Hodges' Model: Welcome to the QUAD: February 2015

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Saturday, February 28, 2015

Coming to the Table, Leaving, Coming to the Table ... Realpolitik

humanistic ------------------------------------------- mechanistic

The 'Periodic' Table



Boris Nemtsov:

Image: By Greg Robson

A "science for safety": getting the formula - and the grid right

The grid holds great fascination for me.

It didn't start with The Grid in TRON, nor obviously TRON Legacy - even though the realisation is superb.

No, the first grid was in the cobbled back alley at my grandparent's house in St Helens. As a kid staying over in the summer I would take a spoon and the melting tar between the cobblestones was a syrupy invitation.

I must have got in trouble, as spoons were lost down the 'grid'.

In the here and now the "science for safety" report* bears further consideration:
If healthcare is to significantly reduce patient harm, a holistic perspective is necessary to capture the requirements and needs related to the culture, workflow, and technology associated with caring for patients. In this paper, we relate the problem to other industries and how these industries have addressed safety. We identify the current gaps in today’s healthcare approach and describe the actions that can be taken, and the change in mental models that must be made by the global healthcare community, to continuously improve patient safety. p.3 [my emphasis]

The Formula 1 season beckons. The cars tested to the max are still to be tested in anger. They will soon, be ready - on the starting grid.

The "science for safety"
also needs a starting grid.

A conceptual framework recognisable and relevant to all.

*Transforming Patient Safety: A Sector-Wide Systems Approach
Peter J Pronovost, Alan D Ravitz, Robert A Stoll, Susan B Kenned


See also: How do you Balance and Elevate Holism and Patient Safety?

Image source:

Friday, February 27, 2015

Wasted: The lessons of history

humanistic ------------------------------------------- mechanistic

View of Grave on the Mass after a siege, 1675
Syrian conflict

Valentijn Klotz (op.1669-1697). View of Grave on the Mass after a siege, 1675.
Pen and ink (brown) and watercolour (grey) on paper The Samuel Courtauld Trust, The Courtauld Gallery, London. Visited 31 January 2015.

Homs. The Telegraph. AFP/Getty Images.

Additional link:


Thursday, February 26, 2015

H5P February release note (Drupal, TEL)

Here is an update on what H5P can offer. My interest lies in the Drupal module and this update includes news of:

experience API (from the Tin Can project)

Now you may store more and more data about what your user is doing with the H5Ps you create. How many attempts did she use? What scores did she get? How much time did she spend? All of this is available now, and more statements will be added - when did she stop the video? What did she answer when? What slides has she seen?

H5P triggers javascript events every time a xAPI statement is generated. ...

You may also use the xAPI to adapt to what the user does in the H5P. For instance you may display more content on a completed event with full score. H5P uses xAPI internally for the adaptivity, in the question set and in the presentation content types.
H5P February 2015 release note

Additional link:
IMS: Formative Assessments Gone Digital, by Ken Zimmerman

Tuesday, February 24, 2015

Individual: :Rights [ A work still in progress ]

humanistic ------------------------------------------- mechanistic
Inventing the Individual
The Origins of Western Liberalism
Larry Siedentop

Human Rights and the Uses of History

The Assault on International Law

The Twilight of Human Rights Law

My sources:
The Independent on Sunday 22 February 2015 and FT Weekend 21-22 February 2015

Monday, February 23, 2015

How do you Balance and Elevate Holism and Patient Safety?

We have tended to focus on problems in isolation, one harm at a time, and our efforts have been simplistic and myopic.

To significantly reduce patient harm, we need to adopt a holistic, systematic approach that extends across cultural, technological and procedural boundaries - one that is based on the evidence of what works.
Taking its lead from developments in highway and airline safety, the report* argues in favour of a holistic approach, integrated systems, comprehensive risk assessment and performance reporting, regulation and the creation of a "science for safety".
Darzi (2015).

What instruments does a "science for safety" need?

How can we balance procedure, patients, practice, drug delivery connections, cost, staffing and technology... How can we elevate care, competency, compassion, communication, commitment, courage and values between individual and group levels?

