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Thursday, June 14, 2012

Cinder Blocks and Patient Summits

When I was a child I went to an elementary school that had few resources.  In fifth grade our class was donated a large amount of books.  We were very pleased to have them, but we had no bookshelves on which to place them.  My teacher was very enterprising though, and she contacted the local lumberyard and requested they donate some two by fours and cinder blocks so we could make shelves.  The lumberyard manger said yes with one caveat, we would have to pick up the supplies.

That year our fifth grade class had a field trip.  

We left the school as a class with our strong backs and eager minds. We walked to the lumberyard.  Some of us grabbed the two by fours, some of us cinder blocks and some us combined the two to make a carry yoke for two students to heft.   We walked those blocks all the way back to school and up three flights of stairs.  Then we assembled those shelves and placed the books upon them.  We stood back and looked proudly at our work.  I cannot believe there was a class anywhere else in the entire nation who cherished their bookshelves as much as we did ours.

We loved those shelves because we overcame adversity and made that which we needed.  It wasn't pretty, it wasn’t perfect, but it was ours.

Recently, I wrote Pecking Order, a post recounting a webinar call on May 22nd between patients, a contracted PR firm and CMS officials.  The call was supposed to be a collaborative webinar session replacing an in person patient summit due to severe restrictions on federal travel. Sadly during the call patients did not have much time to speak. That changed an hour and a half in, when I spoke out. The patients took over the call and spoke about our views on the CMS funded initiative Partnership for Patients. 

It became a call to action.    

In the 22 days hence we have done quite a bit.

On May 22 we grabbed the domain name for Partnership with Patients and began the facebook group.  At this point there are over 300 members in the facebook group from every field of healthcare: patients, nurses, programmers, doctors, venders, transcriptionists and lawyers.

On May 23rd I posted Pecking Order.

On Thursday May 24th I spoke with Kathleen Siedlecki on the phone.  I encouraged her and her team to attend Mark Scrimshire’s Healthcamp on June 4th in DC.  

On Friday May 25th I spoke to Dennis Wagner, co-director of the Partnership for Patients Initiative.  He apologized about the direction the webinar had taken.  He also said he would be joining the Walking Gallery.  I told Dennis we planned to crowd source patient ideas for how to best promote this patient safety agenda.  We scheduled a meeting with the P4P team at CMS offices on June 13th.

Over Memorial Day weekend, Kathy Nicholls, CMT, AHDI-F, Certified Inbound Marketing Professional, was hard at work volunteering her time to build the Partnership With Patients Web Page.  We bounced emails back all weekend.  I also spoke with advocates such as Helen Haskell and Julia Hallisy by phone.  Many of the advocates like Martin Hatlie, Pat Mastors and Amy Berman, that were part of the original call emailed back and forth throughout this time and in a spirit of sharing I looped the whole PR team into the email thread.  I got Out of Office replies from them all.

out of office


It was a holiday weekend, but for many advocates this is more than a job, it is a mission that we ply 24-7.

By May 31st the Partnership with Patients webpage was up.

Friday June 1st, Kathleen Siedlecki, who ran the P4P webinar call, visited the mural 73cents. I heard about the constraints both she and the government work within.  More than ever, I appreciated the freedom of being an independent advocate that collaborates with others.

Kathleen at the Mural

Saturday, June 2nd, I spoke with Chuck Denham, MD from TMIT and Jeni Dingman, patient advocate about this new collaboration.

June 3rd -6th, Lori Nerbonne and Lisa Morrise would attend the IPFCC (Institute for Patient and Family Centered Care) Conference. And crowd source thoughts there.

DC Health Week HealthCamp - Walking Gallery 13205
Monday June 4th, During the HealthcampDC we created a collaborative dialog in real-time and designed a session on the spot talking about Partnership with Patients and Partnership for Patients.  Kathleen Siedlecki attended, as did many advocates. Attendees included Ted Eytan MD, Whitney Zatzkin, Greg Masters, Kait B. Roe, Susan Hull RN,  Fred Trotter,  Kristen Andrews, Robin Miles-McLean, Tiffany Peterson and Pat Salber MD.
Untitled

We were trying to build a grass roots strategy aligned with CMS and ONC goals ideally within one week.  We wanted to inspire regular folk to join the movement, like Robin Miles-McLean who jumped in feet first. Gregg Masters spoke about videos that could engage.  We spoke about connecting communities and connecting forces.  We spoke about sharing info on up coming events, as we did not know when meetings and conferences were being held both locally and nationally.

