Implementation Toolkit

Shared decision making (SDM) is a conversation by which patients and clinicians figure out what to do to respond to the patient’s problematic situation. SDM tools are designed to support those conversations. Here are a few resources to help implement their use in practice.

Formal toolkits

• Statin Choice toolkit
• Chest Pain Choice toolkit (under construction)
• ICAN implementation toolkit

Journal Clubs

Journal club-type activities suitable for a 20-40 minute lunch session or after hours get together. Kits include a case, supporting literature, presentation material, and discussion guides focused on the four decision aids available:

• Cardiovascular Primary Prevention Choice
  • CASE 1 with slides
  • CASE 2 with link
  • Helping Patients With Type 2 Diabetes Mellitus Make Treatment Decisions
  • Reinitiation of Statins After Statin-Associated Musculoskeletal Symptoms A Patient Centered Approach
  • Should Clinicians Deliver Decision Aids Further Exploration of the Statin Choice Randomized Trial
  • Statin_absolute risk_new guidelines_decisionaid1
• Depression Medication Choice
  • AHRQ Clinician summary
  • Depression JC
  • ICSI Depression
• Diabetes Medications Choice
• Osteoporosis Choice
• Osteoporosis trial report for discussion

Brief Presentations

Slide shows available to review with your colleagues and leadership.  voice-over version available for download either to train the trainer or to share in with audience (ensure computer is connected to speakers for best results).

• Very brief (about 15 minutes, 15 slides)
• Brief (about 20 minutes, 21 slides)
• A 4-minute video explanation of shared decision making
• A 4-minute interview video explanation  about shared decision making (part 1); and a part 2 (produced by IHI Open School)

Testimonials

Unscripted statements by clinician and patients who have experience with the shared decision making tools. To be incorporated into presentations (participants have provided authorization for the public use of these videos).

•  Clinicians
  • General internist
  • Family medicine doctor
  • Primary care internist
  • Internist using depression cards
• Patient
  • Shared decision making with a specialist
  • Shared decision making as involvement in care and self care
  • Shared decision making and diabetes

Scientific publications

• Cardiovascular Primary Prevention Choice
• Depression Medications Choice
• Diabetes Medications Choice
• Osteoporosis Choice