February 2014 – Healthcare Business Process Management Blog by Chuck Webster, MD, BSA (Accountancy), MSIS (Intelligent Systems), MSIE (Industrial Engineering), #HIMSS18 Social Media Ambassador

A Twitter Retrospective: #HIMSS14 Turned It Up To Eleven! On- And Off-Line!

There’s a scene in This Is Spinal Tap where an amp has a sound volume control that goes past 10, to 11. It’s become a meme and metaphor for anything being exploited to its utmost abilities, or apparently exceeding them. #HIMSS14 exceeded itself.

I’m not going to put a lot of analysis into this blog post. I’m just going to embed a bunch of tweeted photos and videos with a bit of interspersed commentary. If you’ve been following my daily compare of tweet traffic for #HIMSS14, #HIMSS13, and #HIMSS12; all those tweets are here too.

Well, ended up #3 in tweets (1611) & #8 in impressions (5,538,618). Congratulations 2 & !

— Charles Webster, MD ()

My new blog post > Graph Predicting Daily Tweet Volume Leading Up To 14

— Charles Webster, MD ()

. recrunched data, 4sure big influence…

— Charles Webster, MD ()

Yesterday's based Sunday-b4-Sunday hour-by-hour graphical tweet volume comparison pic.twitter.com/gvnM2rB8Yj

— Charles Webster, MD ()

. I'd also suggest "I Love Health Workflow. Let it B(BPM)!" (w/big apologies to The Beatles!)

— Charles Webster, MD ()

Yesterday's Monday-before- hour-by-hour graphical tweet volume comparison to TX ! pic.twitter.com/VTR2al3IaQ

— Charles Webster, MD ()

Like watching "The Blob"! Compared tweet activity Tuesday before Whats w/noon 2 years ago?

— Charles Webster, MD ()

I'm working on based project, love to network w/similar at PS see

— Charles Webster, MD ()

Is workflow this year's cowbell at (I've Got A Fever ) & does this make me the Christopher Walker character?

— Charles Webster, MD ()

Tweet Activity Wednesday Before And no, I don't think zero tweets until 11AM EST can possibly be correct ???

— Charles Webster, MD ()

or maybe something like this?

— Charles Webster, MD ()

. here's my I've got a really long arm with two elbows pic.twitter.com/FOmpjR66ze

— Charles Webster, MD ()

according to Google glass it would take me about 7 days to walk from here to Orlando

— Charles Webster, MD ()

I really am bringing my equipment to — Just in case anyone busts their smartphone battery door.

— Charles Webster, MD ()

Holy cow! Incredible! UN-BE-LIEV-A-BLE! Thursday tweet volume TRIPLED over both

— Charles Webster, MD ()

Raining so hard here, in my car half way to , I can't heat myself tweet! pic.twitter.com/KcV5L4iHlY

— Charles Webster, MD ()

More than double? One heck of spike during > Tweet Activity Friday Before compared

— Charles Webster, MD ()

Yes, Dinesh, I believe we are! RT We are on the same page! pic.twitter.com/Xq4XchnI9k

— Charles Webster, MD ()

🙂 RT for some reason whenever anybody takes my picture w/ I do this haha

— Charles Webster, MD ()

presentation on by is the coolest, most fun I have ever attended at an SHS conference

— Amanda Mewborn ()

See RT This meta workflow visual is gr8 RT http://t.co/0n1EBFVa79

— Charles Webster, MD ()

. reminded: patient satisfaction, clinical outcomes, practice productivity (idealized) triangular plot

— Charles Webster, MD ()

Tweet Activity Saturday Before vs (Sorry for the delay, I was wowing a crowd… )

— Charles Webster, MD ()

Whats point of having a 3D printer if u don't print custom 3D Social Media Ambassador badge!

— Charles Webster, MD ()

Tweet Activity Sunday Before compared to < WHAT HAPPENED BETWEEN and ??? pic.twitter.com/zuZ37hNJFB

— Charles Webster, MD ()

Again, honored RT 20s Me, Chuck & his fashionable press room

— Charles Webster, MD ()

This signage literally stopped me in my tracks > YOU ARE HERE Annual Conference & Exhibition

— Charles Webster, MD ()

. the howitzer of headcams! By the way, ever see the episode on David Letterman?

