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110 Facilitating patient-centered care: experience-based co-design and information technology integration for enhancing shared decision-making in an university- affiliated medical center in Taiwan
  1. Pei-Jung Hsu1,
  2. Shu-Tzu Huang2,
  3. Lu-Cheng Kuo2,3,
  4. Jih-Shuin Jerng1,3,
  5. Pao-Yu Chuang1,4,
  6. Shey-Ying Chen1,5
  1. 1Center for Quality Management, National Taiwan University Hospital, Taipei, Taiwan
  2. 2Information Technology Office, National Taiwan University Hospital, Taipei, Taiwan
  3. 3Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  4. 4Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan
  5. 5Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan

Abstract

Introduction Healthcare policies and research emphasize the importance of shared decision-making (SDM) in patient-centered care. This study aims to incorporate patients‘ decision-making preferences and manage shared decision-making outcomes through an information technology application at a public university-affiliated medical center in Taiwan.

Methods Experience-based co-design involves gathering user and staff experiences to identify key touch points. The plan includes: 1) Forming a dedicated task force to develop the dashboard. 2) Gathering feedback from clinical, administrative, and patient sectors. 3) Organizing joint user-staff collaboration. 4) Facilitating co-design groups: Developing a business intelligence dashboard using Microsoft Power BI Desktop for timely monitoring. 5) Reporting and evaluating the project: Establishing a process for indicator validation to ensure data quality. 6) Engaging leaders from medical and administrative departments in a data feedback event.

Results We used Vanderbilt University Medical Center‘s REDCap for the electronic SDM infrastructure. Medical staff initiate SDM through the hospital’s Portal. Patients and family members scan a QR code on a leaflet with their mobile phones to access and review the PDAs content multiple times online and complete patient decision aids (PDAs) responses in a case-sensitive manner. We’ve developed a concise dashboard tracking five key SDM indicators. A total of 71 SDM topics have been implemented in the hospital.

Discussion Web-based PDAs, developed by teams in a digital format, help SDM coaches track case preferences in REDCap. This streamlines the evaluation of online responses from patients and families, saving time and enhancing management efficiency. We improved understanding and motivation among hospital staff and patients, offering insights into decision-related options’ benefits and risks.

Conclusion We have facilitated patients’ participate in medical decisions digitally. The outcomes on the BI dashboard can be benefit for comprehensive improvement to other hospital.

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