{"id":5841,"date":"2019-09-23T15:07:32","date_gmt":"2019-09-23T15:07:32","guid":{"rendered":"http:\/\/www.breecollaborative.org\/?p=5841"},"modified":"2019-09-23T15:07:32","modified_gmt":"2019-09-23T15:07:32","slug":"sdm-palcare","status":"publish","type":"post","link":"https:\/\/www.qualityhealth.org\/bree\/2019\/09\/23\/sdm-palcare\/","title":{"rendered":"Public Comment Request: Shared Decision Making and Palliative Care"},"content":{"rendered":"<hr \/>\n<p>&nbsp;<\/p>\n<p>We want your feedback on our draft <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Recommendations-Shared-Decision-Making-Draft-19-0919.pdf\">Shared Decision Making Report and Recommendations<\/a> and <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Palliative-Care-draft-recommendations-DRAFT-19-0919.pdf\">Palliative Care Report and Recommendations<\/a>. For both drafts, feedback must be received by <em><strong>5pm\u00a0Friday, October 18<sup>th<\/sup><\/strong><\/em><strong><em>.<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Shared Decision Making<\/strong><\/p>\n<p><a class=\"button\" href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Recommendations-Shared-Decision-Making-Draft-19-0919.pdf\">Read our Shared Decision Making Report and Recommendations<\/a><\/p>\n<p><a class=\"button\" href=\"https:\/\/www.surveymonkey.com\/r\/bree-shared-decision-making\">Take the survey<\/a><\/p>\n<p>Shared decision making is a key component of patient-centered care, defined by the Washington State Health Care Authority as \u201c<em>a process that allows patients and their providers to make health care decisions together, taking into account the best scientific evidence available, as well as the patient\u2019s values and preferences<\/em>.\u201d Our goal is statewide movement toward greater use of shared decision making in clinical practice at a care delivery site and organizational level framed through four focus areas:<\/p>\n<ul>\n<li>&#8211; A common understanding and shared definition of shared decision making and the benefit of shared decision making<\/li>\n<li>&#8211; Ten priority areas as an initial focus for the health care community<\/li>\n<li>&#8211; Highly reliable implementation using an existing framework customized to an individual organization<\/li>\n<li>&#8211; Documentation, coding, and reimbursement structure to support broad use<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Palliative Care<br \/>\n<\/strong><a class=\"button\" href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Palliative-Care-draft-recommendations-DRAFT-19-0919.pdf\">Read our Palliative Care Report and Recommendations<\/a><\/p>\n<p><a class=\"button\" href=\"http:\/\/www.surveymonkey.com\/r\/bree-palliative-care\">Take the survey<\/a><\/p>\n<p>People with serious or advanced illness often experience increases in symptoms coupled with a decrease in function. Traditional life-prolonging or curative care often does not meet a person\u2019s range of needs as illness progresses. Our group developed the following focus areas to increase accessibility and quality of palliative care:<\/p>\n<ul>\n<li>&#8211; Defining palliative care using the standard definition developed by the National Consensus Project including appropriateness of primary and specialty palliative care.<\/li>\n<li>&#8211; Spreading awareness of palliative care.<\/li>\n<li>&#8211; Clinical best practice provision of palliative that is:\n<ul>\n<li>* Responsive to local cultural needs,<\/li>\n<li>*\u00a0Includes advance care planning as outlined in the 2014 Bree Collaborative <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2014\/11\/EOL-Care-Final-Report.pdf\">End-of-Life Care Report and Recommendations<\/a> including appropriateness of an advance directive and Physician Orders for Life-Sustaining Treatment (POLST), and<\/li>\n<li>* Incorporates goals of care conversations into the medical record and plan of care.<\/li>\n<\/ul>\n<\/li>\n<li>&#8211; Availability of palliative care through revision of benefit structure such as a per member per month (PMPM) benefit.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>For more information or to give additional feedback, please contact Ginny Weir, Director of the Bree Collaborative at <a href=\"mailto:GWeir@qualityhealth.org\">GWeir@qualityhealth.org<\/a> or (206) 204-7377 or visit <a href=\"http:\/\/www.breecollaborative.org\">www.breecollaborative.org<\/a><\/p>\n<p><em>Thank you for your participation in this effort to improve health care quality, outcomes, and affordability in Washington State.<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"&nbsp; We want your feedback on our draft Shared Decision Making Report and Recommendations and Palliative Care Report and Recommendations. For both drafts, feedback must be received by 5pm\u00a0Friday, October&#8230;","protected":false},"author":88,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5841","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/5841","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/users\/88"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=5841"}],"version-history":[{"count":0,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/5841\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=5841"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/categories?post=5841"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/tags?post=5841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}