The National Association for State Health Policy (NASHP), through an educational grant from the Informed Medical Decisions Foundation, has released a report entitled: "Shared Decision Making: Advancing Patient-Centered Care through State and Federal Implementation." The authors examine the legislative and regulatory approaches used in Maine, Minnesota, Oregon, Vermont and Washington to promote shared decision making (SDM) implementation and make recommendations on how other states can incorporate SDM into their care delivery models.
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.
A sleeper provision of the Affordable Care Act (ACA) encourages greater use of shared decision making in health care. For many health situations in which there's not one clearly superior course of treatment, shared decision making can ensure that medical care better aligns with patients' preferences and values. One way to implement this approach is by using patient decision aids -- written materials, videos, or interactive electronic presentations designed to inform patients and their families about care options; each option's outcomes, including benefits and possible side effects; the health care team's skills; and costs. Shared decision making has the potential to provide numerous benefits for patients, clinicians, and the health care system, including increased patient knowledge, less anxiety over the care process, improved health outcomes, reductions in unwarranted variation in care and costs, and great alignment of care with patients' values.
Posted in Cost, Decision Aid Effectiveness, Health Care Policy, Patient Decision Aids, Patient Preferences, SDM Implementation
Tagged ACA, CMS, Cochrane Collaborative, decision aids, Group Health, health care costs, HHS, IOM, IPDAS, Medicare, NEJM, PCORI, practice variation, shared decision making