Health Dialog Connections

From Theory to Practice: Implementing Shared Decision Making

A patient consultation improved by shared decision making content

With the shift towards patient centered  care, it is now more important than ever for patients to become active partners in their healthcare with their physicians. Time and resource-constrained doctors are embracing new models for delivering and organizing care, particularly as physician compensation is increasingly value-based. Initiatives that increase collaboration between physicians and patients through Shared Decision Making are critical to moving forward.

Patient-centered models of care, such as Patient Centered Medical Home (PCMH), can use Shared Decision Making as a tool to leverage the most important foundation of the doctor-patient relationship – establishing trust. With pressure continuing to build on doctors, Shared Decision Making in the context of the medical home allows them to sustain these relationships in a more efficient way. Through Shared Decision Making patients become more engaged and more satisfied with their care, the quality and efficiency of office visits improves, and the practice can differentiate quality, informed consent, and value-based decision making.

When delivering Shared Decision Making at the point of care, the results speak for themselves.

Lower Utilization

  • 11.5% reduction in hospital admissions for patients with preference-sensitive conditions
  • 9.8% reduction in inpatient and outpatient preference-sensitive surgeries

Reduced Costs

  • 13-16% reduction in medical costs associated with preference-sensitive conditions
  • Up to a 2.5% reduction in total medical costs

High Patient Satisfaction and Knowledge

  • 94% of patients who viewed a decision aid would recommend the aids to family and friends
  • 99% of patients who viewed a decision aid said they understood the information presented
  • 96% of patients who viewed a decision aid said the aid contained useful condition information

High Patient Engagement

Patient participation rate of 95%, greater than 6% percentage higher than next highest competitor, according to a CMS report to Congress.

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