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Measuring Shared Decision Making in Practice: Priorities from the 2012 Dartmouth Summer Institute for Informed Patient Choice

Objectives: The Dartmouth Summer Institute for Informed Patient Choice (SIIPC) seeks to prepare the next generation of scientists to investigate problems and solutions in the field of patients' health care decision making. The theme of the 2012 SIIPC was, "Measuring Shared Decision Making in Practice". Methods: Twenty-five content experts in shared decision making and measurement presented the state of the science. Using a modified nominal group technique, 115 attendees from seven countries identified measurement priorities and proposed solutions for measuring shared decision making in clinical practice. Results: Participants identified six priorities for measurement: 1) a clear and measurable definition of shared decision making; 2) decision quality measures for audit, feedback, and public reporting; 3) measures that are acceptable to clinicians; 4) measures that are meaningful to patients; 5) consensus on a standard minimum data set; and 6) actionable information for organizations and policy makers. Potential barriers and proposed solutions are presented. Conclusions: Use of sustainable, standard shared decision making measures capable of providing timely, actionable insight into patient-provider communication and decision processes is a first step in increasing awareness.