Aanand D. Naik|Lilian Dindo|Julia R. Liew|Natalie E. Hundt|Lauren Vo|Kizzy Hernandez?Bigos|Jessica Esterson|Mary Geda|Jonathan Rosen|Caroline S. Blaum|Mary Tinetti
Development of a Clinically Feasible Process for Identifying Individual Health Priorities
Michael E. DeBakey VA Medical Center|Baylor College of Medicine|Center for Innovation|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|Center for Innovation|VA Central Iowa Health Care System|Michael E. DeBakey VA Medical Center|Baylor College of Medicine|Center for Innovation|Connecticut Center for Primary Care|Connecticut Center for Primary Care|Yale University|Yale University|Connecticut Center for Primary Care|New York University|Yale University
develop valuesbased clinically feasible process help older adults identify health priorities guide clinical decisionmakingprospective development feasibility studyprimary care practice connecticutolder adults 3 conditions taking 10 medications n64the development team patients caregivers clinicians used usercentered design frameworkideate prototype test redesignto develop refine valuebased patient priorities care process medical record template trained clinician facilitatorswe used descriptive statistics quantitative measures percentage accepted invitation completed template duration process qualitative analysis barriers enablers challenges solutions identified facilitator perceptionswe developed refined process identifying patient health priorities typically completed 35 45 minutes 2 sessions 64 patients completed process qualitative analyses used elucidate characteristics training needed patient priorities facilitators well perceived benefits challenges process refinements based experience feedback include streamlining process greater feasibility balancing fidelity process customizing individuals encouraging patients share priorities clinicians simplifying template transmitted clinicianstrained facilitators conducted process busy primary care practice suggesting patient priorities identification feasible acceptable although testing additional settings necessary hope show clinicians align care patients health priorities