Fred Trotter told us about his focus on writing software for patients that reduced medical error.  We spoke about bringing the e-patient community into this dialog.  Susan Hull shared her experience of sitting on airplane ride beside a mother of 2 kids with cystic fibrosis, the mother had the marvelous idea she should administer drugs at the hospital and receive education she could carry home.

We spoke about creating a patient safety poster series for placing hospitals that are visually stimulating and not patronizing.  These posters could be images donated by artists.  We also could create a competition; young children could enter and receive a prize for best posters that support the Partnership for Patients initiative.  We acknowledged that many patients do not know their rights or safe practices within a hospital setting. We also spoke about QR code hijacking and other edgy ways to get the message across.

1-800 number for healthcare harm was an idea that was very well liked by the group.  We also wondered if that could be used to create a database of regional healthcare harm.  We talked about the potential of viral twitter attacks on hospitals with reports of harm, yet are not responding to those they injure.

We talked about the power of Engage with Grace.  We also talked about Honoring Choices programming from PBS coming out of Minnesota and Gunderson Lutheran’s amazing compliance with Advance Directives.

We spoke about a board certification in patient safety that is now available and wondered if any patient had taken the course.   We also spoke about SpeakerLink.org and the importance of including patients as paid speakers.  We spoke about the Plantree model of care and IHI open school and how that applies to this movement.  We finished up focusing on a photo resource that would show real pictures of patient care.  That has already begun on flickr, but it needs to be on Pinterest as well.

Pat's tweet

From that discussion and prior phone discussions with other advocates, I created this power point that was presented before CMS: Partnership for Patients meeting yesterday.

Partnership with patients
View more presentations from Regina Holliday
It was well received.

Dennis Wagner said he could see that some of these suggestions were immediately doable.  He said the next slide set he designed would have no stock photography within it, only crowd-sourced real pictures.  He would visit our flickr page and learn more.

The CMS team re-iterated that they did not believe the next meeting would be an in person one and it would need to be webinar again.  I then specified they must try to open it up to more people, so they should create a twitter hashtag so many more voices can be part of this discussion.  Kathleen thanked me for coming to the meeting and said she really enjoyed hearing our strong voice in this space.

I also announced that we were creating our own Partnership With Patients Summit in Kansas City September 21-23, 2012.  I spoke with Clay Patterson and Amy Burgess at Cerner and the folks at Cerner have approved hosting us in their continuing educational facility on the Riverfront property and former address of Sam’s Town Casino in North Kansas City.  


I loved that facility when I visited it one year ago. Think Kaiser Permanente Center for Total Health, but even cooler, with more neon lighting, a town square and some music from Tron.  Some of the Cerner team looked at me quizzically when I told them how much I loved the space, they said, “You do know this is just an old failed casino, right?” 

But I see with new eyes.  I see it with the eyes that saw cinder blocks become bookshelves. 

Getting ready to speak


I see what can be without old prejudice.  When I look at Cerner I don’t see an old legacy EMR system.  I see a future cloud/ legacy composite that could save lives.  I see one company among many, many companies willing to collaborate with patients.  I see what amazing things we can accomplish if we all work together and shoulder this task.  I see a space where we can come together and educate patient speakers about HIT, patient safety and health policy.  I see the potential of helping 200 new patients advocates as the next generation of e-Patient Dave’s, Trisha Torrey’s and Regina Holliday’s.

So here it is the ask:  Who will take up their cinderblock and follow me? Register here.









Saturday, June 9, 2012

The Walking Gallery Walks On: Year Two June 4, 2012- June 5, 2013

Paint and patients, pills and policy all come together within The Walking Gallery of Healthcare.  This walking wall of 226 individuals who wear personal patient narrative paintings on their backs is changing minds and opening hearts.  They are attending medical conferences where often there isn’t a patient speaker on the dais or in the audience.   They are providing a patient voice, and by doing so, are changing the conversation.

While creating national health policy medical professionals and government officials are often more reliant on aggregate data sets, bar charts, graphs and statistics, rather than the whole picture of care, the personal patient narrative and the individual human face.

The Walking Gallery movement hopes to diversify the source content that is used to create the foundation for patient centered care policy, by infusing art imagery depicting a unique patient history or personal story.

