Creating and Sustaining COLLABORATIVE COMMUNITIES for Spread of Pursuing Perfection in Healthcare

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Creating and SustainingCOLLABORATIVE
COMMUNITIESforSpread ofPursuing Perfection in
Healthcare

• Marc Pierson

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KM Applications mapped to the elements of the KM
spectrum
 
 
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(No Transcript)
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Proposal Study

• See if the pursuing perfection community can be
  rapidly grown and enhanced by implementing
  customized and tailored Radio/Manila web services
• Measurement of adoption
• Measurement the volume and content type
• Measurement of cooperation and cohesiveness
  (teamness) correlated to volume and content of
  communication
• Measurement of user satisfaction

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Bob Galvin told us

• Make it their tree house!
• Personalize and customize PP communications
• Individuals choose what and when to read and
  write
• Individual control over news feeds
• Friendly space for stories and the human touch
• Mass customization of look and feel
• QI Cycle Time
• Immediate, user controlled communication and
  collaboration with the entire PP community
• No built in delays

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IOM rules suggest

• Radical openness
• Work together transparently to meet the six aims
• "Nothing about me (patients, communities, and
  providers) without me.
• Open for anyone to read and comment on.
• Timely
• User controlled

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Benefits

• Supports the communities of learning IHI has
  begun
• Not dependent solely on IHI leadership and
  initiation
• Grant funding likely, for development
• Inexpensive software 300/year with client
  licenses (39) purchased by user
• Proof of concept over next 8 weeks
• Low risk

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Key Ideas

• Community may be as essential for sustainability
  and spread as patient-centeredness
• We each need to be a part of a PP community and
  culture (shared meaning)
• Fractal (Russian Dolls)
• Microsystem, Org, Local communities, WWPP, WW

• People are important
• To perceive a person you need
• A face
• A voice
• Context (friends, location, ideas, experiences
  stories)

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Culture Meaning

• Stories are necessary for culture
• A story is worth a thousand logical statements
• Conversation is a medium for thought and
  innovation
• Comments maintain context and create deepen
  meaning,
• Through cross-posting others posts (news feeds)
  to your own site, with added comments and edits
• Able to incorporate anyone else's story our own

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Generate Meaning through

• Dialogue
• Conversation
• Stories (Multi-media)
• Knowledgelt Informationlt Data
• Care whyltknow whyltknow howltknow what

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Goals (KM)

• Sharing learning (knowledge)
• Sharing of purpose and passion
• Caring, opening up to one another and to
  possibilities
• Clarity

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Communities of Learning

• Clarity of
• Passion
• Purpose
• Goals
• Plans
• Tasks
• Progress
• Experience, esp. failures

• Sharing of knowledge
• Areas of interest
• Information c data
• Ideas
• Stories
• Lessons learned
• Personal/Professional development

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Key design points

• Must link to document management system(s)
• Should integrate with Instant Messaging tool for
  real time collaboration, without phone bills
• Radio and Manila must be experienced as
  integrated parts of a coherent whole, by the time
  of presentation

• Training must be perfect, short, and on-line
• Training in story telling and reporting will be
  provided
• Critical mass is needed people with passion,
  purpose, and pressure (time lines)
• Some ONE systems operator/designer needs to
  manage the focused development for our needs

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Lets talk about Radio

• 39 (/year?) personal webserver (content
  management system)
• Publishes a web(s) by person and/or topic
• Publishes to a public(or private) web server
  (free sw)
• Browser front end (plus other tools)
• Build on Frontier by Userland, as is Manila
• Individual web site is administered by the user
  through the browser
• Personal sequence of posts (by category)

• A news feed aggregator
• Publish and subscribe to news, created by others
  with Radio
• Aggregate posts by persons or topics
• Manages comments and discussion on any post or
  story
• Syndicated (open to viewing) working outlines
  (Instant Outlines)
• Manages documents, pictures, video
• Shows who, when, how much communication is going
  on (RCS actually does this)

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Legal file extensions

• xml, html, htm, opml, txt, text, rss, ftsc, fttb,
  root, giv, jpg, jpeg, png, ico, doc, xls, pdf,
  ppt, css, wav, swf, zip, sit, hqx, gz, svg.
• Others, such as .mov, are permissible if you
  provide the disk space.

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Let's talk about Frontier/Manila

• 1000 (actually 300)/year document management
  system
• Operating systems NT, Win2000, XP, Mac OX (UNIX)
• Object oriented database
• Content management system
• Open development platform

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Examples of Radio/Manila at work

• Radio
• SLAM
• Marc's Pursuing Perfection Site
• Manila
• Community Builder site
• marcpp
• MacCentral
• Wheaton College Quarterly
• Danish School of Journalism
• Fallbook Class of '66

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Demo

• Reporting
• Discussions
• Subscribing to news
• Subscribing to active outlines
• Cross-posting with edits

• Checking on activity Aggregation of news
• Managing site through browser
• Editorial control in Manila

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Let's talk about collaboration

• We will determine what Whatcom will actually use
• We will get it running and in use (proof of
  concept)
• We could bring it to the larger group in Aug.
• We will write a grant proposal prior to bringing
  it in Aug.
• We get a grant

• You could manage the work and the grant
• We are interested in working with you.
• You can brand it "IHI"
• Everyone should have access to all the templates
  and specific enhancements to use in their own
  communities.

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Next Steps