Tag Archives: Benjamin Moulton

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What Will it Take to Avoid Avoidable Care? Nothing Less than a Culture Shift Say Conference Organizers

Last week the first major medical meeting devoted to the topic of avoidable care was held in Cambridge, MA. The two-day Avoiding Avoidable Care Conference was organized by the Lown Cardiovascular Research Foundation and the New America Foundation, and co-hosted by the Institute of Medicine. Attendees included experienced, practicing clinicians from a broad range of medical specialties, along with thought leaders in health policy. Continue reading
Posted in Current News | Tagged avoidable care, Benjamin Moulton, Harvey Fineberg, informed consent, Institute of Medicine, Lown Cardiovascular Research Foundation, New America Foundation, patient-centered care, shared decision making | Permalink

At the State Policy Level, Shared Decision Making is Here to Stay

Shared decision making garnered national attention when it was among delivery system reforms contained in the new Center for Medicare and Medicaid Innovation that was signed into law as part of the Accountable Care Act (ACA). The much anticipated Supreme Court ruling on the fate of ACA will happen in a matter of weeks. Regardless of what the Supreme Court decides, Benjamin W. Moulton, Foundation senior legal advisor, does not want policy makers to lose sight of how shared decision making is, and will continue to be, an important tool for improving health care delivery at the state level. Continue reading
Posted in Current News | Tagged Benjamin Moulton, health care costs, health care policy, health care policy makers, informed consent, medical ethics, shared decision making, state policy | Permalink

Featured Shared Decision Making Publications

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Shared Decision Making in the United States: Policy and Implementation Activity on Multiple Fronts

This article reviews the status of SDM implementation in the U.S., including state and federal activity, research funding and implementation in clinical practice. Also included is a helpful list of organizations that are advocating SDM use in the US, professional and accreditation organization activity in SDM, and a list of current activity in the development of patient decision aids. Continue reading
Posted in Health Care Policy | Tagged Benjamin Moulton, Carrie Levin, decision aids, policy, Richard Wexler, shared decision making | Permalink

Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice

This largely theoretical article describes the balance between two medical decision making principles – beneficence and autonomy – and the growing shift towards a model of an autonomous, informed and participatory patient. The article proposes that shared decision making (SDM) strikes a balance between beneficence and autonomy and thus it should be adopted more widely. The authors review policy options for implanting SDM more widely through practice models, state policy incentives, and federal requirements. The article provides some detailed examples from health systems and states that have implemented SDM through the above models, and proposes a three-step process for implementing a nationwide practice of SDM. Continue reading
Posted in Health Care Policy | Tagged Benjamin Moulton, ethics, informed patient choice, policy, shared decision making | Permalink

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[The Dartmouth] HVHC Receives Grant for Better Patient Care

The grant provides funding to train and hire "family and patient activators" to equip patients with the tools they need to make decisions about their health care, Weeks said. The activators will be trained according to a curriculum developed at Dartmouth. The family and patient activators are complementary to the physician-patient dialogue, according to Benjamin Moulton, the senior legal advisor for the Informed Medical Decisions Foundation. Read the entire story.
Tagged Benjamin Moulton, Dartmouth-Hitchcock, health care, High Value Health Care Collaborative, HVHS, patient decision aids, physician-patient conversation, shared decision making | Permalink

[Politico] ACA Boosts 'Shared Decision-Making'

"And some of the momentum is coming from state legislators or health officials who want a shared decision-making component in some of the latest models for cutting waste and improving quality in health care spending, like 'medical homes.' Washington state began encouraging shared decision making in it's state's health care systems about five years ago; Massachusetts joined in last summer when it passed its sweeping health cost control law, according to Benjamin Moulton, the senior legal adviser to the Boston-based Informed Medical Decisions Foundation."
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Tagged ACA, Affordable Care Act, Benjamin Moulton, health care policy, Politico, shared decision making | Permalink