HealthCare Innovation 101: Don’t Forget the Patients

Sosena Kebede, MD, MPH, CHC

Founder, Executive Consultant, HealthCare Engagement, LLC

Baltimore, Maryland

United States has the highest healthcare expenditure than any other nation on earth. Although we use more diagnostic tests than other industrialized nations, pay more to doctors, more to pharmaceuticals and use up to 8% of our total healthcare expenditure for healthcare administration (compared to 3% in other high-income countries) [1] provider burn out and disillusionment with the profession are on the rise [2].

With this backdrop, the healthcare system is under an unprecedented pressure from many angles to transform itself. Several government and institutionally sponsored endeavors are underway to cut cost, address population health needs and improve the patient experience-the so-called Triple Aims.

In the scramble to achieve the Triple Aims, industries from all sectors are jumping into the “innovation” bandwagon to reinvent how we do healthcare. The digital market is presenting itself as the indispensable innovative solution to all that ails the healthcare system. Even the government has caught the innovation fever and CMS now has an Innovation Center that solicits and rewards new care delivery and payment models that can help to achieve the Triple Aims.

 

Many would agree that no one has more at stake in the outcome of healthcare transformation than patients/ communities who are the end users of health services. Yet, only few patients and patient-advocates have an opportunity to meaningfully participate in this battle everyone seems to be waging presumably on their behalf.

 

Patients from lower socio-economic status are particularly alienated from the chance to advocate for themselves. To date, there has been little effort to formally document what vulnerable communities prioritize in terms of healthcare services they receive. In a pilot study done in Baltimore, Maryland we surveyed a small number of community members with a “What Matters to Patients” questionnaire. One of the notable findings from this study was community members rated the humanistic qualities of their physicians almost in par with their physician’s credentials. This result was presented at the annual International Forum for Quality and Safety in Healthcare in Kuala Lumpur, Malaysia (August 2017).  Given the small size of this survey (N=32), no definitive conclusion can be drawn from this finding however a larger observational study to explore what matters to patients including those from lower socio-economic status is under way.

Research shows that when physicians actively engage patients in their own care patients can help reduce healthcare associated harm and improve their health outcomes and satisfaction [3]. Unless we make efforts now to make the community an integral part of the healthcare redesign process, our innovations will recreate a model that perpetuates expensive but suboptimal healthcare system that is riddled with patient dissatisfaction, and health care disparities.

The complex process of transformation will take the input of many stakeholders and there will be neither quick nor perfect fixes. However, making patients and communities an integral part of this journey and especially empowering marginalized portions of the population for effective involvement is not only the right thing to do but the right way to doing it. 

References:

  1. Papanicolas, L. R. Woskie, and A. K. Jha, “Health Care Spending in the United States and Other High-Income Countries,” Journal of the American Medical Association, March 13, 2018 319(10):1024–39.
  2. del Carmen MG, Herman J, Rao S, et al. Trends and factors associated with physician burnout at a multispecialty academic faculty practice organization [published online March 15, 2019]. JAMA Network Open. doi:10.1001/jamanetworkopen.2019.0554
  3. “Health Policy Brief: Patient Engagement,” Health Affairs, February 14, 2013.

74 thoughts on “HealthCare Innovation 101: Don’t Forget the Patients

  1. I used to be more than happy to find this web-site.I needed to thanks to your time for this wonderful read!! I undoubtedly enjoying every little little bit of it and I have you bookmarked to check out new stuff you blog post.

  2. Thank you for your own work on this site. Ellie take interest in carrying out investigation and it’s really easy to see why. My spouse and i notice all regarding the compelling method you present very useful things by means of the web blog and as well cause contribution from the others on that issue plus our own simple princess is without a doubt becoming educated a whole lot. Enjoy the rest of the year. Your doing a glorious job.

  3. I simply wanted to make a comment in order to say thanks to you for all the amazing recommendations you are showing on this website. My extended internet research has now been rewarded with reasonable points to talk about with my friends. I would tell you that many of us visitors are really blessed to be in a remarkable place with many lovely people with valuable things. I feel quite privileged to have used your entire web site and look forward to really more pleasurable moments reading here. Thank you once again for everything.

  4. My spouse and i were satisfied when Emmanuel managed to carry out his basic research through the entire precious recommendations he got when using the site. It is now and again perplexing to simply happen to be giving for free guidance that people have been making money from. We take into account we need the writer to be grateful to because of that. The specific explanations you made, the simple site navigation, the relationships you give support to instill – it’s most great, and it is making our son and the family recognize that this idea is fun, and that is quite essential. Thanks for all!

