WA Shared Decision Making/Patient Decision Aid ... - AcademyHealth

WA Shared Decision Making/Patient Decision Aid
(SDM/PDA) Collaborative
The WA Shared Decision Making/Patient Decision Aid Collaborative is convened by the
WA Health Care Authority to promote the effective use of shared decision making
processes and patient decision aids through demonstration projects, public/private
partnerships, and collaborative resource development.
SDM/PDA Collaborative Members: Identify, coordinate, and share WA SDM/PDA
activities and resources; and related national activities; develop criteria and framework for
WA’s legislative demonstration project; demonstration site support; forum for information
exchange and partnership development; reduce duplicative efforts; provide expertise,
best practices, samples, and resources.
SDM/PDA Collaborative Benefits:
• learn about Shared Decision Making, Patient decision aids
• WA SDM/PDA activities and WA SDM demonstration site benefits and criteria
• SDM/PDA Resource exchange
Current Products:
• WA SDM/PDA Collaborative Charter
• Resource List
• Project Summary and Demonstration Criteria
• Annual Report (Under development)
Contact: Leah Hole-Curry (360)923-2748
Leah.hole-curry@hca.wa.gov
Location: Group Health Cooperative, 320 Westlake Ave. North, Seattle
Time: Third Monday from 10 am – noon
Meeting schedule
January 12 th February 9 th March 16 th
April 20 th May 18 th J une 15 th July 20 th
Participants: WA HCA; University of Washington, Group Health Cooperative, Puget
Sound Health Alliance, Washington State Medical Association, Virginia
Mason medical clinic, Everett Clinic, Multicare, Carol Milgard Breast Center,
Other providers, individuals, insurers, and health policy organizations
SDM/WA Shared Decision Making collaborativePage 1

WA PDA/SDM Collaborative 1/2008
Candidates of Shared Priority for Shared Decision Aid Demonstration Topics
Condition /
Treatment / Therapy
1 Enlarged Prostate - Benign
Prostatic Hyperplasia (BPH) 4 /
Transurethral Resection, PSA
2 Breast Cancer / Mastectomy
Variation in WA 1 /
Dartmouth Atlas 2
Significant variation, from low
to high
Patient
Decision Aid 3
FIMDM
Mayo Clinic
FIMDM
Several Others
FIMDM
Being revised
Significant Variation
3 Coronary Artery Disease / CABG –
Bypass Graft (CABG) / Substantial variation /
Angioplasty (PTCA)
Moderate variation
PTCA –
Substantial Variation /
Significant variation
4 Severe Back Pain or Damage / Back Surgery –
FIMDM
Back Surgery 4 / Orthopedics or Significant Variation
Mayo Clinic
Chiropractic (common low back Orthopedics - Probable high
focus)
variation, particularly for
imaging, not in DA data base
5 Severe Knee Damage or Substantial variation /
FIMDM
Knee Replacement 4
Osteoarthritis /
High Variation
Healthwise
6 Severe Hip Damage or No significant variation 5 /
FIMDM
Hip Replacement 4
Osteoarthritis /
Particularly High Variation Healthwise
7 Severe Obesity /
Likely no data
FIMDM
Bariatric Surgery
Healthwise
8 Colorectal Cancer / Screening 4 FIMDM
Mayo Clinic
Healthwise
Alliance
Priority
No
No
Yes,
Heart
Disease
Yes, Low
Back Pain
No
No
No
Yes
State Agency /
HTA Topic /
Volume
Yes - PTCA
Yes, Back
Surgery – HTA
Review /
Spinal Fusion
Yes
Yes
Yes – HTA
Review
9 Pulmonary Sleep Apnea No Healthwise No Yes
10 Depression No Measures FIMDM Yes
Healthwise
11 Symptomatic Gallstones /
Substantial Variation / Healthwise No
Cholecystectomy
Significant variation
12 Reproductive system, cancer / Substantial Variation / FIMDM No
Hysterectomy
Significant variation Healthwise
13 Child Birth / Cesarean Section No
14 Hearing loss, fluid behind
No
eardrum/ tubes
15 Appendicitis/Appendectomy Marginal variation
No
Moderate variation
16 Tonsillitis / Tonsillectomy No variation No
17 Impaired breathing, chronic
infections or earaches /
Adenoidectomy
No
SDM/WA Shared Decision Making collaborativePage 2