An artist or artists will interview medical professionals and lay individuals to form a patient centric narrative. The artist will then create representational imagery and paint that picture story upon the business jacket of the provider of the narrative account. The provider of the patient story aka “Walker” will wear the jacket to medical conferences and events in order to disseminate the patient story to a large group of policy minded attendees and to represent the individual patient voice in venues where they are underrepresented. Further, both artist and Walker will support the spread of the story and image via social media.

DC Health Week HealthCamp - Walking Gallery 13292

As of June 2013, 226 unique Walkers have joined the Gallery wearing 251 jackets.  The Gallery has representatives on five continents, but the majority of Walkers reside in the US. One artist creates the majority of the art, but new artists are joining and currently make up 10% of content creation within of the Walking Gallery.  The Gallery is promoted heavily on twitter, facebook and personal blogs.   Its widening appeal within the health conference community is creating a new space for patients at such events.

The Artists of The Walking Gallery:

1. Regina Holliday 226 jackets
2. Isaac Holliday 6 yrs, 1 jacket
3. Becca Price, 1 jacket
4. Miriam Cutelis, 1 jacket
5. Ess Lipczenko, 1 jacket
6. Ben Merrion 1 jacket
7. Courtney Mazza 5 jackets
8. Michele Banks 1 jacket
9. Megan Mitchell 15 yrs 1 jacket
10. Robert J. Filley 3 jackets
11. Anita Samarth 1 jacket
12. Mary Welch Higgins 2 jackets
13. Richard Sachs 2 jackets
14. Jonah Daniel 5yrs  1 jacket
15. Fred Trotter 1 jacket
16. Leela 7yrs 1 jacket
17. Gayle Schrier Smith 1 jacket
18. Moira Simms 1 jacket
19. Joan Holliday 1 jacket

If you would like to join the Gallery please find further instructions below the pictures of jackets of year two.


Year Two

251. "The Golden Egg" a jacket for Pat Salber

Pat in her jacket: "The GoldenEgg"


250. "The Incredible Fred" a jacket for Fred Trotter

"The Incredible Fred" a jacket for Fred Trotter


249. "Vets with Pets" Frankie's jacket painted by Courtney Mazza

The Walking Gallery - 2013 Edition 25356

248. "Trinity" a jacket for Kym Martin

"Trinity" a jacket for Kym Martin

247. "Wellspring" a jacket by Susan Hull

"Wellspring" a jacket for Susan Hull
246. "Gleaning" a jacket for Elaine O'Bleness

Gleaning

245. "All My Boys" a jacket for Joan Holliday.  Painted by Regina and Joan Holliday.

