See It in Action

From First Question to Final Outcome — A Real Example

Here’s how FENTON’S WAY–COLLEAGUE works in the real world:

Scenario:

A 77-year-old woman presents with worsening fatigue, shortness of breath, and confusion.

Her chart lists:

  • Heart failure

  • COPD

  • Chronic kidney disease

  • Anxiety

  • Diabetes

  • Malnutrition

  • Depression

  • Atrial fibrillation

  • Pressure injury (sacrum)

  • Acute hypoxia

  • Recent hospital discharge

Care is fragmented. Different specialists are involved. No one has the full picture.

FENTON’S WAY Organizes It

Using the Four Questions, we begin building the Medical ISSUE List:

MET 1: Who is she, and who is she becoming?

  • Baseline: Independent, sharp, lived alone

  • Goal: Return home, walking, making decisions

  • Story: Now confused, weak, and not eating

This frames everything else:
We’re not just treating “CHF” or “malnutrition” — we’re trying to restore a person.

MET 2: Why now?

  • Trigger: Acute drop in function post-discharge

  • Timeline: 4 days ago she was walking. Today she’s in bed, with oxygen, declining

This changes urgency. We’re not dealing with chronic conditions — we’re dealing with a crisis of decline.

MET 3: Do we know what we’re doing?

Medical ISSUE List (prioritized):

  1. Respiratory Failure / Hypoxia

    • Diagnostic Plan: Imaging, pulse ox trending, ABG

    • Treatment Plan: Oxygen, BiPAP, steroids

    • Success = PaO₂ > 65, breathing without distress

    • Function Plan: Walking 25 feet without desaturation

    • QOL Plan: No constant oxygen at home

  2. Delirium / Confusion

    • Diagnostic: Labs, meds review, imaging

    • Treatable cause? UTI? Medication effect?

    • Monitor with CAM scoring

  3. Malnutrition / Functional Decline

    • Diagnostic: Dietitian, labs, swallowing eval

    • Treatable: TPN vs PO supplements

    • Function: Can she eat independently?

... and so on. Each ISSUE has a plan.
Each plan is tied to a goal.
Each goal reflects who she is and where she wants to go.

MET 4: Where are we going, when are we leaving, and who cares?

  • Goal: Return home independently

  • Timeline: Target = discharge in 7–10 days

  • Who Cares: Primary, SW, family, home health

COLLEAGUE Brings It Together

  • Organizes the ISSUE List

  • Flags missing diagnostic steps

  • Tracks whether treatments are working

  • Highlights disconnects between team members

  • Shows real-time Benefit/Cost analysis

Outcome

Because the team had structure, clarity, and shared goals:

  • Oxygen was weaned

  • Nutrition improved

  • Delirium resolved

  • Patient discharged home with services

Time to stabilization: 72 hours
Total cost of stay: 23% lower than prior admission
Patient goal met: Yes
Team satisfaction: Reported “best coordinated care of the year” by nursing lead

This Is FENTON’S WAY–COLLEAGUE in Action

Not theory. Not just software.

A new operating system for care.

📎 Want to see more examples or a prototype demo?
→ [Request the Executive Brief] or [Sponsor a Pilot]

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