Shared decision making for watchman

  • How to do shared decision making?

    Describe the problem clearly and openly so that your patient understands that a decision needs to be made.
    Ask your patient to participate with the health care team in making his or her treatment decision.
    Help your patient understand that he or she is being invited to ask questions and discuss options with you..

  • What is the shared decision making model in nursing?

    Shared decision-making ensures that individuals are supported to make decisions that are right for them.
    It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment..

  • Describe the problem clearly and openly so that your patient understands that a decision needs to be made.
    Ask your patient to participate with the health care team in making his or her treatment decision.
    Help your patient understand that he or she is being invited to ask questions and discuss options with you.
Shared decision-making is a collaborative process that allows patients and their physicians to make treatment decisions together; The process considers the 
The Agency for Healthcare Research and Quality's SHARE approach is a five-step shared decision-making process that compares the benefits and risks of each 

Is there an evidence-based tool for shared decision making?

Comment:

  1. Commenters expressed support for shared decision making though no description or reference of an evidence-based tool for use in LAAC was mentioned

One comment mentioned the NICE patient decision aid on AF.
A few comments suggested the clinician weigh the risks and benefits for the patient without a decision aid.
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What can we expect from a CMS decision on Watchman?

American College of Cardiology The Recent CMS Determination on WATCHMAN:

  1. What Can We Expect from Here.
    The WATCHMAN (Boston Scientific
  2. Marlborough MA) left atrial appendage (LAA) occlusion device has recently been approved for reimbursement by the Centers for Medicare & Medicaid (CMS)
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What is a shared decision making interaction with a non-interventional physician?

A formal shared decision making interaction with an independent non-interventional physician using an evidence-based decision tool on oral anticoagulation in patients with NVAF prior to LAAC.
Additionally, the shared decision making interaction must be documented in the medical record.

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What is shared decision-making?

Shared decision-making is a collaborative process that allows patients and their physicians to make treatment decisions together The process considers the best scientific evidence available, as well as the patient's values and preferences 1 .


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