Choose a Shared Decision-Making Approach
Spend some time evaluating your goals and organizational readiness for choosing between these two potential implementation approaches:
ONE: If your goal is to change the basic way that health care teams and patients interact with each other and use shared decision-making as a way to identify and address any decisional conflict, then you will want to take a broader approach to choosing a framework that can be used in any situation.
A Broader Approach:The ICSI Conversation Model
TWO: If your goal is to start smaller by engaging a health care team to pilot a project that impacts a particular preference sensitive condition, then focusing on developing a clinical process specific to that condition may be best.
Tip:Your approach may depend on which strategies have worked in the past to effect change within your organization. Might you be more successful with a smaller scale project that can show results quickly, or will it work better to present this as a more in-depth effort to change your organization’s culture?
Top 5 Preference Sensitive Conditions for Shared Decision-Making:
- Breast cancer
- Hip treatment
- Knee treatment
- Lower back pain
- Prostate cancer