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Shared Medical Decision Making: We're in This Together


Monday, February 14, 2011

The relationship between patients and doctors has been changing from the traditional model in which a doctor decides on a treatment course without significant patient input. In recent years, awareness of the importance of the patient's role in managing his or her own care has been steadily growing--fed not only by such trends as the proliferation of health information on the internet and direct-to-consumer advertising, but also by the emerging science of patient-centered decision making.

One way to facilitate shared decision making is through the use of decision support tools, which offer the patient high quality medical information in an easily understandable format. How do these tools work? How might shared decision making benefit patients, purchasers and providers of care? What role can shared decision making play in the larger effort to improve the quality and lower the cost of health care? How does the Affordable Care Act affect shared decision making? What risks, if any, are involved?

To address these and related questions, the Alliance for Health Reform, the National Committee for Quality Assurance and the Foundation for Informed Medical Decision Making sponsored a February 14 briefing. Panelists were: Helen Darling, National Business Group on Health; Michael Barry, Foundation for Informed Medical Decision Making; Karen Merrikin, Group Health Cooperative of Puget Sound; and David Shern, Mental Health America. Ed Howard of the Alliance moderated.

Speakers

 Ed Howard, Alliance for Health Reform, Moderator
 Michael Barry, Foundation for Informed Medical Decision Making , Speaker
 Karen Merrikin, Group Health Cooperative of Puget Sound, Speaker
 Helen Darling, National Business Group on Health, Speaker
 David Shern, Mental Health America, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Shared Medical Decision Making: We're in This Together (Adobe Acrobat PDF), 2/14/2011
Event Summary: Event Summary (Word Document), 2/18/2011
Full Webcast/Podcast: Shared Medical Decision Making: We're in This Together

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Karen Merrikin Presentation (PowerPoint), 2/14/2011
Helen Darling Presentation (PowerPoint), 2/14/2011
David Shern Presentation (PowerPoint), 2/14/2011
Michael Barry Presentation (PowerPoint), 2/14/2011

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Getting the Most for Our Health Care Dollars: Shared Decision Making (Adobe Acrobat PDF), American Medical Association, 12/1/2010
Medical Treatment: Patients and Shared Decision Making (Word Document), U.S. News, 11/25/2009
- Sarah Baldauf
Evidence Based Medicine and Shared Decision Making: The Challenge of Getting Both Evidence and Preferences into Health Care (Adobe Acrobat PDF), Patient Education and Counseling, 12/1/2008
- Alexandra Barratt
Decision Aids for People Facing Health Treatment or Screening Decisions (Review) (Adobe Acrobat PDF), The Cochrane Collaboration, 7/8/2009
- Annette O'Connor
Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice (Adobe Acrobat PDF), Journal of Law, Medicine and Ethics, 3/1/2010
- Benjamin Moulton and Jaime S. King
H.R. 3590 Enrolled Bill signed into Law (Adobe Acrobat PDF), Foundation for Informed Medical Decision Making, 3/23/2010
Findings from a National Survey of Physicians (Adobe Acrobat PDF), Foundation for Informed Medical Decision Making, 2/1/2009
Rethinking Informed Consent: The Case for Shared Medical Decision Making (Adobe Acrobat PDF), American Journal of Law & Medicine, 12/1/2006
- Jaime S. King and Benjamin Moulton
The Potential of Shared Decision Making to Reduce Health Disparities (Adobe Acrobat PDF), Journal of Law, Medicine & Ethics, 2/14/2011
- Jaime S. King, Mark H. Eckman, and Benjamin Moulton
States Explore Shared Decision Making (Adobe Acrobat PDF), Journal of the American Medical Association, 6/24/2009
- Bridget M. Kuehn
Aligning Incentives in Medicare: Shared Decision Making and Its Implications for Medicare (Adobe Acrobat PDF), Medicare Payment Advisory Commission, 6/1/2010
Toward the ‘Tipping Point’: Decision Aids and Informed Patient Choice (Adobe Acrobat PDF), Health Affairs, 5/1/2007
-  Annette O’Connor, John Wennberg and France Legare
Quality of Care—How Good is Good Enough? (Adobe Acrobat PDF), Journal of the American Medical Association, 6/16/2010
- Harold Sox and Sheldon Greenfield
A Randomized Trial of a Telephone Care-Management Strategy (Adobe Acrobat PDF), New England Journal of Medicine, 9/23/2010
- David E. Wennberg
Agenda (Adobe Acrobat PDF), , 2/14/2011
Speaker Biographies (Word Document), , 2/14/2011
Materials List (Adobe Acrobat PDF), , 2/14/2011
Sourcelist (Adobe Acrobat PDF), , 2/14/2011
Event Summary (Word Document), , 2/18/2011
- Event Summary

Photos

Michael Barry, president of the Foundation for Informed Medical Decision Making, discusses the wisdom of medical decisions involving significant patient input. From the Feb. 14 briefing cosponsored by the foundation and the National Committee for Quality Assurance. (13 min.)

Karen Merrikin of Group Health Cooperative, based in Seattle, discusses how shared medical decision making between patient and health provider can reduce unneccessary treatment and increase patient satisfaction. From the Feb. 14 briefing cosponsored by the Foundation for Informed Medical Decision Making and the National Committee for Quality Assurance. (12 min.)

Helen Darling, president of the National Business Group on Health, offers the view of large employers about shared medical decision making between patient and provider. From the Feb. 14 briefing cosponsored by the Foundation for Informed Medical Decision Making and the National Committee for Quality Assurance. (11 min.)

David Shern, president and CEO of Mental Health America, discusses why shared medical decision making is so important to people with mental conditions. From the Feb. 14 briefing cosponsored by the Foundation for Informed Medical Decision Making and the National Committee for Quality Assurance. (12 min.)

 

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