President Obama’s re-election now makes it all but certain that implementation of the Affordable Care Act (ACA) will progress. With a clearer picture of the health care landscape ahead of us, the Informed Medical Decisions Foundation and our colleagues will continue to pursue the opportunities laid out in the ACA to foster nation-wide implementation of shared decision making (SDM). I’d like to point out two key organizations established through the ACA that we hope to work closely with over the coming years. The first being the Center for Medicare & Medicaid Innovation (CMMI), which cultivates health care transformation by finding new ways to pay for and deliver better care and better health at lower costs.
The RAND study's conclusions were based on looking at participants in a project by the Boston-based Informed Medical Decisions Foundation: Dartmouth-Hitchcock Medical Center in New Hampshire, MaineHealth, Massachusetts General Hospital, Mercy Clinics in Iowa, the Oregon Rural Practice-based Research Network, the Palo Alto Medical Foundation in California, the Stillwater Medical Group in Minnesota and the University of North Carolina at Chapel Hill.
And some of the momentum is coming from state legislators or health officials who want a shared decision-making component in some of the latest models for cutting waste and improving quality in health care spending, like "medical homes." Washington state began encouraging shared decision making in it's state's health care systems about five years ago; Massachusetts joined in last summer when it passed its sweeping health cost control law, according to Benjamin Moulton, the senior legal adviser to the Boston-based Informed Medical Decisions Foundation.