Mark your calendars now for New Tools and Thinking for Shared Decision Making
If you work in primary care today, odds are good that you’re seeing patients with multiple chronic conditions. Individuals with combinations of diabetes, high blood pressure, arthritis, and depression are rapidly becoming the norm in outpatient offices and clinics. And even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health, the best-laid plans often fall apart. Labeling patients “noncompliant” has been a tempting response but, many argue, is pejorative and tends to obscure what’s really going on – especially if one starts to better appreciate the unique and day-to-day burdens of being a patient with chronic disease. That’s why we hope you’ll join us for the January 28 WIHI: New Tools and Thinking for Shared Decision Making.
There’s a lot of work underway on multiple fronts to advance shared decision making, but one of the freshest, most innovative voices is that of Dr. Victor Montori, who will head up the WIHI discussion. Dr. Montori, who’s already carved out the idea and practice of Minimally Disruptive Medicine, still wants to provoke. He talks about the need for a patient revolution and says “health care has to compete with life.” And “life” in the case of a patient can mean anything from not being able to afford medications, to not having the time to take them, to not being able to focus on one’s own health because of stresses at home or another family member’s health crisis.
Dr. Montori is bringing along some members of Mayo’s Knowledge and Evaluation Research Unit to the WIHI. Dave Paul will help us understand what in particular about his and other patients’ daily lives should matter more to shared decision making. Kasey Boehmer will describe a tool she’s spearheading that better assesses and appreciates a patient’s capacity and context for dealing with any chronic health problem. Finally, IHI’s own Andrea Kabcenell will draw connections between shared decision making around chronic disease and broadening goals around population health, both of which are impacted by a patient’s social and economic circumstances.
I can’t think of a better way to spend an hour on WIHI than to hear from Dr. Victor Montori about what we need to better appreciate about patients’ lives. Join me on January 28th!