Dr. Jennifer Lundblad

We also want to know who's doing things well and what are they doing?

And can we replicate and share that?

That's part of the work of Stratus Health and others.

But that secret sauce that I referenced is part of sort of the next generation of quality improvement work as we look to approaches that come out of dissemination and implementation science, including strategies that we call and that are used in our work called co-design.

Having the lived experience and perspective of those most affected by whatever change that you're trying to make has become core to how we design and prioritize and choose what we're focusing on.

So there has been patient and family engagement and consumer involvement in healthcare quality, but much more in an advisory role or advisory capacity.

We're now turning to those people

those patients, those families, those communities where we're doing our work and inviting them in and letting them help guide and direct what we're doing, how we're doing and what success looks like.

How are we defining those results?

And that has been a game changer to get that lived experience, to get those perspectives and bake that into how we design, develop and measure our work.

Stan, you're on mute.

Yeah, so if you're talking about advances in technology that come out of device or pharmaceuticals,

quality assurance and quality improvement play a critical role in their work.

And in fact, they have regulatory compliance around the safety of those devices and what those processes and protocols look like.

And so that then is kind of spread and disseminated as new methods, new technologies are proven through clinical trials, and then those get spread to clinical practice.

What that looks like in an everyday practice or everyday decision making has some variability to it, but that's where, again, as we're taking what is best available evidence, what are those best practices and how do we incorporate that in practice?

to everyday work and decision making, that's a bit more of the role that Stratus Health plays.

So, you know, if you think about knee pain and that decision to do a total knee replacement will draw on tools like shared decision making.

ensuring that the clinician who's working with that patient and perhaps their family are really evaluating from a whole person perspective, not only what are the new devices or technologies available, but what are the patient's preferences?

What are their goals?