Use your B.R.A.I.N. A Decision Support Tool

The Centre for Collaboration, Motivation, and Innovation (CCMI) is a non-profit organization dedicated to building skills and confidence for better health and health care. Their vision is "to improve health outcomes through helping people take active roles in their health."

The BRAIN Informed Decision Making Aid

Achieving this vision entails the development of tools that can facilitate patient-provider conversations. To that end, they have adapted the BRAIN Informed Decision Making tool from the International Childbirth Association.

At the recent BC Patient Safety Quality Council's Quality Forum (#QF16), I was asked to give a talk on Choosing Wisely and was put into the "Patient Empowerment" breakout session. It was fortuitous that my talk preceded that of the CCMI team as I got to see their presentation on the tool and learn about its development (slides accessible here).

Helping a patient to explore the [B]enefits, [R]isks, [A]lternatives, their [I]ntuition, and [N]ext steps, the BRAIN tool can assist people navigating any significant health choice.

You can view and download the PDF on the CCMI's website. The simple format and generalizability means it could easily become a 'go to' tool for patients and clinicians who wish to engage in shared decision-making.

Please feel free to leave your feedback on this tool in the comments section below; the input can be forwarded to the CCMI team. Has it been a helpful tool for you as a patient or caregiver? Do your patients find the format straightforward?
 

More

Seeking more tools like this to facilitate patient-provider discussions around important health choices? Less is More includes a list of mainly Shared Decision Making Tools, in the hands-on resource section.

Source: http://www.centrecmi.ca/wp-content/uploads...

PRESENTATION SLIDES: SRPC Rural & Remote Medicine Course: Less is More Medicine

The  handout  for my talk.

The handout for my talk.

The slides from my Society of Rural Physicians of Canada (SRPC) Rural & Remote talk are now available on Prezi.

The handout can be seen here.

Please explore this website to find out more. Read about other projects, attend a conference or event, or try out a shared decision making tool.

I would value any feedback via Twitter (@LessIsMoreMed) or via email, whether about the talk (if you attended) or about this website or topic in general.

This conference had a great number of speakers on subjects related to mine, ranging from Wendy Levinson on Choosing Wisely to Dee Mangin's keynote and workshop about tackling polypharmacy, to some of the hard-hitting EBM stuff from Ken Milne of the BEEMGroup and Mike Allan/Mike Kolber of Tools for Practice. On Saturday we'll hear about antibiotic overuse from Keith White in his session "Put the pen down and back away."

Inappropriate health care (or "too much & too little medicine") is a prevalent issue; it's great to see it being tackled from so many different angles.

To find out more about my past and future talks, look at the Media/Talks section.

Source: https://prezi.com/fypbc5slxilc/srpc-rural-...

Choosing Wisely Canada extra resources

Being part of the Early Adopters collaborative for Choosing Wisely Canada, I've been made aware of some really useful resources that you may not have heard of yet.

Thanks to Tai Huynh (Campaign Manager) and Karen McDonald (Project Manager) with Choosing Wisely Canada for allowing me to share their commentary and these great links:

1.     Canadianized patient pamphlets

In collaboration with Consumer Reports Health and Canadian medical specialty societies participating in Choosing Wisely Canada, we have (to date) released 25 lay language patient pamphlets to help educate patients and facilitate provider-patient conversation on tests, treatments and procedures that may not be necessary. These pamphlets can be found in the materials section of the Choosing Wisely Canada website  and are downloadable as PDFs. The generic patient pamphlet contains four questions patients are encouraged to ask their doctors.

 2.     Instructional videos to help providers and patients think and talk about overuse

The ABIM Foundation funded the Drexel University College of Medicine to develop a set of interactive instructional modules to enhance physician and patient communication around the specialty society recommendations from the Choosing Wisely campaign. Developed in collaboration with nine medical specialty societies, these modules are designed to help physicians, patients and other health care stakeholders think and talk about overuse of health care resources by providing strategies for physicians to build trust and address patient attitudes and beliefs that more care is not always better care.

These videos can be accessed from the US Choosing Wisely website, modules section. They are a bit tricky to locate, so here are some examples: 

3.     Washington State Choosing Wisely Task Force toolkit

A PDF of the Washington State toolkit created for physicians or other health care leaders struggling with how to integrate Choosing Wisely’s evidence based best practices into their practices or organizations.

4.     Spreadsheet of Canadian physician recommendations

A spreadsheet containing all 102 CWC recommendations released to date is attached and can be downloaded from our website http://www.choosingwiselycanada.org/recommendations/