Bradi B. Granger


Professor, Duke University School of Nursing
Director, Duke Heart Nursing Research Program, Duke-Margolis Health Policy Center

Advancing Person Centered Models of Care in a Value-Based System: What Will It Take?

Person-centered models of care are defined broadly as the ways in which health services are delivered for individuals and populations experiencing various stages of health and illness. Ideally, care models focus on patients’ needs and incorporate the social, environmental, spiritual, and financial resources that a person brings into care planning. The goal being to ensure that people receive “the right care, at the right time, by the right team and in the right place.”

In US healthcare, a major challenge underpinning person-centered care delivery is the current payment system, which remains largely fee-for-service rather than value-based reimbursement. These payment models fail to reimburse health care systems or clinicians for longitudinal care, leading to uncoordinated, fragmented, and low-quality care.
This session presents a practical framework demonstrating evidence that health care organizations can accomplish person-centered care delivery across diverse settings. This framework was developed in collaboration with the American Heart Association and the Margolis Institute for Health Policy at Duke University.

We highlight barriers to implementing measurable, person-centered components of care into clinical practice and provide strategies to overcome those barriers, focusing on strategies that can be implemented across settings, especially low-resource and community-based practices representing broad social, economic,and geographic diversity.

Dr. Granger is a Professor at the Duke University School of Nursing, the Duke-Margolis Center for Health Policy, and Director of the Duke Heart Center Nursing Research Program.

Her research is focused on health system and health policy support for cardiovascular person-centered care. Specific foci of research include health equity, health behaviors and self-management, medication use in chronic illness, and strategies to facilitate safe care transitions across settings of care, from hospital to home and community-based settings.

Dr. Granger has published and lectured extensively, both nationally and internationally, on methods and interventions for person-centered medication management in complex chronic illness.

As a mentor to clinicians and students, she has led a number of team-based studies in the field of cardiovascular care resulting in publications and featured work in Journal of the American Medical Association, the American Heart Journal, the Journal of Advanced Nursing, Patient Education and Counseling, the Lancet, the European Journal of Cardiovascular Nursing, and others.