Prospective Multisite Cohort Study to Evaluate Shared Decision-Making Utilization Among Individuals Screened for Lung Cancer

Tailor, Tina D.; Rivera, M. Patricia; Durham, Danielle D.; Perera, Pasangi; Lane, Lindsay; Henderson, Louise M.

doi:10.1016/j.jacr.2022.03.005

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…These findings support other studies that have demonstrated even lower utilization or documentation of SDM, based on billing codes or audio-recorded clinic visits [4,5]. Interestingly, Tailor et al also found that patients perceived that SDM occurred more often than it was appropriately documented (71% versus 42%) [3].…”

supporting

confidence: 81%

“…SDM is a critical component to patient-clinician communication, but in its current form, the evidence shows that it is not happening and it is not being documented in timeconstrained primary care clinic visits [3][4][5]. The policy does not seem to be encouraging clinicians to document CMS-adherent SDM.…”

Section: Question 1: Is the Cms Policy That Requires Documenting Sdm ...mentioning

confidence: 99%

“…It is of interest that Tailor et al [3] found that patients actually perceived that SDM occurred more often than it was appropriately documented. This suggests there may be a disconnect between what CMS perceives SDM documentation should encompass and what patients actually desire or need (which is the more important).…”

Section: Question 1: Is the Cms Policy That Requires Documenting Sdm ...mentioning

confidence: 99%

“…In the current issue of the journal, Tailor et al [3] demonstrate that even though required by CMS, documentation of SDM for LCS remains suboptimal, with only 41.9% of individuals undergoing LCS having SDM documented in their electronic health record. Furthermore, of the electronic health record notes documenting SDM, only one-fifth included documentation of all required CMS components [3]. These findings support other studies that have demonstrated even lower utilization or documentation of SDM, based on billing codes or audio-recorded clinic visits [4,5].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Lewis

Wiener

Slatore

et al. 2022

Journal of the American College of Radiology

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supporting

confidence: 81%

Section: Question 1: Is the Cms Policy That Requires Documenting Sdm ...mentioning

confidence: 99%

Section: Question 1: Is the Cms Policy That Requires Documenting Sdm ...mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Lewis

Wiener

Slatore

et al. 2022

Journal of the American College of Radiology

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“…Achieving clinical cooperation among actors could be facilitated but at the same time also constrained by EMRs [2] and it is almost impossible while using different EMRs. Sharing clinical information to align on shared decision making is dependent on adequate EMR derived documentation [3]. If those data originate from various sources, the clinical risk increases, and economic resources get wasted.…”

Section: Introductionmentioning

confidence: 99%

Clinical Knowledge Platform (CKP): A Collaborative Ecosystem to Share Interoperable Clinical Forms, Viewers, and Order Sets with Various EMRs

Dahlweid¹,

Rausch²,

Hinske

et al. 2022

Studies in Health Technology and Informatics

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A large number of Electronic Medical Records (EMR) are currently available with a variety of features and architectures. Existing studies and frameworks presented some solutions to overcome the problem of specification and application of clinical guidelines toward the automation of their use at the point of care. However, they could not yet support thoroughly the dynamic use of medical knowledge in EMRs according to the clinical contexts and provide local application of international recommendations. This study presents the development of the Clinical Knowledge Platform (CKP): a collaborative interoperable environment to create, use, and share sets of information elements that we entitled Clinical Use Contexts (CUCs). A CUC could include medical forms, patient dashboards, and order sets that are usable in various EMRs. For this purpose, we have identified and developed three basic requirements: an interoperable, inter-mapped dictionary of concepts leaning on standard terminologies, the possibility to define relevant clinical contexts, and an interface for collaborative content production via communities of professionals. Community members work together to create and/or modify, CUCs based on different clinical contexts. These CUCs will then be uploaded to be used in clinical applications in various EMRs. With this method, each CUC is, on the one hand, specific to a clinical context and on the other hand, could be adapted to the local practice conditions and constraints. Once a CUC has been developed, it could be shared with other potential users that can consume it directly or modify it according to their needs.

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Patient-Provider Discussion About Lung Cancer Screening by Race and Ethnicity: Implications for Equitable Uptake of Lung Cancer Screening

Hong,

Wheeler,

Wang

et al. 2024

Clinical Lung Cancer

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Prospective Multisite Cohort Study to Evaluate Shared Decision-Making Utilization Among Individuals Screened for Lung Cancer

Cited by 5 publications

References 23 publications

Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Doing Versus Documenting Shared Decision-Making for Lung Cancer Screening—Are They the Same?

Clinical Knowledge Platform (CKP): A Collaborative Ecosystem to Share Interoperable Clinical Forms, Viewers, and Order Sets with Various EMRs

Patient-Provider Discussion About Lung Cancer Screening by Race and Ethnicity: Implications for Equitable Uptake of Lung Cancer Screening

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