Laura E. Walker, M.D., M.B.A.

The purpose of this study is to demonstrate the value of the Quai platform in implementing pathways, we propose the following primary objectives for this pilot:

• Demonstrate that implementation of the Quai.MD platform improves chest pain/shortness of breath (ACS/PE) clinical pathways adherence in the emergency department

• Demonstrate the usability of the Quai.MD application and its smooth integration into the providers’ workflow in Epic

• Demonstrate that implementing pathways using the Quai platform brings direct economic value to the ED

• To gain a wide-spectrum view on implementation at the providers’ workspace to learn about the interplay of pathway use and clinical workflow.

The goal of this study is to design a shared decision making intervention to improve goals of care discussions.