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Tools for promoting assessment and reflection on Shared Decision Making

Tools for promoting assessment and reflection on Shared Decision Making. Dr. Amy Lloyd and Professor Adrian Edwards. Aims and overview. Aims of session Learn more about how to do SDM Learn more about some of the tools available for assessing SDM Explore the challenges of assessing SDM

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Tools for promoting assessment and reflection on Shared Decision Making

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  1. Tools for promoting assessment and reflection on Shared Decision Making Dr. Amy Lloyd and Professor Adrian Edwards

  2. Aims and overview • Aims of session • Learn more about how to do SDM • Learn more about some of the tools available for assessing SDM • Explore the challenges of assessing SDM • Overview • Making Good Decisions in Collaboration (MAGIC) • SDM model for clinical practice • Using tools (SureScore and CollaboRATE) to assess consultations • Discussion

  3. Five year Shared Decision Making (SDM) implementation programme in primary and secondary care, across sites in Cardiff and Newcastle: • Phase I(Aug 2010 – Jan 2012) focused on developing and testing of interventions to promote SDM, using QI methodology: • SDM skills training package • Brief decision support tools (Option Grids/BDAs), • Decision specific Decision Quality Measures (DQMs) • Patient activation campaign (‘Ask 3 Questions’). • Phase II (Feb 2012 – Oct 2013) focused on the wider dissemination, implementation and sustainability of the SDM interventions in clinical practice. • Phase III (Dec 2013 – Nov 2015) aims to evaluate implementation phases by exploring the nature, process and perceived outcomes of SDM encounters from the patient perspective.

  4. MAGIC – SDM model for clinical practice 4

  5. Tools for assessing SDM - SureScore

  6. Tools for asessing SDM - CollaboRATE

  7. Take a look

  8. Discussion • Pair up with someone who used a different assessment tool and discuss the following: • What skills did you observe? • Did the assessment tool capture all of the skills you observed? • How do the assessment tools compare? • What skills are the skills you want to teach? • What other skills would you want to see? • Can you use these scales for aiding teaching/learning/reflection with undergraduate students? • What is needed next?

  9. Key learning • Tools for promoting assessment and reflection on SDM • Assessment and reflection is cornerstone of SDM implementation • SDM model can help to define elements of SDM • Developing effective tools for assessment remains challenging

  10. Thank you! Adrian Edwards edwardsag@cardiff.ac.uk Amy Lloyd lloyda1@cardiff.ac.uk

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