Beginning with high value care in mind: A scoping review and toolkit to support the content, delivery, measurement, and sustainment of high value care.

Abstract

To create a shared vision for the content, delivery, measurement, and sustainment of patient-centered high value care. We performed a scoping review and translated findings into toolkit for system leaders. For our scoping review, we searched Medline, 2005-November 2015, for literature on patient-centered care (PCC) and its relationship to a high value care change model. We supplemented searches with key author, Google Scholar, and key website searches. One author reviewed all titles, abstracts, and articles for inclusion; another reviewed a random 20%. To develop our toolkit, we translated evidence into simple, actionable briefs on key topics and added resources. We then iteratively circulated briefs and the overall toolkit to potential users, making updates as needed. In our scoping review, we found multiple interventions and measures to support the components of PCC and our change model. We found little on the overall effects of PCC or how PCC creates value. Potential users reported our toolkit was simple, understandable, thorough, timely, and likely to be globally useful. Considerable evidence supports patient-centered high value care and a toolkit garnered enthusiasm. The toolkit is ready for use, but needs comparison to other approaches.