Turning Shared Decision Making Policy into a Reality: Can We Really Improve the Quality of Care While Reducing Costs?

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Ben Moulton, JD, MPH, provides an overview of the shared decision making policy landscape.

This presentation was part of a Shared Decision Making Month webinar -- Turning Shared Decision Making Policy into a Reality: Can We Really Improve the Quality of Care While Reducing the Costs.

Published in: Health & Medicine
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Turning Shared Decision Making Policy into a Reality: Can We Really Improve the Quality of Care While Reducing Costs?

  1. 1. Turning Shared Decision Making Policy into a RealityCan We Really Improve the Quality of Care While Reducing Costs? Ben Moulton Senior Legal Advisor March 20, 2013
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  3. 3. Health Policy Reasons for Adoption of SDM on Large Scale• Ethical imperative to do the right thing• Perfected Informed Consent-Aligning preferences, values and lifestyle with individual’s clinical decision• Conservative Utilization of surgical interventions 3
  4. 4. Key Aspects of ACA LegislationPriority - preference sensitive care1. Produce patient decision aids2. Set quality standards & certify decision aids3. Create Shared Decision Making Resource Centers4. Provider development, use and assessment of SDM techniques using certified decision aids 4
  5. 5. Section 3021 CMS Innovation Center• Test innovative payment models to reduce expenditures and to enhance quality of care.• 18 different models9) “Assisting applicable individuals in making informed health care choices by paying providers for using patient decision support tools that improve individual understanding of medical options” 5
  6. 6. Arterburn D, Wellman R, Westbrook E, et al.Introducing decision aids at Group Health was 6linked to sharply lower hip and knee surgery ratesand costs. Health Aff. 2012 Sept;31(9):2094-104.
  7. 7. Veroff D, Marr A, Wennberg DE. Enhanced supportfor shared decision making reduced costs of care 7for patients with preference-sensitive conditions.Health Aff. 2013 Feb;32(3):285-93.

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