Having agreed and identified the essential sources of evidence (humanistic and mechanistic), how can we integrate them?

Ara Darzi (2015) Patient safety needs to be improved. Health Service Journal, 13 February. 125: 6434, p.18.

*Transforming Patient Safety: A Sector-Wide Systems Approach
Peter J Pronovost, Alan D Ravitz, Robert A Stoll, Susan B Kennedy

Sunday, February 22, 2015

Still Alice - You're Not Alone

humanistic ------------------------------------------- mechanistic

Kim Noble - You’re Not Alone

CommuNity CARE

£300m dementia research funding

Evening Standard, Review, Kim Noble: You're Not Alone

Image source:

Sunday, February 15, 2015

Pushing the envelope: Reflections in mind, health and social care ...

Hodges' model can do 'envelopes', but it's first form is as an aide-mémoire. In this way it helps facilitate reflection, reflective practice and more besides.Envelopes are just a start, the germ of ideas. Hodges' model needs to be evidence based - can you assist?
If you need to share your reflections as case formulations, care plans, or evaluations; the model can help to engage with patients, clients, carers, staff and residents...Amid healthcare's legacy issue which is achieving integrated, person-centred and holistic care, Hodges' model can help the practitioner assure integrity on several levels (6Cs).

Original image source:

Saturday, February 14, 2015

At the Frontiers of Systemic Design - Relating Systems Thinking to Design (4)


RSD4 @ Banff Centre, Alberta   Sept 1-3, 2015

Submit Abstracts for Paper/Presentation or Workshops by March 15

As original members of the Design for Care book community I wanted to share with you the opportunity to participate in RSD, now in its fourth year and its first in North America. Last year we had 200 people in Oslo with speakers Ranulph Glanville, Hugh Dubberly and John Thackara. A day of workshops from leading practitioners in this field. Two days of engaging discussions with new thinking and case studies in systemic design, including a dedicated healthcare track.

For 3 years the Relating Systems Thinking and Design (RSD) symposium has convened scholars, design researchers, and serious practitioners to articulate and demonstrate the shared value of a transdisciplinary field with applications across all complex systems and services. We invite participation for RSD4 from all those working at the frontiers of systemic design – those leading real projects informed by systemic and complexity theories, and those researching systemic behaviours within real-world complexity, services and systems.

At the frontiers we are searching for those stories and experiments into new territory, stories of survival and sustainment, narratives of complexity unfolding into new terrains of application or discourse. We seek abstracts for presentations on real world projects that have led design into new fields, frontier domains, and both small steps or quantum leaps. These cases could demonstrate how systemic design has contributed to a case, how it adapts to the unique situation or how a case has employed systemic approaches.

Three types of contributions are suggested:
  • Case studies of design-led projects involving clear systemic impacts and principles
  • Research supporting systemic design applications and validating theoretical claims
  • Workshops for collaborative discourse or sharing new methods and practices
Join us in Banff this year for this growing transdisciplinary symposium in the intimate and reflective space of the Banff Centre. Sponsored this year by the Alberta Government, the RSD4 Symposium is brought into being by co-chairs Alex Ryan (Gov of Alberta), Birger Sevaldson (Oslo School of Architecture and Design), Peter Jones (OCAD University, Toronto) and Jodi Forlizzi (Carnegie Mellon). www.systemic-design.net

Design for Care update: 
You received this email as a member of the original Design for Care community. If you'd like to stay in touch and hear about significant events from me every so often, stay subscribed.

If you don't yet have the book, please remember you have a 30% discount code of DFCFRIENDS only at Rosenfeld Media designforcare.com  Design for Care remains the only design practitioner reference in the healthcare domain, the only service and system design book in healthcare. There are texts on digital health and patient-centered care research, but this field is still very much in the early stages of development - but picking up quickly. The book continues to find new adopters and I'm finding myself at very different conferences than I used to be.

Feel free to contact me if you have questions about RSD, are interested in a presentation around the book's ideas, or are interested in our unique Master of Design programs at OCAD University.

