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Delfini Provides Evidence-based Practice Resources & Services for Health Care Quality
Along with Help for Health Care Decision-Makers & Help to Achieve Value & Patient-Centered Care
Michael E Stuart MD, President & Medical Director   .   Sheri Ann Strite, Principal & Managing Partner


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Portland, Oregon and Mount Hood

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What People Are Saying
"...impressive....terrific conference.. impressive tools... already using in real life... valuable, fun, memorable...made hard stuff easy to understand... helped us change... real success... improved patient care... invaluable..."

Delfini average training program scores are 4.8 out of 5.0

"... gifted facilitators and passionate educators... have rarely encountered presenters so well-prepared and well-versed in their subject matter... both are engaging, up-beat and empowering... extremely generous with their knowledge and expertise..."

See all of our Testimonials.

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Welcome! We are glad you are here! Here are a few simple and essential starting facts:

1. We are clinical inprovement specialists and evidologists (aka medical science validity detectives)

2. We want you to be too!

3. If you understand the great medical information problem, you will understand why we say this, and you will want to be too!

4. It is easily doable to gain needed skills to diminish being misled by poor healthcare information. Even on your own. We know. This is our life's mission. And a huge number of people attest to our ability to be helpful in doing so.

5. If you are involved in medical decision-making—and aren't we all?—our site is dedicated to you.

You may not think of yourself as a healthcare information specialist, but you are, if you are a—

  • Physician, clinical pharmacist, nurse, medical librarian, medical leader, healthcare administrator, medical legal professional...others are too...even the information-seeking patient is a healthcare information specialist.
  • We all want—and need to—know what works, what might harm us, what is reasonable to try. And yet—

There is a huge problem with healthcare information. Most is not reliable or useful to a patient regardless of source. And there is a huge lack of awareness of this problem.

We Have Answers & We Can Empower You

"I have been meaning to thank you and Mike for all of the training and insight that you have given me. It really has made a huge difference in my professional life. For example, this summer I tackled an important safety debate. It took me many hours, but at the end of the day, I concluded that we, as a company, needed to make new recommendations. Without my Delfini training, I would have never had the confidence, nor been able to develop a convincing case. I know sometimes the jaded medical world may feel that evidence-based medicine and critical evaluations are nice academic exercises that rarely, if ever, influence member safety. We know that this is not the case. Keep carrying the banner of enlightenment in 2011! Your workshops help re-ignite for many the real reason they got involved in pharmacy and medicine in the first place. We definitely can make a difference..." Name Held in Confidence

Whether you engage us professionally or simply take advantage of our wealth of freely available resources, you can—

Benefit from unique methods and tools we provide you—

  • Apply them yourself immediately.
  • Expand your awareness instantly.
  • Expand corrective knowledge easily.

Patients Are Being Harmed By Misleading Science & Inappropriate Care

  • Possibly fewer than 10% of published medical research studies are reliable and useful, regardless of source.
  • Most physicians, clinical pharmacists, nurses and other allied health professionals involved in medical decision-making that we test do not know this—plus they lack easy-to-acquire skills to help avoid problem studies.
  • Knowing this difference is crucial for quality patient care, to reduce patient harms and to avoid waste which may exceed $100 billion a year in the United States.
  • Individual biases can distort results up to 50 percent or more. Read Why Critical Appraisal Matters.

But You Can Help Correct This and We Can Help You; You Can Help Yourself Just By Being Here.

We All Want—and Deserve—Reliable, Useful Clinical Information

  • There is a difference between “knowing the evidence” and knowing what evidence is "reliable & clinically useful." If you lack critical appraisal skills, all studies will look the same to you.
  • Reliable and useful science is one part of clinical decision-making—or should be. Too often it is not because people don't understand how to evaluate the science—or even know that they need to.
  • Acquiring these skills is not only vitally important—these skills are actually easy to learn and the subject matter is extremely interesting. Don't take it from us—
  • Read our testimonials about how this can be a fascinating, envigorating, meaningful and life-changing endeavor.

And your life—and the lives of the patients you serve—might never be the same again in really good ways. We want to walk you out of Plato's cave and into the light.

Ways to Help Yourself

About Us

We are a public service entrepreneurership founded to help people achieve "applied" evidence- and value-based clinical quality improvement to help others improve healthcare decision-making and medical care.

Our broad focus is healthcare information, clinical improvement and patient communications. We specialize in the evaluation of medical science because that area is particularly neglected and the need is so great.

Science is a starting point for us, but we provide a full range of services for clinical improvement and, as a public service, we provide a huge amount of information and tools freely available online. We also provide freely available tools and services for improved communications with patients and informed patient decision-making.

Services

  • We provide training in evidence- and value-based clinical improvement methods and in patient communications.
  • We facilitate clinical improvement projects including guideline development.
  • We conduct evidence evaluations and qualitative systematic reviews.
  • We offer consulting services in clinical improvement. We have deep experience in helping clinical improvement committees and staffers, such as pharmacy & therapeutics commitees, medical technology assessment commitees and guideline teams.

See Services for more on what we can do. As part of our public service mission, we make many tools and resources freely available online at Resources.

Delfini boat

Photo courtesy of Bat Shunatona, MD
OMNI Medical Group, Tulsa OK
Inspirational Colleague & Delfini Booster

The Delfini Mission
Our mission is to improve health care quality and use of resources by assisting medical leaders, health care professionals and others interested in and affected by health care decisions by—

  • Bringing science into medical practice in an easy-to-understand way.
  • Using simplified methods to help navigate the complexities of such areas as evidence-based medicine, clinical improvement and other topics.
  • Building competencies and confidence in improving medical care through our consultations, training programs and tools.
  • Providing inspiration to others to improve medical care and help bring about needed change.

The work we do for anyone is the same we do for everyone; we approach every task as if we are caring for our own family. Our misson is serious; our work rigorous. Our signature style is to be playful and practical. We are lively, good-hearted, passionate and sincere. We strive for thoroughness in these complex areas, yet we strive for clarity and simplicity. We thrive when we can enlighten and entertain. Our hearts are compassionate; we were born to serve. This is our life's mission. We are i Delfini.

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You can reach us at delfini (at) delfini.org. Write us for our DelfiniGram for brief bi-monthly announcements of updated tools and information, contact us with questions or just to say hello. Warm best, Sheri & Mike

Email us to request our bimonthly updates, the DelfiniGram™,
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We offer a wide range of supportive services with the ultimate goal of increasing health care organizations’ and clinicians’ abilities to provide high quality, evidence-based care and to improve medical decision-making for organizations, leaders, teams, clinicians and patients.

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Dolphin photo for Dolphins Poolside attributed to RevolverOcelo. Delfini Boat thanks to Dr. Bat Shunatona.
Thanks too to contributors to Openclipart.org and Wiki Media.

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EBM Solutions for Evidence-based Health Care Quality

Portland, Oregon and Mount Hood