Current Role

Director, The Patient Revolution

Our vision for the future is one in which healthcare is careful and kind. Careful and kind patient care is care that is safe, makes use of the best available evidence and is prepared to grapple with the uncertainty which underlies clinical knowledge and recommendations. It is care that strives to see patients as individual people, including their history, their aspirations, and their strengths and limitations in light of their struggles. It is care that unites patients, caregivers and clinicians as partners working through health situations to find the best course of action for this person, at this moment in time. 

The Patient Revolution is committed to developing tools, programs and resources that help patients, caregivers and clinicians take tangible steps towards this future state. And we stand ready to serve as advocates, collaborators or facilitators with people and communities interested in building that future together.

Work Experience

Freelance Designer & Researcher, shared decision making tools and communication tools for grant funded projects at Mayo Clinic, Yale New Haven Hospital, Mt Sinai, Cincinnati Childrens Hospital (ongoing)

Creative Director, Design Impact Group at Dalberg, Sept 2015-May 2016

Senior Designer/Researcher, Mayo Clinic Center for Innovation, 2005-2011

Design Strategist, Arnell Group Innovation Lab, 2005

Game Designer & Writer, Click Urban Adventure Game, Explanatoids Project, 2004

Design Strategy, Game Design, Motion Graphics, clients included Sony Corp, Sony Pictures, eCompanies. 1994-2004


Masters of Design, Interaction Design, Carnegie Mellon University, 2004

Bachelor of Science, Film & TV - Miami University, Oxford, OH, 1994

Teaching Experience

Faculty - School of Visual Arts (SVA), MFA Design for Social Innovation, Introduction to Thesis and Data, Metrics & Visualization, January 2013-

Guest Lecturer - Sam Fox School of Design and Visual Arts, Washington University in St Louis, Interaction Design Studio/Sponsored Project: BJC Healthcare, September-October 2013

Faculty - School of Visual Arts (SVA), MFA Interaction Design Program, Design as Service Experience, September 2012-December 2012

Instructor in Medicine Mayo Clinic College of Medicine, Guest speaker, workshops, seminars, September 2008–December 2011

Adjunct Faculty - Carnegie Mellon University, Writing for Multimedia, Fall 2004

Peer-Reviewed Publications

Probst MA, Kanzaria HK, Schoenfeld EM, Menchine MD, Breslin M, Walsh C, Melnick ER, Hess EP. Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians. Ann Emerg Med. 2017 May 27. pii: S0196-0644(17)30359-1. doi: 10.1016/j.annemergmed.2017.03.063. [Epub ahead of print] PubMed PMID: 28559034.

Melnick ER, Hess EP, Guo G, Breslin M, Lopez K, Pavlo AJ, Abujarad F, Powsner SM, Post LA. Patient-Centered Decision Support: Formative Usability Evaluation of Integrated Clinical Decision Support With a Patient Decision Aid for Minor Head Injury in the Emergency Department. J Med Internet Res. 2017 May 19;19(5):e174. doi: 10.2196/jmir.7846. PubMed PMID: 28526667.

Melnick ER, Probst MA, Schoenfeld E, Collins SP, Breslin M, Walsh C, Kuppermann N, Dunn P, Abella BS, Boatright D, Hess EP. Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research Agenda. Acad Emerg Med. 2016 Dec;23(12):1346-1353. doi: 10.1111/acem.13045. PubMed PMID: 27457137; PubMed Central PMCID: PMC5145730.

Sepucha KR, Breslin M, Graffeo C, Carpenter CR, Hess EP. State of the Science: Tools and Measurement for Shared Decision Making. Acad Emerg Med. 2016 Dec;23(12):1325-1331. doi: 10.1111/acem.13071. Epub 2016 Dec 7. PubMed PMID: 27770488.

Case study: Achieving evidence-based patient choice; Chapter In book: Shared Decision Making in Health Care, pp.222-228, July 2016, DOI: 10.1093 acprof:oso/ 9780198723448.003.0034

The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. BMC Med Inform Decis Mak. 2014 Nov 25;14:104. doi: 10.1186/s12911-014-0104-8. PubMed PMID: 25649726; PubMed Central PMCID: PMC4363399.



Hess EP, Knoedler MA, Shah ND, Kline JA, Breslin M, Branda ME, Pencille LJ, Asplin BR, Nestler DM, Sadosty AT, Stiell IG, Ting HH, Montori VM. The chest pain choice decision aid: a randomized trial. Circ Cardiovasc Qual Outcomes. 2012 May;5(3):251-9. doi: 10.1161/CIRCOUTCOMES.111.964791. Epub 2012 Apr 10. PubMed PMID: 22496116.

Shah ND, Mullan RJ, Breslin M, Yawn BP, Ting HH, Montori VM. Translating comparative effectiveness into practice: the case of diabetes medications. Med Care. 2010 Jun;48(6 Suppl):S153-8. doi: 10.1097/MLR.0b013e3181d5956c. PubMed PMID: 20473211.

Pierce MA, Hess EP, Kline JA, Shah ND, Breslin M, Branda ME, Pencille LJ, Asplin BR, Nestler DM, Sadosty AT, Stiell IG, Ting HH, Montori VM. The Chest Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department. Trials. 2010 May 17;11:57. doi: 10.1186/1745-6215-11-57. PubMed PMID: 20478056; PubMed Central PMCID: PMC2881067.

Mullan RJ, Montori VM, Shah ND, Christianson TJ, Bryant SC, Guyatt GH, Perestelo-Perez LI, Stroebel RJ, Yawn BP, Yapuncich V, Breslin MA, Pencille L, Smith SA. The diabetes mellitus medication choice decision aid: a randomized trial. Arch Intern Med. 2009 Sep 28;169(17):1560-8. doi: 10.1001/archinternmed.2009.293. PubMed PMID: 19786674.

Breslin M, Mullan RJ, Montori VM. The design of a decision aid about diabetes medications for use during the consultation with patients with type 2 diabetes. Patient Educ Couns. 2008 Dec;73(3):465-72. doi: 10.1016/j.pec.2008.07.024. Epub 2008 Sep 3. PubMed PMID: 18771876.

Montori VM, Breslin M, Maleska M, Weymiller AJ. Creating a conversation: insights from the development of a decision aid. PLoS Med. 2007 Aug;4(8):e233. PubMed PMID: 17683195; PubMed Central PMCID: PMC1939861.


Other Publications

Buchanan, R and Breslin, M. On the Case Study Method of Research and Teaching in Design. Design Issues 2008; 24(1): 36-40.

Breslin, M. ZIBA Design and the FedEx Project. Design Issues 2008; 24(1): 41-54. 

Breslin, M and Almquist, J, Have We Lost Our Love for Making Things? Ambidextrous Magazine, Fall 2008: 10.


Selected Media

Transform 2009, Mayo Clinic Center for Innovation, “The Power of Conversation” 

Mayo Clinic Radio, The Patient Revolution Project, Oct 2015 (20:07 mark)