President Obama’s re-election now makes it all but certain that implementation of the Affordable Care Act (ACA) will progress. With a clearer picture of the health care landscape ahead of us, the Informed Medical Decisions Foundation and our colleagues will continue to pursue the opportunities laid out in the ACA to foster nation-wide implementation of shared decision making (SDM). I’d like to point out two key organizations established through the ACA that we hope to work closely with over the coming years. The first being the Center for Medicare & Medicaid Innovation (CMMI), which cultivates health care transformation by finding new ways to pay for and deliver better care and better health at lower costs.
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