Demonstration Sites

Shared Decision Making

The Informed Medical Decisions Foundation supports research projects on shared decision making (SDM) at both primary and specialty care demonstration sites across the United States. Demonstration sites are vitally important for learning how to overcome barriers to successful implementation of SDM in real world clinical settings.

Additionally, we facilitate a learning community, provide patient surveys to help evaluate the decision aids (DAs) and their impacts, provide access to a secure online data warehouse to capture patient survey data, and perform data analyses on survey process measures.

The Learning Collaborative

By design, the primary care demonstration sites consist of a varied group of provider organizations serving a diverse population of patients.

Some sites are affiliated with large academic medical centers, while others are independent community practices. Both urban and rural sites, across a wide geography, are represented.

The Foundation facilitates monthly calls with the learning collaborative during which ideas are exchanged, and challenges and successes shared. These organizations have participated as members of the learning collaborative for at least the past two and a half years.

Demo Sites Reunion 2012

Members of our demonstration site learning collaborative gathered in June 2012 to share their implementation strategies.

Demonstration Sites

Dartmouth-Hitchcock Medical Center


Dartmouth-Hitchcock Medical Center (DHMC) is comprised of physicians, specialists and other providers working together at different locations to meet the health care needs of patients in northern New England. The Center for Shared Decision Making (CSDM) at DHMC, opened its doors in 1999 as the first center in the U.S. to be dedicated to shared decision making, and became a Foundation funded primary and specialty care demonstration site at that time. True pioneers in the shared decision making arena, DHMC continues to perfect the process of providing access to decision aids and decision support to patients as a routine process of care. Continue reading

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MaineHealth is a nonprofit, integrated health system providing a range of care from prevention and health maintenance through tertiary services, rehabilitation, chronic care and long-term care. The health system serves three quarters of the state’s population. MaineHealth became a Foundation funded demonstration site in 2009 in order to better achieve its goal of achieving excellence in clinical care, patient safety, education and research. Continue reading

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Massachusetts General Hospital


Massachusetts General Hospital (MGH) is the third oldest general hospital in the United States and the oldest and largest hospital in New England. MGH oversees 15 adult primary care practices, including community health centers in Boston and the surrounding communities that collectively provide care for over 200,000 patients. MGH became a Foundation funded demonstration site in 2006 in order to better serve the hundreds of thousands of patients they see each year. Continue reading

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Mercy Clinics, Inc.

Mercy Clinics, Inc.

Mercy Clinics is a subsidiary of Mercy Medical Center-Catholic Health Initiatives located in metro Des Moines, Iowa and includes over 40 primary care and specialty care clinics. All members of Mercy Medical Center strive for reverence, integrity, compassion and excellence in actively serving the unique and diverse needs of its patients. Mercy Clinics became a Foundation funded demonstration site in 2009 in order to expand upon their philosophy that it takes a proactive and prepared team to effectively provide high quality chronic care to their patients. Continue reading

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National Nursing Centers Consortium


The National Nursing Centers Consortium (NNCC) supports nurse-led care and nurses at the front lines of care. Because of their education and their community connections, advanced practice nurses today are able to deliver high quality and cost-effective services to our most vulnerable populations, the poor and the uninsured. Our member health clinics, run by nurse practitioners, demonstrate this by providing community-based care that is sensitive to patient needs and concerns. NNCC works to help member health clinics meet the costs of providing care to the uninsured and underinsured. NNCC provides expertise to support comprehensive, community-based primary care. Comprehensive primary care goes beyond a provider visit. NNCC takes the lead in developing and running community programs, in partnership with member clinics, which help people lead healthier and safer lives. These programs help avert future health problems and keep healthcare costs from rising further. Continue reading

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Oregon Rural Practice-based Research Network


The Oregon Rural Practice-based Research Network (ORPRN) is a statewide network of rural primary care clinicians working to improve health care through community and practice-based clinical research. Headquartered in Portland, OR, the network also has regional Practice Enhancement and Research Coordinators (PERCs) across the state, that live and work in these rural communities. Currently the ORPRN primary care clinics serve 240,000 patients. ORPRN became a Foundation funded demonstration site in 2009 in order to gauge the attitudes and knowledge of their health care providers on shared decision making (SDM) and to then study the impact and acceptability of decision aid use on a variety of levels. Continue reading

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Palo Alto Medical Foundation


The Palo Alto Medical Foundation (PAMF) is a nonprofit health care organization and a pioneer in multispecialty group practice of medicine. PAMF is a member of Sutter Health, a family of hospitals and physician organizations serving more than 100 communities in Northern California. After merging with two other divisions under the PAMF name, the organization employs more than 1,000 physicians and serves more than 700,000 patients. PAMF became a Foundation funded demonstration site in 2009 in order to build a sustainable model to promote shared decision making (SDM) and use of decision aids (DAs). Continue reading

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Stillwater Medical Group


A member of Lakeview Health System, Stillwater Medical Group is a multi-specialty group practice serving Minnesota’s beautiful St. Croix Valley and western Wisconsin. Stillwater Medical Group seeks to provide patient-centered and compassionate care to the tens of thousands of patients the group encounters every year. With the goal of system-wide implementation of shared decision making for a wide variety of conditions, Stillwater Medical Group became a Foundation funded demonstration site in 2009. Stillwater Medical Group is guided by the needs of the patient as they work to create patient-provider partnerships that are effective and personal. Health care providers guide patients in shared decision making to help align treatment options with what is most important to patients. Continue reading

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UCSF Breast Care Center


The University of California San Francisco (UCSF) Breast Care Center (BCC) is a high volume specialty clinic providing multi-disciplinary care in a National Cancer Institute-designated Comprehensive Cancer Center. Eight medical oncologists and four surgeons, among dozens of specialists, providers and staff conduct more than 1,000 consultations annually, caring for more than 600 newly diagnosed patients each year. The Breast Care Center at UCSF became a Foundation funded specialty care demonstration site in 2005 in order to offer their patients a unique type of decision support and guidance along their journey. Continue reading

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University of North Carolina at Chapel Hill


The University of North Carolina (UNC) at Chapel Hill Division of General Internal Medicine and Clinical Epidemiology provides both primary and consultative clinical care to the patient population at UNC hospitals and affiliated practices. The Division has over 100 physicians serving 15,000 patients with a wide spectrum of socioeconomic status and education levels. In collaboration with the University’s Sheps Center for Health Services Research, UNC Chapel Hill became a Foundation funded demonstration site in 2005 in order to promote patient-centered high quality care. Continue reading

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