3 lessons for technology pilots
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Transcript of 3 lessons for technology pilots
Why this is Important“The greatest shortcoming of the human race is our inability to understand the exponential function.”- Albert Bartlett
http://finette.com/ http://www.aarp.org/home-family/caregiving/info-08-2013/the-aging-of-the-baby-boom-and-the-growing-care-gap-AARP-ppi-ltc.html http://aaronmarshall.co.za/post/3209350828/the-exponential-growth-of-computation-power-see
3 Lessons: Expose
Yourself to New Ideas
Measure Early and
Often
Start Small and Adapt
Expose Yourself to New Ideas
Did you weigh yourself today?
Great! What did the scale read?
ALERT:water weight
data
data
hum
an
cont
rol
text-to-speech
clinical algorithm:heart failure
audio/video stream
voice interaction
works with even the most high risk, high cost patients with
limited cognitive & tech
abilities
How might care.coach…
…help seniors to manage chronic conditions at home and reduce social isolation?
http://www.care.coach
Measure Early and Often
Why Use Activation?• Improvements correlate with better
health outcomes • Can be done with minimal training• Can be administered frequently (90 days
or less)• Provides basis of comparison across
variety of programs
“If you count something interesting, you will learn something interesting.” – Atul Gawande
http://www.insigniahealth.com
Measure Early and Often
1 2-10%
0%
10%
20%
30%
40%
50%
Change from Baseline by PAM Round
Program 1 Program 2 Program 3 Program 4 Target
Start Small and Adapt“We all need the latitude to try out new ideas. Look for ways to grant yourself creative license, or give yourself the equivalent of a get-out-of-jail-free card. Label your next new idea an experiment, and let everyone know that you are just testing it out. Lower others’ expectations, so that failure can lead to learning without career damage.” –David Kelley and Tom Kelley, “Creative Confidence”
Pilot Parameters:• Partner with regional hospital • Test in Independent Living Facility• 15 seniors for six months• Success based on enrollment and PAM improvements• Total cost ~$15,000
What if it fails? Three months later, only one senior still
actively engaged
Possible Reasons
Try for a different need
Try in a different setting Stop or pivot
Wrong Partner
Wrong Problem
Wrong Product
Closing thought“Using technology, such as care.coach, enables us to reach outside the doors of the hospital to continue the excellent care our rural communities expect. Collaborating with EHF provides the resources and connections necessary to try new things and to continue our culture of innovation looking to decrease health costs, improve patient experience and promote population health.”Becky HighfillDirector, Center for Learning and Innovation Pullman Regional Hospital
Interact!
“In actual practice, there is too little expertise on how to engage people effectively and broadly.”
“The Presentation is neither an inclusive nor an engaging process since a single person controls the content.”
“These five conventional methods are the presentation, the managed discussion, the status report, the open discussion, and the brainstorm.”
“The Managed Discussion puts control entirely into a single hand, with all the difficulties and complications that this entails.”
Liberating Structures
http://www.liberatingstructures.com
1-2-4-All• 1: Silent self-reflection by individuals on a shared challenge, framed as
a question (e.g., What opportunities do YOU see for making progress on this challenge? What ideas or actions do you recommend?) 1 min.
• 2: Generate ideas in pairs, building on ideas from self-reflection. 2 min.
• 4: For four minutes, share / compare / expand in groups of four and agree on your "best" idea. 4 min.
• All: Ask, “What is one idea that stood out in your conversation?” Each group shares one important idea with all. 5 min.
Shared Challenge
"How might you address [real challenge in your community] through the use of
[real or imaginary technology]?"
