1:30 - 2:15 pmSunday, September 18
LK 102
Changing the conversation : how shared decision making can transform the physician-patient consult
LK 102
Changing the conversation : how shared decision making can transform the physician-patient consult
WiserCare
NorthShore University Health System
Shared decision making (SDM) – the collaboration of patients and physicians to make smarter, more confident treatment decisions – is not a new concept. In fact, decades of research have shown that... Read more

Description

Shared decision making (SDM) – the collaboration of patients and physicians to make smarter, more confident treatment decisions – is not a new concept. In fact, decades of research have shown that this approach produces more satisfied patients, better adherence and outcomes, and lower costs. Despite this, SDM has often been tried and abandoned when it has failed reach broader adoption to multiple conditions and specialties. Despite the challenges of the past, we believe that SDM’s time has come. As patients demand more involvement, and providers compete to deliver a better care experience in less time and at lower cost, SDM, when designed and deployed intelligently, offers a sustainable path to meeting these competing imperatives.

WiserCare believes that SDM has failed to catch on because for such an approach to scale, it must provide a two-way flow of insight and value to both patient and physician. Legacy approaches have often focused on simply better educating patients on their options. Rarely do they take stock of patient preferences and goals, and when they do, it is in a low-fidelity way that provides little or no value in a treatment decision. On the other hand, traditional SDM has often left the physician in the dark, with no feedback loop as to the SDM “prep” the patient has done, and how that could impact their decision. Thus, SDM expands the patient’s options and questions, rather focuses them. This means a longer consult (a non-starter today), spent at the surface, with little time for deep exploration and the more confident decisions that result.

WiserCare (WC) is an interactive SDM experience that solves the limitations that past SDM approaches have faced. Patients receive an invitation to use WC from their doc, and complete a thought provoking exercise that elicits their goals and preferences. Using a patented algorithm, WC combines these insights with high quality evidence and patient-specific clinical data to generate a “best fit” ranking that is shared with BOTH patient and doc prior to the consult. The doc can glance at the patient’s one-page profile and in 15 seconds, know what matters most to the patient, and how that matches their treatment options. The patient arrives equipped for deeper discussion.

We are in use at 5 health systems (4 AMCs) with more coming. Our patient adoption rates range from 70-95% (about 4x traditional patient engagement adoption rates), and we have achieved unprecedented, statistically significant improvements in decision quality and patient satisfaction. Consult times have decreased, and physicians are delighted with their improved depth. Most importantly, both docs and patients report that WC transforms their time together, making it at once more meaningful and efficient, and yielding measurably happier, more confident patients. This panel includes WC’s founder, as well as physician users, to reflect on how and why WC works, and how it has changed their practice and outlook.

David is responsible for growing WiserCare. David comes to the company from Zynx Health, where he was the executive vice president and chief operating officer, with a focus on revenue and commercial operations. Zynx is a leader in the market for clinical decision support.

Prior to Zynx, Cerino served as General Manager for the Health Solutions Group at Microsoft Corporation. As general manager, he was responsible for leading the team's connected health strategy and for managing the products (Microsoft Amalga, Microsoft HealthVault and the Sentillion product line) that delivered their end-to-end value proposition. He also managed all worldwide marketing initiatives for the Health Solutions Group.

Before focusing on healthcare, Cerino developed his skills as a sales, marketing and general management executive in other service industries. He was chief marketing and product officer at Farelogix Inc., where he led development and execution of global marketing and product strategy for the company's travel-industry technology. He also served as vice president and general manager at Orbitz LLC and led the corporate travel unit, Orbitz for Business. He has also held executive marketing positions at First USA Bank and DigitalWork Inc.

Cerino holds an MBA from Florida Atlantic University, and a bachelor of science in mathematics and computer science from Wake Forest University in North Carolina. He currently resides in the Seattle area with his wife, three children, three dogs and three horses.

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