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.

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

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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.