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The Fast Track to Fertility Program: Rapid Cycle Innovation to Redesign Fertility Care

  • Suneeta Senapati, MD, MSCE,
  • David A. Asch, MD, MBA,
  • Raina M. Merchant, MD, MSHP,
  • Roy Rosin, MBA,
  • Emily Seltzer, MPH,
  • Christina Mancheno, MPH, and
  • Anuja Dokras, MD, MHCI, PhD
Published September 21, 2022
NEJM Catalyst Innovations in Care Delivery 2022; 10
DOI:https://doi.org/10.1056/CAT.22.0065
Vol. 3 No. 10 | October 2022
Summary

Couples with infertility experience psychological distress associated with the prolonged period of recognizing a need for fertility assistance and the long journey of evaluation and management. In August 2019, Penn Medicine began developing Fast Track to Fertility, a novel model of care delivery to improve access to fertility care and decrease time to completion of fertility workup and, by June 2021, deployed division-wide implementation of the new care model. Advanced practice providers conducted new-patient visits via telehealth, and patients were offered enrollment in a texting platform to assist with completion of a complex workup for both partners. Penn Medicine initially used a fake back-end texting platform (to test and authenticate various iterations) and then transitioned to an artificial intelligence–augmented semi-automation approach to facilitate timely completion of the workup. The redesigned model increased annualized new patient access by 23.8% (to 5,570 from 4,500) and decreased the time to initiation of treatment by approximately 50% (to 41 days from 97 days). The addition of educational materials and anticipatory guidance via text contributed to increased patient engagement (to 80% from 60%) and high satisfaction scores (measured by Net Promoter Scores greater than 70).

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