Project Innovation

A Collaborative Model of Presenting Patient Perspectives


Project Innovation is committed to improving access to equitable, high quality health care through innovative approaches to delivering patient-centered care. The focus for these efforts is on five essential areas:

  • Shared decision-making
  • Care planning
  • Patient-reported outcomes
  • Care coordination and navigation
  • Decision support tools

Shared Decision-Making

Shared decision-making (SDM) is both a critical part of patient centered care and a product of the process that leads to patients and providers having the tools, information, resources and relationships to make truly shared treatment decisions.

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Questions to Ask

○ What are the key steps/checkpoints needed to integrate SDM into the clinical workflow?
○ What tools are available or need to be developed for patients and providers to facilitate SDM?
○ How do address issues related to time and cost in terms of implementing SDM?
○ What impact has the increased use of telehealth had on communication and SDM?
○ How can patient preferences and goals be integrated into the development and implementation of clinical pathways?

"It’s the ability to customize your treatment experience and do so in a perspective that is informed….I’d like to take control of the experience so that I can have a quality of life that’s sustainable over a long time." - Amelia

Care Planning

Patients need timely, useful information, good communications and relationships with their providers and care decisions based on what matters most to them and what treatment option meets best meets clinical and personal goals. A true goal concordant plan needs to be revisited and refreshed at every critical juncture in the disease journey.

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Questions to Ask

  • What does an actual goal concordant plan look like?
  • What tools/resources are necessary to reach this point?
  • How do you make this plan accessible to both patients and providers throughout the course of treatment?
  • How do you best document this plan?
  • How do you evaluate the plan in terms of its impact on high value care?

Patient-reported outcomes

Getting meaningful patient input into both the process and outcomes of treatment is essential to developing and implementing a patient centered health care system. This needs to go beyond standard “satisfaction” surveys, tapping into patient perceptions about the value of care, preferences and goals. There are multiple opportunities to involve patients in care planning, clinical trial design and implementation, clinical pathway design and implementation and clinical workflow processes.

Questions to Ask

  • At what points can patients be effectively involved to help design and implement patient centered health care?
  • How do we balance customization with standardization in generating and assessing patient reported outcomes?
  • How do we provide effective feedback to both patients and providers?
  • How do we move beyond standard patient satisfaction surveys to measure impact on outcomes?

Care coordination and navigation

In today’s medical world, there is a compelling need for active care coordination and navigation for medical, social and financial needs. This area requires additional work on how to ensure it happens throughout treatment and that improves both the quality of care and of the patient experience.

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Questions to Ask

  • How can we best identify areas in which navigation will be most effective?
  • How do ensure that navigation extends to areas that are not directly related to clinical care, such as social and financial issues?
  • Can we pay for/reimburse time and effort for navigation?
  • How do we evaluate the impact of coordination and navigation on patient related outcomes?

Decision support tools

Decision Support Tools are a key component in advancing all aspects of patient centered care. There are numerous issues related to what kinds of tools work best, when and how to introduce, how to interconnect patient and provider facing tools and how to evaluate their effectiveness.

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Questions to Ask

  • How do we identify DSTs that are currently in use and proving to be effective?
  • How to implement patient centered DSTs?
  • When and how should we utilize these tools?
  • How do integrate DSTs into the clinical workflow?
  • And who will pay for them?

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