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LEARNING RESOURCES AND T-SHIRTS? CREATING A WEB-BASED LEARNING EXCHANGE
David Davis, MFA,
Education Technology Consultant
Learning & Development
Cincinnati Children’s Hospital Medical Center
Daniel McLinden, EdD
Senior Director, Learning & Development,
Cincinnati Children’s Hospital Medical Center
Associate Professor, Department of Pediatrics
University of Cincinnati College of Medicine
TechKnowledge 2015
Session FR203
Friday, January 16 @ 9:30 AM - 10:45 AM
Roman IV
The Improve Care Now Exchange
“Once you open the possibility that people are not only using the web as a platform to produce their own individual content, but also to pool their efforts, knowledge, and resources … the possibilities for what they can create are astounding.”*
* Benkler, Y. (2011). The Penguin and the
Leviathan: The triumph of cooperation
over self-interest. New York: Crown
Business.
`
When are learning resources like a t-shirt?
We are not the only ones to think this way, for example…
Benkler, Y. (2006). The wealth of networks: How social production transforms markets
and freedom. New Haven, CT. Yale University Press.
Benkler, Y. (2011). The penguin and the leviathan: How cooperation triumphs over self-
interest. New York. Crown Publishing.
Howe, J. (2008) Crowdsourcing: Why the Power of the Crowd is Driving the Future of
Business, Crown, New York.
Page, S. E. (2007) The Difference: How the Power of Diversity Creates Better Groups,
Firms, Schools, and Societies, Princeton University Press, Princeton, NJ.
Surowiecki, J. (2004) The Wisdom of Crowds: Why the Many are Smarter than the Few
and How Collective Wisdom Shapes Business, Economies, Societies, and
Nations, Doubleday, New York.
Tapscott, D., & Williams, A. D. (2006). Wikinomics: How mass collaboration changes
everything. London: Penguin Books.
Von Hippel, E. (2005). Democratizing innovation. Cambridge, MA. MIT Press.
Wenger, E., White, N., & Smith, J. D. (2009). Digital habitats: Stewarding technology for
communities. Portland, OR: CPsquare.
Evidence exists, for example…
• Source: http://c3nproject.org
• Hommel, KA; Denson, LA; Crandall, WV; & Mackner, LM (2008). Behavioral Functioning and Treatment Adherence in Pediatric Inflammatory Bowel Disease; Review and recommendations for practice. Gastroenterology & Hepatology, 4(11), 785-791.
• Mangione-Smith R, DeCristofaro AH, Setodji CM, Keesey J, Klein DJ, Adams JL, Schuster MA, McGlynn EA. (2007). The quality of ambulatory care delivered to children in the United States. The New England Journal Of Medicine, 357(15), 1515-1523.
• McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, & Kerr EA (2003). The quality of health care delivered to adults in the United States. The New England Journal of Medicine, 348(26), 2635-2645.
Patients are getting 50% of the recommended treatment and only adhere to the treatment 50% of the time - the chance for good outcomes is 25%.*
The context Transform the health, care and costs for all children and adolescents
with Crohn’s disease and ulcerative colitis by building a sustainable
collaborative chronic care network, enabling patients, families,
clinicians and researchers to work together in a learning health care
system to accelerate innovation, discovery and the application of new
knowledge.
www.improvecarenow.org @ImproveCareNow
Create a learning system that makes it possible
for a geographically dispersed community of
clinicians, scientists, patients, and parents to
pool their knowledge, learn from each other
and improve outcomes.
The Challenge…
The Idea Aim: Create a learning resource that will radically change for the better what people know about how to implement an effective and reliable care delivery system to treat and manage chronic disease beginning with pediatric inflammatory bowel disease.
In other words: “We need a way to share knowledge, tools, and know-how across a dispersed community.”
What would that place be like?
• There needs to be a place to
exchange tools, processes,
stories and learn from each
other.
• There needs to be a place to
collaborate and co-create new
knowledge.
Beliefs
Design
Cooper, A. (2004). The inmates are running the asylum: Why High-Tech Products Drive Us Crazy and Ho to Restore the Sanity. Indianapolis, IN: SAMS.
Pruitt, John & Adlin, Tamara. The Persona Lifecycle : Keeping People in Mind Throughout Product Design. Morgan Kaufmann, 2006.
Rapid prototyping with a quality Improvement approach
Planning Design an intervention to improve one or more key drivers of technology, community engagement, content management and interaction.
