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MD Preventive and Primary Medicine

Interview with primary and preventive care physician.

Photo of Chris Cochella
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How does your research relate to the Challenge?

What does a primary care physician focused on prevention and community have to say about the healthcare system and patient (family and individual) behavior. Where do people and the system have a problem in this area and what analogs/anitlogs can inform a better solution.

Tell us about your research:

The process for the interview was invite the primary care physician into an open-ended conversation about their world when it comes to geriatric care and osteoporosis diagnosis, prevention and care management. Through the open-ended storytelling about the world as seen by a community physician collect narratives, examples, etc. and look for themes or patterns. Then summarize these patterns into short statements that inform the problem, solution or where to collect more information.

What is an insight, question, or provocation that might inspire others during this challenge?

Multiple Insights 1. Behavior change or Action could be the biggest way to move the needle. 2. Medicine to treat osteoporosis and prevention of first fall (or osteoporosis) in general may not be the best path after a "first fall" event. Dexa scan/meds show some evidence after fall. 3. Behavior change will likely (insight from MD but needs validation) come from the patient with supportive structures; social first and device/systems second. For example, increasing ADLs and IADLs, safe preventive environment and isolation/loneliness/disengagement. 4. Negative compounding effect (cycle/loop) after first fall needs to be interrupted furthering the focus on post-first fall as a critical time.

Tell us about yourself

Entrepreneur in healthcare IT, consumer goods Innovator/entrepreneur/inventor specializing in lean startup, human centered design and discovery Coach, executive/innovation/leadership Speaker/Teacher Diverse background in economics, social sciences, geography, technology, finance. Passionate about improving outcomes, lives and relationships particularly in education and healthcare.

(Optional) What might you need to understand to be successful in the Ideas Phase ahead?

Access to experts and practitioners in the field of care management, in-home medicare annual wellness assessments and behavioral sociology, psychology and economics specifically applied to the elderly and those with chronic debilitating illnesses. Additional social/psychological gaming/gamification expertise. I have a few of these folks queued up in my community, but will need more.

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Photo of Manisha Laroia

Thanks Chris Cochella  for sharing your insights in the Research Phase! What ideas did your findings spark? Now is the time to share them in the Ideas Phase!

As you work on your submission, be sure to check out the following resources:
1] Challenge Personas and Journey Map: These stories provide a window into the lives of older adults and the health system, for which you are designing
2] Resources Page: This collection of resources spans osteoporosis, designing for health, and the Challenge process to support you in crafting your submission.
3] Evaluation Criteria: This is the criteria against which we will be evaluating your ideas. We highly suggest revisiting this throughout the Challenge process.
Here is the page:
https://www.openideo.com/content/healthy-bones-additional-resources

Submissions must be published on the OpenIDEO platform by July 3rd at 5 p.m. PST - but we HIGHLY encourage you to upload the first draft of your submission sooner rather than later, so our community team has time to provide feedback on your idea and because it’s just more fun.

Let me know if you have any questions. We'll also be hosting Office Hours on June 5th 8:30 AM PST. Add it to your calendar or save this link to join. [https://ideo.zoom.us/j/680604401]

See you in the Ideas Phase,
Manisha
OpenIDEO Community Fellow

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