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.
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Turning Shared Decision Making Policy into a Reality: Can We Really Improve the Quality of Care While Reducing Costs?
1. Turning Shared Decision Making
Policy into a Reality
Can We Really Improve the Quality of Care While Reducing Costs?
Ben Moulton
Senior Legal Advisor
March 20, 2013
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
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4. Key Aspects of ACA Legislation
Priority - preference sensitive care
1. Produce patient decision aids
2. Set quality standards & certify decision aids
3. Create Shared Decision Making Resource Centers
4. Provider development, use and assessment of SDM
techniques using certified decision aids
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5. Section 3021 CMS Innovation Center
• Test innovative payment models to reduce expenditures and
to enhance quality of care.
• 18 different models
9) “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”
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6. Arterburn D, Wellman R, Westbrook E, et al.
Introducing decision aids at Group Health was
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linked to sharply lower hip and knee surgery rates
and costs. Health Aff. 2012 Sept;31(9):2094-104.
7. Veroff D, Marr A, Wennberg DE. Enhanced support
for shared decision making reduced costs of care
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for patients with preference-sensitive conditions.
Health Aff. 2013 Feb;32(3):285-93.