#MEQAPI – Tweetchat March 9th 2017 3ET: Patient-Participative Questions To Improve Clinical Decision Making

Next tweetchat: Thursday March 9th, 2017 3:00-4:00 PM ET

Topic: Patient-Participative Questions To Improve Clinical Decision Making


This week the #MEQAPI topics are based on a @physicianswkly article on preoperative questions by Dr.Schwarze MD. The article “Improving Surgical Decision Making” is available on the Physician’s Weekly website.

Co-hosting the chat is Chris Cole of @physicianswkly, and we hope to have Dr. Schwarze @GretchenSchwa10 to provide details, so please watch for their tweets during the chat. Dr. Schwarze is affiliated with the University of Wisconsin School of Medicine and Public Health (@uwsmph) and UW Health (@uwhealth)

Just a reminder, MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare improvement, and it embraces everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.

The six domains of care quality (STEEEP) mapped out by the Agency for Healthcare Research and Quality (AHRQ) are foundational to healthcare improvement. All care, and by inference quality measures, should be focused on being Safe, Timely, Effective, Efficient, Equitable, and Patient Centered.

In this chat, we will focus on safety and patient-centeredness, in the context of the Schwarze article.

To reduce the high number of medical errors resulting in missed opportunities, injury, and premature death, healthcare providers need to use basic quality improvement principles. Likewise, quality improvement techniques can help align patient expectations and most probable medical outcomes. A core principle of Lean Six Sigma is the inclusion of the Voice of the Customer (VoC).

In healthcare, VoC implies inclusion of the patient, their caregivers, and patient families in the development and execution of the careflow, and in making medical decisions. Various studies have shown that including patients in the overall quality processes increased patient satisfaction, and reduced cost and risk.

Participation by patients in the treatment decision-making process can reduce risk of errors, increase patient understanding of medicaloutcomes, and avoid patient dissatisfaction with results


The following topics will be covered during the chat:

  1. What risks/opportunities do you see in involving pts in clinical decisions by using standardized question prompt lists (QPL)
  2. Who should lead an initiative to involve patients in developing or using QPLs – Nursing/Physicians/QM/Case-Managers/Other
  3. Are there HIPAA risks in involving patients in developing or using QPLs
  4. How can we build patient involvement in QPLs into the careflow
  5. How would we tell if patient involvement in QPLs is working – what benefits would we be able to measure

and the numbers

meqapi mar 9 2017


Published by

Matthew Loxton

Healthcare Analyst using Lean Six Sigma, Knowledge Management, & Organizational Learning to improve healthcare http://linkedin.com/in/mloxton

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