Submissions to the Primary Care Innovation Challenge (#PCC14) ended with a BANG as we received 17 submissions on the final day, for a total of 52 fantastic submissions from around the country and 15 fantastic sponsors. This is the first time we’re inviting physicians and medical students from around the country to vote for their favorite innovator, because we know that the best answers lie with the clinicians on the front line. There is only 3 days left for crowd voting. So make your voice heard!
John Moore, MD, PhD, Co-founder and CEO of Twine Health, a MIT Media Lab spin-off company with lofty advisers such as Rashika Fernandopulle, MD (Iora Health) and John Halamka, MD (CIO of Beth Israel Deaconess), initially had the lead in votes. With their cloud-based collaborative care platform that engages patients as apprentices of clinician coaches and has the ability to scale like no other project I’ve seen before, I wasn’t surprised by the judges’ fascination.
Luminary Brian Forrest, MD, Founder of Access Healthcare and Chair of the AAFP Direct Primary Care Interest Group says, “Improvements in patient engagement have been shown to be the key to treatment plan adherence and medication compliance. The work you are doing with this looks like a great way to engage technology savvy patients and that will likely lead to improvements in outcomes and patient satisfaction.”
We could tell the judges were clearly blown away by Dr. Moore’s peer-reviewed study published in the Journal of Clinical Outcomes Management of a randomized control trial that showed greater decrease in systolic blood pressure at 12 weeks with a greater number of subjects achieving goal as compared to the control.
The very sweet Catherine Chen, MD, temporarily overtook Dr. Moore with her “Fresh Medicine,” where her Family Medicine Program invites Farm Market onto campus where patients and clinicians can take advantage of the fresh fruits and vegetables that are offered by local producers. The judges loved this initiative. The famed Zubin Damania, MD, Founder of Turntable Health and ZDoggMD.com says, “This idea is the BOMB. In our clinic, we have a bi-monthly farmer’s market come in to the lobby as well, and the response has been tremendous. We’re literally in a food desert and a REAL desert, of course! Another idea to augment this might include an on-site demonstration kitchen (how the hell do I cook quinoa and incorporate it into easy/quick/cheap dishes?). Also, many patients have budgetary concerns so a $8 pack of 4 strawberries may be prohibitive, so that needs to be address with less expensive options.”
But most recently, Cole Zanetti, DO, family physician at Dartmouth-Hitchock Medical Center has firmly taken the lead with 96 votes from physicians and medical students with his “Positive Deviance, a value based approach to patient engagement in primary care.” Dr. Zanetti tells us that “Positive deviance is a quality improvement/cultural change approach that looks for positive, value based, outliers that reside in a high risk population…Once identified these outliers help teach others within their respective community to obtain better outcomes at a reduced cost. This approach has already shown success within the healthcare community by addressing hospital acquired infections as well as chronic disease management. Thus far this approach has not been utilized for patient engagement. This approach would allow patients with proven value based outcomes to help change direct patient care, clinic design and policy development within a healthcare system.”
Managing Deputy Commissioner and Chief Strategy and Innovation Officer for the Chicago Department of Health, Jay Bhatt, DO, MPH, MPA, FACP says, “Positive Deviance is certainly an exciting emerging idea. I have to reveal conflict as Cole and I wrote the piece on the intersection between positive deviance and predictive analytics. I think identifying those situations in which behaviors are working gives hope.”
With only 3 days left, help create change in primary care and vote on your favorite innovation! Winners fly to Boston and Pitch-Off at Harvard Medical School on Tuesday, September 16, 2014! Get your free tickets here!
My passion is healthcare optimization, whether that is with innovation, making scientific discoveries, or improving delivery. I love bringing people and ideas together and making projects work. With this, medicine exists to improve lives, and I will strive to always help patients and those around me.
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