An experienced-based toolbox to facilitate large-scale Shared Decision Making implementation
To execute the strategy on large-scale implementation of Shared Decision Making (SDM) in the Region of Southern Denmark, a network of SDM-implementation consultants employed at the five regional hospital units, has during the past 2.5 years generated useful tools and launched different initiatives to support the implementation of SDM. You will find a presentation of each of the tools and initiatives below.
Purpose
To support clinicians’ documentation of SDM application. To align documentation of SDM in patient records.
Description
Documentation templates containing pre-defined sentences following the elements in the Three talk model.
Purpose
To list different measurement instruments on progression in or effect of the implementation.
Description
The catalog presents different measurement instruments like OPTION12 and CollaboRATE, and suggests methods on how to follow the progression of the implementation.
For further information contact: rikke.rask@rsyd.dk
Purpose
To exchange experiences and give inspiration across clinics to ensure continuous attention to SDM.
Description
The newsletter covers short reports on successes and challenges at the various clinics, presents publications from the hospital, and other relevant news.
For further information contact: stina.brogard.andersen@rsyd.dk
Purpose
To increase awareness of SDM at different levels of the organization and to facilitate stepwise implementation.
Description
Short SDM presentations and events held at different meetings, in different settings, or/and in different clinics.
For further information contact: Christina.sejthen.sorknæs@rsyd.dk
Purpose
To promote transfer from SDM theory into SDM practice.
Description
After the teaching of clinicians, an observer participates in the clinical encounter and provides structured feedback to the clinician on the SDM practice.
For further information contact: ADJ@rsyd.dk or mette.christiansen@rsyd.dk
Purpose
To plan and visualize the different steps in the implementation process.
Description
A template helps the clinics to organize the implementation by visualizing the different steps in the process.
Purpose
To ensure a high standard when trained teachers teach their colleagues.
To discover if changes are needed in the teaching setups.
To be able to compare the quality and benefits of the “Teach-your-Colleagues” lessons across clinics.
Description
A questionnaire developed to evaluate “Teach-your-Colleagues” lessons. Participants scan a QR code at the end of the lesson, which will forward them to the questionnaire.
For further information contact: stina.brogard.andersen@rsyd.dk
Purpose
To ensure organizational alignment in the development of PtDA´s.
To ensure clear and distinct roles and responsibilities concerning the clinical content in the PtDA.
Description
A guideline with a clear description of the development process, version control of the PtDAs, roles and responsibilities.
Purpose
To increase awareness of SDM.
Description
Supportive material to print and display.
Purpose
To present how SDM can be used for health promotion.
Description
Short film on hospitals local intranet.
Purpose
To present SDM so that it relates to a psychiatric context.
Description
Short film on hospitals local intranet.
SDM in psychiatry
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For further information contact: lisa.korsbek.christensen@rsyd.dk
Purpose
To support the clinicians in the practical application of SDM.
Description
The template provides instructions to the clinicians on SDM performance, supporting sentences to each element of the Three talk model as well as pre-defined sentences for documentation.
For further information contact: ADJ@rsyd.dk or mette.christiansen@rsyd.dk
Purpose
To provide an overview of the different steps of the implementation process.
Description
The guide describes and expands each of the different mandatory and adaptable components in the regional implementation process. The guide is a reference work for coordinators, leaders, teachers, or clinicians involved in the development of PtDAs etc.
For further information contact: stina.brogard.andersen@rsyd.dk
Purpose
To ensure that the implementation of SDM is not “a stand-alone initiative” but linked to other quality development methods e.g. The South Danish Improvement model.
Description
Plan-Do-Study-Act (PDSA), which is a framework for the development, test, and implementation of changes.
Organizational user involvement e.g. feedback meetings.
One of the tools used for quality development is the PDSA-circle.
Ref.: The Improvement Guide, Langley et al. (2009)
Purpose
To support clinics in SDM-implementation by using an interdisciplinary quality assessment tool that combines the elements of a patient tracer (interview) and a patient records audit (TRADIT).
Description
TRADIT consists of a set of indicators for audit of patient records and patient interviews. An interdisciplinary team led by trained internal surveyors conducts 12 annual TRADITs on selected patient cases in each hospital clinic.
Lyager Birkedal, Hanne et al: ”Nyudviklet metode til kvalitetsvurdering af patientforløb giver ejerskab”, Tidsskrift for dansk Sundhedsvæsen, 95-årgang, nr. 8 december 2020 side 25-33,
Purpose
To support local communication about SDM and give simple and efficient access for clinicians and clinics to documents, services, and news.
Description
The local Intranet sites presents latest news, documents for use in the clinics, publications, etc.
Purpose
To accommodate the clinics need for flexibility in how to plan and when to carry out the teaching of clinicians.
Description
Teach-your-Colleagues, in its original form, requires presence of the clinicians.
E-learn material on the theoretical part of SDM provides more flexibility in how to plan and when to carry out the teaching in the clinics.
For further information contact: stina.brogard.andersen@rsyd.dk