— Charles Webster, MD ()

. EHRROI info value/EHR usability fix workflow fix usability

— Charles Webster, MD ()

EHR Iron Triangle of Scope vs Resources vs Schedule

— Charles Webster, MD ()

Check out my backpack chair! Really great when you get to about aisle 4300 on way to 8600 on exhibit floor!

— Charles Webster, MD ()

Playing Bingo using Twitter handles and losing at tweetup > Just shared a photo

— Charles Webster, MD ()

I just used to record from my perspective being video interviewed at !!

— Charles Webster, MD ()

I’m Giving Away One Invite To A Attendee

— Charles Webster, MD ()

Another! One-Minute Interview! at cuz he invented audio version of !

— Charles Webster, MD ()

Hey! I gotta free invite for an attendee!

— Charles Webster, MD ()

1Min Video: Michelle Troseth on Embedding Decision Support In Workflow

— Charles Webster, MD ()

Interest in HC workflow tech? See my 1746+ links re workflow, usability, safety & ROI http://t.co/6m6KsdVwF1

— Charles Webster, MD ()

I've got the I'll-poke-you-in-the-eye-over-workflow market pretty much cornered. Or to myself. Whichever

— Charles Webster, MD ()

What the heck happened 'round midnight? > Partiers? ? Monday's tweets compared 2

— Charles Webster, MD ()

tries to anticipate what I want to do next. Thru out the next thing it thinks I want to is this

— Charles Webster, MD ()

Tuesday tweet activity compared to and

— Charles Webster, MD ()

Wednesday tweet activity compared to and .

— Charles Webster, MD ()

Thursday tweet activity compared to and . pic.twitter.com/BikCjRUpDq

— Charles Webster, MD ()

SO. MUCH. FUN. EXCLAMATION. MARK.

I Wear Google Glass While Being Interviewed at #HIMSS14

I just used Google Glass to record my perspective while being video interviewed at HIMSS14!

I explain my passion for workflow (tech) in healthcare, the origin of my Twitter name , and what I want to see next year at HIMSS15.

I’ll update this post when the “other” video interview becomes available.

Booth City: A Picture Tour Down “Main Street” at HIMSS14

A sociologist should write a book called “Booth City” about exhibit floors such at the almost half-million square feet at HIMSS14. They spring up overnight, just like in a gold rush. The sound of construction fills the air. Opening day, everyone is so excited. The streets and thoroughfares are crowded. Proprietors proudly man and woman their posts. Then, as time goes on, folks begin to think about moving on. Finally, when everything is torn down, the sound of tape (which held everything together!) fills the air with shrieks, as if the jungle has come to reclaim its space.

map2

So I walked “Main Street” all the way from 100 to 8600, snapping Google Glass photos as I went. I’d compare it to Lewis and Clark, except that would be mixing metaphors. Ultimately, I’ll embed the tweeted photos here. But for now, this post is just a bit of explanatory context, as to why is tweeting those photos?!

P.S. One more thing. Every year I scour HIMSS exhibitor websites, looking for evidence of diffusion of workflow technology into healthcare. I tweet about it and sometimes folks tweet back. That cannot but help influence who’s booths I feature in this series….

After Thoughts On My Google Glass and Healthcare Workflow Presentation

This post is mostly just a place to archive tweets, photos, videos, etc. from my presentation on Google Glass and Healthcare Workflow earlier today. Especially the tweets. Even if I favorite, well, I favorite so so many tweets they all become buried beneath each other.

Good crowd earlier at my & Healthcare Workflow < slides, notes

— Charles Webster, MD ()

That said, my overall impression was, well, for some reason the word “hilarity” comes to mind. Part of the reason is I am a naturally bombastic presenter, when presenting topics I love. I think audiences titter and giggle nervously, uncertain what havoc I might incur on them. But wasn’t just that.

