Updated 9:38pm ET – fixed many broken links :-/
I’m spending today (ONLY today, unfortunately) at the MIT Media Lab’s third annual Health & Wellness Innovation event. It’s a two week competition – six teams pursuing some terrific ideas for the most patient-friendly health innovations I’ve ever heard of. Or close to it.
I’ll write more about it but for now I want to just get this started, because I think they’re going to be crowd-sourcing input from us out here, via Twitter and probably some blogs.
These are all heavily data-centered, open-source, collaborative projects. Below I’ll say why this looks so very different to me. But first, here are the Twitter hashtags, with links to the Twitter feeds:
- Project 1 – pain management including skin conductance and data-reporting pillbox (#MLpain)
- Project 2 – asthma management with toy-like spirometer (#MLasthma)
- Project 3 – cardiac rehab with a Microsoft Kinect and pulse oximeter (#MLcardiac)
- Project 4 – Integrating MOTOACTV Fitness Tracker w Hypertension and Diabetes Management – with a hacked insulin pen (#MLdiab)
- Project 5 – humanizing mobile health apps by tying people’s life goals to their medical metrics (#MLlifegoals).
I especially love this one – I tweeted from the project’s description: “the problem is [most apps] focus on goals that lack true meaning to the user … apps focus on heart rate, when pt wants 2b able to play w/her grandkids for 5 min”
- Project 6 – management of post-op needs including a virtual pet that shows how well the child is doing (#MLpostop)
What’s conspicuously different about this event compared to any other I’ve seen:
In this room, if what needs to get done isn’t getting done, it’s viewed as a system failure, not a “patient compliance” problem. These people are striving to make everything work better, in our hands.
After 150 events in two years (medical conferences, tech events, policy meetings), I’ve concluded that medicine’s single most important dysfunction is the idea that useful wisdom comes only from biology (or other medical innovations), and it’s up to us to use whatever they danged well give us, containing that received wisdom.
So when patients don’t do what they’re told, it’s a “compliance” problem – and people in healthcare bitch about how irresponsible we are. Even the October Health Leaders magazine had this near the start – in its “Patient Engagement” issue!
In our annual Industry Survey, leaders cite patient noncompliance and lack of responsibility as the fifth-greatest driver of healthcare costs at their organizations.
Meh! How about you guys get your act together and give us methods that work for us?
I mean, seriously: in what other industry can they respond to “This is hard to use” and “I don’t like doing this” by saying “You’re just not good enough for our wonderful inventions”?
I used to work in software companies that tried that approach. They went out of business when innovators came along who understood that easy to use gets done better, and people like it more.
A great example is GlowCaps – a pill bottle cap that glows, beeps, or texts you when it’s time to take your pills. (Check out the “adherence” results from a clinical trial – nearly perfect! No change in patient “morality” – just a better freakin’ tool for us to use.) (David Rose, formerly of that company (now sold), is in this event.)
Here’s to the people working on these challenges. If you’re a Twitter fiend, follow those hashtags and let the innovators know what you like.
p.s. Anyone who wants to complain about patient “compliance,” please remember that the shoe’s on the other foot with clinician “quality”: hospital workers only wash hands per protocol about half the time, physicians prescribe the standard of care only half the time. The result, as Susannah Fox blogged about Peter Margolis, is that “.5 x .5 = .25” – the shared unworkability of everything means clinicians do what they’re told half the time, and patients do too, so healthcare on balance operates at 25% efficiency.
And we grouse about rising costs and fail fail fail.
Here’s to the geeks who understand what works.
You are are so on point. I’m moved by your sensibilities, wisdom and attention to what works.
Thank you Dave for helping us getting all the hashtags right on the Healthcare Hashtags Project.
Wish I could be there together with all the tech heads :)
I regret not to be able to follow the live tweeting but will read closely the transcript and reach out to the innovators and other healthgeeks there.
You are so right!coming from marketing I can guarantee that those with this mindset would be out of business the following day: “I mean, seriously: in what other industry can they respond to “This is hard to use” and “I don’t like doing this” by saying “You’re just not good enough for our wonderful inventions”?
Great information. Thanks for sharing. I am really interested in the medication adherence area. As you shared in the GlowCaps example, medication adherence is critical to improving health and well being and reducing the cost of care.
There seems to be three critical areas to improving adherence and as your insight stated it is not only the individual but also the medical professional that pays a key role. The three factors as I see them 1) Education and Awareness 2) Tools and Aids (like GlowCaps) and 3) Community (peers, caregivers and the broader network of care). I believe that there needs to be seamless integration between these three things and this could have the most profound impact on adherence.
I look forward to following your blog and following the outcomes of MIT Media Lab’s third annual Health & Wellness Innovation event.
Thanks for the insight.
I’d like to see a compliance study comparing e-patients to
non-e-patients. Not enough e-patients?–sorry.