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Patient
Advocacy
Through
Art
by
Regina
Holliday
Johnny Strikes or
Giant Strides?
The Writing on the Wall
There was a little boy named Freddie who lived in Maryland
and a little girl in Oklahoma named Regina.
Patient Reported Data
When the abuse becomes too bad call this number.
We met in a scenic painting class at Oklahoma State Univ
We would talk of Stephen King’s Dark Tower.
We would fall in love.
Fred and I married, worked and played together for many years.
Fred continued his schooling and worked as video store clerk.
In 2005,
Fred would get a PhD in film studies
and would write his dissertation
About “Buffy the Vampire Slayer.”
In 1998,
Freddie III joined the family game
followed by
the littlest player Isaac in 2006.
I would paint
neighborhood murals
I would also
teach art at a local preschoo
I would work in a toy store.
The Holliday Family Christmas
2007
Everything we ever wanted…
Resolutions January 2008:
1. Get Medical Insurance for the whole family
2. Get little Freddie into a special needs school
3. Fred gets a job in his field
4. Spend more time together as a family
5. Get a two bedroom apartment
Freddie’s
IEP Binder
Fred was happy with his new
job.
But he was very tired,
He went to the doctor and
was diagnosed with
hypertension.
During the months of
January, February and
March of 2009,
Status Lines…
On Friday March 13th, We went to the ER because Fred was in so much pain .
We waited three hours before being sent home
Fred was hospitalized on March 25th 2009
for the administration of tests.
On March 27th, he was told while alone that
he had “tumors and growths.”
He was scared and confused and did not understand.
His oncologist left town for the next four days to a medical
conference and was not reachable by phone or email.
What was the diagnosis? What were the treatment options? Would he get a pain
consult?
Systems Error:
More than one bad doctor
This is my husband’s
medical record.
I was told it would cost
73 Cents
per page
And we would have to
wait 21 days to get a
copy.
“
“She must not have tried very hard to get the reco
Comparing access to an unpublished book by
Stephen King
to accessing the
Electronic Medical Recor
while hospitalized.
“Go After Them,
Regina.”
April 18, 2009
After waiting for 5 days for a transfer, we w
sent with an out of date and incomplete medic
record and transfer summary.
The new staff spent 6hours trying to cobble
together a record using a phone and a fax mac
This is the
vital clinical information
from Fred’s electronic medical record.
Painted on the wall of
Pumpernickel’s Deli in
Washington, DC.
“What about the
chemotherapy?”
We were told the order had been
placed.
It did not come.
I am trying to talk with Christine Kraft and epatient Dave.
Why did we get more help and answers
from
Social Media
than from our local
hospital ?
Going to Hospice.
We fulfilled our final 2008 resolution on June 11th 2009.
We moved into a two bedroom apartment so I could care for Fred in home
hospice.
He died six days later on June 17th, 2009
The Power of a Story
Written on the Wall
June 23, 2009
I am asking you how will
the patient and patient
advocate be allowed to
access the information of
(the) EMR, to have that a
standardized form, that we
all as advocates of our
spouses or loved ones,
(can) provide the best the
best level of data and
catch all kinds of errors in
the medical record?”
Attend Free Public Meetings
June 29, 2009
Share your
Story
July 23, 2009
Painting Advocacy meets Social
Media
This is the painting 73 cents.
This is the vital patient story, the social history , the sacred heart of Fred’s
ELECTRONIC MEDICAL RECORD.
“The aim of art is to represent
not the outward appearance of
things, but their inward
significance.”
~Aristotle
On Tuesday, October 20th 2009 we dedicated the
mural,
“Where do we go
from here?”
Testify: April 20, 2010
Access to the Electronic Medical Record: A Patient and Caregiver
Perspective Testimony before the HIT Policy Committee Meaningful Use
Workgroup, April 20th, 2010
On July 13, 2010 I had the honor of
speaking before the assembled at HHS.
I presented the patient voice within
Meaningful
Use.
There was another Regina there that day
Doctor Regina Benjamin, Surgeon Gene
presented her very gripping reason she supported
Electronic Medical Records adoption in the united States.
Next Steps: Why not paint open access hospital data
sets…
…in front of said hospital?
