The Patient Centered Value System

Anthony M. DiGioia, III, MD, creator of the Patient Centered Value System, is a practicing orthopeadic surgeon and medical director of both the Bone and Joint Center and Innovation Center at the University of Pittsburgh Medical Center (UPMC). Tony graduated from Carnegie Mellon University in Civil Engineering, obtained a graduate degree in Civil and Biomedical Engineering, and then attended Harvard Medical School, completed his orthopaedic residency in Pittsburgh, and a Fellowship at Massachusetts General Hospital. Wanting to help bridge the gap between engineering and medicine, Tony was a world leader in the initial development of medical robotics and computer assisted surgery. His work has always focused on bringing together diverse teams from multiple disciplines in order to listen to and meet the needs of patients and families. This broad focus led Tony to develop the Patient Centered Value System, which combines process and performance improvement with supportive technologies to improve clinical outcomes and patient and family care experiences while reducing costs. Eve Shapiro, principal, Eve Shapiro Medical Writing, Inc., has written on topics related to patient safety, patient-centered care, systems improvement, transitions in care, physician-patient communication, medical errors, and other subjects for audiences ranging from researchers and clinicians to patients and families. She has written books, articles, and other works for organizations such as the Agency for Healthcare Research and Quality, the Institute for Healthcare Improvement, The Joint Commission, the Robert Wood Johnson Foundation, the University of Pittsburgh Medical Center, and Consumers Advancing Patient Safety. Eve believes storytelling is the most powerful way to teach, generate insight, promote understanding, and communicate essential truths.

Introduction: The Patient Centered Value System: Toward a New Age in Healthcare; Part 1: The Patient Centered Value System in Action: A Story; Chapter 1: How to introduce the Patient Centered Value System in any organization; Chapter 2: Choose your champions: Establish the care experience guiding council; Chapter 3: Shadow patients and families to co-design the care experience; Chapter 4: Develop your care experience working group; Chapter 5: Create a shared vision by writing the story of the ideal care experience; Chapter 6: Close the gaps between the current state and the ideal; Part 2: The Patient Centered Value System in Fact and in Practice; Chapter 7: The Patient Centered Value System: Fact, not fiction; Chapter 8: The true cost methodology of the Patient Centered Value System: A User’s Manual; Chapter 9: The Science behind the Patient Centered Value System: Built on the shoulders of giants.; Chapter 10: Patient Centered Value System + Lean or other process improvement approaches = Rapid Improvement; Chapter 11: The Patient Centered Value System in Practice; Chapter 12: Conclusion; Appendix 1: Glossary; Appendix 2: The Appendix explains what’s needed to assure success of the PCVS, why projects sometimes fail, how to get back on track, and the 65+ care experiences within UPMC that have been improved by use of the PCVS.