November 8, 2016 | Tags: Blog | Tags: Care Coordination , Patient Decision , Care Management
Patients and clinicians have many complicated decisions to make, but information about the potential benefits and harms of diagnostic tests and treatments is often unclear or inaccessible. The trade-offs between options will vary in importance according to individual values and preferences. Patient decision support tools aid people in making evidence-based and value-congruent decisions in the face of uncertainty and facilitate decision-making conversations between patients and their health care providers.
Oregon Health & Science University’s Center for Evidence-based Policy (the Center), in collaboration with the Oregon Health Authority (OHA) Transformation Center, have created an online resource for the use of patient decision support tools. OHA wants to ensure that evidence-based patient decision support tools are available to Oregon’s CCOs, commercial payers, and providers as part of broader health system transformation efforts in Oregon. OHA believes that effective patient decision support tools can support the delivery of patient-centered, clinically effective, high-value care. To assist in the adoption of patient decision support tools, OHA contracted with the Center to create a toolkit for providers and policymakers. The Center reviewed evidence and conducted a needs assessment on the adoption, promotion, and implementation of patient decision support tools with CCO medical directors, commercial payers, and providers to inform development of the toolkit. The Center also identified best practices to encourage the use of patient decision support tools at the point of care.
This new resource – the Patient Decision Support Toolkit – will help providers support their patients, and includes information on when tools such as decision aids should be used, how they should be used, and with whom. The website is intended to assist coordinated care organizations (CCOs), commercial payers, and providers in promoting the use of patient decision support tools. CCOs and other payers can use the new website to promote the best use of the tools among clinicians, including ways of engaging patients and disseminating tools to medical practices. Individual practices will find valuable information to assist with the use of patient decision support tools in their practices.
Adam Obley, MD is a Clinical Epidemiologist at the Center for Evidence-based Policy where he works on a wide variety projects applying clinical and health services research to policy development. He is an academic general internist at Oregon Health & Science University (OHSU) where he is Assistant Professor of Medicine and a staff physician at the Portland VA Medical Center. He continues to see patients in the inpatient and outpatient settings at the Portland VA Medical Center. His research interests are in medical education (particularly at the intersection of evidence-based medicine, clinical reasoning, and high-value cost conscious care), and physician workforce issues. He teaches clinical epidemiology to medical students and residents, and also teaches principles of clinical medicine in the pre-clinical medical school curriculum. Dr. Obley graduated from the University of Kansas School of Medicine and completed his residency in internal medicine at OHSU where he also served as Chief Resident.