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Idea Framework for patient and provider incentives

By Michael Dermer | 09 Dec, 2014

Idea submitted by: Michael Dermer

Financial rewards are critical to drive patient and provider behavior. Forbes identified 5 trends with the potential to transform healthcare and rewards for patient and provider behavior were 2 of the 5. A framework for deploying rewards to these audience is a foundational asset that needs to be deployed to optimize behavior change.


Anne-Marie Audet Replied at 3:30 PM, 10 Dec 2014

Michael - you bring up an important topic - understanding the drivers of people's behavior - why would they use HIT to engage in their health? Are there financial and non financial incentives we can use to drive better decisions from consumers/patients, and to make the link between them and health providers?

Behavioral economics, motivational sciences, social sciences have a lot to contribute here as the foundation of our logic model to engage people.

A/Prof. Terry HANNAN Advisor Replied at 10:40 PM, 10 Dec 2014

Michael, as shown the topic you have presented has two major components;
1. The patient (consumer/patients)
2. The provider (clinicians-up to recently the doctors and other health professionals).
I think the consumers (Surowiecki j. The Wisdom of Crowds. Anchor, editor. New York: Random House; 2005, and Topol, Eric (2011-12-02). The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care . Perseus Books Group. Kindle Edition) are already beginning to assume greater control of their health and wellness management. This is an uncomfortable feeling for the second group who have essentially managed and controlled health care information for centuries. As Topol states in his book, “Medicine is remarkably conservative to the point of being properly characterized as sclerotic, even ossified”.
Topol is not the only author to highlight the difficult area of cultural change in medicine. Lucien Leape in his publication Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. Epub 2005/05/19, states very little has changed and a major reason for this is the underlying, persistence of the “culture of medicine”.
There is a history which is deeply rooted customs and training often focussed upon the”Doctor knows all” and this training sets high standards for autonomous individual performance and an additional commitment to progress through research. This is done with the intention to advance in biomedical science and bring cures to millions.
HIT and the changes it will enforce create financial concerns, possible loss of productivity through poor understanding of the technologies. This creates fears about usability (regardless of poor user interface design) and ongoing apprehensions. Some of these newer HIT implementations are known to have unintended consequences and create new errors in care delivery [Good vs. Bad HIT].
Clinicians currently provide medical which “is largely shaped by guidelines, which are indexed to a population rather than an individual. And the evidence from clinical research is derived from populations that do not translate to the real world of persons”. It this model that requires a major overhaul but in doing so there must be winners on both sides of the equation.
Clinicians of the current era must see patients as rightful consumers of health and have a rightful ownership of their care “itinerary”.
It is therefore a delight to see the videos presenting a strong focus upon patient engagement and insight.
We must also nurture the providers who can impede successful change if their needs are not cared for and addressed.
[Postscript: I am not sure if this is an old man rambling here. If so please accept my apologies. However I hope my comments have value.]

Michael Dermer Replied at 10:01 AM, 6 Jan 2015

Terry thanks so much for your comments. For any that are interested in the topic, I've written a lot about it @rewardforhealth and Here are a few sample blog posts for those that are interested:

Will Every Human Be in a Health Reward Program? When It Comes To Health Rewards…It Seems The World Is Flat.

After Fighting Mike Tyson, Wouldn’t We All Need Rewards to Take On Healthcare?

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