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Center for Health Optimization & Implementation Research

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Patient-Centered Care

Patient-Centered Care (PCC) means providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. PCC means including patient context, for example social determinants of health, thinking about patients’ health and well-being broadly (beyond typical clinical outcomes), and focusing on patients in their daily lives.

CHOIR is leading research on many aspects of PCC, including:

  • CHOIR investigators are leaders in the Veterans Access Research Consortium (VARC). Goal 1 of the current VA Strategic Plan is to have “Veterans choose VA for easy access, greater choices, and clear information to make informed decisions.” Access must be responsive to Veteran needs and provide them with options so they can get the care they need in a timely manner. While care coordination is an important component of access, the goal primarily emphasizes the patient-centeredness of access – that care must be tailored to that particular Veteran’s clinical needs and preferences for accessing care, and that communications with Veterans and caregivers incorporate their needs and preferences as well.
  • Whole Health approach to implementing Shared Decision Making for Lung Cancer Screening (WISDOM LCS) is a Research to Impact for VeteRans (RIVR) program using a multi-level intervention targeting barriers to implementing Shared Decision Making for Lung Cancer Screening in VISN 1.
  • Continuing the Conversation (CTC): A Multi-Site RCT Using Narrative Communication to Support Hypertension Self-Management for African American Veterans (IIR 17-185) studies the impact of online videos in which African-American Veterans share stories about challenges/successes in hypertension self-management, followed by longitudinal texting support which incorporates quotations and themes from these stories. Veteran participants are invited to select the storyteller whose narrative they found most relevant, and this selection informs the narrative-aligned text messages they receive over a 6-month period, supporting healthy self-management behaviors.
  • The Center for Evaluating Patient-Centered Care (EPCC) was formed at CHOIR to assist VA’s Office of Patient-Centered Care and Cultural Transformation (OPCC&CT) with the evaluation of its Whole Health transformation. EPCC’s evaluation has evolved as OPCC&CT’s mission has matured from implementing wide ranging patient-centered care interventions to implementing the Whole Health System of Care as a key component of a high performing health care network.
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