Knowledge Management on my iPhone/iTouch

A key aim in healthcare is to reduce variation. One of the methods to do this is to encourage the sharing and adopting of good practices.

• Problem 1: where is the good practice and who is doing what?
• Problem 2: how do I get to hear of good practices?
• Problem 3: how do I share what I am doing?

If data is information and knowledge is information we can use to make decisions, then how can data about good practices be shared.

A free application called "Healthmap: Outbreak near me" for the iPhone/iTouch has got me thinking. You can submit data about any disease and the location. This gets added to their database. You can see on a map any number of different diseases from Swine Flu through to African Horse Sickness. You can search by location, keyword or disease. If you allow it, the system can let you know what diseases are currently prevalent in your current location (using the GPS function).

So my please is for someone to develop the application for say, diabetes or cardiac care. I want to be able to find who (locally is great) is doing well on these healthcare processes and has something to share. Maybe even a version for patients where we can see the currently publicly available healthcare data on a map and in a searchable way. Also, we could add comments about services using the system.

The technology to do all this is here and available. As with so much I encounter in healthcare I suspect it may be another decade before we see something like this used.

Can someone prove me wrong please?

Using Twitter in Healthcare

If you need to get a message out quickly and provide receivers with the mechanism to comment and to spread the message onwards, then www.twitter.com may be useful for you. Maybe you want fresh links to medical journal highlights, healthcare policy changes, knowledge management, patient opinion - whatever - there is a raft of formal organisations on Twitter as well as 3 million+ other users. Twitter is a free micro-blogging system that allows its users to send and read other users' updates (otherwise known as tweets), which are text-based messages of up to 140 characters in length.

Another blogger has created an excellent list of 140 things to do with Twitter in healthcare. To see Phil Baumann's list go to http://tinyurl.com/8tzwvz

If you have an example of Twitter in Healthcare then please leave a comment in this blog.

Benefits are in the behaviour not the software

For every problem you have there are probably at least three technology solutions out there that can help you. Though is a technology solution always the right answer? Sometimes, yes. However, the first step might be to check out what you're using.

For example, many people I come across at the moment are looking for ways to keep track of their relationships with their customers and clients. So they are tempted to buy in complex customer relationship management (CRM) software. These additonal programs mean they need to record their transactions with each customer. Yet what they may not realise is that for many of them, a solution may already exist that meets their modest needs. If they use Microsoft Outlook then already every email is tracked by contact (check the Activities tab under the contact name) and if you set up your Journal preferences you can do a heap more. If you have the business contact manager add in then this has an almost full relationaship system and it integrates with much of what you use at your desktop - and does so without you doing any additional tasks. Whatever you use, what I have worked out is that if you end up having to do extra tasks, then you are unlikely to use it. So get something that integrates and works in the background. Not may software programs have that sort of ego.

Other software that causing angst is where we want to collaborate. Some use Sharepoint, other Windows Office Live, others Google groups etc. I personally prefer Windows Office Live as it integrates well and is less clunky than other programs. I can save directly from my desktop - no additional steps and it also comes with Shareview where we can share screens, all very quickly if we are on a telephone call and want to share and talk about a document together.

All the software comes with bells and whistles but they are irrelevant if they are not used. Think about your washing machine. How many of the fancy programs do you really use? In our house it is just the two. A quick wash and a regular wash. Heaven knows what all the other options are for.

If we're needing others to adopt the use of some technology as part of our better practice implementation then a good idea is to find ways to integrate it as much as possible into existing systems and to minimise the bells and whistles.

Creative Commons 2008 Sarah Fraser Attribution-Non-Commercial-No Derviative