Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 23, 2013
Neil Korsen, MaineHealth
Larry Morrisey, Stillwater Medical Group
Charlie Brackett, Dartmouth-Hitchcock Medical Center
Grace Lin, Palo Alto Medical Foundation
Carmen Lewis, University of North Carolina
Leigh Simmons, Massachusetts General Hospital
Circulation through Special Regions -characteristics and regulation
Shared Decision Making in the Real World: Successes and Challenges
1. S h a r e d D e c i s i o n M a k i n g i n t h e R e a l W o r l d :
S u c c e s s e s a n d C h a l l e n g e s
Aligning Incentives for Patient
Engagement
May 23, 2013
5. Integrating and Rewarding Patient
Engagement through Shared
Medical Appointments
Grace Lin, MD
University of California, San Francisco
glin@medicine.ucsf.edu
14. Typical primary care
visit at PAMF for an
older patient with
chronic disease
70 year old
man with
diabetes, high
blood
pressure, heart
disease
EMR Agenda
Overdue colon
cancer screening
Overdue diabetes
screening
Clinic agenda
LEAN
implementation
EMR Meaningful
Use
Hit RVU targets
MD agenda for
chronic disease
management
New symptoms
Lab review
Medication review &
adjustment
Counseling diet &
exercise
Added: Partners
in Medical
Decision Making
Decision aids
Shared decision
making
Patient agenda
Back pain
Constipation
Preventive
medicine
Diet and exercise
Counseling on
harmful habits
Comprehensive
geriatric
assessment
21. Utilizing IT to facilitate SDM
• Eligible patients are presented with a brief
description of the screening decision, asked
their preference, and offered a DA.
32. Members
Affiliates
Maine Mental Health Partners
Lincoln County Healthcare
HomeHealth Visiting Nurses
Maine PHO
Mid-Coast Hospital
MaineGeneral Medical Center
Maine Medical Center
PenBay Healthcare
Western Maine Health
St. Mary’s Regional Medical Center
Waldo County Healthcare
Southern Maine Healthcare
MaineHealth
33. MaineHealth SDM Guiding Principle:
Patients will engage in SDM to the extent that each patient desires.
Editor's Notes
Strong leadership supportDefined Patient Centered Care Recognized the value it brought to the organizationChanged the cultureCareful attention to processStarted small and grew steadilyTeam effortWork has the chance to improve care at the larger ACO we have joined