Why not paint about the need
for better hygiene practices and
then enter that painting in an
online vote competition?
2 year study at Primary care settings of Beth
Israel Deaconess Medical Center, Geisinger
and Harborview
90% patients responded they understood
what they had read & were not bothered by it.
1-2% were concerned/offended by the
contents of the notes
87% of those patients enrolled in this study
did check the notes.
Doctors said the study either only added a
modest increase in work or that it was
negligible.
80% Patients claimed greater adherence to
medication protocols due to access to the
notes.
All over the world, patients
Are demanding their data.
They are demanding access
to the data from their doctors,
from their hospitals,
and from the devices
inside of their bodies.
Sometimes “blowing a gasket” leads to the best kind of collab
disruption. Crowd-funding exists to make the impossible possible….
Adverse
Childhood
Experience
Survey
@boltyboy
Where are the HOSPICE cards?
There is nothing between “Get Well” and “Sympathy”
Where are the faces of the dying and those that love the
#TweetChat
can change
the conversation.
#EOL
#Tedmed
#DWDchat
#hospice
The Walking Gallery
Over 450 unique members of the Walking Gallery
have joined wearing more than 500 jackets.
The Walking Gallery is promoted heavily
using the free tools of
social media.
The more stickers that are out there the more important it seems.
The more important it seems, the more people want to know what it is.
The more they ask they ask each other.
It gains real power from perceived power. -Shepard
Fairey
“Shift”
Nick Van Terheyden
“Is she okay?”
Jess Jacobs
Blue Button & the story of Peter Levin
Who taught you how to be a patient?
Salt and Pepper Studios: Phase 2
Who can you help?
Be the change you wish to se
You can take a negative and
turn
it into a
POSITIVE.

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Patient advocacy through art

  • 3. The Writing on the Wall
  • 4. There was a little boy named Freddie who lived in Maryland and a little girl in Oklahoma named Regina.
  • 6. When the abuse becomes too bad call this number.
  • 7. We met in a scenic painting class at Oklahoma State Univ We would talk of Stephen King’s Dark Tower. We would fall in love.
  • 8. Fred and I married, worked and played together for many years. Fred continued his schooling and worked as video store clerk. In 2005, Fred would get a PhD in film studies and would write his dissertation About “Buffy the Vampire Slayer.” In 1998, Freddie III joined the family game followed by the littlest player Isaac in 2006.
  • 9. I would paint neighborhood murals I would also teach art at a local preschoo I would work in a toy store.
  • 10. The Holliday Family Christmas 2007
  • 11. Everything we ever wanted… Resolutions January 2008: 1. Get Medical Insurance for the whole family 2. Get little Freddie into a special needs school 3. Fred gets a job in his field 4. Spend more time together as a family 5. Get a two bedroom apartment Freddie’s IEP Binder
  • 12. Fred was happy with his new job. But he was very tired, He went to the doctor and was diagnosed with hypertension.
  • 13. During the months of January, February and March of 2009, Status Lines…
  • 14. On Friday March 13th, We went to the ER because Fred was in so much pain . We waited three hours before being sent home
  • 15. Fred was hospitalized on March 25th 2009 for the administration of tests. On March 27th, he was told while alone that he had “tumors and growths.” He was scared and confused and did not understand. His oncologist left town for the next four days to a medical conference and was not reachable by phone or email.
  • 16. What was the diagnosis? What were the treatment options? Would he get a pain consult?
  • 17. Systems Error: More than one bad doctor
  • 18. This is my husband’s medical record. I was told it would cost 73 Cents per page And we would have to wait 21 days to get a copy.
  • 19. “ “She must not have tried very hard to get the reco Comparing access to an unpublished book by Stephen King to accessing the Electronic Medical Recor while hospitalized.
  • 21. After waiting for 5 days for a transfer, we w sent with an out of date and incomplete medic record and transfer summary. The new staff spent 6hours trying to cobble together a record using a phone and a fax mac
  • 22. This is the vital clinical information from Fred’s electronic medical record. Painted on the wall of Pumpernickel’s Deli in Washington, DC.
  • 23. “What about the chemotherapy?” We were told the order had been placed. It did not come.
  • 24.
