Creativity: Where Good Ideas Come From
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1 Creativity: Where Good Ideas Come From Bruce L. Rollman, MD, MPH UPMC Endowed Chair in General Internal Medicine Director, Center for Behavioral Health and Smart Technology Professor of Medicine, Psychiatry, Biomedical Informatics, and Clinical and Translational Science
2 Where Good Ideas Come From
3 Chance favors the prepared mind
4 What is imagination? It is the Combining faculty. It brings together things, facts, ideas, conceptions in new, original, endless, ever-varying combinations. Ada Lovelace, 1841
5 Where Good Ideas Come From 1) Curiosity 6) Follow the literature 2) Reading 7) Serendipity 3) Preparation 8) Networking 4) Environment 9) Travel 5) Associative 10) Community thinking service Selective Travel
6 1) Curiosity
7 2) Reading
8 3) Preparation
9 4) Environment Joined DGIM July 1995
10 4) Environment
11 5) Associative Thinking
12 My first PC
13 Freshman Anatomy
14 5) Associative Thinking
15 My First Patent
16 My Next Patents
17 I wrote an R01 grant my first year on faculty.
18 It was funded on 1 st submission Depression Care Using Computerized Decision Support AHCPR R01 HS09421 ($642,000 over 3 years)
19 Men tor (mĕn'tôr', -tər) n. 1. a wise and trusted counselor or teacher. 2. an influential senior sponsor or supporter. Dictionary.com
20
21 HRS-D by Intervention N= Month Active Care Passive Care Usual Care Rollman BL, et. al. J Gen Int Med. 2002; 17:493
22 Why Didn t This Work?
23 6) Follow the Literature TOC list servs Citation alerts
24 Wagner Chronic Care Model
25 Collaborative Care Population perspective Linked to primary care Team approach Considers patient preferences Proactive Information technology Coleman K, et al. Health Aff. 2009; 28:75
26 Improving Quality of Primary Care for Anxiety Disorders NIMH R01 MH59395: 9/99-2/04 Objective: Compare 12-month outcomes for patients with PD and/or GAD, cared for by PCPs informed of their diagnosis, and randomized to either: 1. A telephone-based collaborative care strategy for treating PD/GAD; or 2. Their PCPs usual care for PD/GAD
27 5 Collaborative Care Trials : : : Reduce Limitations from Anxiety : Bypassing the Blues : Improving Quality of Primary Care for Anxiety Disorders
28 Patient-Centered Medical Home
29 The Bypassing the Blues Trial Telephone-Delivered Collaborative Care for Treating Post-CABG Depression R01 HL70000: 7/1/03-6/30/10 BL Rollman, B Herbeck Belnap, PR Houck, S Mazumdar, PJ Counihan, HC Schulberg, WN Kapoor, CF Reynolds III
30 JAMA November 18, 2009 Telephone treatment of depression following cardiac bypass surgery speeds recovery
31 19+ Years Effort 3/98: First thoughts of depression and CVD 7/98: Submit proposal to American Heart Assoc. 9/98: AHA rejects application; start raising pilot $ 1/99-01: Conduct CABS pilot work 6/01: R01 submitted; 10/01 unscored 7/02: R01 resubmitted; 7/03 funded 3/04: Start recruitment 6/08: Complete 8-month f/u; open study blind 3/09: American Psychosomatic Society presentation 11/09: JAMA Main Outcomes publication 9/14: GHP Cost-effectiveness publication 2/17: 10-Yr Mortality paper under review
32 7)
33 One day....march 1998
34 7) Serendipity
35 Bruce L. Rollman, MD, MPH Bea Herbeck Belnap, Dr Biol Hum Kaleab Abebe, PhD John M. Jakacic, PhD Jordan F. Karp, MD Matthew F. Muldoon, MD, MPH Ravi Ramani, MD Charles F. Reynolds III, MD Kenneth J. Smith, MD
36
37 The Checklist A) ACE/ARB D) Depression (PHQ-2/9) B) Beta-blocker E) Exercise (cardiac rehab) C) Clotting (ASA) F) Financial (afford meds) C) Cholesterol (statin) F) Follow-up (appt.)
38 2) Reading 5) Associative Thinking
39 8) Networking
40 9) Travel
41 Sabbatical 6/06-2/07
42 NHS Technology Appraisal
43 Computerized CBT (CCBT)
44 5) Associative Thinking
45 Internet Support Groups
46
47 Internet Support Groups
48 Trends in Collaborative Care 1.0 Face-to-Face 2.0 Telephone-Based 3.0 On-Line
49 Bruce L. Rollman, MD, MPH Bea Herbeck Belnap, Dr Biol Hum Jordan F. Karp, MD Kaleab Abebe, PhD Armando J. Rotondi, PhD Kenneth J. Smith, MD Michael B. Spring, PhD NIMH R01 MH093501
50 Internet Support Group Desktop View
51 Internet Support Group Smartphone View
52 2) Reading
53 A-B Test Color Blue vs. White background
54 Subject line Salutation Other A-B Tests - Hey, Hi, Hello, Dear Altruism - Help you vs. Help others Prize amount - $15 vs. $0 - $10 gain vs. $10 loss
55 Participation Inequality The 1% Rule Superusers (1%) 382 Posts+Comments (40% of postings) Top Contributors (9%) 42 Posts+Comments (38% of postings) Contributors (41%) 5 Posts+Comments (22% of postings) Observers (27%) No Log-Ins (22%) Mean: 9.4 Posts + Comments per OT member
56 5) Associative Thinking
57 Recruitment is Challenging
58 Epic Best Practice Alerts to Identify Patients Rollman BL, et al. J Gen Int Med. 2008; 23:447
59 BPA Recruitment Efficiency Waitroom-Staff Best Practice Alert
60 BPAs Catching-On
61 10) Community Service
62 10) Community Service Review papers and grants Committees National organizations Community volunteer
63 10) Community Service
64 10) Community Service
65 A Few Closing Thoughts
66 Chance favors the prepared mind
67 Hard Work Genius is 1% inspiration and 99% perspiration
68 Lot of Time
69 Family Support
70 Family Support
71 Family Support
72 Time Flies
73 Enjoy the Journey
74 Thanks!
75 Where Good Ideas Come From 1) Curiosity 6) Follow the literature 2) Reading 7) Serendipity 3) Preparation 8) Networking 4) Environment 9) Travel 5) Associative 10) Community thinking service Selective Travel
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