  5. I wish to point out my respect for your kindness in support of people who actually need assistance with your theme. Your real dedication to getting the solution around turned out to be really informative and has surely made others like me to reach their goals. Your new informative tips and hints implies much a person like me and additionally to my office workers. Regards; from all of us.

  6. I not to mention my buddies ended up reading through the nice advice located on your web blog and suddenly I got a terrible feeling I had not expressed respect to the site owner for those strategies. Most of the young boys are already so glad to read through them and have in reality been taking pleasure in those things. Appreciate your simply being indeed thoughtful and for settling on varieties of tremendous tips most people are really eager to learn about. My very own honest regret for not saying thanks to you sooner.

  7. I am just commenting to let you understand of the great encounter my friend’s princess gained reading through your site. She discovered a wide variety of details, which include what it’s like to have an awesome teaching mindset to let many people clearly know just exactly some hard to do topics. You undoubtedly did more than our expectations. I appreciate you for churning out those good, healthy, explanatory and even easy tips about this topic to Mary.

  8. Thanks a lot for giving everyone an exceptionally special opportunity to discover important secrets from this blog. It’s usually very awesome and also jam-packed with a great time for me and my office fellow workers to search the blog at a minimum three times weekly to read through the new issues you have. And lastly, I am just always happy with all the tremendous advice you give. Some two tips in this article are essentially the most suitable we have all ever had.

  9. Thanks so much for giving everyone an exceptionally superb chance to check tips from this website. It’s usually so awesome and as well , stuffed with a great time for me and my office friends to visit your site at the very least 3 times a week to read through the fresh items you have got. Not to mention, I’m usually fulfilled with the special ideas you serve. Some 3 areas in this post are indeed the simplest we have ever had.

  10. I wanted to send a quick word so as to say thanks to you for the lovely suggestions you are placing here. My time-consuming internet look up has at the end been paid with excellent details to write about with my friends and family. I ‘d point out that most of us website visitors are quite fortunate to dwell in a superb community with many brilliant people with good guidelines. I feel rather blessed to have discovered your entire website and look forward to many more fun times reading here. Thanks a lot once more for everything.

  11. I have to show my appreciation to this writer for bailing me out of this trouble. Just after scouting throughout the online world and seeing concepts that were not helpful, I thought my entire life was over. Being alive minus the solutions to the problems you have resolved as a result of the blog post is a serious case, and ones that could have badly affected my career if I had not noticed the blog. Your capability and kindness in taking care of a lot of stuff was excellent. I don’t know what I would’ve done if I had not come upon such a thing like this. I can at this point relish my future. Thanks for your time very much for this reliable and amazing guide. I will not hesitate to propose your site to any individual who would like recommendations on this situation.

  12. Good post. I learn something more challenging on different blogs everyday. It’s going to always be stimulating to read content material from different writers and follow a little bit one thing from their store. I抎 want to make use of some with the content material on my blog whether you don抰 mind. Natually I抣l give you a hyperlink in your web blog. Thanks for sharing.

  13. I am typically to running a blog and i actually appreciate your content. The article has really peaks my interest. I am going to bookmark your web site and hold checking for new information.

  14. Aw, this was a very nice post. In concept I wish to put in writing like this additionally ?taking time and actual effort to make a very good article?however what can I say?I procrastinate alot and by no means appear to get something done.

  15. This is the precise weblog for anybody who needs to seek out out about this topic. You realize a lot its virtually hard to argue with you (not that I really would want匟aHa). You definitely put a brand new spin on a topic thats been written about for years. Nice stuff, simply nice!

  16. I抦 impressed, I need to say. Actually rarely do I encounter a blog that抯 both educative and entertaining, and let me let you know, you’ve hit the nail on the head. Your thought is excellent; the problem is one thing that not sufficient people are talking intelligently about. I am very pleased that I stumbled throughout this in my search for one thing relating to this.

  17. There are some fascinating time limits in this article however I don抰 know if I see all of them middle to heart. There is some validity but I will take hold opinion until I look into it further. Good article , thanks and we wish extra! Added to FeedBurner as effectively

  18. I discovered your blog web site on google and verify a few of your early posts. Proceed to maintain up the excellent operate. I just additional up your RSS feed to my MSN Information Reader. In search of forward to studying extra from you afterward!?

