Hi, my name is Nan Bernstein Ratner.
I'm here to discuss the topic of
Bridging our mandates: Evidence-Based Practice and Patient-Centered Care.
I happen to work at the University of Maryland,
and if you have any questions after this,
you can reach me at the e-mail that I've listed below.
Now, changing gears one more time,
in between Evidence-Based Practice and Patient-Centered Care,
there is also something called PBE which stands for Practice-Based Evidence,
and let's decide what the differences are.
In Evidence-Based Practice,
the evidence is out there.
It's gathered by others,
and we usually hold a sort of dichotomy between
the practicing clinician and the research scientist who gathers the data.
So, Evidence-Based Practice might be considered to be
the research evidence that has been gathered out in major large funded studies.
In Patient-Centered Care,
the evidence is extremely local.
It's what happened when you applied that evidence to the patient,
and you assess what happened in the patient's case.
In Practice-Based Evidence,
you actually start to consider profiles of PCC, Patient-Centered Care,
to see if you're noticing profiles within your own patient population,
the place you work,
the way in which you work,
the populations that you work with,
whether or not that is impacting successes and failures
within certain therapy approaches.
And the good news is that in many cases,
speech language pathologists are in lovely settings to implement
Practice-Based Evidence because health centers are very, very good places to do practice based evidence gathering,
and school systems in United States, private practices.
Lots and lots of multi-person practices are ideal places to look at
the impacts of practices on
the actual outcomes of the patients that they see in front of them every day.
I'm going to give you some examples in a moment.