Using CQUIN indicators to drive commissioning and implementation of shared decision making
This case study describes how the team in Newcastle working on the Health Foundation’s MAGIC programme to implement shared decision making worked with commissioners to develop a CQUIN for shared decision making.
It sets out the requirements of the CQIN and work by the MAGIC team to:
- Identify 3 clinical pathways where there are treatment choice/options to implement shared decision making
- Conduct a survey of patients regarding the experience of their involvement and their perception of the decision process
- Provide education in shared decision making skills through lead clinicians attending shared decision making advanced skills workshops
- Disseminate the ‘Ask 3 questions’ patient awareness-raising materials in outpatient clinics
- Review with the clinical teams patient information material and support tools to discuss options in the patient pathway
- Incorporate details of options discussed with patients and their stated preferences in the clinical record and letters to GPs following outpatient appointments, or inpatient episodes.