Dr. Nancy Cuan is an internal medicine primary care physician at Stanford Coordinated Care (SCC). SCC is a primary care medicine practice that is a benefit for eligible members of the Stanford University, Stanford Health Care, SLAC and Lucile Packard Children’s Hospital community and their covered adult dependents with ongoing health conditions. More information, including a self-assessment to determine eligibility based on health condition(s) and health insurance, can be found at the Stanford Coordinated Care website.
Prior to joining Stanford Coordinated Care, she had practiced for many years at Santa Clara Valley Medical Center and helped with the resident training program there. She has had experience in working with patients with multiple ongoing medical conditions.
- Internal Medicine
Clinical Assistant Professor, Medicine - Primary Care and Population Health
Residency: Santa Clara Valley Medical Center Dept of Medicine (2000) CA
Internship: Santa Clara Valley Medical Center Dept of Medicine (1998) CA
Board Certification: Internal Medicine, American Board of Internal Medicine (2000)
Medical Education: University of California - San Francisco (1997) CA
Incorporating the Patient Voice Into Practice Improvement: A Role for Medical Trainees.
2019; 51 (4): 348–52
BACKGROUND AND OBJECTIVES: Many primary care clinics rely on providers and staff to generate quality improvement (QI) ideas without explicitly including patients. However, without understanding patient perspectives, clinics may miss areas for improvement. We identified practice improvement opportunities using a medical student-driven pilot of QI design that incorporates the patient voice and explored provider/staff perceptions of patient perspectives.METHODS: One medical student interviewed eight patients for their perspectives on QI opportunities at a university-based primary care practice. Two trainees independently coded interview transcripts using directed content analysis (final codebook: 11 themes) and determined frequency of mentions for each theme. We surveyed 11 providers/staff by asking them to select 5 of the 11 themes and place them in rank order based on their perceptions of patient concerns; their surveys were aggregated into one ranked list.RESULTS: Patients most frequently identified the following themes as QI opportunities: relationship (ie, feeling of personal connection with providers/staff), specialty care, convenience, sustainability, and goal follow-up. While patients frequently identified relationship (rank=1) and goal follow-up (rank=3) as QI opportunities, the provider/staff top five list did not include relationship (rank=10) or goal follow-up (rank=7).CONCLUSIONS: Our study demonstrates two things: (1) there are areas of discordance between provider/staff perceptions and patient perspectives regarding practice improvement opportunities; and (2) medical students can participate meaningfully in the QI process. By harnessing patient perspectives with the help of medical trainees, clinics may better understand patient concerns and avoid potential QI blind spots.
View details for PubMedID 30973624