Table 2 Implementation Timeline
From: Implementing an innovative consent form: the PREDICT experience
August 2002 | • Funding received from Doris Duke Foundation |
|---|---|
|  | • Multidisciplinary team formed |
August 2002 – December 2005 | • Predictive risk models developed and validated |
|  | • ePRISM® technology created to accept input and generate patient-specific risk models |
|  | • Patient focus groups and interviews completed (outcomes of interest, output preferences) |
February 2006 | • Decision made to use PREDICT in enhanced consent forms for PCI |
May – June 2006 | • Presentations made to senior nursing and medical leadership |
|  | • Decision made to adopt PREDICT PCI consent form as strategic quality improvement initiative |
May – June 2006 | • Generic consent rewritten at lower literacy level, educational pictures and descriptions added, and risk models embedded into PCI consent form |
May – July 2006 | • Risk management/legal approve concept and consent form revisions |
June – July 2006 | • Meetings held with Cardiovascular Holding Room staff for concept introduction, input, and change initiation |
|  | • Questionnaires created to assess patients' experiences with the informed consent process (pre- and post-PREDICT consent form) |
July 2006 | • Patient survey data collected pre-implementation of PREDICT consent form |
August 28, 2006 | • PREDICT consent form implemented for outpatients scheduled for PCI procedures |
|  | • Patient survey data collected post-implementation of PREDICT consent form |
September 2006 | • Review of patient data revealed successful experience (easier to read, easier to understand, patient felt more involved in decision making, and less anxiety) |
|  | • Focus groups/interviews of nurses, physicians, and information systems staff revealed barriers to be addressed |
February 2007 | • Modifications made to tool and process prior to expansion |
March 2007 | • PREDICT-enhanced consent for outpatient PCI procedures expanded to 3 other system hospitals in the Kansas City metropolitan area |
|  | • System upgraded to accept real-time lab values for use in executing risk models |
April 2, 2007 | • PREDICT enhanced consent form expanded to include all inpatients and outpatients going for coronary angiography/PCI consent forms at Saint Luke's Health System |