"All My Boys" a jacket for Joan Holliday

244. "Hydrate" a jacket for Taylor Martin

"Hydrate" a jacket for Taylor
243. "Diabetesbusters"a jacket for IsaacHolliday

"DIABETESBUSTERS" for Isaac Holliday

242. "The Keeper of the Match" a jacket for Jo Hamilton

"The Keeper of the Match" a jacket for Jo Hamilton

241. "Eyes on the Prize" a jacket for Dominique Beatty

"Eyes on the Prize" a jacket for Dominique Beatty

240. "Walk-Ins Welcome" a jacket painted and worn by Moira Simms

"Walk-Ins Welcome" a jacket painted and worn by Moira Simms


239."May I have this dance." a jacket for Martin J. Hatlie

"May I have this dance." a jacket for Martin J Hatlie

238. "Enjoying the Ride" a jacket for Lance Manning

"Enjoying the Ride" a jacket for Lance Manning

237. "Completing the Masterpiece"a jacket for Vera Rulon

"Completing the Masterpiece" a jacket for Vera Rulon

236.  "Tally Marks" a jacket for Ken Congdon

"Tally Marks"  a jacket for Ken Condon

235. "Lean into the Sorrow" a jacket for Coletta L. Dorado

"Lean Into the Sorrow" Coletta L.Dorado

234. "Stair Steps" a jacket Tom Evans

"Stair Steps" a jacket for Tom Evans

233. "Under Pressure" a jacket for Gina Neff

"Under Pressure" a jacket for Gina Neff


232. The Gamification of Healthcare a jacket for Nick Dawson

The Gamification of Healthcare a jacket for Nick Dawson


231. "Caduceus Deconstructed" a jacket for Randi Oster

"Caduceus Deconstructed" a jacket for Randi Oster


230. "Hemispheres" a jacket for Gonzalo Bacigalupe

"Hemispheres" a jacket for Gonzalo Bacigalupe




229. "Right Side Up" a jacket for Fred Trotter by artist Richard Sachs

Fred Trotter #2

228."You're going to need a bigger binder." a jacket for Jon Francke

"You're going to need a bigger binder." a jacket for Jon Francke

227. "Twice Broken Heart" a jacket for Shelley Cohen Konrad

"Twice Broken Heart" a jacket for Shelley Cohen Konrad

226. "Quantified Smile" a jacket for Katie McCurdy

"Quantified Smile" a jacket for Katie McCurdy


225."Patchwork Health" a jacket for Mary Griskewicz

Patchwork Health a jacket for  Mary Griskewicz


224. "What we lose along the way." a jacket for Amy Gleason

"What we lose along the way." Amy Gleason's Jacket


223. "Bursting from Within" a jacket for Eric Topol

Bursting from Within a jacket for Eric Topol


222. "Hospice Cards" a jacket for Emily Shaw

"Hospice Cards"


221. "The Kastner Rose" a jacket for Kathy Kastner

"The Kastner Rose" a jacket for Kathy Kastner


220. "What is a hero?" a jacket for Alice Hughley

"What is a hero?" a jacket for Alice Hughley

219. "The Gravity of the Situation" a jacket for Esther Dyson

"The Gravity of the Situation" for Esther Dyson

218. "Generations" a jacket for Natrice Rese

Generations


217. "The Rising Son" a jacket for Amy Birney

"Rising Son" a jacket for Amy Birney

216. "Don't tell me to zip it." a jacket for Steven Baker

"Don't tell me to zip it" a jacket for Steven Baker


215. "Hope" a jacket for Jan Oldenburg

"Hope" a jacket for Jan Oldenburg


214. "The Sleeper" a jacket for Emily Hackel

"The Sleeper" a jacket for Emily Hackel


213. "Embracing Epsilon" a jacket for Karen MacDonald

"Embracing Epsilon" a jacket for Karen MacDonald



212. "A New Refrain" a jacket for Andrew Spong

"A New Refrain"


211. "Is she okay?" a jacket for Jess Jacobs

"Is she okay?" a jacket for Jess Jacobs


210. "In Search of Balance"a jacket for Deven McGraw

"In search of balance" a jacket for Deven McGraw


209. "To Ride This Ride" a jacket for Alicia Staley

CIMG0030



208. "Aeiou" a jack for Mark Scrimshire

AEIOU a jacket for Mark Scrimshire

207. "Hospital for my Children" a jacket painted and worm by Gayle Schrier Smith

"Hospital for my Children" by Gayle Schrier Smith, MD

206. "Little Mirrors"  a jacket for Amanda Greene

"Little Mirrors" a jacket for Amanda Greene

205. "#Cinderblocks" Regina Holliday

#Cinderblocks a jacket for Regina Holliday

204. "MIB" Regina Holliday

MIB a jacket for Regina Holliday

203.  "Taken"  a jacket for Kath Mazella
Taken

202. "A Prescription for Zoe" a jacket for Larry Chu
"A Prescription for Zoe" a jacket for Larry Chu

201. "Monumental Change" a jacket for Michael Seid
"Monumental Change" a jacket for Michael Seid

200. "Wind of Change" a jacket for Jamie Inman
Wind of Change


199. "Metamorphosis"  a jacket for Liza Bernstein
Metamorphasis for Liza

198. "Don't Make a Fuss" a jacket for Carolyn Thomas
Don't make a fuss a jacket for Carolyn Thomas


196.  "Balancing Act" a jacket for Brian Carter

"Balancing Act" Brian Carter's jacket

195.  "Fly"  a jacket for Kate Cartwright-Knodel


"Fly" a jacket for Kate Cartwright Knodel
194.  "Partners" a jacket for Teresa Titus-Howard


