Shared Decision Making: We're in This Together
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The document discusses the importance and implementation of shared decision making (SDM) in healthcare, emphasizing collaboration between patients and clinicians to improve decision quality. It highlights legislative support for SDM, particularly through the Affordable Care Act, which encourages the use of patient decision aids and promotes patient-centered care. Evidence shows that SDM enhances the decision-making process, leading to better healthcare outcomes.
Shared Decision Making: We're in This Together
- 1. Shared Decision MakingWe’re in This TogetherMichael J. Barry, MDPresident
- 2. We Believe Patients Should Be
- 3. Why Shared Decision Making in Health Care?
- 4. Evidence of the ProblemThe DECISIONS StudyA Portrait of How Americans Make Common Medical DecisionsMedical Practice Variation40 Years of Research Documenting Inconsistent Care
- 5. Patients: Making Decisions in the Face of Avoidable IgnoranceClinicians: Poorly “Diagnosing” Patients’ PreferencesPoor Decision Quality
- 6. Shared Decision MakingClinician and patient work together
- 8. About options and outcomes
- 10. They work toward a consensus about the preferred test or treatment
- 11. They reach an agreement on the test or treatment to implement(Charles C, Soc Sci Med 1997; 44:681)
- 12. Supporting the ConceptSDM supported by patient decision aids improves decision quality
- 13. Both patients and physicians support SDM
- 14. Implementation models are demonstrating that SDM can work “in the trenches”O’Connor et al. Cochrane Database of Systematic Reviews, 2009
- 17. Patient Protection and Affordable Care ActHR3590 Section 936Program to Facilitate Shared Decision Making To facilitate collaborative process between patients and providers .. and to incorporate patient preferences and values into medical planAuthorized not Appropriated
- 18. Key Aspects of PPACA Section 936Produce patient decision aidsSet quality standards and certify decision aidsCreate Shared Decision Making Resource CentersGrant funds to providers for development, use and assessment of SDM techniques using certified decision aids
- 19. Section 3021 CMS Innovation Center Test innovative payment models to reduce expenditures and to enhance quality of careOption #9Assisting applicable individuals in making informed health care choices by paying providers for using patient decision support tools that improve individual understanding of medical optionsSection 931 Quality Measures DevelopmentAssessment of experience, use and quality of information provided to patients to inform decision making including the use of SDM tools
- 20. Shared Decision Making is at the Core of Ethical, Patient Centered CarePatient Centered Medical Home
- 22. Meaningful Use of Health Information Technology (HIT)Thank You!mbarry@fimdm.orgwww.informedmedicaldecisions.org