Health & Human Services

Advanced Care Planning and Shared-Decision-Making Program

Location: Milwaukee, WI

Status: Active

Quantified Ventures is working with Advocate Aurora Health to develop and finance the implementation and scale of an Advanced Care Planning and Shared-Decision-Making program in partnership with Respecting Choices. This three-way collaboration represents a significant opportunity for system-level transformation toward a culture of care that honors patient needs, values, and preferences. As we work to scale the program to nearly half of eligible patients, meaningful health and economic outcomes are anticipated.


Problem

As the United States population ages, more people will live longer with chronic conditions and face complex healthcare decisions. In an era of rapidly expanding treatment options, providers and patients alike can struggle to decide which, if not all, are likely to be beneficial. There is mounting evidence that when individuals with advanced illness are engaged and supported to make decisions based on their goals, values, and preferences, they tend to select lower-intensity options that favor quality (sometimes over) quantity of life. Despite this, the United States continues to provide aggressive and expensive care at the end of life, leading patients and their families to feel unnecessary burden and distress.


Approach

Quantified Ventures is helping to establish the clinical and economic performance expectations that build the case for sustained organizational investment in the Respecting Choices model, and that presents a compelling case for external investment. Upon establishing implementation readiness and demonstrating a compelling potential return-on-investment analysis, we will engage impact investors to launch and scale the Advance Care Planning and Shared-Decision-Making in Serious Illness program in multiple sites.


Impact

Within the term of this initiative, we intend to expand delivery of of the Respecting Choices Advance Care Planning and Shared-Decision-Making model to change the standard of care in one of the largest not-for-profit integrated health systems in the country. This has the potential to improve the quality of care for millions of patients across two states to improve the care delivery experience for patients, their families, and providers, as well as to generate significant cost savings.


Partners