 2006 – dying of cancer and didn’t know it October 2007 – office Halloween party September – the engaged patient becomes a first-time fundrider!  my bone surgeon, and my leg with “make-up”  May 2009 – with Mom at my daughter’s wedding
  • 34. ePatientDave.com: Patient Engagement consulting, speaking, analysis, social media
  • 35. Engage Authentically. Earn Love. Be Known. dave@ePatientDave.com @ePatientDave delicious.com/ePatientDave facebook.com/ePatientDave Join the Society: ParticipatoryMedicine.org Read the Journal (free): JoPM.org Submit articles!