Features  |   October 2017
Improving the Quality of Shared Decision-making - How Anesthesiologists Can Add Value
Author Affiliations
  • Richard D. Urman, M.D., M.B.A., CPE, FASA
    Committee on Performance and Outcomes Measurement
Article Information
Education / CPD / Ethics / Medicolegal Issues / Geriatric Anesthesia / Palliative Care / End-of-Life Care / Practice Management / Quality Improvement / Features
Features   |   October 2017
Improving the Quality of Shared Decision-making - How Anesthesiologists Can Add Value
ASA Monitor 10 2017, Vol.81, 16-17.
ASA Monitor 10 2017, Vol.81, 16-17.
Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a proposal to reimburse providers for end-of-life counseling as part of advanced care planning. This was in response to a push to further engage patients, families and surrogates in their medical care decisions and improve overall access to these important services. Hopefully, this will encourage more perioperative providers to have difficult conversations with some of the most medically complex surgical patients undergoing high-risk procedures. Anesthesiologists, as perioperative care physicians, have an important role in shaping the future of surgical shared decision-making (SDM) – that is, helping patients reach an optimal decision about their care that takes into consideration the latest research, available options and the patient’s own values and preferences. Better incorporation of patient preferences should lead to improved patient experience, greater levels of engagement and less decisional conflict. In fact, a high-quality decision related to the appropriateness of care takes into consideration the best clinical evidence, qualified providers, an appropriate place to perform the procedure and a well-informed patient.
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