  19. I used to be more than happy to search out this web-site.I wished to thanks in your time for this wonderful learn!! I definitely enjoying every little little bit of it and I’ve you bookmarked to check out new stuff you weblog post.

  20. I was very pleased to search out this net-site.I wished to thanks on your time for this excellent read!! I undoubtedly having fun with each little little bit of it and I have you bookmarked to check out new stuff you blog post.

  21. Can I simply say what a relief to seek out somebody who actually is aware of what theyre speaking about on the internet. You definitely know learn how to bring a difficulty to gentle and make it important. More folks must read this and perceive this side of the story. I cant consider youre no more common since you undoubtedly have the gift.

  22. Youre so cool! I dont suppose Ive learn anything like this before. So nice to search out someone with some unique ideas on this subject. realy thanks for starting this up. this website is something that’s needed on the web, someone with a bit of originality. useful job for bringing something new to the web!

  23. I loved as much as you’ll receive carried out right here.
    The sketch is tasteful, your authored material stylish.
    nonetheless, you command get got an nervousness over that you wish be delivering the following.
    unwell unquestionably come more formerly again as exactly
    the same nearly very often inside case you shield this hike.

  24. My brother recommended I might like this web site. He was entirely right.
    This submit actually made my day. You cann’t imagine just how so
    much time I had spent for this information! Thanks!

  25. Hello all, here every person is sharing these knowledge, thus it’s good to
    read this blog, and I used to visit this web site all the time.

    استئجار خادم التعدين web page مخطط ثنائي

  26. There are definitely a whole lot of particulars like that to take into consideration. That may be a great level to carry up. I supply the thoughts above as basic inspiration however clearly there are questions like the one you deliver up where the most important factor will likely be working in sincere good faith. I don?t know if greatest practices have emerged round issues like that, but I am certain that your job is clearly identified as a fair game. Both boys and girls really feel the influence of only a second抯 pleasure, for the remainder of their lives.

  27. My brother recommended I would possibly like this web site.
    He usdd to be totally right. This submit actually made my day.
    You cann’t imagine simply hoow a lot time I had spent for this
    information! Thank you!
    site

  28. I wwas curious if yyou ever considered changing the structure
    of your blog? Its very well written; I love what youve got too say.
    But maybe you could a little more in the way of content so people could connect with it better.
    Youve got aan awful lot of text for only having one or 2 images.
    Maybe you could space it out better?
    пластмассовые изделия webpage шайба для поликарбоната

  29. Hey just wanted to give you a quick heads up. The words in your article seem to be running off
    the screen in Intrnet explorer. I’m not sure if this is a formatting issue or
    something to do with internet browser compatibility
    butt I figured I’d post to let you know. The design look great though!
    Hope you get the problem solved soon. Thanks

    Feel free to visit my web blog – Black Diamond Trader 2

  30. Thanks so much for giving everyone a very marvellous possiblity to read from this site. It’s always very amazing and as well , jam-packed with a lot of fun for me personally and my office acquaintances to search the blog the equivalent of thrice in a week to find out the newest guidance you have. And of course, I’m so certainly pleased with the superb information you give. Some 1 facts on this page are in fact the most beneficial I have ever had.

  31. A lot of thanks for your own efforts on this web page. My aunt really loves going through investigation and it’s really obvious why. A number of us hear all of the powerful means you create invaluable tips and hints on the web blog and cause response from website visitors on this topic so my child is studying a lot. Have fun with the remaining portion of the new year. You’re performing a stunning job.

  32. I want to express thanks to this writer just for bailing me out of this scenario. Just after browsing through the the web and finding tips which are not powerful, I thought my life was well over. Living without the answers to the problems you have sorted out through your good post is a critical case, and ones that might have badly affected my entire career if I had not noticed your blog. That training and kindness in maneuvering all the things was tremendous. I don’t know what I would have done if I hadn’t come upon such a subject like this. I can at this moment relish my future. Thank you so much for the skilled and effective help. I won’t hesitate to refer your blog to any individual who should receive counselling on this subject matter.

  33. I am only writing to make you understand what a perfect discovery our child found going through your site. She came to find too many pieces, including what it’s like to possess an amazing giving nature to make many people without difficulty know precisely specific impossible matters. You truly did more than her expected results. Many thanks for showing these insightful, trustworthy, edifying and fun tips about that topic to Mary.