Partners
193.  Be Ahead of All Parting/The End Ahead a jacket for Bart Windrum

"The End Ahead" a jacket for Bart Windrum

192. "Blood and Tears" a jacket for Martine Ehrenclou

"Blood and Tears" A jacket for Martine Ehrenclou


191. "The Three Stages of Meaningful Use" a jacket for Farzad Mostashari

"The Three Stages of Meaningful Use" a jacket for Farzad Mostashari


190. "Uniting the Field of Care" a jacket for Kristen Andrews

"Uniting the Field of Care" a jacket for Kristen Andrews


189. "Finals" a jacket for Peter Levin

"Finals" a jacket for Peter Levin


188. "The Signs" a jacket for Jari Holland Buck

"The Signs" a jacket for Jari Holland Buck

187. "Grief" a jacket for Ann Becker-Scutte

"Grief"  a jacket for Ann Becker-Schutte


186."NeuCare" a jacket for Ryan Neuhofel

"NeuCare" a jacket for Ryan Neuhofel

185. "The Ood Among Us" a jacket for Jake Miles-McLean


"The Ood among us" for Jake Miles-McLean


184. "After Hours" a jacket for Steven Davidson

"After Hours" Steven Davidson


183. "On Special Days" a jacket for Josh Rubin

"On Special Days" a jacket for Josh Rubin

182. "Bone Black" a jacket for Catherine Fairchild

"Bone Black" a jacket for Catherine Fairchild


181. "Reaching Out" a jacket for Erica Hanson Brown

"Reaching Out" a Jacket for Erica Hanson Brown

180. "The Heart of the Matter" a jacket for Carolyn Der Vartanian

"The Heart of the Matter" a jacket for Carolyn Der Vartanian
179. "Invasion of the C.Diff." a jacket for Pat Mastors

"Invasion of the C. Diff." for Pat Mastors
178. "Paper Chaos" a jacket for Michelle F. Davis

Paper Chaos a jacket for Michelle F. Davis
177.  "All of My Children." a jacket for Mindy Schwartz-Brown

"All of My Children" a jacket for Mindy Schwartz-Brown
176. "The White Wizard" a jacket for Heather Leslie

"The White Wizard" a jacket for Heather Leslie
175.  "Diabetes Mine" a jacket for Amy Tenderich

Diabetes Mine

174. "The Right Thing" a jacket for Lissa

CIMG0051
173. "Access" a jacket for Sanya

Sanya's Jacket "Access"
172. "Becoming" a jacket for Sam Bruinewoud

Sam's jacket "Becoming"
171. "Inked" a jacket for Louise Schaper

Inked a jacket for Louise Schaper

170. "Independence Day" a jacket for Julia Hallisy

Independence Day a jacket for Julia Hallisy

169. "Folding" jacket for Fluckinger

Folding a jacket for Don Fluckinger

168. "Virtual Hospice" a jacket for Colleen Young
"Virtual Hospice" a jacket for Colleen Young


167. "I am e." a jacket for Gangadhar Sulkunte
"I am e." a jacket for Gangadhar Sulkunte

166. "Breathe" a jacket for Karen E. Blair
"Breathe"  a jacket for Karen E. Blair

165. "If I only had a heart." a jacket for Dennis Wagner
Dennis Wagner's jacket: "If I only had a heart."

164. "Upside Down and Backwards" a jacket for Michelle Litchman

"Upside down and backwards" a jacket for Michelle Lichman

163. "The Expert Patient" a jacket for Roni Zeiger

Roni Zeiger's jacket


If you are interested in joining the Walking Gallery here is the info:

Watch:
Here is wonderful short film by Eidolan Films on the DC Inaugural Walking Gallery event June 7, 2011

Read:
To understand the origin of the idea.

To understand the sacred nature of this path

To view all of the jackets 1-162 painted in the first year.



Logistics of the Walking Gallery:  What you need to do to be a member: 

1.  Promise that you will wear this jacket to other conferences and events in order to spread awareness of the power of the Patient Voice.

2.  Send a business jacket so I can paint your image. Please do not send jackets made of seersucker, corduroy, knit, denim, leather or stretch fabric, as they are hard to paint on.  Also this is a business jacket on purpose, we are painting on the “uniform” of the conference attendee.  Fabrics that work well are poly-blends, linen, cotton and wool. Also you might want to by a jacket a size larger than you usually do as the painting will stiffen the back and make it harder to close the buttons.

3.  Tell me your patient story or another's you wish to depict please send via email with some pictures if possible of yourself or the people in your story.  If you don't want to provide a picture, that’s okay, I have a vivid imagination.

4.  Artists can participate by painting their own jacket or another's or both.

5.  I am using Twitter hash tag to link us all together so please tweet about your jacket appearances under #TheWalkingGallery we also have a page on Facebook: http://www.facebook.com/TheWalkingGalleryHC

6.  You are free to use the image in your own advocacy mission; I also retain the right to reproduce the image for advocacy purposes. 

7.  Donations are welcome to offset the cost of paint and shipping, but are not required and you cannot buy a jacket.  You are joining a movement, and this is a sacred oath to walk the walk and spread the word.

Welcome to the Gallery.

Any questions?