Doing Iterative tests to determine if we should scale.
Studying and acting on what we learn.
Technology Design
* Gloor, P. (2005) Swarm Creativity: Competitive Advantage Through Collaborative Innovation Networks. Oxford: Oxford University Press. (p. 121).
**Wenger, E. (2004). Knowledge management as a doughnut: Shaping your knowledge strategy through communities of practice. Ivey Business Journal, 68(3), 1-8.
personal
community
high
high
small
Interactivity
Sharing
Co
nn
ec
tivit
y
low
** Practice: “The body
of knowledge, methods,
tools, stories,
documents, which
members share and
develop together (p. 3).”
Technology Design
Success factors*
1. Establish swarm creativity and give up central control
2. Nurture the critical roles of creator, communicator, and collaborator
3. Establish distributed trust
4. Establish a common code of ethics
5. Establish a small-world structure of high connectivity, interactivity, and knowledge sharing
6. Set up a collaborative Web workspace
7. Know when to change the organizational structure
Support Structure**
• A few explicit roles
• Resources for nurturing the community
• Technological infrastructure that enables members to communicate regularly and to accumulate documents.
17
*Gloor, P. (2005) Swarm Creativity: Competitive Advantage Through Collaborative Innovation Networks. Oxford: Oxford University Press (pp. 182-183).
**Wenger, E. (2004). Knowledge management as a doughnut: Shaping your knowledge strategy through communities of practice. Ivey Business Journal, 68(3), 1-8.
Text search
Care Center Tags
Quick browsing
Content Management Taxonomy and folksonomy
Make it easy to search for what I need. Make it easy to browse so I can see what is available.
Site Design
Use
Impact on Practice
Impact on Patients
Is the ICN Exchange used and is it useful?
Is the ICN Exchange usable?
Are processes changing?
Are changes making a difference?
Evaluating quality and impact
Lessons from Our Approach
• 90-day goals kept us moving.
• Predictions were key—what impact would our changes have?
• A relentless focus on data to understand who is using, what is being used, and how it is valued.
• Learning from failure: Not everything has “taken off.” We step back, we reflect, and we adapt.
Resources
• Quality Improvement – Langley, G.J., Nolan, K.M., Nolan, T.W., Norman, C.L. & Provost, L.P. (1996). The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. San Francisco, CA: Jossey-Bass.
– Moen, R.D., Nolan, T.W., & Provost, L.P. (1999). Quality Improvement through Planned Experimentation. New York, NY: McGraw-Hill.
• Interaction Design
– Cooper, A. (2004). The inmates are running the asylum: Why High-Tech Products Drive Us Crazy and How to Restore the Sanity. Indianapolis, IN: SAMS.
– Pruitt, John & Adlin, Tamara. The Persona Lifecycle : Keeping People in Mind Throughout Product Design. Morgan Kaufmann, 2006.
• Crowdsourcing, open innovation, etc.
– Benkler, Y. (2006). The wealth of networks: How social production transforms markets and freedom. New Haven, CT. Yale University Press.
– Benkler, Y. (2011). The penguin and the leviathan: How cooperation triumphs over self-interest. New York. Crown Publishing.
– Von Hippel, E. (2005). Democratizing innovation. Cambridge, MA. MIT Press.
• Community Engagement
– Ganz, M. (2011). Public narrative, collective action, and power. In Accountability through Public Opinion: From inertia to public action. (273-290). Odugbemi, S & Taeku, L (Eds.) Washington, D.C.: The World Bank.
– Gloor, P. (2005) Swarm Creativity: Competitive Advantage Through Collaborative Innovation Networks. Oxford: Oxford University Press. (p. 121).
– Wenger, E. (2004). Knowledge management as a doughnut: Shaping your knowledge strategy through communities of practice. Ivey Business Journal, 68(3), 1-8.
– Wenger, E., White, N., & Smith, J. D. (2009). Digital habitats: Stewarding technology for communities. Portland, OR: CPsquare.
FOLLOW: @icnexchange @C3NProject @ImproveCareNow
Daniel McLinden, Ed.D. 513 636 8933 [email protected] @danmclinden
LEARNING RESOURCES AND T-SHIRTS?
CREATING A WEB-BASED LEARNING EXCHANGE
And with thanks and acknowledging the ICN Exchange team.
David Davis, MFA 513 803 0209 [email protected]
Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue
Cincinnati, OH 45229-3039
