Clinicians and staff at the Division of Family Medicine at the University of California San Diego have developed both a visit-based and registry-driven distribution platform for video decision aids. Using the electronic health record, physicians and staff at any of the three academic practices of the Division can electronically prescribe a video decision aid. The order provides the patient with instant access to a library of nine video decision aids that are maintained on a web-based video server. Electronic distribution of the decision aids provides patients at the three geographically separate practice sites with timely access to the videos. Alternatively, patients can obtain a physical copy of the DVD through a mail-based fulfillment program. Clinicians are studying the use of video decision aids in the two community practices to better understand implementation of decision support in non-academic settings.
Dr. Lillie, principal investigator for the UCSD demonstration site, orders decision aids for patients electronically
Primary care physician Dr. Achar includes informed decision-making with all decisions
Marilyn found that decision aids offer a balanced approach to screening choices
Decision aids help Dr. Salzman foster partnerships with her patients
Don credits a decision aid for his ability to make a rapid-and potentially life-saving decision about cancer treatment
Dr. Mantila finds that decision aids reinforce her goal of involving patients in every decision
Three UCSD family practice sites are participating in the demonstration project.
At the academic practice site of UCSD, physicians prescribe decision aids electronically.
Dr. Salzman discusses colon cancer screening tests with Marilyn.