  34. Needed to write you the very little word to help thank you very much as before on the lovely things you’ve shown above. This is quite remarkably open-handed of you to provide without restraint what exactly some people could have offered as an electronic book to generate some dough for themselves, especially given that you might well have done it if you wanted. Those secrets as well served to be a great way to know that many people have the identical passion just like my personal own to know the truth very much more concerning this problem. I’m sure there are millions of more pleasant periods up front for many who look over your site.

  35. I definitely wanted to construct a comment to be able to appreciate you for some of the great guides you are sharing at this site. My extensive internet investigation has at the end of the day been recognized with brilliant concept to share with my family and friends. I ‘d mention that many of us site visitors are very much lucky to exist in a really good site with many perfect professionals with insightful suggestions. I feel truly privileged to have seen your entire site and look forward to some more brilliant times reading here. Thanks a lot once more for all the details.

  36. I am just commenting to let you know of the excellent experience my daughter experienced studying your webblog. She learned a lot of issues, with the inclusion of what it is like to possess an awesome teaching heart to let men and women very easily fully understand a number of specialized things. You really exceeded her expected results. Many thanks for coming up with these warm and helpful, dependable, informative as well as fun tips on this topic to Evelyn.

  37. Thanks a lot for giving everyone an exceptionally brilliant chance to discover important secrets from this site. It’s usually so superb and jam-packed with a good time for me personally and my office colleagues to search your blog not less than 3 times per week to read the new tips you have got. And definitely, we are certainly fascinated for the striking principles you serve. Certain 4 tips on this page are undeniably the most efficient we have had.

  38. I in addition to my guys were found to be following the great suggestions located on the website and instantly I had an awful feeling I had not expressed respect to the web blog owner for those strategies. These ladies became as a consequence stimulated to see them and have in effect undoubtedly been taking pleasure in those things. Appreciate your really being quite thoughtful and for deciding on varieties of tremendous areas millions of individuals are really eager to be aware of. Our own honest apologies for not saying thanks to you earlier.

  39. My husband and i were so relieved that Peter could conclude his analysis using the ideas he acquired out of your web site. It is now and again perplexing just to be giving away hints which often people might have been selling. We really do know we now have you to be grateful to because of that. Those illustrations you’ve made, the easy blog menu, the relationships you will make it easier to create – it’s got mostly spectacular, and it is facilitating our son in addition to the family know that the topic is amusing, which is certainly especially important. Thanks for all the pieces!

  40. I wish to get across my respect for your kind-heartedness for those individuals that must have guidance on in this concern. Your personal commitment to getting the message all around ended up being pretty helpful and have all the time made guys like me to attain their endeavors. Your personal insightful help and advice implies this much to me and further more to my peers. Many thanks; from all of us.

  41. I precisely had to appreciate you once again. I do not know what I would’ve accomplished in the absence of the type of points revealed by you relating to my question. It was a very fearsome condition in my circumstances, nevertheless encountering the very expert style you dealt with the issue made me to cry for contentment. I am just grateful for your assistance and thus hope you recognize what a powerful job you have been getting into teaching the rest thru a site. Most probably you haven’t encountered all of us.

  42. Thank you a lot for providing individuals with remarkably marvellous possiblity to check tips from this site. It is always so pleasant and also stuffed with a good time for me personally and my office fellow workers to visit your website more than 3 times in 7 days to find out the fresh items you have. Not to mention, I am also at all times fulfilled concerning the excellent concepts served by you. Certain 4 facts in this article are unequivocally the very best I’ve ever had.

  43. I precisely had to thank you so much all over again. I do not know what I would’ve made to happen in the absence of these tips revealed by you directly on such a situation. It absolutely was a very difficult issue for me, nevertheless considering your skilled tactic you handled that made me to leap for happiness. I’m just grateful for your advice and then wish you recognize what a great job you are providing educating the rest by way of a web site. I am certain you have never come across all of us.

  44. My husband and i were quite fulfilled when Emmanuel managed to finish up his preliminary research via the precious recommendations he gained using your weblog. It is now and again perplexing just to always be giving out concepts which men and women have been making money from. And now we consider we now have the writer to appreciate for this. The type of explanations you’ve made, the easy website menu, the friendships you assist to foster – it’s most overwhelming, and it is making our son in addition to us reckon that the situation is interesting, which is certainly incredibly pressing. Thanks for the whole lot!

