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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
  1. Abbreviations: ePRISM® = electronic Personalized Risk Information Services Manager, PREDICT = Patient Refined Expectations for Deciding Invasive Cardiac Treatments, PCI = percutaneous coronary intervention