Paying for value is an ongoing theme in this space. In the race to find an efficient solution, there is a risk of overlooking critical input from patients and families. Artificial Intelligence, EHRs, big data, etc. promise fast, precise, searchable information about value. One problem: much of that data is built on faulty premises about what factors matter in terms of outcomes and impacts on patients and those that care for them. And, we’ve seen problems with AI and EHRs in terms of whether factors that matter to unique populations, particularly communities of color, are well-represented. It’s true that technology can unlock some of our challenges in speeding evidence to practice. The article on antibiotic stewardship is a reminder that changing practice takes more than journals full of data, tech-supported solutions, and clinical endorsement by experts in the field. Engaging patients to learn what has impact on their treatment and quality of life outcomes most, and redefining how we measure and use such insight, is the key to true progress in the quest for value.