  • 25. I am trying to talk with Christine Kraft and epatient Dave. Why did we get more help and answers from Social Media than from our local hospital ?
  • 27. We fulfilled our final 2008 resolution on June 11th 2009. We moved into a two bedroom apartment so I could care for Fred in home hospice. He died six days later on June 17th, 2009
  • 28. The Power of a Story Written on the Wall June 23, 2009
  • 29. I am asking you how will the patient and patient advocate be allowed to access the information of (the) EMR, to have that a standardized form, that we all as advocates of our spouses or loved ones, (can) provide the best the best level of data and catch all kinds of errors in the medical record?” Attend Free Public Meetings June 29, 2009
  • 31. Painting Advocacy meets Social Media
  • 32. This is the painting 73 cents. This is the vital patient story, the social history , the sacred heart of Fred’s ELECTRONIC MEDICAL RECORD.
  • 33. “The aim of art is to represent not the outward appearance of things, but their inward significance.” ~Aristotle
  • 34. On Tuesday, October 20th 2009 we dedicated the mural, “Where do we go from here?”
  • 35. Testify: April 20, 2010 Access to the Electronic Medical Record: A Patient and Caregiver Perspective Testimony before the HIT Policy Committee Meaningful Use Workgroup, April 20th, 2010
  • 36. On July 13, 2010 I had the honor of speaking before the assembled at HHS. I presented the patient voice within Meaningful Use. There was another Regina there that day Doctor Regina Benjamin, Surgeon Gene presented her very gripping reason she supported Electronic Medical Records adoption in the united States.
  • 37. Next Steps: Why not paint open access hospital data sets…
  • 38. …in front of said hospital?
  • 39. Why not paint about the need for better hygiene practices and then enter that painting in an online vote competition?
  • 40. 2 year study at Primary care settings of Beth Israel Deaconess Medical Center, Geisinger and Harborview 90% patients responded they understood what they had read & were not bothered by it. 1-2% were concerned/offended by the contents of the notes 87% of those patients enrolled in this study did check the notes. Doctors said the study either only added a modest increase in work or that it was negligible. 80% Patients claimed greater adherence to medication protocols due to access to the notes.
  • 41. All over the world, patients Are demanding their data. They are demanding access to the data from their doctors, from their hospitals, and from the devices inside of their bodies.
  • 42. Sometimes “blowing a gasket” leads to the best kind of collab disruption. Crowd-funding exists to make the impossible possible….
  • 43.
  • 45.
  • 46. Where are the HOSPICE cards? There is nothing between “Get Well” and “Sympathy” Where are the faces of the dying and those that love the
  • 48.
  • 50. Over 450 unique members of the Walking Gallery have joined wearing more than 500 jackets. The Walking Gallery is promoted heavily using the free tools of social media.
  • 51. The more stickers that are out there the more important it seems. The more important it seems, the more people want to know what it is. The more they ask they ask each other. It gains real power from perceived power. -Shepard Fairey
  • 52.
  • 55. Blue Button & the story of Peter Levin
  • 56.
  • 57.
  • 58. Who taught you how to be a patient?
  • 59. Salt and Pepper Studios: Phase 2
  • 60. Who can you help?
  • 61. Be the change you wish to se
  • 62. You can take a negative and turn it into a POSITIVE.

Editor's Notes

  1. Hi, my husband received his diagnosis of renal cell carcinoma on March 27. At that point, I began to email, do Internet research, try to find every resource I could to help him. I began to Facebook--Facebooked every night daily, stating his status, developed over 200 friends and then began to Twitter, ended up speaking to a doctor from Boston, Mass. Did everything I could as a caregiver to support my husband using the Internet. Developed a blog. Also asked for Internet data. Prior to this I did not (often) email, nor did I use a cell phone. During a three month period (I) became complete caregiver and a walking PHR for my husband. I am asking you how will the patient and patient advocate be allowed to access the information of (the) EMR, to have that a standardized form, that we all as advocates of our spouses or loved ones, (can) provide the best the best level of data and catch all kinds of errors in the medical record?” -Regina’s Question to Aneesh Chopra 6-29-09
  2. Talk about my son Freddie’s story.
  3. Talk about my son Freddie’s story.
  4. Talk about my son Isaac’s story.