Implementation of a Decision Support Strategy for Left Ventricular - - PowerPoint PPT Presentation

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Implementation of a Decision Support Strategy for Left Ventricular - - PowerPoint PPT Presentation

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Implementation of a Decision Support Strategy for Left Ventricular Assist Devices Across All Programs in the USA Dan Matlock, MD, MPH and Melinda Kane Associate Professor of Medicine, University of Colorado @Dan_Matlock September 19 th , 2019

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Implementation of a Decision Support Strategy for Left Ventricular Assist Devices Across All Programs in the USA

Dan Matlock, MD, MPH and Melinda Kane

Associate Professor of Medicine, University of Colorado @Dan_Matlock September 19th, 2019

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Dan Matlock

  • Has nothing to disclose.
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Left ventricular assist devices (LVADs) are becoming mainstream

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A Caregiver’s Experience with LVAD Decision Making

September 19, 2014 November 4, 2014 December 14, 2014

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DECIDE-LVAD Trial

Primary Outcome: Decision Quality

  • Improved knowledge
  • Improved fit between values

and treatment

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DECIDE-LVAD Trial: Implementation

  • Strong desire for better (less biased) tools to inform

patients

  • Built in clinical team to deliver decision aids
  • Tight knit community of heart failure practitioners

nationally

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National Implementation: I-DECIDE-LVAD

  • Started November 1, 2018
  • Goal: Implement at ALL 180 LVAD

programs across the US.

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PCORI Project: Nov. 2018 – Nov. 2021

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PCORI Project: Nov. 2018 – Nov. 2021

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Network Building

  • Relationships prior to the grant

(26 programs)

  • Baseline Survey (an additional

97!)

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Network Building

  • Communication Plan
  • Professional Society Meetings
  • Word of Mouth
  • Swag
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PCORI Project: Nov. 2018 – Nov. 2021

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Adoption

  • 62 Adopters so far!
  • Sites from prior trial (5/6)
  • Prior Relationships (22/24)
  • Tier 1 sites (17/18)
  • Tier 2 sites (18/45)

Initial Adoption Materials

  • 50 free decision aid packets
  • User’s Guides
  • 1 month follow up
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Adoption

  • Next wave
  • October 2019 (0/28)

Initial Adoption Materials

  • 50 free decision aid packets
  • User’s Guides
  • 1 month follow up
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PCORI Project: Nov. 2018 – Nov. 2021

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Implementation

  • Develop a brand identity
  • Engage and support the community
  • E-newsletters
  • Facebook group
  • Troubleshooting (group and individual)
  • Webinar trainings (CME and MOC)
  • Continue targeted outreach
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PCORI Project: Nov. 2018 – Nov. 2021

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Maintenance

  • Decision aids online for free
  • Decision aid packets for sale at cost
  • Nurture the LVAD program network for shared learnings
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PCORI Project: Nov. 2018 – Nov. 2021

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Ongoing Data Collection

  • 1. Baseline Survey (see Monica Edwards’ poster!!)
  • 2. Check-in Surveys (every 4 months)
  • 3. Qualitative Interviews (20 sites)
  • 4. Final Survey (all sites)
  • 5. Patient Surveys (subset of sites)
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PCORI Project: Nov. 2018 – Nov. 2021

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Stakeholder Engagement

  • Two Stakeholder Groups
  • 1. General Panel: Patients, caregivers, clinicians from trial sites,

cardiology organization representatives

  • 2. “Early Adopter” Panel: Clinicians from early adopter sites
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Learn More

Dan Matlock, MD, MPH

@Dan_Matlock Daniel.matlock@cuanschutz.edu

Melinda Kane

Colorado Program for Patient Centered Decisions

www.pcori.org info@pcori.org #PCORI2019