Improving Shared Decision-Making Across a Multi-Site Cancer Program

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Candice Roth, MSN, RN, CENP, Assistant Vice President, Central Region Operations, Nursing, Quality, Outreach, & Disparities, Atrium Health, Levine Cancer Institute
Melynda Ozan, Consumer Health Librarian, Atrium Health, Levine Cancer Institute

Levine Cancer Institute successfully developed tools and methods to encourage shared decision-making across its network of more than 25 regional sites. Learn how this cancer institute built a standardized treatment platform (Electronically Accessible Pathways, or EAPathways), so all clinicians are using the same evidence-based guidelines, treatment updates, and clinical trials. This ensures that patients across more than 25 clinic locations receive the most consistent, high-quality care possible. Then, in 2017, Levine Cancer Institute hired a consumer health librarian to create a digital library of patient education handouts, including links to approved cancer information websites, which are available to all clinicians and staff through a Microsoft SharePoint site. This health librarian reviews all patient-facing information—including marketing brochures, new visitor policies, and patient education—to ensure materials are written at an appropriate reading level. The health librarian also sits on the Patient and Family Advisory Council, which is often involved in the development of patient resources and chairs the Oncology Patient Education Committee. To further improve shared decision making, Levine Cancer Institute uses a care alignment tool (CAT) to document clinician-patient discussions about goals of care in the patient’s chart for use in advanced care planning. The CAT includes questions that help identify patients' fears or concerns for the future, important goals, and preferences related to using sustaining measures at the end of life.