+1! RT preso on by is coolest, most fun I have ever at SHS conf

— Charles Webster, MD ()

My session was the last session of a three-day conference. The last session on the last day of a conference are notoriously ill-attended. Yet, this session was packed. Was it me? (I wish.) No, it was Glass. Folks were curious. Plus, in my abstract I said that I’d be bringing people up on stage (there was no stage, but you know what I mean). When that happened, when people put on Glass, with the Glass micro-display streamed to a big LCD monitor, well, I began to feel like the stage hypnotist brought in for comic relief.

Missed it? Here > RT Testing out ! awesome!

— Charles Webster, MD ()

By the way, there was plenty of really good material (slides and speaker’s notes here), but I flew through it in 25 minutes so we could spend 25 minutes on personal demos. Then, after the presentation, I stuck around for another 40 minutes everyone got a minimum of two minutes of Glass on their head: navigating, swiping, asking Glass questions, taking pictures, and accidentally shooting short videos (see below). Someone even accidentally sent my Mom a picture! (also see below).

🙂 RT for some reason whenever anybody takes my picture w/ I do this haha

— Charles Webster, MD ()

Basically, the word “hilarity” comes to mind because folks were tired, a little punchy, relieved perhaps to wrap things up, but combined with something that is, in my view, an intrinsically joyful experience. The favorite thing, to me, that people say, when they put on Glass for the first time?

“Wow!”

you've got to be kidding me! Audience trying during session by too cool!!!

— Amanda Mewborn ()

PS Here’s eleven seconds of accidentally shot video.

Yes, I know, Glass is Android 4.0.3, not 4.0.2.

Also, see below, when I hand over Glass, and folks start experimenting, they accidentally email and tweet all kinds of things!

hey someone while demo ing Google glass accidentally sent a picture to my mother funny

— Charles Webster, MD ()

A Determiner! Trick question – is #HIE a noun, verb, adjective, adverb or interjection? #HIMSS14

I saw this tweet amidst the Niagara Falls of tweets that is #HIMSS14:

Trick question – is a noun, verb, adjective, adverb, or interjection? –

— Erik Pupo ()

I wasn’t there, where this tweet was tweeted from, so lack necessary context for interpretation.

But that’s never stopped me before!

#HIE is a determininer.

You see, among many degrees is an unfinished Ph.D. in Computational Linguistics. So, compare these two definitions of determiner.

determiner

I rest my case. (I could make a pun about case grammar, but no one would get it.)

P.S.

Studied his case grammar theory, very influential "Linguist Charles Fillmore passed away last week"

— Charles Webster, MD ()

Slides, Notes, Tweets for My #SHS2014 (before #HIMSS14) Google Glass and Healthcare Information and Workflow Presentation

This post is a gateway to my entire slide deck used during a presentation on Google Glass and Healthcare Workflow presented at the 2014 Society for Health Systems conference held immediately before HIMSS’14 in Orlando. I turned each slide into a blog post along with expanded speaker notes. I’ve included the best of the most relevant tweets I’ve tweeted about Glass (over 2000!), because they have links to other resources.

I’m publishing these slides slash blog posts slash curated tweets immediately before the actual presentation as a sort of experiment. During the presentation I intend to skip through the slides, dealing with each briefly, in order to get to the most important part of the presentation. Getting as many people to experience Glass for two-minutes apiece. Some of this will occur on stage, with the Glass screen volunteers see projected for the audience to see. And part of this experiment will occur off-stage, as I’m bringing multiple Glass headsets to accomplish this.

I’ll also periodically tweet a slide during the HIMSS’14 meeting. Please, if you stumble on this post, or any the individual slide posts, and you see me wandering around, wearing a blue Glass, stop me to ask for a demo!

Cheers!

–Chuck

P.S. The following tweet is to help you find me!

If you see guy at who looks like this (channeling Jack Nicholson) ask for a demo! !

— Charles Webster, MD ()

Warning: fopen(chuck-glass14-toc.txt) [function.fopen]: failed to open stream: No such file or directory in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 20

Warning: filesize() [function.filesize]: stat failed for chuck-glass14-toc.txt in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 21

Warning: fread(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 21

Warning: fclose(): supplied argument is not a valid stream resource in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 22

Slides 34-36: On-Stage Personal Google Glass Demos! Volunteers?

