| Institution: | 1. Reaching for High Value Care Team, Chapel Hill, NC, USA;2. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;3. Department of Family and Community Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA |
| Abstract: | ObjectiveTo create a shared vision for the content, delivery, measurement, and sustainment of patient-centered high value care.MethodsWe performed a scoping review and translated findings into toolkit for system leaders. For our scoping review, we searched Medline, 2005-November 2015, for literature on patient-centered care (PCC) and its relationship to a high value care change model. We supplemented searches with key author, Google Scholar, and key website searches. One author reviewed all titles, abstracts, and articles for inclusion; another reviewed a random 20%. To develop our toolkit, we translated evidence into simple, actionable briefs on key topics and added resources. We then iteratively circulated briefs and the overall toolkit to potential users, making updates as needed.ResultsIn our scoping review, we found multiple interventions and measures to support the components of PCC and our change model. We found little on the overall effects of PCC or how PCC creates value. Potential users reported our toolkit was simple, understandable, thorough, timely, and likely to be globally useful.ConclusionsConsiderable evidence supports patient-centered high value care and a toolkit garnered enthusiasm.Practice ImplicationsThe toolkit is ready for use, but needs comparison to other approaches. |
