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What Are We Missing?
@DrAttai#ASBrS #Prez
ASBrS Mission
“Committed to continually improving the practice of breast surgery by serving as an advocate for surgeons who seek
excellence in the care of breast patients by providing a forum for the exchange of ideas, and by promoting education, research,
and the development of advanced surgical techniques.”#ASBrS#Prez
What Are We Missing?
#ASBrS#Prez
The Social Media Connection
#ASBrS#Prez
Sharon Grutman
Our Patients Are Online
#ASBrS#Prez
#BCSM Co-Founders
Jody Schoger Alicia Staley
Information Overload
#ASBrS#Prez
Information Overload
#ASBrS#Prez
#ASBrS#Prez
Information Overload
Too Many Choices
#ASBrS#Prez
The World Revolved Around Us
#ASBrS#Prez
The World Revolved Around Us
#ASBrS#Prez
Quality: cure the disease without doing harm along the way
Greenberg CC, Kennedy GD Ann Surg.2014 Jul;206(1):10-12
#ASBrS#Prez
It’s A Different World
#ASBrS#Prez
It’s A Different World
Who Is the e-patient?• Equipped with skills• Enabled and Empowered to
make self-care choices• Engaged in their care• Equal partnership with doc
“Nothing about me without me”
#ASBrS#Prez
Billingham V 1998Through The Patient’s Eyes
#ASBrS#Prez
An Early e-patient
Patient-Centered Care as a QM
#ASBrS#Prez
Institute of Medicine 2001Crossing the Quality Chasm
Patient-Centered Care as a QM
#ASBrS#Prez
Institute of Medicine 2001Crossing the Quality Chasm
Care should be patient-centered: respectful of and responsive to individual patient preference
The patient is the source of control, and the system should be able to accommodate differences in patient preference and
encourage shared decision making
Barriers and Challenges
#ASBrS#Prez
Just Ask!
Just Ask!
Bad Timing
My Work Here is Done…
How Does This Help Me?
Patient-Centered PATIENT
Pharma
Payer
PhysicianResearcher
Program development
#ASBrS#Prez
Slide Courtesy AnneMarie Ciccarella@chemobrainfog
PROBLEM
e-Patient
Pharma
Payer
Physician
Researcher
Program development
#ASBrS#Prez
Slide Courtesy AnneMarie Ciccarella@chemobrainfog
Patients as Partners
Neither is King, Neither is the Sun
Bardes NEJM2012;366: 782-783
#ASBrS#Prez
ASBrS Mission
“Committed to continually improving the practice of breast surgery by serving as an advocate for surgeons who seek
excellence in the care of breast patients by providing a forum for the exchange of ideas, and by promoting education, research,
and the development of advanced surgical techniques.”#ASBrS#Prez
ASBrS PALs
#ASBrS#Prez
ASBrS Initiatives
#ASBrS#Prez
Patient Experience Survey
#ASBrS#Prez
Patient Experience Survey Team
#ASBrS#Prez
Dr. Jeffrey LandercasperASBrS PSQCDr. Eric WhitacreDr. Leonard BerryDr. Jane MendezMarie LaFargueAlicia StaleyThomas WhitacreSamuel LandercasperGundersen Health System IRB
Patient Experience Survey
#ASBrS#Prez
Patient Experience Survey
#ASBrS#Prez
Patient Experience Survey
#ASBrS#Prez
Shared Decision Making
#ASBrS#Prez
Shared Decision Making
#ASBrS#Prez
Shared Decision Making
#ASBrS#Prez
Breast Education Decision Aid Instrument
#ASBrS#Prez
Dr. Rena Kass / Penn StateASBrS Education CommitteeDr. Jane MendezDr. Kristine WiddersDr. Susie SunDr. Jane SchubartDr. Oscar Garcia-Fraga
Nurse BEDI
#ASBrS#Prez
Nurse BEDI
#ASBrS#Prez
Patient Education
#ASBrS#Prez
Breast360.org
#ASBrS#Prez
Breast360.org Team
#ASBrS#Prez
Dr. Richard FineDr. Carrie ThomsDr. Richard AltmanMargaret SchlosnagleMaureen KalilJane SchusterChris Barbee>70 ASBrS MembersASBrS Foundation
#ASBrS#Prez
Guidelines: Facts versus Value Judgments
#ASBrS#Prez
Consensus Conference
#ASBrS#Prez
Clinical Trial Design
#ASBrS#Prez
#ASBrS#Prez
#ASBrS#Prez
#ASBrS#Prez
“In our country, patients are the most underutilized resource, and they have the most at stake. They want to be involved, and they can be involved.”
#ASBrS#Prez
Dr. Charles SafranHouse Ways and MeansSubcommittee on HealthJune 17, 2004
#ASBrS#Prez
Mom and Dad
Linnette
Robert, Ashley,Isabelle and Christine
Thank You
Thank You
#ASBrS#Prez
Maggie, Ana and Melissa Laura Zibecchi NP
Thank You
#ASBrS#Prez
Dr. Robert Wallace Dr. Russell Nauta Dr. Stephen Evans Dr. Colette Magnant
Dr. Daniel Miller Dr. Richard White
Thank You
#ASBrS#Prez
Dr. Richard Fine Dr. Victor Zannis Dr. Shawna Willey Dr. Helen Pass
Dr. Eric Whitacre Dr. Howard Snider Dr. Suzanne Klimberg Dr. Hiram Cody
Thank You
Thank You
#ASBrS#Prez
#ASBrS#Prez
Thank You
#ASBrS#Prez
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