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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-chronic-care.html
September 01, 2020 - , and our goal is to help motivate the patient toward that choice. … The classic SDM adolescent case is contraceptive choice—a perfect example of preference-sensitive care … Sometimes staff does get fatigued in this process and fall back on "well, this is the patient's choice … ," even if the choice is not evidence based or well informed. … There may well be reasons for the patient's choice that are outside the boundaries of what is best from
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/4_zoe_vecchio_and_sandra_schultz.pdf
February 11, 2015 - Manager of Customer Service
Zoë Vecchio
Director of Service Excellence
49
Agenda
1.CHOC’s choice … to transition to Child HCAHPS
2.Our approach to physician engagement
50
CHOC’s choice to transition … CAHPS Webcast
Agenda
CHOC’s Choice to Transition to Child HCAHPS
Our Approach to Physician Engagement
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2a.html
June 01, 2010 - Opportunity To Make Choices About Providers
Measure
Source
Notes
Choice in staff … Items specific to provider choice included in survey. … Choice and control over personal assistance services (several items, including items specific to choice … in home: 2 measures (overall choice and choice of roommates in congregate settings)
Participant … in more than one area; consumer survey includes specific items related to housing and roommate choice
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - This is not a great choice for this situation. … This is a good empiric choice. … This is also a good choice. There is no cross-reactivity with penicillin. … Meropenem is a possible choice, but it would require an IV. … This is a good choice with a relatively low adverse event profile.
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?order=field_supplemental_topics&page=9&search_api_fulltext=&sort=desc
N-SDM4
Doctor asked patient for his/her opinion about each cancer treatment choice … N-SDM5
Doctor talked about reasons patient might want each cancer treatment choice … N-SDM6
Doctor talked about reasons patient might not want each cancer treatment choice … Shared decision making
N-SDM7
Doctor asked patient what cancer treatment choice
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ce.effectivehealthcare.ahrq.gov/cahps/consumer-reporting/guidelines/distribution/index.html
March 01, 2016 - Environment for Choice
What are the circumstances under which people are making a choice? … For example, while patients may have a choice of hospitals, this choice is typically constrained by both … Do they have to make a choice?
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ce.effectivehealthcare.ahrq.gov/data/apcd/envscan/findings.html
July 01, 2022 - Measures That Support Choice
Choice measures might be used by consumers choosing a new primary care … Using shoppable measures
Several characteristics describe measures to support choice. … Using the lens of consumer choice of PCP, some measures become lower priority. … measures that support choice, the types of cost and price data available for choice are important. … Choice measures and negotiation measures differ in terms of relevant levels of comparison.
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?page=23
April 24, 2024 - N-SDM5
Doctor talked about reasons patient might want each cancer treatment choice … N-SDM6
Doctor talked about reasons patient might not want each cancer treatment choice … Shared decision making
N-SDM7
Doctor asked patient what cancer treatment choice
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2b.html
June 01, 2010 - Evidence
Populations
Feasibility
Prevalence
Total Score
Notes
Choice … 16
Measure includes choices in several areas, not just providers. � Items specific to provider choice … developmental disabilities—survey developed with peer input using CMS Systems Change funding
Choice … in home: 2 measures (overall choice and choice of roommates in congregate settings)
Participant … in more than one area; consumer survey includes specific items related to housing and roommate choice
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-sdm-english-557-5a.docx
March 07, 2017 - doctor or other health care professional at this cancer center clearly explain the advantages of each choice … doctor or other health care professional at this cancer center clearly explain the disadvantages of each choice … did a doctor or other health care professional at this cancer center ask for your opinion about each choice
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sdmwebinar1209-slides.pdf
December 09, 2015 - Let’s
work together so we can find a choice that’s right for you.” … No clear choice from a health perspective
(equipoise)
Potential overuse (e.g. antibiotics for … First steps: acknowledge equipoise or uncertainty, identify
trade-offs between options, and offer choice … by ~3 minutes
Reduce decisional conflict by ~6%
Reduce % undecided by 40%
No consistent effect on choice … Statin choice
Summary of experience
Socio-demographic impact of DAs
Slide Number 77
Slide Number
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ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/item-sets/search.html?page=22
May 02, 2024 - making
N-SDM2
Doctor explained the advantages of each cancer treatment choice … N-SDM3
Doctor explained the disadvantages of each cancer treatment choice … N-SDM4
Doctor asked patient for his/her opinion about each cancer treatment choice
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/index.html
January 01, 2024 - AHRQ's Making Informed Consent an Informed Choice: Training Modules for Health Care Leaders and Professionals … The two interactive training modules— AHRQ's Making Informed Consent an Informed Choice: Training … clinical teams can use to ensure that people understand their alternatives and help them make an informed choice
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ce.effectivehealthcare.ahrq.gov/data/apcd/backgroundrpt/review.html
July 01, 2022 - Ultimately, an informed decision was made to not integrate consumer choice into the measure inventory … a framework presented by the project team, which organized measures by three functions of measures: choice … Integrating use (such as the Choice, Negotiation, Accountability framework) and audience. … For instance, the purpose of performance reporting (e.g., for choice, negotiation, or accountability) … consumer choice of providers, then a cost measure that only shows the average insurance reimbursement
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/measures-cancer-509.pdf
January 01, 2005 - patients if their cancer care doctors explained the advantages and disadvantages
of each treatment choice … , talked about the reasons patients might want or not want each treatment
choice, involved patients … choice
SDM5 Doctor talked about reasons patient might want each cancer
treatment choice
SDM6 Doctor … talked about reasons patient might not want each cancer
treatment choice
SDM7 Doctor asked patient … what cancer treatment choice was best for
him/her
SDM8 Doctor involved patient in cancer treatment
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - 2,3
Antibiotic Decision Reason
Ciprofloxacin
Not a great choice for this situation. … Cephalexin Not a great choice for this situation. … Nitrofurantoin Great choice for this situation. … Trimethoprim-sulfamethoxazole (TMP-SMX) Great choice for this situation. … narrow-spectrum antibiotic based on cultures to treat UTIs
Fluoroquinolones should be avoided as an empiric choice
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sharewebinar716-slides.pptx
January 01, 2017 - treatment choices and for other preference-sensitive choices frequently faced by aging veterans (e.g., choice … Utilized most effectively in evidence-based decision making when evidence is abundant and ‘choice’ is … Appreciates that no decision is a choice. … Doing nothing is a choice. … Care team acceptance of veteran choice(s).
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ce.effectivehealthcare.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - Availability and Degree of Choice
One thing you will need to determine is whether your audience has … For example, do the consumers in your audience perceive that they have a choice among the multiple hospitals … For instance, some segments may have no choice among health plans or providers, while others have several
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/sharewebinar716-slides.pdf
January 01, 2017 - treatment choices and for other preference-
sensitive choices frequently faced by aging veterans (e.g.,
choice … • Utilized most effectively in evidence-based
decision making when evidence is abundant and
‘choice … • SDM:
Acknowledges and embraces patient autonomy.
Appreciates that no decision is a choice.
… • Doing nothing is a choice. … Completion rate of advance directives.
• Veteran aging-in-place.
• Care team acceptance of veteran choice
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Program for ICUs: Preventing CLABSI and CAUTI
CVC Appropriateness ׀ 4
4
Examples of Indications & Choice … required <14 days
CVC & PICC preferred if patient hemodynamically unstable or receiving vasopressors
Choice … lines
Peripherally Compatible Infusate
Peripherally Incompatible Infusate
Length & type of therapy
Choice … Subclavian
Femoral
Internal Jugular
Evidence for Site Selection9
Complications in the Three-Choice