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3
SDM
U S P
USE
PDA
NEW
GROW
Torbay Charts
Thanks to
Dr Matt Halkes
&
Mr R Ramesh
S D M
Process in which patients:-
- review all the treatment options available and,
- actively participate with their healthcare professional in making decision.
Shared Decision Making
No decision about me, without me
Two experts
P D A
Dialogue
Success...
Risks...
I can fix you....
In my hands...
Evidence....
Alternatives....
Concerns....
Risks....
Success...
Time-off...
Child care....
Inconvenience.....
Worse...
Alternatives...
What if?.....
P D A
What matters to patients matters
Patient Decision Aids
1) Empowers patients
2) Respect autonomy
3) Feel included
4) Improves knowledge
5) Ownership of decisions
- Improves compliance
- Less regret
- Less complaint
- Less litigation
6) Choose less invasive options (less expensive)
Knee Arthritis
Short vs Long
What?
Is there a need for a new one?
1. Current DA's do not allow HCP's ...in deciding who should be offered joint replacement
2. Most DA's used were 40-50 min video and extensive booklet
New one?
1) Impractical to use during consultation
2 ) Clunky
3) Not comprehensive
4) Lack of relevance
5) Not layered
6) No self-directed comparison
7) Visually unattractive
8) Different learning styles
Choices
Materiality
Yoga
Need for new ones
Choices
Materiality
The Nuts and Bolts
How TC works?
Torbay Charts
How Torbay Chart is different?
USP of
TC
TC
Map for the Journey
USP of Torbay Charts
https://vimeopro.com/healthandcarevideos/pda/video/342202455
Overview
1
Diagnosis & Stage
All treatments displayed
2
Overview
3
Diagnose >>
Stage >>
Relevant treatments >> Compare >>
Choose
B
A
Relevant
Relevant
Compare side by side
Similar to comparison website
Compare
Development
Pilot
Progress
of Torbay Charts so far......
Practical Use
3
Scaling up
4
COVID-19
1
2017
SDM meeting in Exeter
CCG / Expert patients / QUIPPS
Local trials
Pilot test result
Options
Support SDM
Recommendations
2
Presentations
Devon STP clinical cabinet
Prof A Collins
Regional SDM collaboration - Taunton
Sweden - Microsystem Conference
Canada - 10th International SDM conference
Prof A O'Connor, Prof D Stacey, Prof A Coulter
3
Scaling up
Shoulder
Impingement
Arthritis
Frozen shoulder
Chronic Low Back Pain
Elbow tendinitis
BP
Cholesterol
STP
Barnstable
Exeter
Derriford
St Austell
Bristol and South Gloucester CCG
NHS England Bid
Is there a need for a COVID-19 decision aid?
4
https://www.bbc.co.uk/news/video_and_audio/headlines/52752274/what-s-it-like-using-the-covid-19-contact-tracing-app
Colleague - family member
Colleague - son
COVID-19 Torbay Charts
4
This is not the final version
COVID TC
Single point of access
Logical navigation
Process information better
Confidence
- Self-care
- Seeking help
HCP - remote guidance
www.torbaycharts.co.uk