Purchaser Perspectives onShared Decision MakingKate Eresian ChenokDirector, New Initiatives
PBGH Members©PBGH 2013                  2
PBGH 2015 Vision  A health care system transparent about the quality, cost and  outcomes of care, where consumers are moti...
Purchasers are concerned about trends in  Caesarian sections  Delivery Trends:  Caesarian delivery rates have now risen to...
More expensive for both purchasers and  consumers             Source: The Costs of Having a Baby in the US, Truven, Januar...
What purchasers are looking for:   Affordability                Appropriate use                Reward for efficient pro...
What do purchasers think about Shared  Decision Making?    Want patients highly engaged in making care decisions    Expe...
One quarter offer formal Shared Decision  Making programs. Most offer:         Online decision support         Telephoni...
Evaluate programs they offer according to:        Employee engagement        Health improvement        Cost©PBGH 2013  ...
Think it’s part of high quality care   Expect it from providers   Expect health plans to support©PBGH 2013              ...
Opportunities for Shared Decision Making in  maternity care – links to purchaser goals:   Affordability                A...
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Purchaser Perspectives on Shared Decision Making

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Kate Chenok, a director at Pacific Business Group on Health, provides the purchaser perspective on shared decision making and maternity care.

This presentation was part of a Shared Decision Making Month webinar -- Maternity Care and Shared Decision Making: Improving Care for Mothers and Babies.

Published in: Health & Medicine
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Purchaser Perspectives on Shared Decision Making

  1. 1. Purchaser Perspectives onShared Decision MakingKate Eresian ChenokDirector, New Initiatives
  2. 2. PBGH Members©PBGH 2013 2
  3. 3. PBGH 2015 Vision A health care system transparent about the quality, cost and outcomes of care, where consumers are motivated to seek the right care at the right price and providers are incented to offer better quality, more affordable care.©PBGH 2013 3
  4. 4. Purchasers are concerned about trends in Caesarian sections Delivery Trends: Caesarian delivery rates have now risen to over 32% in the U.S. (up from less than 20% in 1996) with no evidence of better outcomes Payment Trends Caesarian delivery reimbursement averages 33% more than that for spontaneous vaginal birth©PBGH 2013 4
  5. 5. More expensive for both purchasers and consumers Source: The Costs of Having a Baby in the US, Truven, January 2013©PBGH 2013 5
  6. 6. What purchasers are looking for:  Affordability  Appropriate use  Reward for efficient providers  Accountability  Patient engagement  Collaboration across specialties  Evidence based practice  Delivery System Innovation  Payment redesign  Health IT  Continual learning©PBGH 2013 6
  7. 7. What do purchasers think about Shared Decision Making?  Want patients highly engaged in making care decisions  Expect SDM as part of accountable, high quality care  Have a wide range of definitions of SDM©PBGH 2013 7
  8. 8. One quarter offer formal Shared Decision Making programs. Most offer: Online decision support Telephonic nurse support Case management Online cost calculators and comparison tools Online and in person wellness programs Educational materials Onsite clinics which provide direct care Source: December 2012 survey of PBGH members©PBGH 2013 8
  9. 9. Evaluate programs they offer according to: Employee engagement Health improvement Cost©PBGH 2013 9
  10. 10. Think it’s part of high quality care  Expect it from providers  Expect health plans to support©PBGH 2013 10
  11. 11. Opportunities for Shared Decision Making in maternity care – links to purchaser goals:  Affordability  Appropriate use  Reward for efficient providers  Accountability  Patient engagement  Collaboration across specialties  Evidence based practice  Delivery System Innovation  Payment redesign  Health IT  Continual learning©PBGH 2013 11

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