PETER JONES, Ph.D.  @designforcare
Redesign Network and OCAD University
pjones AT ocadu.ca
Design Dialogues

Wednesday, February 11, 2015

Amid the "Internet of Things" where is CARE?

humanistic ------------------------------------------- mechanistic

I n C t e r A n e t   o f   T R h i n E g s

Additional links:

On the Internet of Things, smart cities and the WHO Healthy Cities

Kamel Boulos MN, Al-Shorbaji NM: On the Internet of Things, smart cities and the WHO Healthy Cities. Int J Health Geogr 2014, 13:10. doi:10.1186/1476-072X-13-10

ERCIM News: Next issue No. 101, April 2015 - Special Theme: "The Internet of Things & the Web of Things" (I will post this on W2tQ)

Sunday, February 08, 2015

Navigating health and models: c/o HSJ

humanistic ------------------------------------------- mechanistic
Geisinger's Proven Health Navigator
communicate and share decision making
 patient - person focus
patient access to records
birthday cards, follow up
benefits, outcomes
purposes of integration
population management
data gathered and applied
preventive medicine
referral reduction to hospitals
early intervention
case management of complex and chronic diseases
a "medical neighbourhood" offering care in the most appropriate setting -
community care
health promotion
culture change1
Geisinger Health Systems (not for profit)
health insurance, budgets
care commissioning
values based reimbursement system
accountable, leadership
culture change2

My source:
Moore A. (2014) Show you can navigate integration, Health Service Journal, 28 November: 124, 6425, pp. 20-23.

"A wise person once explained to me that delivering integrated care successfully was 
"more sociological than technical"".
 Prof. Chris Ham, On 'bilingual' clinical leaders. p.22.

Saturday, February 07, 2015

Histories and Truths - Seeking Adjoining Streets

humanistic ------------------------------------------- mechanistic
The Girl from Human Street
Empirical truth
MY history
your history

Let us
weep for yesterday together
Let us
rejoice in today as one
I will remember for you
You remember for me
we can move forward
For now peace has begun
The Book of Gaza

Image sources:
The Book of Gaza: the tanjara
The Girl from Human Street: Bloomsbury

Thursday, February 05, 2015

5th International Nursing Conference: “Transforming Quality Nursing Care: Promise and Potential”

From: noor [mailto:noor AT jnc.gov.jo]
Sent: 02 February 2015 09:52
To: Jones Peter
Subject: the 5th International Nursing Conference

Dear Peter Jones,

The organizing committee of the 5th International Nursing Conference: “Transforming Quality Nursing Care: Promise and Potential” is honored to invite you to attend the conference which will be held on April 22-23 2015 under the patronage of HRH Princess Muna Al Hussein and will be attended by national, regional and international scholars and leaders.

The main goal of this conference is to explore health care professionals’ innovations towards excellence in enhancing quality health care (see attachments). We will be honored to have you with us and share your thoughts and ideas in the discussions and debates with participants from the region and the world.

Please visit our website ... and respond to this email. Your presence matters.

Kindest Regards

Muntaha Gharaibeh, RN, PhD
Conference Chair
Secretary General
Jordanian Nursing Council
P.O. Box 851057
Amman 11185, Jordan.

Attending and presenting at the 4th conference 2013 in Jordan was an amazing experience! I do hope to visit again, but this year I am travelling to New York with family at the end of April.

Wednesday, February 04, 2015

Recent reading [module 3]: Technological Pedagogical Content Knowledge

"Over the past 5 years, we have been involved in conducting a design experiment aimed at helping us understand teachers’ development toward rich uses of technology while simultaneously helping teachers—both K–12 teachers and university faculty—develop their teaching with technology.
In this particular context, the implications of developing a framework go beyond a coherent way of thinking about technology integration. We argue that a conceptually based theoretical framework about the relationship between technology and teaching can transform the conceptualization and the practice of teacher education, teacher training, and teachers' professional development. It can also have a significant impact on the kinds of research questions we explore." p.1019.

Mishra, P. & Koehler, M.J. (2006) Technological Pedagogical Content Knowledge: A Framework for Teacher Knowledge. Teachers College Record. 108, 6, pp. 1017–1054.