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9:15 - 9:35 amSunday, September 18
LK 102
Utilizing the improvement from health care social movement
LK 102
Utilizing the improvement from health care social movement
Consultant and Honorary Senior Lecturer in Paediatric Emergency Medicine
Social Movements are collective actions by large, but sometimes informal, groups of individuals or organizations to carry out, resist, or undo a social change. Within health care there are many shared... Read more


Social Movements are collective actions by large, but sometimes informal, groups of individuals or organizations to carry out, resist, or undo a social change. Within health care there are many shared values, both for patients and professionals, so achieving common goals through a movement has an obvious appeal. For example, the Institute for Health Care Improvement’s (IHI) “5 million lives” campaign aimed to reduce medical harm in American hospitals. The movement generated considerable publicity and the IHI claimed they surpassed their target.

The rise of social media as a credible and accepted medium by which to disseminate information, decrease the knowledge translation gap and allow professional and patient engagement in a meaningful way has hugely increased the momentum and motivation behind social movements. Furthermore when we think about resources for change we tend to think about economic resources (budgets, technology, project managers etc). These resources are limited and finite whereas social movements can release resources in the form of social capital which is vital in environments where monetary intervention is not possible.

What does the future hold for social movements in this digital and hyper-connected age and can patient care directly benefit from communities creating an implicit will to change behavior? Key components of a successful strategy will be explored by utilizing the presenter’s experience of being part of two successful social movements.

NHS Change day, a movement largely inside a hierarchical system, balanced igniting frontline action with obtaining leverage of those in authority to make positive change happen without destroying its grass roots power. Aiming to get 65000 people to pledge to make a difference to their patients or working environments the first NHS Change Day amassed 189000 pledges in its first year and over 500000 in its second. The Change Day leadership team won the Harvard Business Review/McKinsey M-Prize for Management Innovation in the Leaders Everywhere Challenge, which showcases ‘real-world case studies and courageous experiments in rethinking the work of leadership, redistributing power, and unleashing 21st century leadership skills’. NHS Change day is cited as the largest simultaneous improvement exercise in the history of the English National Health Service.

Free Open Access Medical Education (FOAM) is an international movement that has brought together clinicians from many backgrounds and specialties. It has developed into a true digital community of practice as demonstrated in the 2015 MedX/Symplur Signals Challenge award which examined the hashtag #FOAMed. FOAM, along with patient derived digital communities such as #chroniclife, are social movements almost entirely derived within social media yet have all the attributes of a community of practice impacting on professional and patient outcomes.

For both Change Day and FOAM there are some common themes, not least the underpinning narrative being about commitment, not compliance. People rarely feel being ‘told to’ is motivational.

The following will be explored:

  1. The value of a ‘clear starting point’ enabling the creation of an historical reference point. This can be a particular health care incident such as a serious untoward event or even just a recorded conversation. The initial tweet that sparked NHS Change Day is known and the FOAM movement was defined in a public house in Ireland during an international Emergency Medicine conference.
  2. The need for an early powerful narrative that is easily re-told.
  3. The ability to transcend existing barriers (hierarchical, cultural or professionals) between members of a particular community or organisation to create new dynamic networks.
  4. The utilisation of social media in allowing collaboration, in particular the value of cross-platform dissemination of information

The presenter will describe methodologies by which successful social movements can be created, particular via social media, and how future success is likely to be dependant on the integration of patient and professional campaigns rather than them being in parallel.

Dr. Damian Roland is an experienced Paediatric Emergency Medicine clinician who is passionate about improving the care of the ill and injured child. He has considerable experience in the development of educational resources and their evaluation, especially e-health technologies which have applicability in specialties outside of paediatrics.

As a National Health Service (NHS) sponsored Paediatric Emergency Medicine Academic he is developing a research portfolio which will not only build on the work undertaken as part of his National Institute Health Research (NIHR) Doctoral Research Fellowship but develop initiatives from grants obtained from the East Midlands Health Innovation and Education Cluster (HIEC) and the College of Emergency Medicine.

His research skills are supported by considerable leadership experience developed as an inaugural NICE (National Institute for Clinical Excellence) Shared Learning award Scholar, past member of the Academy of Medical Royal Colleges Council and currently as a member of the NHS England’s Children and Young Persons Health Outcomes Forum.

He is aiming to developing an expertise in the creation and evaluation of interventions which improve the recognition of ill and injured children in emergency and acute care settings. Previously he has developed the Paediatric Observation Priority Score (POPS), now available as an app, which is currently undergoing validation via an East Midlands HIEC and College of Emergency Medicine grant. POPS has shortlisted for two healthcare technology awards and a patient safety award. He was also part of the management team that delivered “Spotting the Sick Child”, a patient safety award winning educational website and has won two NICE Shared Learning awards (2011 and 2014).

He is regularly asked to present at National and International Conferences and has been invited to talk at the European Academy of Paediatric Societies 2014 meeting (October, Barcelona) and the Rapid Responses Conferences 2015 meeting (May, Amsterdam)


He is forever grateful for his wife and daughters support 

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