It Begins with Shared Decisions
Most consent documents are written in legalese that is both vague and difficult to understand. Coupled with generic educational materials, patients have little basis for comprehending the risks and benefits associated with a specific course of treatment.
Shared decision-making is proven most favorable when patients are given information unique to their individual circumstance and are not overwhelmed by nonspecific details that cause confusion and angst. The ePRISM informed consent helps to bridge the gap between patient and physicians, and gives them a better understanding of their procedure, and allows them to participate in shared decisions concerning their treatment pathway.
“The ePRISM consent form is much more inclusive, and is individualized for the patient.”
It Continues with Tailored Treatment
In tailoring treatment to each individual, HOS understood that a tool needed to be implemented into the lab to assist in real-time decision making. Our eLUMEN screen displays the patient’s risks to the physician in the lab to help better direct treatment pathways, and make necessary adjustments to ensure the best possible outcome.
In their efforts to improve quality, Saint Luke’s incorporated the eLUMEN output screen into their time-out process. This time-out process allows the physicians a moment to reassess risk, review the treatment pathway and has ultimately lead to improved outcomes.
“Incorporating the eLUMEN screen along with the patient’s individual risk assessment has been a crucial component of quality performance in the cath lab.”
It Results in Improved Outcomes
By risk stratifying their patient population and encouraging shared decision-making, Saint Luke’s has experienced improvements in several key areas. These improvements include reduced AKI, reduced bleeding events, and reduced variations in care. Driving down variations in care will be a crucial component of success in the new bundled payment environments. Saint Luke’s has taken steps to ensure that they will be successful in new reimbursement models, but more importantly, they are improving patient outcomes and improving lives.
“ePRISM has helped drive down variations in care, thus improving the outcomes for our patients.”