Warning: fopen(chuck-glass14-begin-slides.txt) [function.fopen]: failed to open stream: No such file or directory in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 3

Warning: filesize() [function.filesize]: stat failed for chuck-glass14-begin-slides.txt in /home/content/41/4031141/html/000websites/wareflo/wp-content/plugins/allow-php-execute/allow-php-execute.php(13) : eval()’d code on line 4

That was a quick whirlwind overview of Glass, healthcare, workflow, and innovation.

So now I’m going to connect Glass to the projector. Demo a couple things, such as interacting with the touchpad and a speech command. Maybe answer my email hands free.

Then I’m going to ask for a volunteer, perhaps more than one volunteer if we have the time. Because in spite of my blather, the best way to understand Glass is by putting it on an playing around with it.

OK, don’t be shy, who is first? I’ll have you come up so you can look more closely how I interact with Glass, then Ill turn it over to you. The rest of us can see what you see view this cable leading from Glass Screencast to the projector. Please realize that we all completely expect your initial interaction to not be perfect, in fact we’ll learn most from your fumbling around, up to a point….

So many people are borrowing & demoing my I've finally invested in "Instant Hand Sanitizing Wipes" 🙂

— Charles Webster, MD ()

Slides 32-33: Personal Palliative Care Google Glass Idea

Now we get to my personal favorite. The idea is based on watching my father and father-in-law during a long period of convalesce during which they were weak and bed ridden. I’m bringing it up here more or less to possibly network with other possibly interested in the same. The essential insight is this. In each case their worlds become smaller and smaller. As they become weaker and weaker, the effort both physical and mental, required to do such things as even pick up a smartphone let alone a tablet become too much.

There’s this wonderful phrase in usability engineering “cognitive friction.” If you think about pushing something on a surface, there’s resistance due to friction. As you get weaker and weaker, eventually you can no longer move the object. Using computers also requires effort, and cognitive friction is a metaphor resistance to their successful use. Earlier I spoke of minimizing time between intention and action. That’s also minimizing cognitive friction. Even a small amount of cognitive friction can completely stop you if you are weak or distracted enough by pain or drugs.

In this slide we see the Glass configuration screen, that allows you to set the angle above which the Glass micro display automatically turns on. I’ve experimented and you can get the interaction between this set angle and your own position so that virtually imperceptible movements of your head can turn Glass on and off. So I imagining seeing Glass to, say, pull photos of the family from an online service, but to only do so when you head is moved to a certain position, or perhaps to a certain position in conduction with a head gesture.

(If you happened on this page, in contrast to having been present for my presentation, I hope you’ll leave a comment or contact me through my Contact Form.)

prototype for controlling home appliances by looking at them includes long tech paper

— Charles Webster, MD ()

Including this somewhat technical tweet, because it’s about using Glass to control things (lights, temp, etc) in your home. So relevant to enabling the bed-ridden.

My turned on a red LED over Internet! At thanks 2 team

— Charles Webster, MD ()

Slide 31: Google Glass Improving Patient Experience

Relative to patient experience, which I’ve also already briefly covered, Glass can help educate, help navigate hospitals (I’ve seen a really cool indoor navigation program). After I’ve received bad news, I’m not absorbing info well, I’d like to be able to leave a medical office with a video of what was said, perhaps even annotated with links to additional material.

Imagine hospital patients accessing context-driven real-time info similarly! > Conference Assistant App http://t.co/HphM0RSIfV

— Charles Webster, MD ()

Changing the Unchangeable "Wearable tech like …& feedback loops were meant 4 each other" http://t.co/tTFNSegUh3

— Charles Webster, MD ()

My response > http://t.co/xcWjKasyNa RT Is this what "patient-centered" will look like w/?

— Charles Webster, MD ()

Eliminate tapping on computer, rummage thru files, will bring doctor & patient closer together

— Charles Webster, MD ()

RT Post: ok glass : help me be more patient centered thx

— Charles Webster, MD ()

Yes, but won't 'transform' healthcare unless patients wear it 2 RT Do RT if you also think that will change medicine

— Charles Webster, MD ()

Would neglectful healthcare happen as often if employees knew patients were recording?

— Charles Webster, MD ()

How Can Restore Eye Contact in the Exam Room by

— Charles Webster, MD ()