Enhancing Success of Medicare's Shared Decision Making Mandates Using Implementation Science: Examples Applying the Pragmatic Robust Implementation and Sustainability Model (PRISM)
Authors
Matlock, Daniel D.Ito Fukunaga, Mayuko
Tan, Andy
Knoepke, Chris
McNeal, Demetria M.
Mazor, Kathleen M.
Glasgow, Russell E.
UMass Chan Affiliations
Division of Geriatrics, Department of MedicineDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine
Document Type
Journal ArticlePublication Date
2020-10-15Keywords
CMS mandatesPRISM
context
framework
implementation science
shared decision making
Health Policy
Health Services Administration
Health Services Research
Metadata
Show full item recordAbstract
The Centers for Medicare and Medicaid Services (CMS) has mandated shared decision making (SDM) using patient decision aids for three conditions (lung cancer screening, atrial fibrillation, and implantable defibrillators). These forward-thinking approaches are in response to a wealth of efficacy data demonstrating that decision aids can improve patient decision making. However, there has been little focus on how to implement these approaches in real-world practice. This article demonstrates how using an implementation science framework may help programs understand multilevel challenges and opportunities to improve adherence to the CMS mandates. Using the PRISM (Pragmatic Robust Implementation and Sustainability Model) framework, we discuss general challenges to implementation of SDM, issues specific to each mandate, and how to plan for, enhance, and assess SDM implementation outcomes. Notably, a theme of this discussion is that successful implementation is context-specific and to truly have successful and sustainable changes in practice, context variability, and adaptation to context must be considered and addressed.Source
Matlock DD, Fukunaga MI, Tan A, Knoepke C, McNeal DM, Mazor KM, Glasgow RE. Enhancing Success of Medicare's Shared Decision Making Mandates Using Implementation Science: Examples Applying the Pragmatic Robust Implementation and Sustainability Model (PRISM). MDM Policy Pract. 2020 Oct 15;5(2):2381468320963070. doi: 10.1177/2381468320963070. PMID: 33117890; PMCID: PMC7570787. Link to article on publisher's site
DOI
10.1177/2381468320963070Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41633PubMed ID
33117890Related Resources
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Copyright © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).Distribution License
http://creativecommons.org/licenses/by-nc/4.0/ae974a485f413a2113503eed53cd6c53
10.1177/2381468320963070
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Except where otherwise noted, this item's license is described as Copyright © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).