  45. Hello just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading
    correctly. I’m not sure why but I think its a linking issue.

    I’ve tried it in two different browsers and both show the same outcome.

  46. Hmm is anyone else encountering problems with the images on this blog loading?
    I’m trying to find out if its a problem on my end or if it’s the blog.
    Any suggestions would be greatly appreciated.

  47. Thank you so much for giving everyone an extremely spectacular chance to discover important secrets from this blog. It’s always so pleasing and also packed with fun for me and my office peers to visit the blog the equivalent of 3 times per week to find out the newest tips you have got. And indeed, we’re certainly contented for the powerful advice you serve. Selected 2 facts in this posting are ultimately the simplest I’ve ever had.

  48. I want to get across my gratitude for your generosity for men who absolutely need assistance with this one question. Your very own dedication to passing the solution all-around had been pretty practical and has regularly enabled individuals much like me to attain their targets. Your amazing important report entails a great deal a person like me and somewhat more to my office colleagues. With thanks; from everyone of us.

  49. Hi, Neat post. There is a problem along with your website in web explorer, may check this?
    IE still is the marketplace leader and a huge section of other folks will omit
    your fantastic writing because of this problem.

  50. I want to show some appreciation to you for bailing me out of this type of incident. After surfing around through the the web and seeing strategies that were not pleasant, I assumed my entire life was done. Living devoid of the strategies to the difficulties you’ve resolved by means of your report is a crucial case, and the kind that could have in a wrong way damaged my entire career if I had not come across your blog post. Your actual natural talent and kindness in dealing with almost everything was excellent. I don’t know what I would have done if I had not discovered such a stuff like this. I can at this moment look ahead to my future. Thanks for your time so much for this expert and amazing guide. I won’t hesitate to recommend the sites to anybody who needs counselling on this situation.

  51. I precisely had to say thanks again. I am not sure the things that I could possibly have accomplished without these tactics documented by you directly on such a industry. It actually was a very frustrating situation in my view, but being able to see a skilled mode you resolved that took me to leap over fulfillment. I am just happier for the help as well as wish you recognize what a great job you are accomplishing instructing people today by way of your blog post. More than likely you have never met all of us.

  52. I am also commenting to let you be aware of what a superb discovery my friend’s daughter enjoyed browsing the blog. She came to find a good number of pieces, most notably what it is like to have an amazing helping character to have many more clearly fully grasp certain multifaceted things. You truly surpassed our expectations. Thanks for offering the valuable, healthy, informative not to mention unique tips on this topic to Emily.

  53. I enjoy you because of all of the hard work on this website. My niece delights in carrying out investigations and it’s simple to grasp why. All of us learn all regarding the dynamic means you give worthwhile tips and tricks through this blog and even attract response from other ones on that subject matter so our favorite daughter is truly being taught a lot of things. Have fun with the remaining portion of the new year. You’re the one performing a useful job.

  54. I’m impressed, I must say. Rarely do I come across a blog that’s
    both educative and engaging, and let me tell you, you’ve hit the nail on the head.
    The problem is an issue that too few folks are speaking intelligently about.

    Now i’m very happy that I stumbled across this during my hunt for something concerning this.

  55. My spouse and i were excited Peter could carry out his researching while using the ideas he gained from your site. It is now and again perplexing to just find yourself giving out information which usually some others could have been trying to sell. And we also consider we have the website owner to appreciate for that. The specific illustrations you’ve made, the easy web site menu, the friendships you will make it possible to engender – it’s many great, and it is assisting our son and the family do think that subject matter is brilliant, and that is unbelievably mandatory. Many thanks for the whole thing!

  56. My husband and i felt very lucky when John could conclude his research from your precious recommendations he got from your own blog. It’s not at all simplistic just to possibly be giving away hints that many the rest might have been trying to sell. And we keep in mind we’ve got the blog owner to appreciate because of that. The entire illustrations you made, the simple site menu, the friendships you will help to promote – it’s most fantastic, and it’s helping our son and our family know that this subject is brilliant, and that is quite essential. Thank you for the whole thing!

  57. I enjoy you because of all your effort on this web site. My mom really loves doing investigation and it is easy to understand why. Most of us know all about the compelling manner you offer effective suggestions via the blog and therefore foster participation from the others on that subject plus my princess is without question learning a lot. Take advantage of the remaining portion of the new year. You’re doing a powerful job.

Leave a Reply

Your email address will not be published. Required fields are marked *