Finding what matters most to patients: forming the foundation for better care

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Content: ContentsForward: Eugene C. Nelson........................................... xiForward: Victor M.Montori ........................................ xviiAcknowledgments ...................................................... xxiAuthor ...................................................................... xxiii1 The long road to finding what matters mostto patients .............................................................. 11.1 The siren call of the business case ..........................31.1.1 The faulty logic of the business case............51.2 A history of outcomes measurement.......................81.3 Patient-reported outcomes evolve ........................112 Introducing the OODA loop ................................. 172.1 OODA loop background .......................................192.2 The OODA loop applied to patient care...............203 Patient-reported measures help find whatmatters most......................................................... 233.1 Patient-centered outcome measurement...............243.2 Patient-reported outcome measures .....................263.2.1 Generic PRO tools ......................................263.2.2 Condition-specific PRO tools......................273.3 Patient-generated outcome measure.....................283.3.1 CollaboRATE...............................................283.4 Where PROs are heading.......................................293.4.1 Point-of-care PROs......................................304 Patient-reported measures in action..................... 334.1 An initial visit..........................................................355 Shared decision-making helps find whatmatters most......................................................... 395.1 The 3-Talk Model of shared decision-making ......425.1.1 Team Talk ...................................................435.1.2 Option Talk.................................................435.1.3 Decision Talk ..............................................446 Shared decision-making in action......................... 476.1 Team Talk ..............................................................516.2 Option Talk ............................................................516.3 Decision Talk .........................................................567 Motivational interviewing helps find whatmatters most......................................................... 617.1 Overcoming ambivalence and increasingconfidence..............................................................627.2 Processes of motivational interviewing.................637.2.1 Engaging .....................................................637.2.2 Focusing......................................................647.2.3 Evoking .......................................................647.2.4 Planning ......................................................647.3 Techniques to facilitate the processes...................657.3.1 Expressing empathy....................................657.3.2 Developing discrepancy.............................657.3.3 Avoiding argumentation .............................667.3.4 Rolling with resistance................................667.3.5 Supporting self-efficacy ..............................668 Motivational interview in action........................... 678.1 An example of motivational interviewingduring a follow-up visit..........................................689 Putting the elements together in practice........... 739.1 Applying the care team model...........................739.2 Conclusion..........................................................7710 Subject matter expert interviews ........................ 7910.1 Kevin Bozic ........................................................8010.2 Ted Rooney ........................................................8710.3 Libby Hoy...........................................................9310.4 William Kramer ..................................................9710.5 Carla Marienfeld ...............................................10010.6 Matt Handley ....................................................10310.7 David Rosengren..............................................10810.8 Amanda Brownell ............................................11210.9 Albert W. Wu....................................................11510.10 Conclusion........................................................121Index ................................................................ 125