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04/13/2018

Development and Certification of Decision Aids: Promoting Shared Decision-Making for Patients with Serious Illness

I leave Harvard Medical School and beautifully warm Boston, today, for the blowing snow of Minnesota. But I will be back Wednesday for “The Development and Certification of Decision Aids: Promoting Shared Decision-Making for Patients with Serious Illness.” Join me on April 18 at Harvard Law School.


Decision aids can be highly-effective tools to promote shared decision making and support patients in becoming engaged participants in their healthcare. Join us for the first-ever convening with leaders behind a Washington experiment in certifying decision aids, as state officials, health systems, and on-the-ground implementation experts share lessons learned and discuss policy recommendations for national or statewide approaches to decision aid certification.  


This event is part of the Project for Advanced Care and Health Policy, a collaboration between the Petrie-Flom Center and the Coalition to Transform Advanced Care (C-TAC), a non-partisan, non-profit alliance of over 130 national organizations dedicated to being a catalyst to change the health delivery system, empower consumers, enhance provider capacity and improve public and private policies in advanced illness care.


Program Overview
Person-centered care presents a unique opportunity to achieve the Quadruple Aim, especially during serious illness when people are the most vulnerable. Building on the work of NQF and others, it is now clear that healthcare purchasers (states, plans, care providers) committed to person-centered care should also be committed to shared decision-making.


A number of policy initiatives have sought to increase the use of decision aids as an effective way to further shared decision making and person-centered care. 


Washington is the first – and so far only – state to recognize and act on this opportunity by establishing a process to certify decision aids across the health continuum, including during serious illness when people are the most vulnerable. The program will examine the Washington experience and also explore policy barriers for replication of the Washington model at the state and national levels.


Program Schedule

8:00 – 8:30am 
Registration


8:30 – 8:35am
Welcome Remarks
Mark Sterling, Senior Fellow in Advanced Care and Health Policy, the Petrie-Flom Center and senior strategic advisor, the Coalition to Transform Advanced Care (C-TAC)
Carmel Shachar, Executive Director, the Petrie-Flom Center and Lecturer on Law, Harvard Law School


8:35 – 9:35am
Theory and Knowledge Regarding Decision Aids
Speakers will present an overview of the state of the science.
Glyn Elwyn, MD, PhD, Professor and Senior Scientist, The Dartmouth Institute for Health Policy & Clinical Practice
Dominick Frosch, PhD, Palo Alto Medical Foundation Research Institute
Dawn Stacey, MScH, PhD, University of Ottawa


9:35 – 10:35am
The Washington State Experience
Panelists will discuss the use of legislation and policy to promote shared decision-making and utilization of decision aids.
Karen Merrikin, JD, Project Consultant, Washington State Health Care Authority
Ben Moulton, JD, MPH, Adjunct Lecturer, Harvard T. H. Chan School of Public Health and Boston University School of Law 
Thaddeus Mason Pope, JD, PhD, Director, Health Law Institute and Professor of Law, Mitchell Hamline School of Law


10:35 – 10:45am
Break


10:45 – 11:45am
The Creation of a Decision Aid Certification Process
A representative from the Washington State Health Care Authority Patient Decision Aid Certification committee will discuss the development of a statewide decision aid certification program, experiences, challenges, and barriers.
Laura Pennington, Practice Transformation Manager, Washington State Health Care Authority


11:45am – 12:30pm
Shared Decision-Making Implementation: What Do We Know?
This session will address lessons learned from the field, including how one health system successfully implemented shared decision-making, changing the culture of their practice; the challenges they encountered along the way; and where they are today.
Matt Handley, MD, Senior Medical Director for Quality and Safety, Kaiser Permanente of Washington


12:30 – 1:30pm
Lunch and Networking


1:30 – 2:15pm
How Decision Aids Can Promote Person-Centered Care for Serious Illness
Panelists will introduce the Respecting Choices approach to the creation and utilization of encounter decision aids to promote shared decision-making.
Linda Briggs, MSN, MA, RN, Director of Program Development & Research, Respecting Choices, a division of C-TAC Innovations
Sandy Schellinger, MSN, RN, NP-C, Senior Faculty and Consultant, Respecting Choices, a division of C-TAC Innovations


2:15 – 3:30pm
Next Steps: Moving from Science and Policy to Practice
A Call to Action: Building on the Washington state experience, this panel discussion and interactive session explores how key partners can work together to allow decision aids to accelerate the move of shared decision-making into the mainstream of clinical practice, and recommends policies that can overcome barriers to replication in other states and nationally.
Thaddeus Mason Pope, JD, PhD, Director, Health Law Institute and Professor of Law, Mitchell Hamline School of Law
Glyn Elwyn, MD, PhD, Professor and Senior Scientist, The Dartmouth Institute for Health Policy & Clinical Practice
Christopher F. Koller, President, Milbank Memorial Fund
Laura Pennington, Practice Transformation Manager, Washington State Health Care Authority
Facilitator: Karen Merrikin, JD, Project Consultant, Washington State Health Care Authority


3:30 – 4:30pm
Networking Reception

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